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1.
Artigo em Inglês | MEDLINE | ID: mdl-36361282

RESUMO

Prior research shows that individuals who have exhibited antisocial behavior are in poorer health than their same-aged peers. A major driver of poor health is aging itself, yet research has not investigated relationships between offending trajectories and biological aging. We tested the hypothesis that individuals following a life-course persistent (LCP) antisocial trajectory show accelerated aging in midlife. Trajectories of antisocial behavior from age 7 to 26 years were studied in the Dunedin Multidisciplinary Health and Development Study, a population-representative birth cohort (N = 1037). Signs of aging were assessed at age 45 years using previously validated measures including biomarkers, clinical tests, and self-reports. First, we tested whether the association between antisocial behavior trajectories and midlife signs of faster aging represented a decline from initial childhood health. We then tested whether decline was attributable to tobacco smoking, antipsychotic medication use, debilitating illnesses in adulthood, adverse exposures in childhood (maltreatment, socioeconomic disadvantage) and adulthood (incarceration), and to childhood self-control difficulties. Study members with a history of antisocial behavior had a significantly faster pace of biological aging by midlife, and this was most evident among individuals following the LCP trajectory (ß, 0.22, 95%CI, 0.14, 0.28, p ≤ 0.001). This amounted to 4.3 extra years of biological aging between ages 25-45 years for Study members following the LCP trajectory compared to low-antisocial trajectory individuals. LCP offenders also experienced more midlife difficulties with hearing (ß, -0.14, 95%CI, -0.21, -0.08, p ≤ 0.001), balance (ß, -0.13, 95%CI, -0.18, -0.06, p ≤ 0.001), gait speed (ß, -0.18, 95%CI, -0.24, -0.10, p ≤ 0.001), and cognitive functioning (ß, -0.25, 95%CI, -0.31, -0.18, p ≤ 0.001). Associations represented a decline from childhood health. Associations persisted after controlling individually for tobacco smoking, antipsychotic medication use, midlife illnesses, maltreatment, socioeconomic status, incarceration, and childhood self-control difficulties. However, the cumulative effect of these lifestyle characteristics together explained why LCP offenders have a faster Pace of Aging than their peers. While older adults typically age-out of crime, LCP offenders will likely age-into the healthcare system earlier than their chronologically same-aged peers. Preventing young people from offending is likely to have substantial benefits for health, and people engaging in a LCP trajectory of antisocial behaviors might be the most in need of health promotion programs. We offer prevention and intervention strategies to reduce the financial burden of offenders on healthcare systems and improve their wellbeing.


Assuntos
Antipsicóticos , Transtorno da Personalidade Antissocial , Humanos , Idoso , Adolescente , Adulto , Pessoa de Meia-Idade , Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/psicologia , Estudos Longitudinais , Coorte de Nascimento , Envelhecimento
2.
Clin Psychol Rev ; 98: 102214, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36328895

RESUMO

Frick (2022) presented a narrative review of some literature and made several critical comments regarding the extension of the full psychopathy construct to research and classification of childhood disruptive behavior disorders (DBDs). His arguments cautioned against the use of the multicomponent concept of psychopathy for specification of DBDs for several reasons including definitional issues, symptom sequencing, specifier versus risk factor considerations, potential overlap with other disorders and criteria (e.g., ADHD), and concerns regarding harm. While I agree with Frick (2022) that we need to be cautious when extending personality constructs to the DBDs, the remaining arguments in his paper fall short of calling for the exclusion of psychopathy components in the examination of DBDs. Rather, the counterpoints in this paper further convince that the multidimensional model of psychopathy, when applied to the DBDs, could better facilitate understanding of the etiology and mechanisms for Conduct Disorder (CD), and, it may help us to predict the prognosis and treatment outcomes of children with various forms of DBDs such as CD and Oppositional Defiant Disorder (ODD). To have the most informative designs, future research should examine the broad construct to glean a better understanding of psychopathy and the DBDs. Further, research should continue to examine sequencing and external correlates at the component level and to test the incremental value of the multicomponent model of psychopathy to help us better comprehend how each component may facilitate our understanding of the types and severity of conduct problems exhibited by youth with DBDs (i.e., CD, ODD).


Assuntos
Transtorno da Conduta , Comportamento Problema , Criança , Adolescente , Humanos , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Conduta/diagnóstico
3.
J Health Care Poor Underserved ; 33(3): 1401-1418, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36245171

RESUMO

Epidemiological estimates of substance use disorders (SUD) are critical for the planning of evidence-informed intervention and services. In this study, 250 incarcerated individuals in Nigeria were interviewed with the Mini International Neuropsychiatric Inventory (MINI) to diagnose SUD and antisocial personality disorder (ASPD). Most of the participants were males (97.6%), and the mean age was 35.4 (SD=13.5) years. Substance use disorder and ASPD were prevalent in 57.6% and 11.2% of the participants, respectively. Of those diagnosed with SUD, 35.2% and 22.4% had poly-SUD and mono-SUD respectively. Psychotic and dependence syndromes involving cannabis misuse were the most prevalent poly-SUD, and mono-SUD was characterized by alcohol, nicotine, and opioid dependence syndromes. Substance use disorder was more likely in participants charged with robbery and convicted, while ASPD was associated with prior and long-term imprisonment. There is a need for effective integration of treatment for ASPD/SUD into correctional mental health services in settings with inadequate health care using an appropriate model and a viable strategy.


Assuntos
Prisioneiros , Transtornos Relacionados ao Uso de Substâncias , Adulto , Transtorno da Personalidade Antissocial/complicações , Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/terapia , Atenção à Saúde , Feminino , Humanos , Masculino , Nicotina , Espiperona/análogos & derivados , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia
4.
Riv Psichiatr ; 57(5): 246-250, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36200467

RESUMO

INTRODUCTION: Priapism is defined as a prolonged penile erection in absence of sexual arousal, leading also to serious sexual and urological problems such as erectile dysfunction and penile fibrosis. Amongst many different etiologies, priapism may be caused by a wide range of antipsychotic medications, mainly due to the α1-adrenergic receptor antagonism. On the other hand, only a couple of cases of opioid compounds have been linked to the onset of priapism, with evidence coming only from methadone and buprenorphine. Here we describe the case of a patient treated with antipsychotics who developed priapism four times following rapid discontinuation of buprenorphine/naloxone (Suboxone®). CASE PRESENTATION: S.C. is a 30-year-old Caucasian man suffering from chronic buprenorphine/naloxone (Suboxone®) abuse, borderline personality disorder, antisocial traits, and multiple suicide attempts. During the acute and the first part of post-acute Suboxone® withdrawal, four episodes of priapism developed while he was treated with clotiapine, clozapine, and chlorpromazine. However, after the last episode of priapism, despite he was either on haloperidol or zuclopenthixol and chlorpromazine, no other urological event occurred during the following 6 months of observation. CONCLUSIONS: As opioids may have dampened the patient's sexual function due to chronic consumption, a rapid drug suspension coupled with an antipsychotic therapy might have created the conditions to facilitate the occurrence of close clustered priapism events.


Assuntos
Antipsicóticos , Buprenorfina , Clozapina , Priapismo , Adulto , Analgésicos Opioides/efeitos adversos , Antipsicóticos/efeitos adversos , Transtorno da Personalidade Antissocial , Buprenorfina/efeitos adversos , Combinação Buprenorfina e Naloxona/efeitos adversos , Clorpromazina/efeitos adversos , Clopentixol/efeitos adversos , Clozapina/efeitos adversos , Haloperidol , Humanos , Masculino , Metadona/efeitos adversos , Priapismo/induzido quimicamente , Priapismo/tratamento farmacológico , Receptores Adrenérgicos
5.
J Pers Disord ; 36(5): 583-605, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36181493

RESUMO

Despite growing evidence that psychopathy entails reduced emotional processing, the relationship between psychopathic traits and third-person pain perception is poorly understood. This study directly examined perception of others' pain in a sample of male and female students (N = 105) who completed the Self-Report Psychopathy scale (SRP-III) and the Toronto Empathy Questionnaire (TEQ). Participants watched a video of 60 one-second clips of other people experiencing pain. Following each clip, participants rated the perceived level of pain intensity and pain unpleasantness. Psychopathic traits were unrelated to response bias, suggesting that individuals high in psychopathic traits were no more or less likely to impute pain to others. However, higher levels of psychopathic traits, particularly callous affect and antisocial behavior, were associated with a decreased ability to discriminate others' pain. Sensitivity and response bias were unrelated to TEQ scores. These findings provide novel insights into the influence of psychopathic traits on emotional processing.


Assuntos
Transtorno da Personalidade Antissocial , Empatia , Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Personalidade Antissocial/psicologia , Emoções , Feminino , Humanos , Masculino , Dor/psicologia , Percepção da Dor/fisiologia
6.
Psicothema ; 34(4): 544-552, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36268959

RESUMO

BACKGROUND: Antisocial and criminal behaviors are frequently associated with illegal behaviors committed by adolescents between 12 and 19. This study aims to examine antisocial and criminal behavior in adolescence and establish guidelines that contribute to educational prevention. Specifically, we sought to evaluate self-reports of antisocial and criminal behaviors in adolescents, verifying differences in the variables sex and age. METHOD: A total of 396 adolescents participated in the study. They were aged 12 to 19 years old (M = 15.8, SD = 1.6), were of both sexes (63.9% girls or women and 36.1% boys or men) and were attending primary and secondary schools in Brazil. The Antisocial-Criminal Behaviors Questionnaire (A-D) was administered online. Descriptive and comparative analyses by sex and age were performed. RESULTS: Boys presented more transgressive behaviors than girls, not overall, but in specific behaviors included in the two scales of the questionnaire used. In terms of age, self-reported antisocial and criminal behaviors increased with student age. CONCLUSIONS: From a systemic perspective, educational proposals are made to identify and neutralize risk factors and improve protective factors for adolescents.


Assuntos
Transtorno da Personalidade Antissocial , Criminosos , Humanos , Adolescente , Masculino , Feminino , Criança , Adulto Jovem , Adulto , Brasil , Transtorno da Personalidade Antissocial/prevenção & controle , Estudantes , Inquéritos e Questionários
7.
BMC Psychol ; 10(1): 239, 2022 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-36303236

RESUMO

BACKGROUND: Alexithymic and psychopathic traits are closely associated, but distinct constructs. Both have been associated with facial emotion processing deficits reflecting empathy deficits, however the underlying mechanism contributing to these deficits is not well-understood. METHODS: This study investigated facial emotion recognition performance in a non-clinical sample (N = 110) including both male and female participants, with varying levels of psychopathic and alexithymic traits. Facial emotion recognition was assessed using a computerized task, that presented different expressions depicting five emotional states (pain, fear, sadness, anger, happiness) and neutral expressions. RESULTS: Results suggest that the high psychopathic traits group reported lower accuracy compared to the low psychopathic traits group, indicating a more generalized deficit in facial affect recognition, across all emotions. The alexithymic groups (high vs. low) on the other hand did not differ in their performance on the task for any of the emotions presented. CONCLUSION: These findings add to the current body of research regarding face processing categorization deficits in relation to psychopathic and alexithymic traits and can inform prevention and intervention efforts that aim to facilitate facial emotion recognition in individuals with these personality traits.


Assuntos
Reconhecimento Facial , Masculino , Feminino , Humanos , Expressão Facial , Transtorno da Personalidade Antissocial/psicologia , Emoções , Ira
8.
Artigo em Inglês | MEDLINE | ID: mdl-36293999

RESUMO

Poor parental mental health is one of the risk factors for child emotional and behavioural problems because it reduces caregiver's ability to provide appropriate care for their child. This study aimed to measure changes in parenting factors and adolescent behaviours after Multisystemic Therapy (MST), and to explore the mediating role of discipline approaches on the relationship between parental mental health and adolescent behavioural problems. This retrospective study extracted data collected from 193 families engaged with the MST research program during 2014-2019. Data was collected at different time points (pre-treatment, post-treatment, 6- and 12-months follow-up). Statistically significant changes were found in adolescent behaviours and parenting factors following the MST intervention and these positive changes were maintained over the following 12 months. Results of the parallel multiple mediator model analysis confirmed mediating effects of discipline approaches on the relationship between parental mental health and adolescent's behavioural problems. The findings suggested that parental mental well-being significantly contributes to effectiveness of parenting, which resulted in positive changes in adolescent's behavioural problems. It is recommended caregiver's parental skills and any mental health issues are addressed during the intervention to enhance positive outcomes in adolescent behaviour.


Assuntos
Transtorno da Personalidade Antissocial , Saúde Mental , Poder Familiar , Pais , Adolescente , Humanos , Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/terapia , Poder Familiar/psicologia , Pais/psicologia , Psicoterapia/métodos , Estudos Retrospectivos , Fatores de Risco
9.
Cyberpsychol Behav Soc Netw ; 25(11): 744-751, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36251769

RESUMO

The Dark Triad (Machiavellianism, psychopathy, narcissism) is associated with online disinhibition and antisocial online behaviors. However, the mediating role between online disinhibition and online trolling has never previously been investigated. We examined direct and indirect associations between online disinhibition and online trolling via the Dark Triad among 1,303 participants. The results showed that online disinhibition is positively correlated with online trolling, and their link is partly mediated by Machiavellianism and psychopathy. Furthermore, men exhibited higher levels of Dark Triad traits and were more likely to engage in online trolling than women. Moderated mediation analyses indicated that gender moderated the relationship between psychopathy and online trolling. The study provided a promising perspective for the intervention of online trolling, namely netizens should be taught to reduce impulsivity and improve empathy and self-control, especially for men.


Assuntos
Maquiavelismo , Narcisismo , Masculino , Feminino , Humanos , Transtorno da Personalidade Antissocial , Estudantes , China
10.
J Psychiatr Res ; 155: 387-394, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36182768

RESUMO

The DSM-5 definition of cannabis use disorder (CUD) differs from DSM-IV by combining abuse and dependence criteria (without the legal criterion) and including withdrawal and craving criteria. Information on construct validity of the DSM-5 CUD diagnosis and severity levels is lacking. This study examines the associations between DSM-5 CUD and severity classification and a set of concurrent validators. Adults with problematic substance use were recruited from two settings: a research setting in an urban medical center and a suburban inpatient addiction treatment program. Participants who reported past-year cannabis use (n = 392) were included in this study and completed a semi-structured, clinician-administered diagnostic interview. Regression models estimated the associations between binary DSM-5 CUD and severity levels with a set of validators, including cannabis use variables, psychopathology, and functional impairment. DSM-5 CUD and all severity levels were associated with cannabis use validators, including number of days used, self-reporting that cannabis use was a major problem, and greater cannabis craving. DSM-5 CUD and severe CUD were associated with other psychiatric disorders and social impairment. Findings add information about the validity of DSM-5 CUD diagnosis and severity levels, with severe CUD receiving the strongest support from its association with validators across all domains, as distinct from the mild and moderate CUD measures that were associated with cannabis-specific validators alone. Severe CUD is likely to require more intensive treatment to bolster physical, psychiatric, and social functioning, whereas the mild and moderate severity thresholds provide useful information for identifying less severe disorders for prevention and brief intervention.


Assuntos
Alucinógenos , Abuso de Maconha , Transtornos Relacionados ao Uso de Substâncias , Adulto , Transtorno da Personalidade Antissocial , Fissura , Manual Diagnóstico e Estatístico de Transtornos Mentais , Humanos , Abuso de Maconha/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/diagnóstico
13.
An. psicol ; 38(3): 555-564, Oct-Dic. 2022. tab, graf
Artigo em Inglês | IBECS | ID: ibc-208827

RESUMO

Underreport of symptoms and personality characteristics is a relevant problem for psychological assessment. Nevertheless, most of the studies in this field use simulation designs. This study aims at comparing underreport prevalence in real world samples of different contexts, using single-scale and multiple scale underreport indicators from the Minnesota Multiphasic Personality Inventory–2 (MMPI-2) to identify the best one and assess its implications on the clinical scales scores. Using a Differential Prevalence Group design, 1438 participants were assessed with the MMPI-2, grouped in three samples from two non-clinical contexts (community and organizational) and one clinical context. The organizational sample had the highest prevalence of underreporting. Overall, multiple scale indicator LKS ≥ T65 performed better at distinguishing these samples. Analysis of variance revealed that LKS ≥ T65 was also the only indicator in which participants doing underreport consistently varied from honest re-sponders in the clinical scales scores, while also having lower probability of producing both type I and II errors. The existence of underreport has clear implication on the clinical scales results. The multiple scale indicator is the most robust and should be used in the detection of underreporting. This is a relevant implication for psychological assessment in different contexts, mainly in the organizational context.(AU)


La minimización de síntomas es un problema relevante para la evaluación psicológica. La mayoría de los estudios utilizan diseños de simulación. Este estudio tiene como objetivo comparar la prevalencia de la minimización de síntomas y sus implicaciones, utilizando indicadores de escala única y de escala múltiple del Inventario Multifásico de Personalidad de Minnesota-2 (MMPI-2) en muestras reales. Utilizando un diseño de Grupo de Prevalencia Diferencial se evaluaron 1438 participantes, agrupados en tres muestras: dos no clínicas (comunitario y organizacional) y una muestra clínica. La muestra organizacional tuvo la mayor prevalencia de minimización de síntomas. En general, el indicador de escala múltiple LKS ≥ T65 proporcionó los mejores resultados. El análisis de la varianza reveló que el LKS ≥ T65 era también el único indicador de diferenciación, en las escalas clínicas, de los participantes que realizaban o no la minimización de síntomas, a la vez que tenía una menor probabilidad de producir errores tipo I y II. La presencia de minimización tiene una clara implicación en las puntuaciones clínicas. El indicador de escalas múltiples es el más robusto en la detección de la minimización de síntomas y es relevante para la evaluación en diferentes contextos, principalmente en lo organizacional.(AU)


Assuntos
Humanos , Saúde Mental , Testes de Personalidade , Psicopatologia , Depressão , Comportamento , Escala de Avaliação Comportamental , Transtorno da Personalidade Antissocial , Psicologia , Psicologia Clínica , Psicologia Social , Medicina do Comportamento
16.
Psychiatr Danub ; 34(Suppl 8): 207-213, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36170732

RESUMO

The Levenson Self-Report Psychopathy Scale (LSRPS) is a psychometric tool composed of 26 items to assess psychopathic traits. This study aims to perform a network analysis of this scale in a large sample composed of 100 hospitalized psychiatric patients and 256 French-speaking Belgian university students in medicine and to compare the network structure. We estimated a regularized partial correlation network for the 26 items of the questionnaire. Node predictability is used to assess the connectivity of items. The network comparison test (NCT) and statistical inference on sum scores are conducted to compare networks from the inpatients and the university students. The networks composed of LSRPS are mostly connected positively, but some negative interconnections were observed in both inpatients and university students, and node connectivity varies. Although the scores from inpatients are substantially higher than those of university students, network analysis didn't show any statistical difference in the overall connectedness. Network analysis is a valuable tool for exploring psychopathic traits and offers new insight into how they interact. In the network estimation, we concluded that the two domains of psychopathy are interrelated. This interconnectivity was observed in both subject groups. We hypothesize that such interconnectivity was present because environmental and genetic factors are intricately intertwined in the appearance of primary and secondary psychopathy. Meanwhile, although inpatients may have higher scores of psychopathic traits, those traits' connectedness isn't different from that of the general population. This finding aligns well with the theory of hysteresis in network analysis, which states that the connections among components of mental disorders do not disappear or reappear over time, but their importance may vary. Further studies may replicate our findings using different sample groups.


Assuntos
Transtorno da Personalidade Antissocial , Pacientes Internados , Transtorno da Personalidade Antissocial/psicologia , Humanos , Psicometria , Estudantes , Universidades
17.
Artigo em Inglês | MEDLINE | ID: mdl-36078615

RESUMO

BACKGROUND: Previous work has indicated that a negative parenting style is associated with antisocial personality disorder features in Chinese college students, yet few studies have explored the unique role of negative mothering in children's antisocial personality disorder. METHODS: The current study mainly examined the sequential mediation effect of parental antipathy and neglect (PAN) and mother negative loving (a form of insecure attachment) in the association between mother control and adulthood antisocial personality disorder features (ASPD features) in the framework of attachment theory and cognitive-behavioral theory. A community sample of 1547 Chinese college students filled in the Parental Bonding Instrument, the Childhood Experience of Care and Abuse Questionnaire, the Adult Attachment Questionnaire and the Personality Diagnostic Questionnaire-4+. RESULTS: A sequential mediation model analysis showed that maternal control significantly predicted PAN, mother negative loving, as well as ASPD features. CONCLUSIONS: Mother control and mother negative loving appear to advance on the development and exacerbation of ASPD features in college students.


Assuntos
Transtorno da Personalidade Antissocial , Apego ao Objeto , Adulto , Transtorno da Personalidade Antissocial/epidemiologia , Criança , China , Feminino , Humanos , Poder Familiar , Estudantes
19.
J Psychiatr Res ; 155: 226-231, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36095951

RESUMO

OBJECTIVE: There are ongoing discussions on updating various standard psychiatric terms, including schizophrenia, which can be confusing, and personality disorders, which can be pejorative. To contribute to this process, suggestions and recommendations on terminology were sought from academic psychiatrists with substantial clinical experience. METHODS: In an online survey, 263 psychiatrists were asked how often they used alternative instead of standard terms for the diagnosis or symptom description of psychotic disorders and DSM Cluster B personality disorders. They were also asked what specific terms they preferred to use. Reasons for their views and choices were obtained. RESULTS: 125 clinicians (48%) responded. Only a minority of clinicians (31%) tended to use the term schizophrenia often, preferring to say psychosis or to refer to thinking and perceptual problems. Even lower proportions of clinicians (7-14%) often use the terms for Cluster B personality disorder subtypes: antisocial, narcissistic, histrionic, and borderline. Alternatives suggested for these disorders included discussing emotional dysregulation, traits of sensitivity and reactivity, and relational difficulties. Reasons cited for choosing alternative terms were to avoid miscommunication (71% of responders) and to avoid offending the patient (78% of responders). CONCLUSIONS: There are practical alternatives to standard psychiatric terminology that may improve communication with patients and be more respectful choices, as well. The suggestions of the psychiatrists responding to this survey might be of immediate value to others in their practices and might be worthy of consideration by those writing the next versions of the standard manuals, both the DSM and the ICD.


Assuntos
Psiquiatria , Transtornos Psicóticos , Esquizofrenia , Transtorno da Personalidade Antissocial , Humanos , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Transtornos Psicóticos/diagnóstico , Esquizofrenia/diagnóstico
20.
Res Child Adolesc Psychopathol ; 50(12): 1589-1604, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36083386

RESUMO

To maximize the benefits of prevention and treatment efforts the psychopathy construct has been extended downward in age. Despite advances in the study of psychopathy in adolescence it remains unknown if adolescents with psychopathic traits engage in treatment. To fill this knowledge gap, the relationship between psychopathy and treatment engagement was scrutinized in 261 criminal justice-involved male adolescents (ages 16-17 years). Psychopathic traits were measured by means of a well-established self-report questionnaire (Youth Psychopathic traits Inventory; YPI), whereas treatment engagement was measured using a self-report questionnaire consisting of readiness to change, bond with staff, collaboration on goals/tasks, and therapeutic engagement dimensions. Network analysis was used to detect the most robust relations between ten YPI subscales or the three YPI components and the four treatment engagement dimensions. Findings indicated that the YPI subscales (e.g., remorselessness) rather than the YPI components (e.g., callous-unemotional) might help to understand the complex relationship between psychopathic traits and treatment engagement. Disaggregating all the dimensions across its subscales can help us to identify which specific feature of psychopathy is related to treatment engagement and should be the first focus of intervention.


Assuntos
Transtorno da Personalidade Antissocial , Direito Penal , Adolescente , Humanos , Masculino , Inventário de Personalidade , Estudos Transversais , Transtorno da Personalidade Antissocial/epidemiologia , Inquéritos e Questionários
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