TY - JOUR
PY - 2022//
TI - Psychopathy subdomains in violent offenders with and without a psychotic disorder
JO - Nordic journal of psychiatry
A1 - Bell, Christina
A1 - Tesli, Natalia
A1 - Gurholt, Tiril P.
A1 - Rokicki, Jaroslav
A1 - Hjell, Gabriela
A1 - Fischer-Vieler, Thomas
A1 - Melle, Ingrid
A1 - Agartz, Ingrid
A1 - Andreassen, Ole A.
A1 - Ringen, Petter Andreas
A1 - Rasmussen, Kirsten
A1 - Dahl, Hilde
A1 - Friestad, Christine
A1 - Haukvik, Unn K.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: Violence in psychosis has been linked to antisocial behavior and psychopathy traits. Psychopathy comprises aspects of interpersonal, affective, lifestyle, and antisocial traits which may be differently involved in violent offending by persons with psychotic disorders. We explored psychopathy subdomains among violent offenders with and without a psychotic disorder.
METHODS: 46 males, with a history of severe violence, with (n = 26; age 35.85 ± 10.34 years) or without (n = 20; age 39.10 ± 11.63 years) a diagnosis of a psychotic disorder, were assessed with the Psychopathy Checklist-Revised (PCL-R). PCL-R was split into subdomains following the four-facet model. Group differences in total and subdomain scores were analyzed with a general linear model with covariates.
RESULTS: Total PCL-R scores did not differ between the groups (p = 0.61, Cohen's d = 0.17). The violent offenders without psychotic disorders had higher facet 2 scores than the patient group with psychotic disorders (p = 0.029, Cohen's d = 0.77). Facet 1, 3, or 4 scores did not differ between the groups. Controlling for age did not alter the results.
CONCLUSION: Patients with a psychotic disorder and a history of severe violence have lower affective psychopathy scores than violent offenders without psychotic disorders. This observation may point toward distinct underlying mechanisms for violence and may provide a target for focused treatment and prevention.
Language: en
LA - en SN - 0803-9488 UR - http://dx.doi.org/10.1080/08039488.2022.2128869 ID - ref1 ER -