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Associations of past conduct disorder with personality disorders in ‘non-psychotic’ psychiatric inpatients

Published online by Cambridge University Press:  16 April 2020

J.H. Dowson ,
P. Sussams ,
A.T. Grounds  and
J.C. Taylor
J.H. Dowson*
Affiliation:
Cambridge University Department of Psychiatry, Box 189, Addenbrooke’s Hospital, CambridgeCB2 2QQ, UK
P. Sussams
Affiliation:
Cambridge University Department of Psychiatry, Box 189, Addenbrooke’s Hospital, CambridgeCB2 2QQ, UK
A.T. Grounds
Affiliation:
Cambridge University Department of Psychiatry, Box 189, Addenbrooke’s Hospital, CambridgeCB2 2QQ, UK
J.C. Taylor
Affiliation:
Kneesworth House Hospital, Bassingbourn, UK
*
*Correspondence and reprints. E-mail address: [email protected] (J.H. Dowson).
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Abstract

The aim was to investigate associations of a history of features of DSM-III-R conduct disorder (CD) with features of DSM-III-R personality disorders (PDs) and psychopathy, in inpatient psychiatric practice. Fifty-six psychiatric inpatients, without a history of specified ‘psychoses’, were assessed by the SCID structured interview for DSM-III-R PDs and the ‘Psychopathy Checklist Revised’ (PCL-R).

In a sample in which 59% had borderline PD, significant associations between a history of CD criteria and the adult features of antisocial PD (APD) were relatively specific compared with other PDs, but were weaker in women. However, significant correlations between the number of positive CD criteria and PCL-R scores were similar in both genders. The relatively specific associations between CD and adult features of APD are likely to be relevant to psychiatric patients who show various presentations of PD, if these include some adult features of APD. The findings inform the understanding of the development and classification of PDs.

Type
Original article
Information
European Psychiatry , Volume 16 , Issue 1 , February 2001 , pp. 49 - 56
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS.

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References

Andrulonis, PAVogel, NG.Comparison of borderline personality subcategories to schizophrenic and affective disorders. Br J Psychiatry 1984; 144: 358–363CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Rev. 3rd Washington DC: American Psychiatric Association 1987.Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th Washington DC: American Psychiatric Association; 1994Google Scholar
Bernstein, DPCohen, PSkodol, ABezirganian, SBrook, JS.Childhood antecedents of adolescent personality disorders. Am J Psychiatry 1996; 153: 907–913Google ScholarPubMed
Blackburn, R.The psychology of criminal conduct. Chichester: Wiley 1993Google Scholar
Brown, JMNixon, SJ.Gender and drug differences in antisocial personality disorder. J Clin Psychol 1997; 53: 301–3053.0.CO;2-S>CrossRefGoogle ScholarPubMed
Burket, RCMyers, WC.Axis I and personality co-morbidity in adolescents with conduct disorder. Bull Am Acad Psychiatry Law 1995; 23: 73–82Google ScholarPubMed
Carter, JDJoyce, PRMulder, RTSullivan, PFLuty, SE.Gender differences in the frequency of personality disorders in depressed outpatients. J Pers Disord 1999; 13: 67–74CrossRefGoogle ScholarPubMed
Casey, P.The epidemiology of personality disorder. In : Tyrer, P, Ed. Personality disorders London: Wright; 1988. 74–81.Google Scholar
Caspi, AMoffitt, TENewman, DCSilva, PA.Behavioural observations at age 3 years predict adult psychiatric disorders. Arch Gen Psychiatry 1996; 53: 1033–1039CrossRefGoogle Scholar
Cottler, LBPrice, RKCompton, WMMager, DE.Subtypes of adult antisocial behaviour among drug abusers. J Nerv Ment Dis 1995; 183: 154–161CrossRefGoogle ScholarPubMed
Dowson, JH.Assessment of personality disorders. Recognition and clinical management. In : Dowson, JHGrounds, AT, Eds. Personality disorders Cambridge: Cambridge University Press; 1995. 195–228CrossRefGoogle Scholar
Dowson, JHSussams, PGrounds, AT.Characteristics of inpatients without psychosis. Psychiatry Bull 1997; 21: 553–556CrossRefGoogle Scholar
Faraone, SVBiederman, JJetton, JGTsuang, MT.Attention-deficit disorder and conduct disorder:longitudinal evidence for a familial subtype. Psychol M 1997; 27: 291–300CrossRefGoogle ScholarPubMed
Farrington, DPWest, DJ.Criminal, penal and life histories of chronic offenders: Risk and protective factors and early identification. Crim Behav Ment Health 1993; 3: 492–523CrossRefGoogle Scholar
Fehon, DCBecker, DFGrilo, CMWalker, MLLevy, KNEdell, WSet al. Diagnostic comorbidity in hospitalised adolescents with conduct disorder. Compr Psychiatry 1997; 38: 141–145CrossRefGoogle ScholarPubMed
First, MBGibbon, MWilliams, J.BWSpitzer, RL.Auto SCID II for personality disorders (Auto SCID II and SCID-II-PQ). New York: Multi-Health Systems Inc and American Psychiatric Association; 1991.Google Scholar
Goodman, GHall, JWClarkin, JFYeomans, FE.Childhood antisocial behaviours as predictors of psychotic symptoms and DSM-III-R borderline criteria among inpatients with borderline personality disorder. J Pers Disord 1999; 13: 35–46CrossRefGoogle ScholarPubMed
Grilo, CMBecker, DFFehon, DCWalker, MLEdell, WSMcGlashan, TH.Gender differences in personality disorder in psychiatrically hospitalised adolescents. Am J Psychiatry 1996; 153: 1089–1091Google Scholar
Hare, RD.The Hare Psychopathy Checklist – Revis. New York: Multi-Health Systems Inc; 1991.Google Scholar
Hare, RDHarpur, TJHakstian, ARForth, AEHart, SDNewman, JP.The Revised Psychopathy Checklist: reliability and factor structure. J Consult Clin Psychol 1990; 2: 338–341Google Scholar
Kerr, MTremblay, REPagani, LVitaro, F.Boys’ behavioural inhibition and the risk of later delinquency. Arch Gen Psychiatry 1997; 54: 809–816CrossRefGoogle ScholarPubMed
Loeber, R.Development and risk factors of juvenile antisocial behaviour and delinquency. Clin Psychol Rev 1990; 0: 1–41CrossRefGoogle Scholar
Lyons, MJTrue, WREisen, SAGoldberg, JMeyer, JMFaraone, SVet al. Differential heritability of adult and juvenile antisocial traits. Arch Gen Psychiatry 1995; 52: 906–915CrossRefGoogle ScholarPubMed
McGee, RFeehan, MWilliams, SPartridge, FSilva, PAKelly, J.DSM-III disorders in a large sample of adolescents. J Am Acad Child Adolesc Psychiatry 1990; 29: 611–619CrossRefGoogle Scholar
Myers, WCBurket, RCOtto, TA.Conduct disorder and personality disorders in hospitalised adolescents. J Clin Psychiatry 1993; 54: 21–26Google Scholar
Myers, MGStewart, DGBrown, SA.Progression from conduct disorder to antisocial personality disorder following treatment for adolescent substance abuse. Am J Psychiatry 1998; 155: 479–485CrossRefGoogle ScholarPubMed
Nace, EPDavid, OWGaspari, JP.Axis II comorbidity in substance abusers. Am J Psychiatry 1991; 148: 118–120Google ScholarPubMed
Norusis, MJ.SPSS/PC+Advanced Statistics for the IBM PC/XT/AT and PS/2. Chicago, IL: SPSS; 1988.Google Scholar
Paris, J.Antisocial and borderline personality disorders:two separate diagnosis or two aspects of the same psychopatholgy. Compr Psychiatry 1997; 38: 237–242CrossRefGoogle ScholarPubMed
Robins, LN.Aetiological implications in studies of childhood histories relating to antisocial personality. In: Hare, RD, Schalling, D, Eds. Psychopathic behaviour: approaches to research Chichester: Wiley; 1978. 255–271Google Scholar
Robins, LNPrice, RK.Adult disorders predicted by childhood conduct problems: results from the NIMH Epidemiological Catchment Area project. Psychiatry 1991; 54: 116–132CrossRefGoogle ScholarPubMed
Russ, MT.Self-injurious behaviour in patients with borderline personality disorder: biological perspectives. J Pers Disord 1992; 6: 64–81CrossRefGoogle Scholar
Rutherford, MJAlterman, AICacciola, JSSnider, EC.Gender differences in diagnosing antisocial personality disorder in methadone patients. Am J Psychiatry 1995; 152: 1309–1316Google ScholarPubMed
Rutter, M.Temperament, personality and personality disorder. Brit J Psychiatry 1987; 150: 443–458CrossRefGoogle ScholarPubMed
Soloff, PNMillward, JW.Developmental history in borderline patients. Compr Psychiatry 1983; 24: 574–588CrossRefGoogle Scholar
Spitzer, RLWilliams, J.BWGibbon, MFirst, MB.Structured Clinical Interview for DSM-III-R Personality Disorders (SCID II Version 1.0). Washington, DC: American Psychiatric Press; 1990.Google Scholar
Stalenheim, EGvon Knorring, L.Psychopathy and Axis I And Axis II psychiatric disorders in a forensic psychiatric population in Sweden. Acta Psychiatr Scand 1996; 94: 217–223CrossRefGoogle Scholar
Strelau, J.Temperament, personality and arousal. London: Academic Press; 1983.Google Scholar
Tennenbaum, DJ.Personality and criminality: a summary and implications of the literature. J Crim Justice 1997; 5: 225–235CrossRefGoogle Scholar
Tweed, JLGeorge, LKBlazer, DSwartz, MMacMillan, J.Adult onset of severe and pervasive antisocial behaviour:a distinct syndrome?. J Pers Disord 1994; 8: 192–202CrossRefGoogle Scholar
Virkkunen, MLinnoila, M.Serotonin in early onset alcoholism. Recent Dev Alcohol 1997; 13: 173–189Google ScholarPubMed
White, JCMoffitt, TEEarls, FRobins, LSilva, PA.How early can we tell?. Criminology 1990; 28: 507–533CrossRefGoogle Scholar
Widiger, TA.Sex biases in the diagnosis of personality disorders. J Pers Disord 1998; 12: 95–118CrossRefGoogle Scholar
Zoccolillo, M.Gender and the development of conduct disorder. Dev Psychopathol 1993; 5: 65–78CrossRefGoogle Scholar
Zoccolillo, MPickles, AQuinton, DRutter, M.The outcome of childhood conduct disorder: implications for defining adult personality disorder and conduct disorder. Psychol M 1992; 22: 971–986CrossRefGoogle ScholarPubMed
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