Lifetime trauma victimization and PTSD in relation to psychopathy and antisocial personality disorder in a sample of incarcerated women and men.
Lifetime trauma victimization and PTSD in relation to psychopathy and antisocial personality disorder in a sample of incarcerated women and men.
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DOI：
10.1108/ijph-06-2014-0016
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发表时间：
2015
影响因子：
1.4
通讯作者：
中科院分区：
文献类型：
--
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反社会人格障碍（ASPD）和精神病是相似的，但不同的，精神疾病是常见的男性和女性囚犯;一部分人口的创伤暴露率高。目前还不清楚特定类型的终身创伤是否与被监禁的女性和男性的反社会人格障碍和精神病有关。此外，创伤后应激障碍（PTSD）的症状严重程度和创伤受害在反社会人格障碍中的独特作用还没有得到很好的理解。本文旨在讨论这些问题。本研究调查了创伤变量（不同类型的创伤经历和PTSD）和反社会人格变量（ASPD和精神病）之间的关联，在一个样本的监禁妇女和男子参加了一个随机临床试验的重性抑郁症。总共有88名被监禁的男性和女性接受了ASPD诊断，精神病严重程度，PTSD症状严重程度以及身体，性和犯罪相关创伤史的评估。回归分析预测ASPD或精神病的创伤变量，控制性别。物理创伤是唯一与精神病有显著相关的创伤形式。身体创伤和犯罪相关创伤与ASPD相关。PTSD症状严重程度与精神病或ASPD无关。在目标样本中，某些类型的终身创伤暴露与当前的ASPD/精神病之间存在关联，但这些关联似乎并不通过当前的PTSD症状来介导。
Antisocial personality disorder (ASPD) and psychopathy are similar, but distinct, psychiatric conditions that are common in male and female inmates; a segment of the population with high rates of trauma exposure. It is unclear whether specific types of lifetime trauma are associated with ASPD and psychopathy in incarcerated women and men. Furthermore, the unique roles of post-traumatic stress disorder (PTSD) symptom severity and trauma victimization in antisocial personality disturbance are not well-understood. The paper aims to discuss these issues. This study investigated associations between trauma variables (different kinds of traumatic experiences and PTSD) and antisocial personality variables (ASPD and psychopathy) in a sample of incarcerated women and men who participated in a randomized clinical trial for major depressive disorder. In total, 88 incarcerated men and women were assessed for ASPD diagnosis, psychopathy severity, PTSD symptom severity, and history of physical, sexual, and crime-related trauma. Regression analyses predicted ASPD or psychopathy from trauma variables, controlling for gender. Physical trauma was the only form of trauma that was significantly related to psychopathy. Physical trauma and crime-related trauma were associated with ASPD. PTSD symptom severity was not associated with psychopathy or ASPD. There are associations between some kinds of lifetime trauma exposure and current ASPD/psychopathy in the target sample, but these associations do not appear to be mediated through current PTSD symptoms.