Psychological interventions for antisocial personality disorder

Gibbon, Simon; Khalifa, Najat; Cheung, Natalie; Völlm, Birgit; McCarthy, Lucy

doi:10.1002/14651858.cd007668.pub3

Cited by 51 publications

(56 citation statements)

References 253 publications

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“…Although previous research has demonstrated certain beneficial effects of treatment in reducing the risk of reoffending, there remains considerable variation in the individual treatment outcomes in forensic patients (Gibbon et al, 2020 ; for a meta-analysis, see Gilling McIntosh et al, 2021 ; for a review, see Lipsey and Cullen, 2007 ; Smedslund et al, 2007 ). A plausible reason for this could be that forensic psychiatric patients form a very heterogeneous population with regard to type and severity of committed offenses, psychopathological characteristics, and risk and protective factors for reoffending (Van Nieuwenhuizen et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

et al. 2021

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Forensic psychiatric patients form a very heterogeneous population regarding psychopathology, criminal history, and risk factors for reoffending. Therefore, the present study aimed to investigate whether there are more homogeneous classes of forensic patients based on DSM-IV-TR Axis I and II diagnoses and previously committed offenses, by means of explorative latent class analysis (LCA). It was also investigated which risk and protective factors are significantly more prevalent in one class compared to other classes. The study sample contained 722 male forensic psychiatric patients who were unconditionally released between 2004 and 2014 from high-security forensic clinics. Data were retrospectively derived from electronic patient files. Five distinctive patient classes emerged: class with only Axis II diagnosis, class with multiple problems, antisocial class, psychotic class, and intellectually disabled class. These classes differed significantly in risk and protective factors. This study contributes to the understanding of patient classes and provides directions for future, class-tailored interventions.

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Section: Introductionmentioning

confidence: 99%

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

et al. 2021

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“…This is, to our knowledge, the rst study to tentatively assess whether an intervention directed towards people with antisocial personality disorder would reduce offending (20). The results are promising, in that patients randomly assigned to the active intervention offended less than those assigned to treatment as usual, including the total number of offences, violent offences, and driving under the in uence.…”

Section: Discussionmentioning

confidence: 85%

“…In addition, ASPD is associated with offending after discharge from treatment for SUD (5,19). The lack of research has been re ected in a recent Cochrane review that concluded that the few studies that exist do not support any psychological interventions for ASPD in general (20). One of the main criticisms raised in this review was the absence of data on convictions after treatment in existing literature.…”

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confidence: 92%

Impulsive Lifestyle Counselling Versus Treatment as Usual to Reduce Offending in People with Co-Occurring Antisocial Personality Disorder and Substance Use Disorder: A Post Hoc Analysis - BMC

Hesse

Thylstrup

2021

Preprint

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Objectives: To assess the impact of a psychoeducation for antisocial personality disorder on offending after randomization to treatment.Design: Multicentre, superiority, non-blinded randomized controlled trial. Random assignment was conducted in blocks of varying sizes at a central randomization centre.Setting: Nine outpatient uptake areas in Denmark.Participants: One hundred and seventy six patients with antisocial personality disorder in treatment for substance use disorders were randomized to treatment as usual or ILC (n=80; n=96). A total of 165 patients could be linked to criminal records collected between randomization and November 2019 (n=91; n=74).Intervention: The Impulsive Lifestyle Counselling program (ILC), is a brief psycho-educational program targeting antisocial behavior. The trial was conducted between January of 2012 and June 2014, and participants were tracked until December 2018, migration, or death, whichever occurred first. Outcomes: Number of offences in the 12 months following trial randomization from official national registers.Results: The mean number of offences was 2.76 in the TAU group (95% Poisson confidence interval [CI]=2.39, 3.16) and 1.87 in the ILC group (CI=0.97, 1.43). Negative binomial regression was used to assess number of convictions within the first year; violent, property, driving under the influence, and drug-related convictions. In both adjusted and unadjusted analyses, random assignment to ILC was associated with a lower number of total (incremental risk ration [IRR]=0.43, p=.013; adjusted IRR=0.33, p<.001), violent (IRR=0.19, p=.001; adjusted IRR=0.16, p=.018). Results were not significant for driving under the influence (unadjusted IRR=0.60, p=.371; adjusted IRR=0.87, p=.521), or drug offences (unadjusted IRR =1.06, p=.905; adjusted IRR=0.50, p=.180).Conclusions: The ILC program shows promise in reducing offending behavior in people with comorbid substance use and antisocial personality disorder.Trial registration: ISRCTN registry, ISRCTN67266318, 17/7/2012, https://doi.org/10.1186/ISRCTN67266318.

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“…[16][17] In some cases, symptoms can be treated with drugs, although again there is no specific drug that is considered best for everyone with this disorder. 18 Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and sertraline, or mood stabilizers (valproic acid or carbamazepine) can be used to reduce aggressiveness, irritability and stabilize mood.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Antisocial Personality Disorder: A Case Report

Wulandari¹

2020

SciPsy

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Abstract Introduction. Antisocial personality disorder (ASPD) defines patterns of behavior that are irresponsible for social, exploitative, and unproblematic issues that begin in early childhood or adolescence and are manifested by changes in the life phase. This case report was aimed to describe antisocial personality disorder experienced by a girl in Aceh, Indonesia. Case Presentation. A woman, 19 years old, a college student, living in a suburban area, came to consult to hospital with complaints of anxiety and difficulty sleeping. The patient claimed that she often wanted to hurt and persecute others. She often try to hurt other people, but do not get caught because she said the act was carried out accidentally. When she was a child, she liked to torture animals and she did it without guilty and pity. Lately patient felt the desire to hurt others is getting bigger. Conclusion. Management of antisocial personality disorder can be adjusted to the circumstances and background or risk factors of the disorder, and treatment is used to reduce symptoms.

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Psychological interventions for antisocial personality disorder

Cited by 51 publications

References 253 publications

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

Impulsive Lifestyle Counselling Versus Treatment as Usual to Reduce Offending in People with Co-Occurring Antisocial Personality Disorder and Substance Use Disorder: A Post Hoc Analysis - BMC

Diagnosis and Treatment of Antisocial Personality Disorder: A Case Report

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