Affective disorder and 'psychopathy' in a sample of younger male delinquents.
OBJECTIVE
The authors' goal was to determine the prevalence of affective disorder, a history of traumatic events and the prevalence of post-traumatic stress disorder (PTSD) diagnosis in their relationship to 'psychopathy' in a sample of younger male delinquents admitted to a correctional institution.


METHODS
As part of routine mental health screening, the SCID-1 and Psychopathy Checklist (PCL-R) were administered to 102 inmates aged 17-27 years.


RESULTS
Affective disorder was found in 28% and 29% had a history of suicidal attempts. The PCL-R-score was significantly correlated with the number of prior threatening events, but PTSD could not be diagnosed in the 'psychopathic' group. The prevalence of affective disorder was significantly higher in the 'non-psychopathic' group.


CONCLUSIONS
The inverse relationship between threatening events and the PTSD diagnosis seems to indicate other coping modalities than those found in 'non-psychopaths'. That finding is discussed against the background of psychophysiological data and psychosocial learning models.
Moeller
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University Clinic for Psychiatry, University of Zuerich, Switzerland. arnulf.moeller@medizin.uni-halle.de
Hell
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D000293:Adolescent; D000328:Adult; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005555:Forensic Psychiatry; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D019964:Mood Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D010552:Personality Assessment; D011329:Prisoners; D012494:Sampling Studies; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D013406:Suicide, Attempted / Q000706:statistics & numerical data