Impulsive and premeditated aggression in male offenders with antisocial personality disorder

Detalhes bibliográficos
Autor(a) principal: Azevedo, Jacinto
Data de Publicação: 2020
Outros Autores: Vieira-Coelho, Maria Augusta, Castelo-Branco, Miguel, Coelho, Rui, Figueiredo-Braga, Margarida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/106564
https://doi.org/10.1371/journal.pone.0229876
Resumo: 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. 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. 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). 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). 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.
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spelling Impulsive and premeditated aggression in male offenders with antisocial personality disorderAdultAggressionAntisocial Personality DisorderCriminalsCross-Sectional StudiesHumansMaleMiddle AgedPrisonersPsychiatric Status Rating ScalesImpulsive BehaviorPsychometricsAggression 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. 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. 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). 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). 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.Public Library of Science2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/106564http://hdl.handle.net/10316/106564https://doi.org/10.1371/journal.pone.0229876eng1932-6203Azevedo, JacintoVieira-Coelho, Maria AugustaCastelo-Branco, MiguelCoelho, RuiFigueiredo-Braga, Margaridainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-04-11T08:42:08Zoai:estudogeral.uc.pt:10316/106564Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:23:00.139016Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Impulsive and premeditated aggression in male offenders with antisocial personality disorder
title Impulsive and premeditated aggression in male offenders with antisocial personality disorder
spellingShingle Impulsive and premeditated aggression in male offenders with antisocial personality disorder
Azevedo, Jacinto
Adult
Aggression
Antisocial Personality Disorder
Criminals
Cross-Sectional Studies
Humans
Male
Middle Aged
Prisoners
Psychiatric Status Rating Scales
Impulsive Behavior
Psychometrics
title_short Impulsive and premeditated aggression in male offenders with antisocial personality disorder
title_full Impulsive and premeditated aggression in male offenders with antisocial personality disorder
title_fullStr Impulsive and premeditated aggression in male offenders with antisocial personality disorder
title_full_unstemmed Impulsive and premeditated aggression in male offenders with antisocial personality disorder
title_sort Impulsive and premeditated aggression in male offenders with antisocial personality disorder
author Azevedo, Jacinto
author_facet Azevedo, Jacinto
Vieira-Coelho, Maria Augusta
Castelo-Branco, Miguel
Coelho, Rui
Figueiredo-Braga, Margarida
author_role author
author2 Vieira-Coelho, Maria Augusta
Castelo-Branco, Miguel
Coelho, Rui
Figueiredo-Braga, Margarida
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Azevedo, Jacinto
Vieira-Coelho, Maria Augusta
Castelo-Branco, Miguel
Coelho, Rui
Figueiredo-Braga, Margarida
dc.subject.por.fl_str_mv Adult
Aggression
Antisocial Personality Disorder
Criminals
Cross-Sectional Studies
Humans
Male
Middle Aged
Prisoners
Psychiatric Status Rating Scales
Impulsive Behavior
Psychometrics
topic Adult
Aggression
Antisocial Personality Disorder
Criminals
Cross-Sectional Studies
Humans
Male
Middle Aged
Prisoners
Psychiatric Status Rating Scales
Impulsive Behavior
Psychometrics
description 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. 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. 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). 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). 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.
publishDate 2020
dc.date.none.fl_str_mv 2020
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/106564
http://hdl.handle.net/10316/106564
https://doi.org/10.1371/journal.pone.0229876
url http://hdl.handle.net/10316/106564
https://doi.org/10.1371/journal.pone.0229876
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
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