PMID- 32142531
OWN - NLM
STAT- MEDLINE
DCOM- 20200618
LR  - 20240328
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 15
IP  - 3
DP  - 2020
TI  - Impulsive and premeditated aggression in male offenders with antisocial 
      personality disorder.
PG  - e0229876
LID - 10.1371/journal.pone.0229876 [doi]
LID - e0229876
AB  - INTRODUCTION: Aggression is a clinical symptom of various psychiatric disorders 
      that can be conceptualised as a physical act towards another person with the 
      intent to cause harm. In antisocial personality disorder (ASPD), aggression is a 
      frequent manifestation that differently compromise therapeutic and prognostic 
      goals according to its impulsive or premeditated categorisation. ASPD is 
      characterised by high levels of impulsivity, psychopathic traits, and a high 
      prevalence of co-morbid substance use disorders (SUDs). Aggression in ASPD 
      patients may determine long and recurrent imprisonment thus representing a 
      challenge clinicians and legal experts face. OBJECTIVES: Our aims were to 
      characterise impulsive and premeditated aggression in male ASPD offenders as well 
      as to determine the potential role of SUDs, impulsivity, and psychopathic traits 
      as predictors. MATERIALS AND METHODS: In this cross-sectional study we evaluated 
      a sample of ASPD offenders with a battery of clinical and psychometric, 
      standardised instruments: the Psychopathy Checklist-Revised (PCL-R), the European 
      Version of the Addiction Severity Index (EuropASI), the Barratt Impulsivity Scale 
      Version 11 (BIS-11), and the Impulsive/Premeditated Aggression Scale (IPAS). 
      RESULTS: We used a total sample of 134 offenders, all of whom were male. ASPD 
      patients (n = 96) had a 71.9% prevalence of impulsive aggression and a 28.1% 
      prevalence of premeditated aggression. ASPD patients with impulsive aggression 
      had significantly lower scores of total PCL-R (p<0.01) factor 1 and interpersonal 
      facet 1 (p<0.05), compared with ASPD patients with premeditated aggression. ASPD 
      patients with impulsive aggression and ASPD patients with premeditated aggression 
      had comparable BIS-11 mean scores, and exhibited an equal prevalence of SUDs. The 
      interpersonal facet 1of the PCL-R predicted the aggression type (p<0.05) in ASPD 
      patients, and the exponential beta value for facet 1 was 1.42 (CI = 1.03; 1.95). 
      CONCLUSIONS: The aggression type that is associated with ASPD is mainly impulsive 
      in nature. ASPD patients who have higher scores of psychopathic traits have a 
      lower probability of exhibiting impulsive aggression and a higher probability of 
      exhibiting premeditated aggression. Although ASPD patients have high levels of 
      impulsivity and a high frequency of SUDs, these two variables were not predictors 
      of the aggression type.
FAU - Azevedo, Jacinto
AU  - Azevedo J
AUID- ORCID: 0000-0003-0520-4443
AD  - Department of Neuroscience and Mental Health, Faculty of Medicine, University of 
      Porto, Porto, Portugal.
AD  - i3S - Institute for Research and Innovation in Health, University of Porto, 
      Porto, Portugal.
FAU - Vieira-Coelho, Maria
AU  - Vieira-Coelho M
AD  - Department of Neuroscience and Mental Health, Faculty of Medicine, University of 
      Porto, Porto, Portugal.
AD  - Department of Biomedicine - Therapeutics and Pharmacology Unit, Faculty of 
      Medicine, University of Porto, Porto, Portugal.
FAU - Castelo-Branco, Miguel
AU  - Castelo-Branco M
AD  - CiBit - Coimbra Institute for Biomedical Imaging and Translational Research, 
      ICNAS, University of Coimbra, Coimbra, Portugal.
FAU - Coelho, Rui
AU  - Coelho R
AD  - Department of Neuroscience and Mental Health, Faculty of Medicine, University of 
      Porto, Porto, Portugal.
FAU - Figueiredo-Braga, Margarida
AU  - Figueiredo-Braga M
AUID- ORCID: 0000-0003-2374-4371
AD  - Department of Neuroscience and Mental Health, Faculty of Medicine, University of 
      Porto, Porto, Portugal.
AD  - i3S - Institute for Research and Innovation in Health, University of Porto, 
      Porto, Portugal.
LA  - eng
SI  - Dryad/10.5061/dryad.jsxksn051
PT  - Journal Article
DEP - 20200306
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Aggression/*psychology
MH  - Antisocial Personality Disorder/*epidemiology/psychology
MH  - Criminals/psychology
MH  - Cross-Sectional Studies
MH  - Humans
MH  - *Impulsive Behavior
MH  - Male
MH  - Middle Aged
MH  - Prisoners/psychology
MH  - Psychiatric Status Rating Scales
MH  - *Psychometrics
PMC - PMC7059920
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/03/07 06:00
MHDA- 2020/06/19 06:00
PMCR- 2020/03/06
CRDT- 2020/03/07 06:00
PHST- 2019/09/21 00:00 [received]
PHST- 2020/02/15 00:00 [accepted]
PHST- 2020/03/07 06:00 [entrez]
PHST- 2020/03/07 06:00 [pubmed]
PHST- 2020/06/19 06:00 [medline]
PHST- 2020/03/06 00:00 [pmc-release]
AID - PONE-D-19-26632 [pii]
AID - 10.1371/journal.pone.0229876 [doi]
PST - epublish
SO  - PLoS One. 2020 Mar 6;15(3):e0229876. doi: 10.1371/journal.pone.0229876. 
      eCollection 2020.