Predictors of long-term outcome in 45 men with antisocial personality disorder

Donald W. Black, Patrick Monahan, Connie H. Baumgard, Sue E. Bell

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

We sought to determine variables predictive of outcome in a group of 45 men with antisocial personality disorder followed up a mean of 29 years following hospitalization. Based on personal interviews, interviews with informants, and medical and legal records, sufficient information was available to rate the global outcome in 45 men. The Global Assessment Scale (GAS) was also used to measure functioning in 44 men at intake and follow-up. Twenty-six (57.8%) were rated as having 'any improvement.' Univariate analysis showed men experiencing improvement were more likely to have high GAS scores at intake, were not currently alcoholic, were older, and were followed over a longer period of time. Low GAS scores at intake and the interaction between the GAS score at intake and current alcoholism independently predicted poor outcome on regression analysis. A low GAS score at intake and shorter follow-up also independently predicted poor outcome, even though stepwise regression revealed the strongest single predictor to be the interaction between the initial GAS score and age at follow-up. In summary, long-term outcome in antisocial males is associated with an initial level of severity, alcohol consumption at follow-up, and both age at follow-up and length of follow-up. Initial severity best predicts outcome among men not currently alcoholic who have been followed over a long period of time.

Original languageEnglish (US)
Pages (from-to)211-217
Number of pages7
JournalAnnals of Clinical Psychiatry
Volume9
Issue number4
DOIs
StatePublished - 1997
Externally publishedYes

Fingerprint

Antisocial Personality Disorder
Interviews
Alcohol Drinking
Alcoholism
Medical Records
Hospitalization
Regression Analysis

Keywords

  • Antisocial personality disorder
  • Outcome predictors
  • Psychopathy
  • Sociopathy

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Predictors of long-term outcome in 45 men with antisocial personality disorder. / Black, Donald W.; Monahan, Patrick; Baumgard, Connie H.; Bell, Sue E.

In: Annals of Clinical Psychiatry, Vol. 9, No. 4, 1997, p. 211-217.

Research output: Contribution to journalArticle

Black, Donald W. ; Monahan, Patrick ; Baumgard, Connie H. ; Bell, Sue E. / Predictors of long-term outcome in 45 men with antisocial personality disorder. In: Annals of Clinical Psychiatry. 1997 ; Vol. 9, No. 4. pp. 211-217.
@article{df38d1afa11b4732b5f2e34eabfdeb7c,
title = "Predictors of long-term outcome in 45 men with antisocial personality disorder",
abstract = "We sought to determine variables predictive of outcome in a group of 45 men with antisocial personality disorder followed up a mean of 29 years following hospitalization. Based on personal interviews, interviews with informants, and medical and legal records, sufficient information was available to rate the global outcome in 45 men. The Global Assessment Scale (GAS) was also used to measure functioning in 44 men at intake and follow-up. Twenty-six (57.8{\%}) were rated as having 'any improvement.' Univariate analysis showed men experiencing improvement were more likely to have high GAS scores at intake, were not currently alcoholic, were older, and were followed over a longer period of time. Low GAS scores at intake and the interaction between the GAS score at intake and current alcoholism independently predicted poor outcome on regression analysis. A low GAS score at intake and shorter follow-up also independently predicted poor outcome, even though stepwise regression revealed the strongest single predictor to be the interaction between the initial GAS score and age at follow-up. In summary, long-term outcome in antisocial males is associated with an initial level of severity, alcohol consumption at follow-up, and both age at follow-up and length of follow-up. Initial severity best predicts outcome among men not currently alcoholic who have been followed over a long period of time.",
keywords = "Antisocial personality disorder, Outcome predictors, Psychopathy, Sociopathy",
author = "Black, {Donald W.} and Patrick Monahan and Baumgard, {Connie H.} and Bell, {Sue E.}",
year = "1997",
doi = "10.1023/A:1022348225425",
language = "English (US)",
volume = "9",
pages = "211--217",
journal = "Annals of Clinical Psychiatry",
issn = "1040-1237",
publisher = "Dowden Health Media,Inc",
number = "4",

}

TY - JOUR

T1 - Predictors of long-term outcome in 45 men with antisocial personality disorder

AU - Black, Donald W.

AU - Monahan, Patrick

AU - Baumgard, Connie H.

AU - Bell, Sue E.

PY - 1997

Y1 - 1997

N2 - We sought to determine variables predictive of outcome in a group of 45 men with antisocial personality disorder followed up a mean of 29 years following hospitalization. Based on personal interviews, interviews with informants, and medical and legal records, sufficient information was available to rate the global outcome in 45 men. The Global Assessment Scale (GAS) was also used to measure functioning in 44 men at intake and follow-up. Twenty-six (57.8%) were rated as having 'any improvement.' Univariate analysis showed men experiencing improvement were more likely to have high GAS scores at intake, were not currently alcoholic, were older, and were followed over a longer period of time. Low GAS scores at intake and the interaction between the GAS score at intake and current alcoholism independently predicted poor outcome on regression analysis. A low GAS score at intake and shorter follow-up also independently predicted poor outcome, even though stepwise regression revealed the strongest single predictor to be the interaction between the initial GAS score and age at follow-up. In summary, long-term outcome in antisocial males is associated with an initial level of severity, alcohol consumption at follow-up, and both age at follow-up and length of follow-up. Initial severity best predicts outcome among men not currently alcoholic who have been followed over a long period of time.

AB - We sought to determine variables predictive of outcome in a group of 45 men with antisocial personality disorder followed up a mean of 29 years following hospitalization. Based on personal interviews, interviews with informants, and medical and legal records, sufficient information was available to rate the global outcome in 45 men. The Global Assessment Scale (GAS) was also used to measure functioning in 44 men at intake and follow-up. Twenty-six (57.8%) were rated as having 'any improvement.' Univariate analysis showed men experiencing improvement were more likely to have high GAS scores at intake, were not currently alcoholic, were older, and were followed over a longer period of time. Low GAS scores at intake and the interaction between the GAS score at intake and current alcoholism independently predicted poor outcome on regression analysis. A low GAS score at intake and shorter follow-up also independently predicted poor outcome, even though stepwise regression revealed the strongest single predictor to be the interaction between the initial GAS score and age at follow-up. In summary, long-term outcome in antisocial males is associated with an initial level of severity, alcohol consumption at follow-up, and both age at follow-up and length of follow-up. Initial severity best predicts outcome among men not currently alcoholic who have been followed over a long period of time.

KW - Antisocial personality disorder

KW - Outcome predictors

KW - Psychopathy

KW - Sociopathy

UR - http://www.scopus.com/inward/record.url?scp=0031407897&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031407897&partnerID=8YFLogxK

U2 - 10.1023/A:1022348225425

DO - 10.1023/A:1022348225425

M3 - Article

C2 - 9511944

AN - SCOPUS:0031407897

VL - 9

SP - 211

EP - 217

JO - Annals of Clinical Psychiatry

JF - Annals of Clinical Psychiatry

SN - 1040-1237

IS - 4

ER -