Document Detail


Personality disorders, violence, and antisocial behavior: a systematic review and meta-regression analysis.
MedLine Citation:
PMID:  23013345     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The risk of antisocial outcomes in individuals with personality disorder (PD) remains uncertain. The authors synthesize the current evidence on the risks of antisocial behavior, violence, and repeat offending in PD, and they explore sources of heterogeneity in risk estimates through a systematic review and meta-regression analysis of observational studies comparing antisocial outcomes in personality disordered individuals with controls groups. Fourteen studies examined risk of antisocial and violent behavior in 10,007 individuals with PD, compared with over 12 million general population controls. There was a substantially increased risk of violent outcomes in studies with all PDs (random-effects pooled odds ratio [OR] = 3.0, 95% CI = 2.6 to 3.5). Meta-regression revealed that antisocial PD and gender were associated with higher risks (p = .01 and .07, respectively). The odds of all antisocial outcomes were also elevated. Twenty-five studies reported the risk of repeat offending in PD compared with other offenders. The risk of a repeat offense was also increased (fixed-effects pooled OR = 2.4, 95% CI = 2.2 to 2.7) in offenders with PD. The authors conclude that although PD is associated with antisocial outcomes and repeat offending, the risk appears to differ by PD category, gender, and whether individuals are offenders or not.
Authors:
Rongqin Yu; John R Geddes; Seena Fazel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of personality disorders     Volume:  26     ISSN:  1943-2763     ISO Abbreviation:  J. Pers. Disord.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710838     Medline TA:  J Pers Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  775-92     Citation Subset:  IM    
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