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Clinical symptoms of ADHD and psychopathy in perpetrators

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ADHD Attention Deficit and Hyperactivity Disorders

Abstract

ADHD and psychopathy are both associated with poor social adaptation and antisocial behavior. Previous studies have also suggested that ADHD and psychopathy share some symptomatology. The current study attempted to further uncover the relationship between ADHD and psychopathy in perpetrators by investigating the possibility of underlying common factors of ADHD and psychopathy using standardized instruments. Correlation analyses and principal component analyses were performed on ADHD-SB self-rating questionnaires and the PCL-SV from a population of 314 offenders. Further, subjects without ADHD, full ADHD and partially remitted ADHD according to DSM-IV were compared regarding psychopathic traits. ADHD and psychopathy rating scores were found to be correlated. Only psychopathic features related to unstable and antisocial lifestyle, but not related to affective features of psychopathy accounted to this association. Findings on the principal component analysis suggest that ADHD and psychopathy are unrelated on a symptomatic level, with the exception of impulsivity, which is a common feature that seems to combine both constructs.

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References

  • Abramowitz CS, Kosson DS, Seidenberg M (2004) The relationship between childhood attention deficit hyperactivity disorder and conduct problems and adult psychopathy in inmates. Pers Individ Dif 36:1031–1047

    Article  Google Scholar 

  • Angold A, Costello EJ, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatr Allied Discip 40:57–87

    Article  CAS  Google Scholar 

  • Barkley RA (1998) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 2nd edn. Guilford Press, New York

    Google Scholar 

  • Barkley RA (2002) Major life activity and health outcomes associated with attention-deficit/hyperactivity disorder. J Clin Psychiatr 63(Suppl. 12):10–15

    Google Scholar 

  • Barry CT, Frick PJ, DeShazo TM, NcCoy MG, Ellis M, Loney BR (2000) The importance of callous-unemotional traits for extending the concept of psychopathy to children. J Abnorm Psychol 109:335–340

    Article  CAS  PubMed  Google Scholar 

  • Bennett DS, Pitale M, Vora V, Rheingold AA (2004) Reactive vs. proactive antisocial behavior: differential correlates of child ADHD symptoms? J Atten Disord 7:197–204

    Article  PubMed  Google Scholar 

  • Blagov PS, Patrick CJ, Lilienfeld SO, Powers AD, Phifer JE, Venables N, Hudak M, Herres DJ, Lieb K, Leigh SC, Cooper G (2011) Personality constellations in incarcerated psychopathic men. Personal Disord 2:293–315

    Article  PubMed  Google Scholar 

  • Blair RJR, Peschardt KS, Budhani S, Mitschell DGV, Pine DS (2006) The development of psychopathy. J Child Psychol Psychiatry 47:262–275

    Article  CAS  PubMed  Google Scholar 

  • 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 Psychiatr 69:453–459

    Article  CAS  PubMed  Google Scholar 

  • Brammer WA, Lee SS (2012) Impairment in children with and without ADHD: contributions from oppositional defiant disorder and callous-unemotional traits. J Atten Disord. doi:10.1177/1087054711403709

    PubMed  Google Scholar 

  • Cleckley HM (1941) The mask of sanity: an attempt to reinterpret the so-called psychopathic personality. The C.V. Mosby Company, St. Louis

    Google Scholar 

  • Colledge E, Blair RJR (2001) The relationship in children between the inattention and impulsivity components of attention deficit and hyperactivity disorder and psychopathic tendencies. Pers Individ Dif 30:1175–1187

    Article  Google Scholar 

  • Cooke DJ, Michie C (2001) Refining the construct of psychopathy: towards a hierarchical model. Psychol Assess 13:171–188

    Article  CAS  PubMed  Google Scholar 

  • Cooke DJ, Michie C, Hart SD, Hare RD (1999) Evaluating the screening version of the Hare psychopathy checklist—revised (PCL:SV). Psychol Assess 11:3–13

    Article  Google Scholar 

  • DeLisi M, Vaughn M, Beaver KM, Wexler J, Barth AE, Fletcher JM (2011) Fledgling psychopathy in the classroom: ADHD subtypes psychopathy, and reading comprehension in a community sample of adolescents. Youth Violence Juv Justice 9:43–58

    Article  PubMed  Google Scholar 

  • Eisenbarth H, Alpers GW, Conzelmann A, Jacob CP, Weyers P, Pauli P (2008) Psychopathic traits in adult ADHD patients. Pers Individ Dif 45:468–472

    Article  Google Scholar 

  • Faraone SV, Sergeant J, Gillbert C, Biederman J (2003) The worldwide prevalence of ADHD: is it an American condition? World Psychiatry 2:104–113

    PubMed  Google Scholar 

  • Fayyad J, DeGraf R, Kessler R, Alonso J, Angermeyer M, Demyttenaere K, De Girolamo G, Haro JM, Karam EG, Lara C, Lépine J-P, Ormel J, Posada-Villa J, Zaslavsky AM, Jin R (2007) Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. Br J Psychiatry 190:402–409

    Article  CAS  PubMed  Google Scholar 

  • Fowler T, Langley K, Rice F, Whittinger N, Ross K, van Goozen S, Owen MJ, O’Donovan MC, van den Bree MBM, Thapar A (2009) Psychopathy traits in adolescents with childhood attention-deficit hyperactivity disorder. Br J Psychiatry 194:62–67

    Article  PubMed  Google Scholar 

  • Frick PJ, Ellis M (1999) Callous-unemotional traits and subtypes of conduct disorder. Clin Child Fam Psychol Rev 2:149–168

    Article  CAS  PubMed  Google Scholar 

  • Ginsberg Y, Hirvikoski T, Lindefors N (2010) Attention deficit hyperactivity disorder (ADHD) among longer-term prison inmates is a prevalent, persistent and disabling disorder. BMC Psychiatry 10:112

    Article  PubMed  Google Scholar 

  • Hare RD (1996) Psychopathy: a clinical construct whose time has come. Crim Justice Behav 23:25–54

    Article  Google Scholar 

  • Hare RD (2003) The hare psychopathy checklist-revised (PCL-R), 2nd edn. Multi-Health Systems, Toronto

    Google Scholar 

  • Harpur TJ, Hare RD, Hakistan AR (1989) Two-factor conceptualization of psychopathy: construct validity and assessment implications. Psychol Assess 1:6–17

    Article  Google Scholar 

  • Hart SD, Forth AE, Hare RD (1995) Manual for the psychopathy checklist: screening version (PCL: SV). Multi Health Systems, Toronto

    Google Scholar 

  • Herpers PCM, Rommelse NNJ, Bons DMA, Buitelaar JK, Scheepers FE (2012) Callous-unemotional traits as a cross-disorders construct. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-012-0513-x

    PubMed  Google Scholar 

  • Hinshaw SP (1992) Academic underachievement, attention deficits, and aggression: comorbidity and implications for intervention. J Consult Clin Psychol 60:893–903

    Article  CAS  PubMed  Google Scholar 

  • Jerome L, Habinski L, Segal A (2006) Attention deficit/hyperactivity disorder (ADHD) and driving risk: a review of the literature and a methodological critique. Cur Psychiatry Rep 8:416–426

    Article  Google Scholar 

  • Kennealey PJ, Hicks BM, Patrick CJ (2007) Validity of factors of the psychopathy checklist-revised in female prisoners—discriminant relations with antisocial behaviour, substance abuse, and personality. Assessment 14:323–340

    Article  Google Scholar 

  • 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, vol 176. Karger, Basel, pp 126–143

    Chapter  Google Scholar 

  • Kraepelin E (1909–1915) Psychiatrie. Ein kurzes Lehrbuch für Studirende und Aerzte.8., vollständig umgearbeitete Auflage. 2 Bände. Barth, Leipzig

  • 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 34:499–509

    Article  CAS  PubMed  Google Scholar 

  • Lykken DT (1995) The antisocial personalities. Erlbaum, Hillsdale

    Google Scholar 

  • Lynam DR (1996) Early identification of chronic offenders: who is the fledgling psychopath? Psychol Bull 120:209–234

    Article  CAS  PubMed  Google Scholar 

  • Mannuzza S, Klein RG, Moultron JL III (2008) Lifetime criminality among boys with attention deficit hyperactivity disorder: a prospective follow-up study into adulthood using official arrest records. Psychiatry Res 160:237–246

    Article  PubMed  Google Scholar 

  • Mathias CW, Furr RM, Daniel SS, Marsh DM, Shannon EE, Dougherty DM (2007) The relationship of inattentiveness, hyperactivity, and psychopathy among adolescents. Pers Individ Dif 43:1333–1343

    Article  Google Scholar 

  • Michonski JD, Sharp C (2010) Revisiting Lynam’s notion of the “fledgling psychopath”: are HIA-CP children truly psychopathic-like? Child Adolesc Psychiatry Ment Health 4:24–32

    Article  PubMed  Google Scholar 

  • Moffitt TE (1990) Juvenile delinquency and attention deficit disorder: boys’ developmental trajectories from age 3 to age 15. Child Develop 61:893–910

    Article  CAS  PubMed  Google Scholar 

  • Pinel P (1801) Traité médico-philosophique sur la manie, ou l’aliénation mentale. Caille et Ravier, Paris

    Google Scholar 

  • Prichard JC (1835) A treatise on insanity and other disorders affecting the mind. Sherwood, Gilbert and Piper, London

    Book  Google Scholar 

  • 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 32:235–243

    Article  PubMed  Google Scholar 

  • Retz W, Rösler M (2010) Association of ADHD with reactive and proactive violent behavior in a forensic population. Atten Defic Hyperact Disord 2:195–202

    Article  PubMed  Google Scholar 

  • Retz W, Retz-Junginger P, Hengesch G, Schneider M, Thome J, Pajonk F-G, Salahi-Disfan A, Rees O, Wender PH, Rösler M (2004) Psychometric and psychopathological characterization of young male prison inmates with and without attention deficit/hyperactivity disorder. Eur Arch Psychiatry Clin Neurosci 254:201–208

    Article  PubMed  Google Scholar 

  • Retz W, Retz-Junginger P, Schneider M, Scherk H, Hengesch G, Rösler M (2007) Drug addiction in young prison inmates with and without attention deficit hyperactivity disorder (ADHD). Fortschr Neurol Psychiatr 75:285–292

    Article  CAS  PubMed  Google Scholar 

  • Retz W, Stieglitz RD, Corbisiero S, Retz-Junginger P, Rösler M (2012) Emotional dysregulation in adult ADHD—what is the empirical evidence? Exp Rev Neurother 12:1241–1252

    Google Scholar 

  • Retz-Junginger P, Retz W, Blocher D, Stieglitz R-D, Georg T, Supprian T, Wender PH, Rösler M (2003) Reliability and validity of the Wender-Utah-Rating-Scale short form. retrospective assessment of symptoms for attention deficit/hyperactivity disorder. Nervenarzt 74:987–993

    Article  CAS  PubMed  Google Scholar 

  • Retz-Junginger P, Retz W, Schneider M, Schwitzgebel P, Steinbach E, Hengech G, Rösler M (2007) Gender differences in self-description of child psychopathology in attention deficit hyperactivity disorder. Nervenarzt 78:1046–1051

    Article  PubMed  Google Scholar 

  • 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 (ADHD) and comorbid disorders in young male prison inmates. Eur Arch Psychiatry Clin Neurosci 254:365–371

    Article  PubMed  Google Scholar 

  • 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):3–11

    Article  Google Scholar 

  • Rösler M, Retz-Junginger P, Retz W, Stieglitz R-D (2008) HASE—Homburger ADHS-Skalen für Erwachsene. Hogrefe, Göttingen

    Google Scholar 

  • 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 259:98–105

    Article  PubMed  Google Scholar 

  • Sevecke K, Kosson DS, Krisher MK (2009) The relationship between attention deficit hyperactivity disorder, conduct disorder and psychopathy in adolescent male and female detainees. Behav Sci Law 27:577–598

    Article  PubMed  Google Scholar 

  • Skeem JL, Mulvey EP, Grisso T (2003) Applicability of traditional and revised models of psychopathy to the psychopathy checklist: screening version. Psychol Assess 15:41–55

    Article  PubMed  Google Scholar 

  • Soderstrom H, Nilsson T, Sjodin A-K, Carlstedt A, Forsman A (2005) The childhood-onset neuropsychiatric background to adulthood psychopathic traits and personality disorders. Comp Psychiatry 46:111–116

    Article  Google Scholar 

  • Stevens JP (2002) Applied multivariate statistics for the social sciences, 4th edn. Erlbaum, Hillsdale

    Google Scholar 

  • 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 36:45–53

    Article  PubMed  Google Scholar 

  • Vermeiren R (2003) Psychopathology and delinquency in adolescents: a descriptive and developmental perspective. Clin Psychol Rev 23:277–318

    Article  PubMed  Google Scholar 

  • 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 33:1–15

    Article  Google Scholar 

  • Ziegler E, Blocher D, Groß J, Rösler M (2003) Assessment of attention-deficit hyperactivity disorder in prison inmates. Recht & Psychiatr 21:17–21

    Google Scholar 

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Correspondence to Wolfgang Retz.

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Retz, W., Boureghda, S.S.T., Retz-Junginger, P. et al. Clinical symptoms of ADHD and psychopathy in perpetrators. ADHD Atten Def Hyp Disord 5, 47–57 (2013). https://doi.org/10.1007/s12402-012-0095-1

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