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FC02-01 - Trait Aggression in Adult Psychiatry is Predicted by Childhood Hyperactivity, Conduct Disorder, Adult Substance Abuse, and Low Cooperativeness

Published online by Cambridge University Press:  17 April 2020

B. Hofvander ,
O. Ståhlberg ,
A. Nydén ,
E. Wentz ,
A. degl’Innocenti ,
E. Billstedt ,
A. Forsman ,
C. Gillberg ,
T. Nilsson  and
M. Råstam
...Show all authors
B. Hofvander
Affiliation:
Forensic Psychiatry, Clinical Sciences, Lund University, Malmö, Sweden
O. Ståhlberg
Affiliation:
Forensic Psychiatry, Malmö, Sweden
A. Nydén
Affiliation:
Child and Adolescent Psychiatry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg
E. Wentz
Affiliation:
Child and Adolescent Psychiatry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg Vårdal Institute, Swedish Institute for Health Sciences, Lund, Malmö, Sweden
A. degl’Innocenti
Affiliation:
Forensic Psychiatry, Malmö, Sweden
E. Billstedt
Affiliation:
Forensic Psychiatry, Malmö, Sweden Child and Adolescent Psychiatry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg
A. Forsman
Affiliation:
Forensic Psychiatry, Malmö, Sweden
C. Gillberg
Affiliation:
Child and Adolescent Psychiatry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg
T. Nilsson
Affiliation:
Forensic Psychiatry, Malmö, Sweden
M. Råstam
Affiliation:
Child and Adolescent Psychiatry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg Child and Adolescent Psychiatry, Clinical Sciences, Lund University, Malmö, Sweden
H. Anckarsäter
Affiliation:
Forensic Psychiatry, Clinical Sciences, Lund University, Malmö, Sweden Forensic Psychiatry, Malmö, Sweden

Abstract

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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.

Objective

We aimed to describe aggression according to the subscales formed in the Life History of Aggression (LHA) in relation to life-time psychiatric diagnoses.

Methods

178 adults referred for psychiatric evaluations of childhood-onset neuropsychiatric disorders (outpatients) and 92 perpetrators of violent crimes referred to pre-trial forensic psychiatric investigations had comprehensive, instrument-based, psychiatric assessments, including the 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, GAF, and personality traits according to Cloninger's biopsychosocial model.

Results

The two groups had similar LHA scores (despite higher scores on the Antisocial scale in the offender group). 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 Temperament and Character Inventory. 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.

Conclusion

In these study groups, aggression was predicted by childhood behaviour aberrations, adult substance-related problems, and character immaturity rather than by symptoms associated with the major mental disorders. AD/HD in combined or hyperactive, but not inattentive, forms, was associated with high scores on aggressive behaviours.

Type
Free Communications
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E181
Copyright
Copyright © European Psychiatric Association 2010
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