Antisocial personality disorder: Co-morbid Axis I mental disorders and health service use among a national household population

BACKGROUND: Mental disorder can increase the likelihood of taking violent acts of some individuals, but only a small percentage of violence in societies could be attributed to patients with mental health problems. For the past several years numerous studies related to forensic psychiatry has confirmed a close causal relationship between violent offenders and psychiatric comorbidity. Several studies have provided strong evidence that antisocial personality disorders (APD) represent a significant clinical risk for violence. AIM: This study aims to show the relationship between antisocial personality disorder and antisocial personality traits with the other mental disorders and the manifestation of violence between the forensic populations of patients. METHODS: The survey was conducted at the Psychiatric Hospitals and the Mental Health Centre. The research was carried out between two groups: one group of perpetrators of violence (PV) and a control group divided into two subgroups, a control group without violence (CG WV) and a group of respondents forcibly hospitalised CG FH. After obtaining consent for participation in the study, patients were interviewed, and questionnaires were applied. The research methodology included using measuring instrument-Psychopathy Checklist-revised (Hare's PCL-R). RESULTS: The results show that in the group PV antisocial personality disorder is present in 45 patients, or 50% of the total sample. According to statistical research in between groups PV, CG WV and CG WV, there were determent significant differences in specifically listed items from Hare's PCL-R. CONCLUSIONS: Psychopathological traits of mental disorders which are pathognomonic of committing violence are paranoid schizophrenia, as the most present and antisocial personality disorder in comorbidity, as the highest risk factor among the population with mental disorders that manifest violence.

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Antisocial traits in psychiatrically ill veterans without antisocial personality disorder: relationship to Axis I disorders and effects on functioning

Psychiatry Research ◽

10.1016/s0165-1781(97)00049-8 ◽

1997 ◽

Vol 71 (2) ◽

pp. 77-82 ◽

Cited By ~ 7

Author(s):

James Reich

Keyword(s):

Personality Disorder ◽

Antisocial Personality Disorder ◽

Antisocial Personality ◽

Axis I Disorders ◽

Axis I

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Development of antisocial personality disorder in detained youths: The predictive value of mental disorders.

Journal of Consulting and Clinical Psychology ◽

10.1037/0022-006x.75.2.221 ◽

2007 ◽

Vol 75 (2) ◽

pp. 221-231 ◽

Cited By ~ 41

Author(s):

Jason J. Washburn ◽

Erin Gregory Romero ◽

Leah J. Welty ◽

Karen M. Abram ◽

Linda A. Teplin ◽

...

Keyword(s):

Personality Disorder ◽

Mental Disorders ◽

Antisocial Personality Disorder ◽

Predictive Value ◽

Antisocial Personality

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Prevalence of symptoms, ever having received a diagnosis and treatment of depression and anxiety, and associations with health service use amongst the general population in two Russian cities

BMC Psychiatry ◽

10.1186/s12888-020-02938-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Sarah Cook ◽

Alexander V. Kudryavtsev ◽

Natalia Bobrova ◽

Lyudmila Saburova ◽

Diana Denisova ◽

...

Keyword(s):

Mental Disorders ◽

Health Service ◽

Service Use ◽

Common Mental Disorders ◽

Population Based ◽

Diagnosis And Treatment ◽

Health Service Use ◽

Depression And Anxiety ◽

Cross Sectional ◽

Current Medication

Abstract Background Little is known about the burden of common mental disorders in Russia despite high levels of suicide and alcohol-related mortality. Here we investigated levels of symptoms, self-reports of ever having received a diagnosis and treatment of anxiety and depression in two Russian cities. Methods The study population was men and women aged 35–69 years old participating in cross-sectional population-based studies in the cities of Arkhangelsk and Novosibirsk (2015–18). Participants completed an interview which included the PHQ-9 and GAD-7 scales, questions on whether participants had ever received a diagnosis of depression or anxiety, and health service use in the past year. Participants also reported current medication use and medications were coded in line with the WHO anatomical therapeutic classification (ATC). Depression was defined as PHQ-9 ≥ 10 and Anxiety as GAD-7 ≥ 10. Results Age-standardised prevalence of PHQ-9 ≥ 10 was 10.7% in women and 5.4% in men (GAD-7 ≥ 10 6.2% in women; 3.0% in men). Among those with PHQ-9 ≥ 10 17% reported ever having been diagnosed with depression (equivalent finding for anxiety 29%). Only 1.5% of those with PHQ-9 ≥ 10 reported using anti-depressants and 0.6% of those with GAD-7 ≥ 10 reported using anxiolytics. No men with PHQ-9 ≥ 10 and/or GAD-7 ≥ 10 reported use of anti-depressants or anxiolytics. Use of health services increased with increasing severity of both depression and anxiety. Conclusion There was a large gap between symptoms and reporting of past diagnosis and treatment of common mental disorders in two Russian cities. Interventions aimed at improving mental health literacy and reducing stigma could be of benefit in closing this substantial treatment gap.

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