Association of ADHD with reactive and proactive violent behavior in a forensic population

Original Article

Abstract

ADHD is associated with social problems and aggressive behavior. As hyperactive-impulsive traits are core symptoms of ADHD, it has been hypothesized that reactive-impulsive violence is more likely related to ADHD psychopathology than proactive-instrumental violence. One hundred and twenty-seven adult violent offenders participated in the study. Diagnosis of ADHD and ratings of reactive and proactive features of the committed crimes were performed using standardized instruments. According to DSM-IV, 16.5% subjects fulfilled diagnostic criteria for ADHD, 23.6% were diagnosed as ADHD in partial remission, and 59.8% had no ADHD. Univariate analyses revealed higher reactive violence ratings in both ADHD groups when compared to subjects without ADHD, whereas the opposite was found regarding proactive violence ratings. Using multivariate analyses of variance controlled for age, gender and comorbid substance use disorders, childhood ADHD psychopathology and current ADHD significantly increased the risk of reactive violence and decreased the risk of proactive violence. Significant impact of male gender on proactive violence was found. The findings suggest that ADHD is associated with reactive but not proactive violence in aggressive offenders.

Keywords

Adult ADHD Proactive Reactive Violence Aggression 

References

  1. Angold A, Costello EJ, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–87CrossRefPubMedGoogle Scholar
  2. Baker LA, Raine A, Liu J, Jacobson KC (2008) Differential genetic and environmental influences on reactive and proactive aggression in children. J Abnorm Child Psychol 36:1265–1278CrossRefPubMedGoogle Scholar
  3. Barkley RA (1998) Attention deficit-/hyperactivity disorder: a handbook for diagnosis and treatment, 2nd edn. The Guilford Press, New YorkGoogle Scholar
  4. Barkley RA (2002) Major life activity and health outcomes associated with attention-deficit/hyperactivity disorder. J Clin Psychiatry 63(Suppl 12):10–15Google Scholar
  5. Bennett DS, Pitale M, Vora V, Rheingold AA (2004) Reactive vs. proactive antisocial behavior: differential correlates of child ADHD symptoms? J Atten Disord 7:197–204CrossRefPubMedGoogle Scholar
  6. Biederman J, Faraone SV (2005) Attention-deficit hyperactivity disorder. Lancet 366:237–248CrossRefPubMedGoogle Scholar
  7. Blocher D, Henkel K, Retz W, Retz-Junginger P, Thome J, Rösler M (2001) Symptoms from the spectrum of attention-deficit/hyperactivity disorder (ADHD) in sexual delinquents. Fortschr Neurol Psychiat 69:453–459CrossRefPubMedGoogle Scholar
  8. Brendgen M, Vitaro F, Boivin M, Dionne G, Pérusse D (2006) Examining genetic and environmental effects on reactive versus proactive aggression. Dev Psychol 42:1299–1312CrossRefPubMedGoogle Scholar
  9. Brown K, Atkins MS, Osborne ML, Milnamow M (1996) A revised teacher rating scale for reactive and proactive aggression. J Abnorm Child Psychol 24:473–480CrossRefPubMedGoogle Scholar
  10. Bushman BJ, Anderson CA (2001) Is it time to pull the plug on the hostile versus instrumental aggression dichotomy? Psychol Rev 108:273–279CrossRefPubMedGoogle Scholar
  11. Crick NR, Dodge KA (1996) Social information-processing mechanisms in reactive and proactive aggression. Child Dev 67:993–1002CrossRefPubMedGoogle Scholar
  12. Dick DM, Viken RJ, Kaprio J, Pulkkinen L, Rose RJ (2005) Understanding the covariation among childhood externalizing symptoms: genetic and environmental influences on conduct disorder, attention deficit hyperactivity disorder, and oppositional defiant disorder symptoms. J Abnorm Child Psychol 33:219–229CrossRefPubMedGoogle Scholar
  13. Dodge KA, Coie JD (1987) Social-information processing factors in reactive and proactive aggression in children′s peer groups. J Person Soc Psychol 53:1146–1158CrossRefGoogle Scholar
  14. Dodge KA, Lochman JE, Harnish JD, Bates JE, Pettit GS (1997) Reactive and proactive aggression in school children and psychiatrically impaired chronically assaultive youth. J Abnorm Psychol 106:37–51CrossRefPubMedGoogle Scholar
  15. Dowson JH, Blackwell AD (2010) Impulsive aggression in adults with attention-deficit/hyperactivity disorder. Acta Psychiatr Scand 121:103–110CrossRefPubMedGoogle Scholar
  16. Eisenbarth H, Alpers GW, Conzelmann A, Jacob CP, Weyers P, Pauli P (2008) Psychopathic traits in adult ADHD patients. Pers Indiv Dif 45:468–472CrossRefGoogle Scholar
  17. Fayyad J, De Graf R, Kessler R, Alonso J, Angermeyer M, Demyttenaere K, De Girolamo G, Haro M, Karam EG, Lara C, Lepine JP, Ormel J, Posada-Villa J, Zaslavsky AM, Jin T (2007) Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. Br J Psychiatry 190:402–409CrossRefPubMedGoogle Scholar
  18. Fowler T, Langley K, Rice F, Whittinger N, Ross K, van Goozen S, Owen MJ, O′Donavan MC, van den Bree MBM, Thapar A (2009) Psychopathy traits in adolescents with childhood attention-deficit hyperactivity disorder. Br J Psychiatry 194:62–67CrossRefPubMedGoogle Scholar
  19. Hare RD (1996) Psychopathy: a clinical construct whose time has come. Crim Justice Behav 23:25–54CrossRefGoogle Scholar
  20. Hare RD, Harpur TJ, Hakstian AR, Forth AE, Hart SD, Newman JP (1990) The revised psychopathy checklist: descriptive statistics, reliability, and factor structure. Psychological Assessment. J Consult Clin Psychol 2:228–341Google Scholar
  21. Hiller W, Zaudig M, Mombour W (1990) Development of diagnostic checklists for use in routine clinical care. Arch Gen Psychiatry 47:782–784PubMedGoogle Scholar
  22. Hinshaw SP (1992) Academic underachievement, attention deficits, and aggression: comorbidity and implications for intervention. J Consult Clin Psychol 60:893–903CrossRefPubMedGoogle Scholar
  23. Jerome L, Habinski L, Segal A (2006) Attention-deficit/hyperactivity disorder (ADHD) and driving risk: a review of the literature and a methodological critique. Curr Psychiatry Rep 8:416–426CrossRefPubMedGoogle Scholar
  24. Kaya A, Taner Y, Guclu B, Taner E, Kaya Y, Bahcivan HG, Benli IT (2008) Trauma and adult attention deficit hyperactivity disorder. J Int Med Res 36:9–16PubMedGoogle Scholar
  25. Klein RG, Mannuzza S (2010) Comorbidity in adult attention-deficit hyperactivity disorder. In: Retz W, Klein R (eds) Key issues in mental health, vol 176, attention deficit hyperactivity disorder (ADHD) in adults. Karger, Basel, pp 126–143Google Scholar
  26. Lahey BB, Loeber R, Burke JD, Applegate B (2005) Predicting future antisocial personality disorder in males from a clinical assessment in childhood. J Consult Clin Psychol 73:389–399CrossRefPubMedGoogle Scholar
  27. Lamarche V, Brendgen M, Boivin M, Vitaro F, Dionne G, Pérusse D (2007) Do friends’ characteristics moderate the prospective links between peer victimization and reactive and proactive aggression? J Abnorm Child Psychol 35:665–680CrossRefPubMedGoogle Scholar
  28. Loeber R, Green SM, Keenan K, Lahey BB (1995) Which boys will fare worse? Early predictors of the onset of conduct disorder in a six-year longitudinal study. J Am Acad Child Adolesc Psychiatry 34:499–509CrossRefPubMedGoogle Scholar
  29. Mannuzza S, Klein RG, Moulton JL 3rd (2008) Lifetime criminality among boys with attention deficit hyperactivity disorder: a prospective follow-up study into adulthood using official arrest records. Psychiatry Res 160:237–246CrossRefPubMedGoogle Scholar
  30. Moffitt TE (1990) Juvenile delinquency and attention deficit disorder: boys’ developmental trajectories from age 3 to age 15. Child Dev 61:893–910CrossRefPubMedGoogle Scholar
  31. Moffitt TE (2003) Life-course-persistent and adolescence-limited antisocial behavior: a 10-year research review and a research agenda. In: Lahey BB, Moffitt TE, Caspi A (eds) Causes of conduct disorder and juvenile delinquency. The Guilford Press, New York, pp 49–75Google Scholar
  32. Oades RD, Lasky-Su J, Christiansen H, Faraone SV, Sonuga-Barke EJ, Banaschewski T, Chen W, Anney RJ, Buitelaar JK, Ebstein RP, Franke B, Gill M, Miranda A, Roeyers H, Rothenberger A, Sergeant JA, Steinhausen HC, Taylor EA, Thompson M, Asherson P (2008) The influence of serotonin- and other genes on impulsive behavioral aggression and cognitive impulsivity in children with attention-deficit/hyperactivity disorder (ADHD): findings from a family-based association test (FBAT) analysis. Behav Brain Funct 20:48CrossRefGoogle Scholar
  33. Raine A, Dodge K, Loeber R, Gatzke-Kopp L, Lynam DR, Reynolds C, Stouthamer-Loeber M, Liu J (2006) The reactive-proactive aggression questionnaire: differential correlates of reactive and proactive aggression in adolescent boys. Aggr Behav 32:159–171CrossRefGoogle Scholar
  34. Reif A, Rösler M, Freitag CM, Schneider M, Eujen A, Kissling C, Wenzler D, Jacob C, Retz-Junginger P, Thome J, Lesch KP, Retz W (2007) Nature and nurture predispose to violent behavior: serotonergic genes and adverse childhood environment. Neuropsychopharmacology 32:2375–2383CrossRefPubMedGoogle Scholar
  35. Retz W, Freitag CM (2010) Molecular genetics of attention-deficit hyperactivity disorder. In: Retz W, Klein R (eds) Key issues in mental health, vol 176, attention deficit hyperactivity disorder (ADHD) in adults. Karger, Basel, pp 58–77Google Scholar
  36. Retz W, Rösler M (2007) Gewalttätiges Verhalten bei straftätern mit ADHS: assoziation mit reaktiver, nicht aber proaktiver Gewalt. Nervenarzt 78(Suppl 2):206Google Scholar
  37. Retz W, Rösler M (2009) The relation of ADHD and violent aggression: what can we learn from epidemiological and genetic studies? Int J Law Psychiatry 32:235–243CrossRefPubMedGoogle Scholar
  38. Retz W, Rösler M, Supprian T, Retz-Junginger P, Thome J (2003) Dopamine D3 receptor gene polymorphism and violent behaviour: relation to impulsiveness and ADHD-related psychopathology. J Neural Transm 110:561–572CrossRefPubMedGoogle Scholar
  39. Retz W, Retz-Junginger P, Hengesch G, Schneider M, Thome J, Pajonk FG, Salahi-Disfan A, Rees O, Wender PH, Rösler M (2004a) Psychometric and psychopathological characterization of young male prison inmates with and without attention deficit/hyperactivity disorder. Eur Arch Psychiatry Clin Neurosci 254:201–208PubMedGoogle Scholar
  40. Retz W, Retz-Junginger P, Supprian T, Thome J, Rösler M (2004b) Association of the serotonin transporter promoter gene polymorphism with violent delinquency: relation with personality disorders, impulsivity and childhood ADHD psychopathology. Behav Sci Law 22:415–425CrossRefPubMedGoogle Scholar
  41. Retz-Junginger P, Retz W, Blocher D, Weijers HG, Trott GE, Wender PH, Rösler M (2002) The German short-form of the Wender Utah rating scale (WURS-k) for the retrospective assessment of the hyperkinetic syndrome in adults. Nervenarzt 73:830–838CrossRefPubMedGoogle Scholar
  42. Retz-Junginger P, Retz W, Blocher D, Stieglitz RD, Georg T, Supprian T, Wender PH, Rösler M (2003) Diagnostic validity and reliability of the WURS-k for retrospective diagnosis of ADHD. Nervenarzt 74:987–993CrossRefPubMedGoogle Scholar
  43. Retz-Junginger P, Retz W, Schneider M, Schwitzgebel P, Steinbach E, Hengesch G, Rösler M (2007) Gender differences in self-descriptions of child psychopathology in attention deficit hyperactivity disorder. Nervenarzt 78:1046–1051Google Scholar
  44. Rösler M (2010) Adult attention-deficit hyperactivity disorder—functional impairment, conduct problems and criminality. In: Retz W, Klein R (eds) Key issues in mental health, vol 176, attention deficit hyperactivity disorder (ADHD) in adults. Karger, Basel, pp 144–158Google Scholar
  45. Rösler M, Retz W, Retz-Junginger P, Hengesch G, Schneider M, Supprian T, Schwitzgebel P, Pinhard K, Dovi-Akue N, Wender P, Thome J (2004) Prevalence of attention deficit hyperactivity disorder in male young adult prison inmates. Eur Arch Psychiatry Clin Neurosci 254:365–371CrossRefPubMedGoogle Scholar
  46. Rösler M, Retz W, Thome J, Schneider M, Stieglitz RD, Falkai P (2006) Psychopathological rating scales for diagnostic use in adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci 256(Suppl 1):3–11CrossRefGoogle Scholar
  47. Rösler M, Retz-Junginger P, Retz W, Stieglitz R-D (2008) HASE—Homburger ADHS-Skalen für Erwachsene. Hogrefe, GöttingenGoogle Scholar
  48. Rösler M, Retz W, Yaqoobi K, Burg E, Retz-Junginger P (2009) Attention deficit/hyperactivity disorder in female offenders: prevalence, psychiatric comorbidity and psychosocial implications. Eur Arch Psychiatry Clin Neurosci 259:98–105CrossRefPubMedGoogle Scholar
  49. Salmivalli C, Helteenvuori T (2007) Reactive but not proactive aggression predicts victimization among boys. Aggr Behav 33:198–206CrossRefGoogle Scholar
  50. Salmivalli C, Nieminen E (2002) Proactive and reactive aggression in bullies, victims, and bully-victims. Aggress Behav 28:30–44CrossRefGoogle Scholar
  51. Satterfield JH, Faller KJ, Crinella FM, Schell AM, Swansson JM, Homer LD (2007) A 30-year prospective follow-up study of hyperactive boys with conduct problems: adult criminality. J Am Acad Child Adolesc Psychiatry 46:601–610CrossRefPubMedGoogle Scholar
  52. Steinhausen H-C (2009) The heterogeneity of causes and courses of attention-deficit/hyperactivity disorder. Acta Psychiat Scand 120:392–399CrossRefPubMedGoogle Scholar
  53. Swogger MT, Walsh Z, Houston RJ, Cashman-Brown S, Conner KR (2010) Psychopathy and axis I psychiatric disorders among criminal offenders: relationships to impulsive and proactive aggression. Aggress Behav 36:45–53CrossRefPubMedGoogle Scholar
  54. Thapar A, Harrington R, McGuffin P (2001) Examining the comorbidity of ADHD-related behaviours and conduct problems using a twin study design. Br J Psychiatry 179:224–229CrossRefPubMedGoogle Scholar
  55. Tuvblad C, Raine A, Zheng M, Baker LA (2009) Genetic and environmental stability differs in reactive and proactive aggression. Aggress Behav 35:437–452CrossRefPubMedGoogle Scholar
  56. Vermeiren R (2003) Psychopathology and delinquency in adolescents: a descriptive and developmental perspective. Clin Psychol Rev 23:277–318CrossRefPubMedGoogle Scholar
  57. Vitiello B, Stoff DM (1997) Subtypes of aggression and their relevance to child psychiatry. J Am Acad Child Adolesc Psychiatry 36:307–315CrossRefPubMedGoogle Scholar
  58. Waschbusch DA, Willoughby MT (2007) Attention-deficit/hyperactivity disorder and callous-unemotional traits as moderators of conduct problems when examining impairment and aggression in elementary school children. Aggress Behav 33:1–15CrossRefGoogle Scholar
  59. Wender PH (1995) Attention-deficit hyperactivity disorder in adults. Oxford Press, New YorkGoogle Scholar
  60. Ziegler E, Blocher D, Groß J, Rösler M (2003) Assessment of attention-deficit hyperactivity disorder in prison inmates. Recht Psychiatrie 21:17–21Google Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Institute for Forensic Psychology and Psychiatry, NeurocentreSaarland University HospitalHomburg/SaarGermany

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