European Child & Adolescent Psychiatry

, Volume 18, Issue 2, pp 85–95 | Cite as

Examining relations between psychopathology and psychopathy dimensions among adolescent female and male offenders

  • Kathrin Sevecke
  • Gerd Lehmkuhl
  • Maya K. Krischer



This study was performed to investigate relations between psychopathology and psychopathy in adolescent female and male detainees.


We examined 91 male and 123 female adolescent detainees (aged 14–19) for psychopathology -using the Youth Self Report, the Overt Aggression Scale-Modified and a Conduct Disorder Self Report Scale- and for psychopathic dimensions using the psychopathy checklist youth version (PCL:YV). Based on a linear regression analysis we compared the specific associations between psychopathology and psychopathy in both male and female delinquent juveniles.


Our results revealed higher scores for externalizing behavior and psychopathic dimensions in delinquent males, and higher internalizing problem scores in delinquent females. Furthermore, we found a positive relationship between suicidal behavior and the psychopathy total score as well as the affective, the lifestyle and the antisocial dimension only in girls. No association was found for suicidal behavior in boys. Regarding anxious-depressive behavior, we found a negative relation to the psychopathy total score and to the affective psychopathy factor for the boys.


Expectedly, the population of incarcerated adolescents exhibited a high prevalence of psychopathology. At the same time our results referred to meaningful gender-related differences with respect to associations with psychopathy. The gender-related differences in psychopathological symptoms could indicate varied subtypes of psychopathy in boys and girls.


psychopathy psychopathology youth delinquency externalizing internalizing behavior 


  1. 1.
    Abramowitz CS, Kosson DS, Seidenberg M (2004) The relationship between childhood attention-deficit hyperactivity disorder and conduct problems and adult psychopathy in male inmates. J Individ Diff 36:1031–1047CrossRefGoogle Scholar
  2. 2.
    Achenbach TM (1991) Manual for the youth self-report and profile. University of Vermont, BurlingtonGoogle Scholar
  3. 3.
    Benning SD, Patrick CJ, Blonigen DM, Hicks BM, Iacono WG (2005) Estimating facets of psychopathy from normal personality traits: a step toward community epidemiological investigations. Assessment 12:3–18PubMedCrossRefGoogle Scholar
  4. 4.
    Blackburn R (1975) An empirical classification of psychopathic personality. Br J Pschiatry 127:456–460CrossRefGoogle Scholar
  5. 5.
    Boldt DM, Hare RD, Vitale JE, Newman JP (2004) A multigroup item response theory analysis of the psychopathy checklist—revised. Psychol Assess 16:155–168CrossRefGoogle Scholar
  6. 6.
    Brandt JR, Wallace AK, Patrick CJ, Curtin JJ (1997) Assessment of psychopathy in a population of incarcerated adolescent offenders. Psychol Assess 9:429–435CrossRefGoogle Scholar
  7. 7.
    Cauffman E, Feldman S, Waterman J, Steiner H (1998) Posttraumatic stress disorder among female juvenile offenders. J Am Acad Child Adolesc Psychiatry 37:1209–1217PubMedCrossRefGoogle Scholar
  8. 8.
    Cleckley H (1976) The mask of sanity, 5th edn. Mosby, St LousGoogle Scholar
  9. 9.
    Cleckley H (1941/1982) The mask of sanity. Mosby, St LousGoogle Scholar
  10. 10.
    Cloninger CR (1987) A systematic method for clinical description and classification of personality variants. a proposal. Arch Gen Psychiatry 44:573–588PubMedGoogle Scholar
  11. 11.
    Cocarro EF, Kavoussi RJ (1997) Fluoxetine and impulsive aggressive behaviour in personality-disordered subjects. Arch Gen Psychiatry 54:1081–1088Google Scholar
  12. 12.
    Coccaro EF, Harvey PD, Kupsaw-Lawrence E, Herbert JL, Bernstein DP (1991) Overt aggression scale-modified. American psychiatric association. Task force for the handbook of psychiatric measures (2000). American Psychiatric Association, Washington, DC, pp 699–702Google Scholar
  13. 13.
    Cooke DJ, Michie C (1997) An item response theory analysis of the Hare psychopathy checklist. Psychol Assess 9:3–14CrossRefGoogle Scholar
  14. 14.
    Cooke DJ, Michie C (1999) Psychopathy across cultures: North America and Scotland compared. J Abnorm Psychol 108:55–68CrossRefGoogle Scholar
  15. 15.
    Cooke DJ, Michie C (2001) Refining the construct of psychopathy: towards a hierarchical model. Psychol Assess 13:531–542PubMedCrossRefGoogle Scholar
  16. 16.
    Corrado RR, Vincent GM, Hart SD, Cohen IM (2004) Predictive validity of the psychopathy checklist: youth version for general and violent recidivism. Behav Sci Law 22:5–22PubMedCrossRefGoogle Scholar
  17. 17.
    Crick NR, Grotpeter JK (1995) Relational aggression, gender, and social-psychological adjustment. Child Dev 66:710–722PubMedCrossRefGoogle Scholar
  18. 18.
    Dembo R, Williams L, Schmeiler J (1993) Gender differences in mental health service needs among youths entering a juvenile detention centre. J Prison Jail Health 12:73–101Google Scholar
  19. 19.
    Doepfner M, Berner W, Lehmkuhl G (1995) Reliability and factorial validity of the YSR and CBCL. Diagnostica 41:221–244Google Scholar
  20. 20.
    Doepfner M, Lehmkuhl G (2000) Diagnostik-System für Psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV (DISYPS-KJ), (2., korr. u. erg. Auflage). Bern: HuberGoogle Scholar
  21. 21.
    Essau CA, Muris P, Ederer EM (2002) Reliability and validity of the spence children’s anxiety scale and the screen for child anxiety related emotional disorders in German children. J Behav Ther Exp Psychiatry 33:1–18PubMedCrossRefGoogle Scholar
  22. 22.
    Essau CA, Sasagawa S, Frick PJ (2006) Callous-unemotional traits in a community sample of adolescents. Assessment 13:454–469PubMedCrossRefGoogle Scholar
  23. 23.
    Forth AE (1995) Psychopathy and young offenders: prevalence, family background, and violence. Unpublished report. Carleton University, OttawaGoogle Scholar
  24. 24.
    Forth AE, Burke HC (1998) Psychopathy in adolescence: assessment, violence and developmental precursors. In: Cooke DJ, Forth AE, Hare RD (eds) Psychopathy: theory, research and implications for society. Kluwer Academic, Boston, pp 205–229Google Scholar
  25. 25.
    Forth AE, Kosson D, Hare R (2003) The Hare psychopathy checklist: youth version. Multi-Health Systems, Inc, New YorkGoogle Scholar
  26. 26.
    Fowles DC (1980) The three arousal model: implications of gray’s two-factor learning theory for heart rate, electrodermal activity, and psychopathy. Psychophysiology 17:87–104PubMedCrossRefGoogle Scholar
  27. 27.
    Grann M, Långström N, Tengström A, Kullgren G (1999) Psychopathy (PCL-R) predicts violent recidivism among criminal offenders with personality disorders in Sweden. Law Hum Behav 23:205–217PubMedCrossRefGoogle Scholar
  28. 28.
    Gretton HM, McBride M, Lewis K, O`Shaughnessy R, Hare RD (1994) Predicting patterns of criminal activity in adolescent sexual psychopaths. Can Psychol 35:50 (abstract)Google Scholar
  29. 29.
    Gretton H, Hare RD, Catchpole R (2004) Psychopathy and offending from adolescence to adulthood: A 10-year follow-up. J Consult Clin Psychol 72:636–645PubMedCrossRefGoogle Scholar
  30. 30.
    Haapasolo J, Pulkkinen L (1992) The psychopathy checklist and non-violent offender groups. Crim Behav Ment Health 2:315–328Google Scholar
  31. 31.
    Haapasalo J, Hamalainen T (1996) Childhood family problems among young violent and property offenders. J Am Acad Child Adolesc Psychiatry 35:1394–1401PubMedCrossRefGoogle Scholar
  32. 32.
    Hare RD (1993) Without conscience: the disturbing world of the psychopaths among us. Pocket, New YorkGoogle Scholar
  33. 33.
    Hare RD, Clark D, Grann M, Thornton D (2000) Psychopathy and the predictive validity of the PCL-R: an international perspective. Behav Sci Law 18:623–645PubMedCrossRefGoogle Scholar
  34. 34.
    Hare RD (2003) The Hare psychopathy checklist-revised, 2nd edn. Multi-Health Systems, TorontoGoogle Scholar
  35. 35.
    Hare RD, Neumann CS (2008) The PCL-R assessment of psychopathy: development, structural properties, and new directions. In: Patrick C (ed) Handbook of psychopathy. Wiley, New York Google Scholar
  36. 36.
    Hicks BM, Markon KE, Patrick CJ, Krueger RF, Newman JP (2004) Identifying psychopathy subtypes on the basis of personality structure. Psychol Assess 16:276–288PubMedCrossRefGoogle Scholar
  37. 37.
    Karpman B (1948) On the need for separating psychopathy into two distinct clinical types: symptomatic and idiopathic. J Criminol Psychopathol 3:112–137Google Scholar
  38. 38.
    Kataoka SH, Zima BT, Dupre DA, Moreno KA, Yang X, McCracken JT (2001) Mental health problems and service use among female juvenile offenders: their relationship to criminal history. J Am Acad Child Adolesc Psychiatry 40:549–555PubMedCrossRefGoogle Scholar
  39. 39.
    Kosson DS, Cyterski TD, Steuerwald BL, Neumann CS, Walker-Matthews S (2002) The reliability and validity of the psychopathy checklist-youth version in nonincarcerated males. Psychol Assess 14:97–109PubMedCrossRefGoogle Scholar
  40. 40.
    Levenson MR, Kiehl KA, Fitzpatrick CM (1995) Assessing psychopathic attributes in a noninstitutional population. J Pers Soc Psychol 68:151–158PubMedCrossRefGoogle Scholar
  41. 41.
    Lewis K, O’Shaughnessy R (1998) Predictors of violent recidivism in juvenile offenders. Poster presented at the annual convention of the Canadian Psychological Association, EdmontonGoogle Scholar
  42. 42.
    Lynam DR (1996) The early identification of chronic offenders: who is the fledgling psychopath? Psychol Bull 120:209–234PubMedCrossRefGoogle Scholar
  43. 43.
    Lynam DR (1998) Early identification of the fledging psychopath: locating the psychopathic child in the current nomenclature. J Abnorm Psychol 107:566–575PubMedCrossRefGoogle Scholar
  44. 44.
    Lykken DT (1995) The antisocial personalities. Lawrence Erlbaum Associates HillsdaleGoogle Scholar
  45. 45.
    Mealey L (1995) The sociobiology of sociopathy: an integrated evolutionary model. Behav Brain Sci 18:523–540CrossRefGoogle Scholar
  46. 46.
    Murrie DC, Cornell DG (2000) Psychopathy screening of incarcerated juveniles: a comparison of measures. Psychol Assess 14:390–396CrossRefGoogle Scholar
  47. 47.
    Murrie DC, Marcus DK, Douglas KS, Lee Z, Salekin RT, Vincent G (2007) Youth with psychopathy features are not a discrete class: a taxometric analysis. J Child Psychol Psychiatry 48:714–723PubMedCrossRefGoogle Scholar
  48. 48.
    Neuman CS, Kosson DS, Forth AE, Hare RD (2006) Factor structure of the Hare psychopathy checklist: youth version (PCL:YV) in incarcerated adolescents. Psychol Assess 18:142–154CrossRefGoogle Scholar
  49. 49.
    Newman JP, MacCoon DG, Vaughn LJ, Sadeh N (2005) Validating a distinction between primary and secondary psychopathy with measures of Gray’s BIS and BAS constructs. J Abnorm Psychol 114:319–323PubMedCrossRefGoogle Scholar
  50. 50.
    Newman JP, Schmitt WA, Voss WD (1997) The impact of motivationally neutral cues on psychopathic individuals: assessing the generality of the response modulation hypothesis. J Abnorm Psychol 106:563–575PubMedCrossRefGoogle Scholar
  51. 51.
    Odgers CL, Moretti MM (2002) Aggressive and antisocial girls: research update and challenges. Int J Forensic Ment Health 2:17–33Google Scholar
  52. 52.
    Odgers CL, Moretti MM, Reppucci ND (2005) Examining the science and practice of violence risk assessment with female adolescents. Law Hum Behav 29:7–27PubMedCrossRefGoogle Scholar
  53. 53.
    Patrick CJ (2003) Psychopathy and externalizing: genetics and brain function. Invited address. Conference on “developmental and neuroscience perspectives on psychopathy”. The Pyle Center, MadisonGoogle Scholar
  54. 54.
    Salekin RT, Rogers R, Sewell KW (1997) Construct validity of psychopathy in a female offender sample: a multitrait-multimethod evaluation. J Abnorm Psychol 106:576–585PubMedCrossRefGoogle Scholar
  55. 55.
    Salekin RT, Rogers R, Ustad KL, Sewell KW (1998) Psychopathy and recidivism among female inmates. Law Hum Behav 22:109–128PubMedCrossRefGoogle Scholar
  56. 56.
    Salekin RT, Neumann CS, Leistico AM, Zalot AA (2004) Psychopathy in youth and intelligence: an investigation of Cleckley’s hypothesis. J Clin Child Adolesc Psychol 33:731–742PubMedCrossRefGoogle Scholar
  57. 57.
    Schrum CL, Salekin RT (2006) Psychopathy in adolescent female offenders: an item response theory analysis of the psychopathy checklist: youth version. Behav Sci Law 24:39–63PubMedCrossRefGoogle Scholar
  58. 58.
    Seagrave D, Grisso T (2002) Adolescent development and the measurement of juvenile psychopathy. Law Hum Behav 26:219–230PubMedCrossRefGoogle Scholar
  59. 59.
    Sevecke K, Krischer M (2008) The German version of the psychopathy checklist-youth version (PCL:YV), MHS (in press)Google Scholar
  60. 60.
    Sevecke K, Pukrop R, Kosson D, Krischer M (submitted) Factor structure of the Hare psychopathy checklist-youth version in female and male detainees and community adolescents. Behav Sci LawGoogle Scholar
  61. 61.
    Skeem JL, Mulvey EP, Appelbaum P, Banks S, Grisso T, Silver E, Robbins PC (2004) Identifying subtypes of civil psychiatric patients at high risk for violence. Crim Justice Behav 31:392–437CrossRefGoogle Scholar
  62. 62.
    Skeem J, Johansson P, Andershed H, Kerr M, Louden JE (2007) Two subtypes of psychopathic violent offenders that parallel primary and secondary variants. J Abnorm Psychol 116:395–409PubMedCrossRefGoogle Scholar
  63. 63.
    Stafford E, Cornell DG (2003) Psychopathy scores predict adolescent inpatient aggression. Assessment 10:102–112PubMedCrossRefGoogle Scholar
  64. 64.
    Swogger MT, Kosson DS (2007) Identifying subtypes of criminal psychopaths: a replication and extension. Crim Justice Behav 34:953–970CrossRefPubMedGoogle Scholar
  65. 65.
    Teplin LA, Abram KM, McCelland GM, Dulcan MK, Mericle AA (2002) Psychiatric disorders in youth in juvenile detention. Arch Gen Psychiatry 59:1133–1143PubMedCrossRefGoogle Scholar
  66. 66.
    Thomas WJ, Stubbe DE (1996) A comparison of correctional and mental health referrals in the juvenile court. J Psychiatry Law 24:379–400Google Scholar
  67. 67.
    Timmons-Mitchell J, Brown C, Schulz SC, Webster SE, Underwood LA, Semple WE (1997) Comparing the mental health needs of female and male incarcerated juvenile delinquents. Behav Sci Law 15:195–202PubMedCrossRefGoogle Scholar
  68. 68.
    Vassileva J, Kosson DS, Abramowitz C, Conrod P (2005) Psychopathy versus psychopathies in classifying criminal offenders. Legal Criminological Psychol 10:27–43CrossRefGoogle Scholar
  69. 69.
    Vermeiren R, Deboutte D, Ruchkin V, Schwab-Stone M (2002) Antisocial behaviour and mental health. Findings from three communities. Eur J Child Adolesc Psychiatry 1:168–175CrossRefGoogle Scholar
  70. 70.
    Vermeiren R, Schwab-Stone M, Ruschkin V, De Clippele A, Deboutte D (2002) Predicting recidivism in delinquent adolescents from psychological and psychiatric assessment. Compr Psychiatry 43:142–149PubMedCrossRefGoogle Scholar
  71. 71.
    Vermeiren R (2003) Psychopathology and delinquency in adolescents: a descriptive and developmental perspective. Clin Psychol Rev 23:277–318PubMedCrossRefGoogle Scholar
  72. 72.
    Vermeiren R, Jespers I, Moffitt T (2006) Mental health problems in juvenile justice populations. Child Adolesc Psychiatr Clin N Am 15:333–351PubMedCrossRefGoogle Scholar
  73. 73.
    Verona E, Patrick CJ, Joiner TE (2001) Psychopathy, antisocial personality, and suicide risk. J Abnorm Psychol 110:462–470PubMedCrossRefGoogle Scholar
  74. 74.
    Verona E, Hicks BM, Patrick CJ (2005) Psychopathy and suicidality in female offenders: mediating influences of personality and abuse. J Consult Clin Psychol 73:1065–1073PubMedCrossRefGoogle Scholar
  75. 75.
    Vincent GM, Corrado RR, Cohen I, Odgers C (1999) Identification of psychopathy in adolescents: The utility of two measures. Paper presented at the international conference of the European psychology/Law Society and the American Psychology/Law Society, DublinGoogle Scholar
  76. 76.
    Vincent GM, Hart SD (2002) Psychopathy and Youth. In: Corrado RR, Roesch R, Hart SD, Gierowski J (eds) Multi-problem violent youth: a foundation for comparative research on needs, interventions and outcomes. IOS Press, Amsterdam, pp 302–329Google Scholar
  77. 77.
    Vincent GM, Odgers CL, Watkins A, Corrado RR (under review) Predictive validity of the psychopathy checklist: youth version for recidivism with female adolescent offenders. Law Human BehavGoogle Scholar
  78. 78.
    Vitacco M, Neumann CS, Jackson RL (2005) Testing of a four-factor model of psychopathy: associations with gender, ethnicity, intelligence and violence. J Consult Clin Psychol 73:466–476PubMedCrossRefGoogle Scholar
  79. 79.
    Vitale JE, Newman JP (2001) Using the psychopathy checklist-revised with female samples: reliability, validity, and implications for clinical utility journal of clinical psychology. Sci Pract 7:117–132CrossRefGoogle Scholar
  80. 80.
    Weiler BL, Widom CS (1996) Psychopathy and violent behaviour in abused and neglected young adults. Crim Behav Ment Health 6:253–271CrossRefGoogle Scholar
  81. 81.
    Wechsler D (1991) Hamburg–Wechsler-Intelligenztest für Erwachsene. Tewes U. (ed.) Hans Huber, BernGoogle Scholar
  82. 82.
    Welsh JL, Schmidt F, McKinnon L, Chattha HK, Meyers JR (2008) A comparative study of adolescent risk assessment instruments: predictive and incremental validity. Assessment 15:104–115PubMedCrossRefGoogle Scholar
  83. 83.
    Yudofsky SC, Silver JM, Jackson W, Endicott J, Williams D (1986) The overt aggression scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143:35–39PubMedGoogle Scholar

Copyright information

© Steinkopff Verlag 2009

Authors and Affiliations

  • Kathrin Sevecke
    • 1
  • Gerd Lehmkuhl
    • 1
  • Maya K. Krischer
    • 1
  1. 1.Clinic for Child and Adolescent PsychiatryUniversity of CologneCologneGermany

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