Re-examining the long-term effects of experiencing parental death in childhood on adult psychopathology.

This study examined whether the experience of the death of a parent in childhood increases risk for adult psychopathology. Participants consisted of 3481 men and women gathered through the Baltimore Epidemiologic Catchment Area study in 1981 and followed through 1994-1995. The Diagnostic Interview Survey was administered by trained interviewers and was used to assess DSM-III disorders including major depression, panic, and anxiety disorders. Maternal death was not a predictor of adult psychopathology. The death of the father during childhood more than doubled the risk for major depressive disorder in adulthood. This study did not find any significant interactions between gender of the deceased parent and gender of the participant nor did the current age of the participant or their age at the time of the death of a parent affect risk for adult psychopathology. The long-term effect on adult depression of the experience of the death of the father in childhood is attributed to likely financial stresses, which may have continued for years and possibly into early adulthood, complicating the family's adaptation to the initial loss.

The prediction of violent and nonviolent criminal behavior in a methadone maintenance population.

The utility of traits associated with Antisocial Personality Disorder in making risk assessments of violent and nonviolent crimes was examined in 254 subjects sampled from a methadone maintenance population. A factor analysis of a number of baseline measures resulted in five factors measuring hostility, insecure attachment, impaired reality testing, antisocial personality, and empathy. These factors were used in logistic regression analysis to predict charges for violent and nonviolent crimes over a 2-year period. Individuals with high scores on the antisocial personality factor had an increased risk of both violent and nonviolent criminal charges. Individuals with low scores on the empathy factor were at high risk for violent crimes. In an analysis using the factor components rather than the factors, the measures of perspective-taking and a socialization were associated with violent criminal charges, and the measure of psychopathy, but not antisocial behavior, was associated with nonviolent criminal charges. The results support the use of measures of personality traits in addition to measures of a history of antisocial behavior in making violence risk assessments in substance-dependent patients. The DSM construct and diagnosis of Antisocial Personality Disorder may be enhanced by greater emphasis on personality traits associated with antisocial behavior.