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Antisocial personality disorder in abused and neglected children grown up
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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“Both cross-sectional and longitudinal research suggest that there is a unique association between childhood physical abuse (CPA) and antisocial (AS) traits in adulthood (Lobbestael et al., 2010; Luntz & Widom, 1994).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Luntz & Widom, 1994
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Chapter 17. Cluster B Personality Disorders: Antisocial
(2014) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378395.lg17
Chapter 2. Antisocial Personality Disorder Throughout Time—Evolution of the Concept
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Chapter 20. Criminal Justice System and Antisocial Personality Disorder
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Slutske, W. S., & Davis, C. N. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg07
Chapter 19. Treatment Issues With Antisocial Personality Disorder
Black, D. W. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg19
Chapter 10. Biological Risk Factors for Antisocial Personality Disorder
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Chapter 3. Epidemiology of Antisocial Personality Disorder
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Chapter 11. Neurophysiology of Antisocial Personality Disorder
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Chapter 21. The Antisocial Child
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Chapter 24. Prevention of Antisocial Personality Disorder
Kimonis, E. R., & Fleming, G. E. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg24
Chapter 18. Pharmacological Treatment of Antisocial Personality Disorder
Moscovici, M., & Jones, R. M. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg18
Chapter 6. Natural History and Course of Antisocial Personality Disorder
Black, D. W., & Goldstein, R. B. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg06
Chapter 17. Psychosocial Treatment of Antisocial Personality Disorder
McGuire, J. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg17
Chapter 23. The Antisocial Sexual Offender
Marshall, L. E. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg23
Chapter 22. The Antisocial Woman
Bishop, B., Vӧllm, B., & Khalifa, N. R. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg22
Chapter 1. Classification and Definition of Antisocial Personality Disorder
Tyrer, P., Farnam, A., Zahmatkesh, A., & Sanatinia, R. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg01
Chapter 4. Psychiatric and Medical Comorbidity of Antisocial Personality Disorder
McGonigal, P. T., Zimmerman, M., & Scalora, M. J. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg04
Hodgins, S. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg16
Chapter 8. Molecular Genetics of Antisocial Personality Disorder
Adanty, C., Ma, Z., Roy, A., Srivastava, A., Dai, N., & Luca, V. D. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg08
Chapter 13. Structural MRI Studies of Antisocial Personality Disorder
Choy, O. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg13
Chapter 9. Social Theories of Causation
Paris, J., & Black, D. W. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg09
Chapter 12. Central and Peripheral Biomarkers of Antisocial Personality Disorder
Dellazizzo, L., & Dumais, A. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg12
Chapter 15. SPECT and PET Studies of Antisocial Personality Disorder and Aggression
Kolla, N. J., & Houle, S. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379590.lg15
Chapter 7. Violence and Dissociation
Porteus, A. J., & Taintor, Z. C. (2000) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550350.lg07
Chapter 9. Juveniles And Homicide
(2006) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615377541.lg09
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Twists, Turns, and Tears on the Path to the Cycle of Violence
Widom, C. S. (2015) · Springer eBooks · doi:10.1007/978-3-319-15868-6_15
Self-citationSwart, J., Bass, C. K., & Apsche, J. A. (2015) · Springer eBooks · doi:10.1007/978-3-319-12700-2_13
Metadata
- 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
- Published
- 1994-05-01
- Volume
- 151
- Issue
- 5
- Pages
- 670-674
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- 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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