DSM-IV conduct disorder criteria as predictors of antisocial personality disorder

Abstract

Conduct disorder (CD) is a disorder of childhood and adolescence defined by rule breaking, aggressive and destructive behaviors. For some individuals, CD signals the beginning of a lifelong persistent pattern of antisocial behavior (antisocial personality disorder (ASPD)), while for other people these behaviors either desist or persist at a sub-clinical level. It has generally been accepted that about 40% of individuals with CD persist. This study examined the rate of persistence of DSM-IV CD into ASPD and the utility of individual DSM-IV CD symptom criteria for predicting this progression. We used the nationally representative sample from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Approximately 75% of those with CD also met criteria for ASPD. Individual CD criteria differentially predicted severity and persistence of antisocial behavior with victim-oriented, aggressive behaviors generally being more predictive of persistence. Contrary to previous estimates, progression from CD to ASPD was the norm and not the exception in this sample. Relationships between individual DSM-IV CD symptom criteria and persistent antisocial outcomes are discussed. These findings may be relevant to the development of DSM-V.

Six years on: a prospective cohort study of male juvenile offenders in secure care

“…More importantly, understanding developmental trajectories may also provide opportunities for early intervention. For example, several longitudinal studies show an association between childhood psychopathology and adult mental disorders including childhood conduct disorder and the later development of antisocial personality disorder [5] and substance dependence [6]. Additionally, a population-based study in the US found that childhood psychiatric disorders were a common risk factor for later criminal behaviour and that severe and violent offences were predicted by membership of co-morbid diagnostic groups [7].…”

Psychosocial correlates of recidivism in a sample of ex-prisoners: the role of oppositional defiant disorder and conduct disorder

“…4 1999; Gelhorn, Sakai, Price & Crowley;. Långström and Grann (2002) also found that Conduct Disorder before the age of 15 years, and substance use disorder, exhibited substantial independent associations with violent recidivism.…”

Other- and Self-Directed Forms of Violence and Their Relationship With Number of Substance Use Disorder Criteria Among Youth Ages 12–17: Results From the National Survey on Drug Use and Health

“…For example, in the case of AUD, studies indicate that DSM-IV AUD criteria do not provide support for the distinction between alcohol abuse and dependence (Langenbucher et al, 2004;Martin et al, 1996) and that DSM-IV AUD criteria are indicators of a unidimensional latent trait (Gelhorn et al, 2007;Harford et al, 2009;Kirisci et al, 2006;Saha et al, 2006). Interpretation of DSM-IV AUD is further complicated by both conceptual and measurement issues (Gelhorn et al, 2008;Harford et al, 2010;Hasin & Paykin, 1998, 1999Schuckit et al, 2008).…”