ArticleSocial psychiatry and psychiatric epidemiology2019
Antisocial personality and risks of cause-specific mortality: results from the Epidemiologic Catchment Area study with 27 years of follow-up.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Psychological interventions for antisocial personality disorder.The Cochrane database of systematic reviews · 2020Pooled it
- Pharmacological interventions for antisocial personality disorder.The Cochrane database of systematic reviews · 2020Pooled it
- Divergent disinhibition profiles linked to externalizing psychopathology.Journal of psychopathology and clinical science · 2026Article
- A next generation of the schema therapy model of personality pathology: A cross-cultural and international study protocol.PloS one · 2026Article
- Clinicians' Assessment of Antisocial Personality Disorder (ASPD): A Network Analysis Approach on DSM-5-TR Criteria and Domains.Personality and mental health · 2025Article
- Mortality among individuals with substance use disorder-does violent criminal behavior have an impact?Frontiers in psychiatry · 2024Article
- The Co-occurrence of Personality Disorders and Substance Use Disorders.Current psychiatry reports · 2023Review
- Comorbidity of anxiety/affective, conduct/antisocial, attention deficit, and alcohol use disorders with suicidal behaviors in an American Indian community sample of adults and adolescents.Journal of psychiatric research · 2023Article
- For whom the bell tolls: psychopathological and neurobiological correlates of a DNA methylation index of time-to-death.Translational psychiatry · 2022Article
- Mortality in adult children of parents with alcohol use disorder: a nationwide register study.European journal of epidemiology · 2022Article
- The clinical course of antisocial behaviors in men and women of three racial groups.Journal of psychiatric research · 2022Article
- Female Psychopathy and Mortality.Frontiers in psychiatry · 2022Article
- Long-term physical health outcomes of obsessive-compulsive personality disorder traits.Journal of clinical psychology · 2021Article
- Total and cause-specific mortality in patients with personality disorders: the association between comorbid severe mental illness and substance use disorders.Social psychiatry and psychiatric epidemiology · 2021Article
- Compliance with containment measures to the COVID-19 pandemic over time: Do antisocial traits matter?Personality and individual differences · 2021Article
- Psychiatric comorbidity and mortality in patients with anorexia nervosa.European archives of psychiatry and clinical neuroscience · 2020Article
- Suicide risk of male State patients with antisocial personality traits.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeLittle is known about the effect of antisocial personality disorder (ASPD) on the risks of cause-specific mortality in the community. This study aimed to close this gap by evaluating if ASPD increases risks of cause-specific mortality in population-based residential and institutionalized samples with 27 years of follow-up.
methodsData were collected in four metropolitan sites as part of the Epidemiologic Catchment Area (ECA) study during 1979-1983. Records were linked to the National Death Index through the end of 2007. Cox proportional hazards models adjusted for propensity weights and sample weights were fitted to estimate the effect of ASPD on the hazard of dying.
results420 respondents with ASPD (median survival age 71.0 years) and 15,367 without ASPD (median survival age 84.6 years) were included in this study. Those with ASPD were more likely to die from all causes (HR = 4.46; 95% CI = 2.44-8.16), suicide (HR = 2.81; 95% CI = 1.03-7.65), malignant neoplasms (HR = 4.09; 95% CI = 2.66-6.28), chronic lower respiratory disease (HR = 5.67; 95% CI = 2.92-11.0), and human immunodeficiency virus infection (HR = 8.07; 95% CI = 2.03-32.1), but not from accidents (HR = 0.58; 95% CI = 0.17-1.93) or heart disease (HR = 1.09; 95% CI = 0.43-2.76).
conclusionsOur findings demonstrate that antisocial personality disorder is a strong predictor of all-cause mortality, and cause-specific mortality. Early identification, treatment, and prevention of ASPD are important public mental health initiatives that could reduce premature mortality among this vulnerable population.
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