PMID- 20605639 OWN - NLM STAT- MEDLINE DCOM- 20110303 LR - 20220311 IS - 0165-1781 (Print) IS - 0165-1781 (Linking) VI - 185 IP - 1-2 DP - 2011 Jan 30 TI - Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients. PG - 280-5 LID - 10.1016/j.psychres.2010.05.008 [doi] AB - The prevention of aggressive behaviours is a core priority for psychiatric clinical work, but the association between the diagnostic concepts used in psychiatry and aggression remains largely unknown. Outpatients referred for psychiatric evaluations of childhood-onset neuropsychiatric disorders (n=178) and perpetrators of violent crimes referred to pre-trial forensic psychiatric investigations (n=92) had comprehensive, instrument-based, psychiatric assessments, including the Life History of Aggression (LHA) scales. Total and subscale LHA scores were compared to the categorical and dimensional diagnoses of childhood and adult DSM-IV axis I and II mental disorders, general intelligence (IQ), Global Assessment of Functioning (GAF), and personality traits according to the Temperament and Character Inventory (TCI). Overall, the two groups had similar LHA scores, but the offender group scored higher on the Antisocial subscale. Higher total LHA scores were independently associated with the hyperactivity facet of attention-deficit/hyperactivity disorder (AD/HD), childhood conduct disorder, substance-related disorders, and low scores on the Cooperativeness character dimension according to the TCI. IQ and GAF-scores were negatively correlated with the LHA subscale Self-directed aggression. Autistic traits were inversely correlated with aggression among outpatients, while the opposite pattern was noted in the forensic group. The findings call for assessments of aggression-related behaviours in all psychiatric settings. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - Hofvander, Bjorn AU - Hofvander B AD - Forensic Psychiatry, Department of Clinical Sciences, Lund University, Sweden. bjorn.hofvander@med.lu.se FAU - Stahlberg, Ola AU - Stahlberg O FAU - Nyden, Agneta AU - Nyden A FAU - Wentz, Elisabet AU - Wentz E FAU - degl'Innocenti, Alessio AU - degl'Innocenti A FAU - Billstedt, Eva AU - Billstedt E FAU - Forsman, Anders AU - Forsman A FAU - Gillberg, Christopher AU - Gillberg C FAU - Nilsson, Thomas AU - Nilsson T FAU - Rastam, Maria AU - Rastam M FAU - Anckarsater, Henrik AU - Anckarsater H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100602 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - Aggression/*psychology MH - Attention Deficit Disorder with Hyperactivity/*diagnosis/epidemiology/psychology MH - Conduct Disorder/*diagnosis/epidemiology/etiology MH - *Cooperative Behavior MH - Female MH - Forensic Psychiatry MH - Humans MH - Male MH - Mental Disorders/*complications/epidemiology/psychology MH - Predictive Value of Tests MH - Psychiatric Status Rating Scales MH - Statistics, Nonparametric MH - Substance-Related Disorders/*diagnosis/epidemiology/psychology MH - Young Adult EDAT- 2010/07/08 06:00 MHDA- 2011/03/04 06:00 CRDT- 2010/07/08 06:00 PHST- 2009/05/15 00:00 [received] PHST- 2010/04/20 00:00 [revised] PHST- 2010/05/05 00:00 [accepted] PHST- 2010/07/08 06:00 [entrez] PHST- 2010/07/08 06:00 [pubmed] PHST- 2011/03/04 06:00 [medline] AID - S0165-1781(10)00252-0 [pii] AID - 10.1016/j.psychres.2010.05.008 [doi] PST - ppublish SO - Psychiatry Res. 2011 Jan 30;185(1-2):280-5. doi: 10.1016/j.psychres.2010.05.008. Epub 2010 Jun 2.