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 -