Cited by 383Child Abuse and TraumaPsychopathy, Forensic Psychiatry, Sexual OffendingPersonality Disorders and Psychopathology

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Antisocial personality disorder in abused and neglected children grown up

Barbara Luntz Weiler, Cathy Spatz Widom·1994·American Journal of Psychiatry

DOI 10.1176/ajp.151.5.670

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Abstract

OBJECTIVE: the authors' goal in this study was to examine the extent to which having been abused and/or neglected in childhood raises a person's risk for having an adult DSM-III-R diagnosis of antisocial personality disorder. METHOD: Children who had experienced substantiated child abuse and/or neglect from 1967 to 1971 in a Midwestern metropolitan county area were matched on the basis of age, race, sex, and approximate family social class with a group of nonabused and nonneglected children and followed prospectively into young adulthood. Subjects were located and participated in a 2-hour interview consisting of a series of structured and semistructured questions, rating scales, and a psychiatric assessment using the National Institute of Mental Health Diagnostic Interview Schedule. Interviews were completed with 699 young adult subjects (416 abused and/or neglected and 283 comparison subjects). RESULTS: Childhood victimization was a significant predictor of the number of lifetime symptoms of antisocial personality disorder and of a diagnosis of antisocial personality disorder, despite the fact that controls for demographic characteristics and arrest history were introduced. CONCLUSIONS: These findings suggest the importance of inquiring about a patient's childhood history of abuse and/or neglect when antisocial symptoms are evident. In addition to speculation about a possible saturation model for the consequences of childhood victimization, these findings also reinforce a multiple causation model of antisocial personality disorder.

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Authors: Weiler, B. L., & Widom, C. S.
Affiliations: University at Albany, State University of New York (US)
ORCID: Cathy Spatz Widom
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 1994-05-01
Volume: 151
Issue: 5
Pages: 670-674
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.151.5.670
OpenAlex: W1875671833
Cited by: 383
References: 28
Citations by year: 2026: 2 · 2025: 1 · 2024: 4 · 2023: 4 · 2022: 36 · 2021: 6 · 2020: 11 · 2019: 8 · 2018: 14 · 2017: 11 · 2016: 8 · 2015: 19 · 2014: 17 · 2013: 21 · 2012: 10
FWCI: 12.88
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Center for Research Resources (SO7 RR0731)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: antisocial personality disorder, child abuse, child neglect, child victimization, young adults, saturation model, arrest history, DSM-III-R diagnosis
MeSH terms: Adolescent, Adult, Antisocial Personality Disorder, Child, Child Abuse, Educational Status, Female, Humans, Male, Probability, Prospective Studies, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Sex Factors, Causality, Logistic Models

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Antisocial personality disorder in abused and neglected children grown up

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