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      The Natural History of Antisocial Personality Disorder.

      1

      Canadian journal of psychiatry. Revue canadienne de psychiatrie

      SAGE Publications

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          Abstract

          Antisocial personality disorder (ASPD) is characterized by a pattern of socially irresponsible, exploitative, and guiltless behaviour. ASPD is associated with co-occurring mental health and addictive disorders and medical comorbidity. Rates of natural and unnatural death (suicide, homicide, and accidents) are excessive. ASPD is a predictor of poor treatment response. ASPD begins early in life, usually by age 8 years. Diagnosed as conduct disorder in childhood, the diagnosis converts to ASPD at age 18 if antisocial behaviours have persisted. While chronic and lifelong for most people with ASPD, the disorder tends to improve with advancing age. Earlier onset is associated with a poorer prognosis. Other moderating factors include marriage, employment, early incarceration (or adjudication during childhood), and degree of socialization.

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          Author and article information

          Journal
          Can J Psychiatry
          Canadian journal of psychiatry. Revue canadienne de psychiatrie
          SAGE Publications
          1497-0015
          0706-7437
          Jul 2015
          : 60
          : 7
          Affiliations
          [1 ] Professor of Psychiatry, Department of Psychiatry, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa.
          Article
          10.1177/070674371506000703
          4500180
          26175389
          4f3289fc-3113-419f-8243-ec1ebeb95cd6

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