Risky decisions and their consequences: Neural processing by boys with
antisocial substance disorder
Risky decisions and their consequences: neural processing by boys with
Antisocial Substance Disorder.
Not exact matches
Because individuals with certain psychological
disorders, such as
antisocial personality
disorder and
substance dependence, are at high risk for criminal involvement, they are also at heightened risk for false identifications by eyewitnesses.
This interaction between the 5 - HTTLPR and stress extends to other phenotypes associated with the serotonin system as well, including post-traumatic stress
disorder (Xie et al., 2009),
antisocial behavior (Li and Lee, in press),
substance use (Brody et al., 2009a), suicidality (Roy et al., 2007), sleep quality (Brummett et al., 2007) and anxiety sensitivity (Stein et al., 2007).
The unique contribution of teen drinking to later AUDs, over and above other psychosocial determinants, has not been clearly established.7 Individual level factors such as teen mental
disorders, personality traits (such as
antisocial behaviour) and other
substance use may play a significant role.
Outcomes: Mood and anxiety
disorders (major depressive
disorder, bipolar
disorder, anxiety
disorders, agoraphobia, social phobia, obsessive - compulsive
disorder, specific phobia, panic
disorder and generalised anxiety
disorder);
antisocial and
substance dependence
disorders (oppositional defiant
disorder,
antisocial personality
disorder,
substance - dependence
disorders, alcohol dependence, drug dependence and smoking dependence); current global functioning and family conflict; educational and occupational achievement (parental support, educational and occupational levels, overall socioeconomic status); and cognitive assessments.
In unadjusted models, homotypic prediction was found for
antisocial personality
disorder (from adolescent CD), depression, and
substance disorders (Table 2).
The most common adult psychiatric problems among childhood ADHD cases were alcohol dependence / abuse (26.3 %),
antisocial personality
disorder (16.8 %), other
substance dependence / abuse (16.4 %), current or past history of hypomanic episode (15.1 %), generalized anxiety
disorder (14.2 %), and current major depressive episode (12.9 %).
A review of twenty studies on the adult lives of
antisocial adolescent girls found higher mortality rates, a variety of psychiatric problems, dysfunctional and violent relationships, poor educational achievement, and less stable work histories than among non-delinquent girls.23 Chronic problem behavior during childhood has been linked with alcohol and drug abuse in adulthood, as well as with other mental health problems and
disorders, such as emotional disturbance and depression.24 David Hawkins, Richard Catalano, and Janet Miller have shown a similar link between conduct
disorder among girls and adult
substance abuse.25 Terrie Moffitt and several colleagues found that girls diagnosed with conduct
disorder were more likely as adults to suffer from a wide variety of problems than girls without such a diagnosis.26 Among the problems were poorer physical health and more symptoms of mental illness, reliance on social assistance, and victimization by, as well as violence toward, partners.
In univariate logistic regression analysis, frequent bullying - only status predicted
antisocial personality,
substance abuse, and depressive and anxiety
disorders; frequent victimization - only status predicted anxiety
disorder, whereas frequent bully - victim status predicted
antisocial personality and anxiety
disorder.
Children with early - onset conduct problems (CPs) are at high risk for chronic
antisocial and aggressive behaviour, and a variety of social and mental health problems in adolescence and adulthood (e.g. delinquency, psychiatric
disorders,
substance use, school dropout; Fergusson et al. 2005; Kratzer and Hodgins 1997).
Earlier onset of CD / ODD has been found to be correlated with the development of
antisocial personality
disorder,
substance - related
disorders, increased rates of drug use (tobacco and alcohol), mood
disorders, anxiety
disorders, somatoform
disorders, and higher accident rates [3].
Children and adolescents with
antisocial behavior
disorders have an increased risk of accidents, school failure, early alcohol and
substance use, suicide, and criminal behavior.
Those with a parent with an
antisocial personality
disorder or
substance abuse problem are more likely to develop the
disorder.
Both adopted and biological children of parents with
antisocial personality
disorder have an increased risk of developing
antisocial personality
disorder, somatic symptom
disorder, and
substance use
disorders.
Children and adolescents with oppositional defiant
disorder are at increased risk for a number of problems in adjustment as adults, including
antisocial behavior, impulse - control problems,
substance abuse, anxiety, and depression.
When
substance use and
antisocial behavior both began in childhood and continued into adulthood, both a
substance use
disorder and
antisocial personality
disorder should be diagnosed if the criteria for both are met, even though some
antisocial acts may be a consequence of the
substance use
disorder (e.g., illegal selling of drugs, thefts to obtain money for drugs).
When
antisocial behavior in an adult is associated with a
substance use
disorder, the diagnosis of
antisocial personality
disorder is not made unless the signs of
antisocial personality
disorder were also present in childhood and have continued into adulthood.
Parents of children with conduct
disorder are more likely to exhibit depression,
substance abuse and / or
antisocial personality traits.
The highest prevalence of
antisocial personality
disorder (greater than 70 %) is among most severe samples of males with alcohol use
disorder and from
substance abuse clinics, prisons, or other forensic settings.
Specialties: ADHD, Academic Underachievement, Addiction, Adoption, Alcohol Abuse,
Antisocial Personality, Anxiety, Asperger's Syndrome, Autism, Behavioral Issues, Panic
Disorder, Depression, Self - Harm, Impulse Control, Bipolar
Disorder, Borderline
Disorder, Child or Adolescent, Chronic Impulsivity, Chronic Pain, Chronic Relapse, Codependency, Developmental
disorders, Divorce, Domestic Abuse, Domestic Violence, Drug Abuse, Dual Diagnosis, Emotional Disturbance, Family Conflict, Gambling, Infertility, Infidelity, Intellectual Disability, Internet Addiction, Learning Disabilities, Life Coaching, Marital and Premarital, Medical Detox, Medication Management, Men's Issues, Narcissistic Personality, Obesity, Schizophrenia, Personality
Disorders, Trauma and PTSD, Obsessive Compulsive
Disorder, Co-Occurring Diagnoses, Oppositional Defiance, Parenting, Peer Relationships, Pregnancy, Prenatal, Postpartum, Racial Identity, Relationship Issues, Eating
Disorders,
Substance Abuse, Career Counseling, Grief, Sexual Identity, Couples & Family Counseling, Coping Skills, Self - Esteem, Self - Harming, Sex Therapy, Sexual Abuse, Sexual Addiction, Sleep or Insomnia, Spirituality, Sports Performance, Stress Management, Suicidal Ideation, Teen Violence, Testing and Evaluation, Transgender, Traumatic Brain Injury, Video Game Addiction, Weight Loss, Women's Issues and Anger Management
It is a period of biological, cognitive and social change of such magnitude and rapidity that it is no surprise to find that it is associated with the onset or exacerbation of a number of health - related problems including depression (1), eating
disorders (2),
substance abuse and dependence (3 — 5), risky sexual behaviour (6),
antisocial and delinquent activity (7) and school dropout (8).
Relationship Between Ongoing ADHD,
Antisocial Personality
Disorder, and
Substance Disorders Among Probands at the 33 - Year Follow - up
Oppositional Defiant
Disorder, Conduct
Disorder,
Antisocial Personality
Disorder, Depression,
Substance Abuse, Trauma
Lifetime prevalences of
antisocial syndromes were estimated and logistic regression analyses were used to examine associations between
antisocial syndromes and sociodemographic characteristics and
substance use
disorders.
Patients were excluded based on the following criteria: high risk for suicide;
substance abuse or dependence in the past six months; lifetime history of psychotic, obsessive — compulsive, or bipolar
disorder; eating
disorder in the past year; borderline, schizotypal, or
antisocial personality
disorder; serious medical conditions; and failure of two empirically supported psychotherapy treatments or two adequate antidepressant medication trials in the past three years.
Five dimensions of lifetime parental psychopathology were assessed (depressive
disorders, anxiety
disorders,
substance dependence,
antisocial behavior, and psychosis), using the TRAILS Family History Interview (FHI), which was administered at the parent interview [26].
Conclusion: Comorbidity of specific
substance disorders with
antisocial syndromes is very common in the U.S. population.
The construction of FR - EXT was based on the reported path coefficients regarding
substance abuse and
antisocial behavior by Kendler et al. [16], who performed multivariate twin modeling to investigate the structure of genetic risk for common psychiatric and
substance use
disorders.
Other shared risk factors might include a familial influence on PTSD and
substance use
disorders, 12,13 personality traits, early conduct problems, and family history of
antisocial behavior, factors previously associated with PTSD and with
substance use
disorders.1,6,36 - 39
For example, longitudinal prospective studies of children of mothers with schizophrenia have consistently identified a subgroup who present a stable pattern of aggressive and / or
antisocial behavior from a young age, 36,37 and studies of children with depression identify a subgroup with conduct
disorder.38 Among persons who develop a major mental
disorder,
substance abuse in childhood or adolescence is more strongly associated with violent crime in adulthood than
substance abuse in adulthood, 39 and individuals who will develop a major mental
disorder may be more sensitive to the effects of alcohol than others.40 These findings suggest that symptoms (eg,
substance abuse) that we and others are labeling as distinct
disorders, may in fact be a part of or at least related to the primary
disorder.
Virtually all of the associations between APD and adult
antisocial behavior and specific
substance use
disorders were positive and statistically significant (p <.05).
Academic achievement: 0.25
antisocial behaviour − 0.17, mental
disorder − 0.37, positive self - image 0.08, prosocial behaviour 0.13, social skills 0.50
substance abuse − 0.20
Since the diagnosis of ADHD often coexists with conduct, oppositional — defiant,
antisocial - personality, or
substance - use
disorder, 5 it is not clear whether these
disorders should be regarded as confounders, mediators, or colliders.30 Thus, to test whether the association between medication use and criminality was different depending on coexisting diagnoses, we performed a sensitivity analysis that included only patients without a diagnosis of a coexisting
disorder.
Strong associations between conduct
disorder (CD),
antisocial personality
disorder (ASPD) and
substance use
disorders (SUD) seem to reflect a general vulnerability to externalizing behaviors.
The heterogeneity of effect sizes for the remaining four categories (
antisocial behaviour, mental
disorders, positive self - image and
substance abuse) was high: 76 — 93 %
Stallings et al. (2005) have conducted a genome search, using linkage methods, to determine if there is a chromosomal region associated with indices of conduct
disorder symptoms and
antisocial substance dependence in a large community - based sample of 4,493 adolescents and young adults.
Conduct
disorder exclusively predicted at age 21:
antisocial personality
disorder,
substance dependence, illegal behavior, dependence on multiple welfare sources, early home leaving, multiple cohabitation partners, and physical partner violence.
Evidence of homotypic prediction was supported for
substance use
disorders,
antisocial personality
disorder (from conduct
disorder), and anxiety
disorders, although this effect was primarily accounted for by DSM - III - R overanxious
disorder.
The mental
disorders with impulsiveness most linked to suicide include borderline personality
disorder among young females, conduct
disorder among young males and
antisocial behavior in adult males, and alcohol and
substance abuse among young and middle - aged males.