Schizophrenia spectrum disorders, substance misuse, and the four-facet model of psychopathy: the relationship to violence.

Abstract:

OBJECTIVE:To investigate the relationship between the four-facet model of PCL-R psychopathy and violence in a community-based sample of Australian men with schizophrenia-spectrum disorders. METHOD:A community sample of 94 males with schizophrenia-spectrum disorders was recruited from mental health services within Victoria, Australia. Psychopathy was measured using the PCL-R. Measures of substance misuse and lifetime violence were also administered. RESULTS:PCL-R-total, Facets 2, 3, and 4 scores and substance misuse (DAST) scores were predictive of Violent versus Non-Violent group membership. The regression equation indicated that the predictive validity of PCL-R scores remained significant after controlling for substance misuse. An additional regression indicated that only Facets 3 and 4 were significant in predicting violence group membership. CONCLUSION:Psychopathy (particularly the antisocial and behavioural components) was associated with lifetime violence, even after controlling for substance misuse. These findings have implications for the assessment, treatment, and management of health clients with schizophrenia-spectrum disorders.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

McGregor K,Castle D,Dolan M

doi

10.1016/j.schres.2011.09.010

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

116-21

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(11)00489-0

journal_volume

136

pub_type

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