Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-28T18:04:12.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Asociaciones del trastorno disocial anterior con los trastornos de la personalidad en pacientes psiquiátricos “no psicóticos” hospitalizados

Published online by Cambridge University Press:  12 May 2020

J.H. Dowson ,
P. Sussams ,
A.T. Grounds  and
J.C. Taylor
J.H. Dowson
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
P. Sussams
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
A.T. Grounds
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
J.C. Taylor
Affiliation:
Hospital Kneesworth House, Bassingbourn, Reino Unido
Get access

Resumen

El propósito era investigar la asociación de los antecedentes de rasgos de trastorno disocial (TD) del DSM-HI-R con rasgos de los trastornos de la personalidad (TP) del DSM-III-R y la psicopatía en la práctica psiquiátrica hospitalaria. Se evaluó a 56 pacientes psiquiátricos hospitalizados sin antecedentes de "psicosis" especificadas por la entrevista estructurada SCID para los TP del DSM-III-R y la "Lista de Psicopatía Revisada" (PCL-R). En una muestra en la que el 59% de los pacientes tenían trastorno li'mite de la personalidad, las asociaciones significativas entre antecedentes de criterios deTD y los rasgos adultos de trastorno antisocial de la personalidad (TAP) eran relativamente específicas comparado con otros TP, pero eran más débiles en las mujeres. Sin embargo, las correlaciones significativas entre el número de criterios positivos de TD y las puntuaciones en la PCL-R fueron similares en ambos géneros. Es probable que las asociaciones relativamente específicas entre el TD y los rasgos adultos del TAP sean pertinentes para los pacientes psiquiátricos que muestran diversas presentaciones de TP, si éstas incluyen algunos rasgos adultos de TAP. Los hallazgos alcanzan a la comprensión del desarrollo y la clasificación de los TP.

Keywords

trastorno antisocial de la personalidadtrastorno disocialpsicopatía
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 8 , Issue 3 , April 2001 , pp. 170 - 178

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Andrulonis, PA, Vogel, NG. Comparison of boderline personality subcategories to schizophrenic and affective disorders. Br J Psychiatry 1984; 144:358–63.Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Rev. 3rd ed. Washington DC: American Psychiatric Association; 1987.Google Scholar
American, Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington DC: American Psychiatric Association; 1994.Google Scholar
Bernstein, DP, Cohén, P, Skodol, A, Bezirganian, S, Brook, JS. Childhood antecedents of adolescent personality disorders. Am J Psychiatry 1996; 153:907–13.Google ScholarPubMed
Blackburn, R. The psychology of criminal conduct. Chichester: Wiley; 1993.Google Scholar
Brown, JM, Nixon, SJ. Gender and dmg differences in antisocial personality disorder. J Clin Psychol 1997; 53:301–5.3.0.CO;2-S>CrossRefGoogle Scholar
Burket, RC, Myers, WC. Axis I and personality co-morbidity in adolescents with conduct disorder. Bull Am Acad Psychiatry Law 1995; 23:73–82.Google ScholarPubMed
Cárter, JD, Joyce, PR, Mulder, RT, Sullivan, PF, Luty, SE. Gender differences in the frequency of personality disorders in depressed outpatients. J Pers Disord 1999; 13:67–74.CrossRefGoogle ScholarPubMed
Casey, P. Hie epidemiology of personality disorder. In: Tyrer, P, Ed. Personality disorders. London: Wright; 1988. p. 74–81.Google Scholar
Caspi, A, Moffitt, TE, Newman, DC, Silva, PA. Behavioural observations at age 3 years predict adult psychiatric disor Arch Gen Psychiatiy 1996; 53:1033–9.Google Scholar
Cottler, LB, Price, RK, Compton, WM, Mager, DE. Subtypes of adult antisocial behaviour among dmg abusers. J Nerv Ment Dis 1995; 183: 154–61.CrossRefGoogle Scholar
Dowson, JH. Assessment of personality disorders. Recognition and clinical management. In: Dowson, JH, Grounds, AT, Eds. Personality disorders. Cambridge: Cambridge University Press; 1995. p. 195–228.Google Scholar
Dowson, JH, Sussams, P, Grounds, AT. Characteristics of inpatients without psychosis. Psychiatry Bull 1997; 21:553–6.CrossRefGoogle Scholar
Faraone, SV, Biederman, J, Jetton, JG, Tsuang, MT. Attention déficit disorder and conduct disorder: longitudinal evidence for a familial subtype. Psychol Med 1997; 27:291–300.CrossRefGoogle ScholarPubMed
Farrington, DP, West, DJ. Criminal, penal and life histories of chronic offenders: Risk and protective factors and early Crim Behav Ment Health 1993; 3:492–523.CrossRefGoogle Scholar
Fehon, DC, Becker, DF, Grillo, CM, Walker, ML, Levy, KN, Edell, WS, et al. Diagnostic comorbidity in hospitalised adolescents with conduct disorder. Compr Psychiatry 1997; 38: 141–5.Google ScholarPubMed
First, MB, Gibbon, M, Williams, JBW, Spitzer, RL. Auto SCID II for personality disorders (Auto SCID II nad SCID-II-PQ). New York: Multi-Health Systems Inc and American Psychiatric Association; 1991.Google Scholar
Goodman, G, Hall, JW, Clarkin, JF, Yeomans, FE. Childhood antisocial behaviours as predictors of psychotic symptoms and DSM-III-R borderline criteria among impatients with borderline personality disorder. J Pers Disord 1999; 13: 35–46.CrossRefGoogle Scholar
Grilo, CM, Becker, DF, Fehon, DC, Walker, ML, Edell, WS, McGlashan, TH. Gender differences in personality disorder in psychiatrically hospitalised adolescents. Am J Psychiatry 1996; 153:1089–91.Google Scholar
Haré, RD. The Haré Psychopathy Checklist Revised. New York: Multi-Health System Inc; 1991.Google Scholar
Haré, RD, Harpur, TJ, Hakstian, AR, Forth, AE, Hart, SD, Newman, JP. The Revised Psychopathy Checklist: reliablity and factor structure. J Consult Clin Psychol 1990; 2:338–41.Google Scholar
Kerr, M, Tremblay, RE, Pagani, L, Vitaro, F. Boy's behavioural inhibition and the risk of later delinquency. Arch Gen Psychiatry 1997; 54:809–16.CrossRefGoogle Scholar
Loeber, R. Development and risk factors of juvenile antisocial behaviour and delinquency. Clin Psychol Rev 1990; 0: 1–41.CrossRefGoogle Scholar
Lyons, MJ, True, WR, Eisen, SA, Goldberg, J, Meyer, JM, Faraone, SV, et al. Differential heritability of adult and juvenile antisocial trais. Arch Gen Psychiatry 1995; 52:906–15.CrossRefGoogle Scholar
McGee, R, Feehan, M, Williams, S, Partridge, F, Silva, PA, Kelly, J.DSM-III disorders in a large sample of adolescents. J Am Acad Child Adolesc Psychiatry 1990; 29:611–9.CrossRefGoogle Scholar
Myers, WC, Burket, RC, Otto, TA. Conduct disorder and personality disorders in hospitalised adolescents. J Clin Psychiatry 1993; 54:21–6.Google Scholar
Myers, MG, Stewart, DG, Brown, SA. Progression from conduct disorder to antisocial personality disorder following treatment for adolescent substance abuse. Am J Psychiatry 1998; 155: 479–85.CrossRefGoogle ScholarPubMed
Nace, EP, David, OW, Gaspari, JP. Axis II comorbidity in substance abusers. Am J Psychiatry 1991; 148:118–20.Google ScholarPubMed
Norusis, MJ. SPSS/PC+ Advanced Statistics for the IBM PC/XT/AT and PS/2. Chicago, IL: Spss; 1988.Google Scholar
Paris, J. Antisocial and boderline personality disorders: two sepárate diagnosis or two aspects of the same psychopa-thology. Compr Psychiatry 1997;38:237–42.CrossRefGoogle Scholar
Robins, LN. Aetiological implications in studies of childhood histories relating to antisocial personality. In: Haré, RD, Schalling, D, Eds. Psychopathic behaviour: approaches to research. Chinchester: Wiley; 1978, p.255–71.Google Scholar
Robins, LN, Price, RK. Adult disorders predicted by childhood conduct problems: results from the NIMH Epidemiological Catchment Area project. Psychiatry 1991; 54:116–32.CrossRefGoogle ScholarPubMed
Russ, MT. Self-injurious behaviour in patients with boderline personality disorder: biological perspectives. J Pers Disord 1992; 6:64–81.CrossRefGoogle Scholar
Rutherford, MJ, Alterman, AI, Cacciola, JS, Snider, ED. Gender differences in diagnosing antisocial personality disorder in methadone patients. Am J Psychiatry 1995; 152:1309–16.Google ScholarPubMed
Rutter, M. Temperament, personality and personality disorder. Brit J Psychiatry 1987;150:443–58.CrossRefGoogle ScholarPubMed
Soloff, PN, Millward, JW. Developmental History in borderline patients. Compr Psychiatry 1983;24:574–88.CrossRefGoogle Scholar
Spitzer, RL, Williams, JBW, Gibbon, M, First, MB. Structured Clinical Interview for DSM-IH-R Personality Disorders (SCID II Versión 1.0.). Washington, DC: American Psychiatric Press; 1990.Google Scholar
Stalenheim, EG, von, Knorring L. Psychopathy and Axis I And Axis II psychiatric disorders in a forensic psychiatry population in Sweden. Acta Psychiatr Scand 1996; 94:217–23.CrossRefGoogle Scholar
Strelau, J. Temperament, personality and arousal. London: Academic Press; 1983.Google Scholar
Tennenbaum, DJ. Personality and criminality: a summary and implications of the literature. J Crimjustice 1997; 5:225–35.Google Scholar
Tweed, JL, Gorge, LK, Blazer, D, Swartz, M, MacMillan, J. Adult onset of severe and pervasive antisocial behaviour: a distinct syndrome? J Pres Disord 1994; 8:192–202.CrossRefGoogle Scholar
Virkkunen, M, Linnoila, M. Serotonin in early onset alcoholism. Recent Dev Alcohol 1997; 13:173–89..Google ScholarPubMed
Whine, JC, Moffitt, TE, Earls, F, Robins, L, Silva, PA. How early-can we tell? Criminology 1990; 28:507–33.Google Scholar
Widiger, TA. Sex biases in the diagnosis of personality disorders. J Pers Disord 1998;12:95–118.CrossRefGoogle Scholar
Zoccolillo, M. Gender and the development of conduct disorder. Dev Psychopathol 1993; 5:65–78.CrossRefGoogle Scholar
Zoccolillo, M, Pickles, A, Quinton, D, Rutter, M. The outcome of childhood conduct disorder: implications for defining adult personality disorder and conduct disorder. Psychol Med 1992; 22:971–86.Google ScholarPubMed