title: Adult antisocial syndrome with comorbid borderline pathology: association with severe childhood conduct disorder.
abstract: BACKGROUND
  This study tested the hypothesis that adult antisocial syndrome co-concurrent with borderline personality disorder (AAS + BPD) would be associated with greater conduct disorder (CD) severity than AAS alone.
  
  
  METHODS
  Sixty-nine personality disordered individuals exhibited a sufficient number of adult antisocial traits to meet DSM-IV criterion A for antisocial personality disorder (AsPD). These were subdivided into those who did (AAS + BPD) or did not (AAS alone) meet DSM-IV criteria for a BPD diagnosis. We then compared the 2 groups on CD symptoms and historical, clinical, and self-report measures.
  
  
  RESULTS
  The mean number of CD criteria met and the total number of individual CD symptoms were significantly greater in the AAS + BPD group compared with the AAS alone group. The former also were more likely to be female, to have self-harmed, to show greater personality disorder comorbidity, and to self-report greater anger.
  
  
  CONCLUSIONS
  The functional link between CD and adult antisocial symptoms appears to be mediated, or at least moderated, by co-occurring borderline pathology.
authors.affiliation: University of Nottingham, Nottingham, UK. richard.howard@nottingham.ac.uk
authors.forename: Rick
authors.initials: R
authors.lastname: Howard
authors.forename: Nick
authors.initials: N
authors.lastname: Huband
authors.forename: Conor
authors.initials: C
authors.lastname: Duggan
mesh_terms: D000328:Adult; D000786:Anger; D000987:Antisocial Personality Disorder / Q000150:complications* / Q000175:diagnosis; D001883:Borderline Personality Disorder / Q000150:complications* / Q000175:diagnosis; D015897:Comorbidity; D019955:Conduct Disorder / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index