Predicting future antisocial personality disorder in males from a clinical assessment in childhood.
It is essential to identify childhood predictors of adult antisocial personality disorder (APD) to target early prevention. It has variously been hypothesized that APD is predicted by childhood conduct disorder (CD), attention-deficit/hyperactivity disorder (ADHD), or both disorders. To test these competing hypotheses, the authors used data from a single childhood diagnostic assessment of 163 clinic-referred boys to predict future APD during early adulthood. Childhood Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) CD, but not ADHD, significantly predicted the boys' subsequent APD. An interaction between socioeconomic status (SES) and CD indicated that CD predicted APD only in lower SES families, however. Among children who met criteria for CD, their number of covert but not overt CD symptoms improved prediction of future APD, controlling for SES.
Lahey
Benjamin B
BB
Department of Psychiatry, University of Chicago, Chicago, IL 60637, USA. blahey@yoda.bsd.uchicago.edu
Loeber
Rolf
R
Burke
Jeffrey D
JD
Applegate
Brooks
B
D000374:Aggression / Q000523:psychology; D000987:Antisocial Personality Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000517:prevention & control; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D019955:Conduct Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D005190:Family / Q000523:psychology; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D012959:Socioeconomic Factors