Antisocial Personality Disorder

反社会人格障碍
  • 文章类型: Systematic Review
    具有精神病特征的儿童和青少年在情绪识别方面表现出缺陷,但是,对于它们的普遍性或可能调节过程的变量,没有达成共识。本系统综述汇集了有关该主题的现有科学语料库,并试图根据PRISMA2020声明通过对现有文献的详尽审查来回答这些问题。结果证实了情绪识别中普遍存在的缺陷,更具体地说,关于痛苦情绪(例如,恐惧),超越所有情绪表现方式和所有使用的情绪刺激的缺陷。此外,他们支持关注提供情感线索的相关领域的关键作用(例如,眼睛区域),并根据破坏性行为的存在并根据所检查的精神病维度指出差异。这些证据可以促进目前对精神病特征发育模型的了解。然而,应优先考虑该领域研究条件的均质化,以便能够得出更可靠和可推广的结论。
    Children and adolescents with psychopathic traits show deficits in emotion recognition, but there is no consensus as to the extent of their generalizability or about the variables that may be moderating the process. The present Systematic Review brings together the existing scientific corpus on the subject and attempts to answer these questions through an exhaustive review of the existing literature according to PRISMA 2020 statement. Results confirmed the existence of pervasive deficits in emotion recognition and, more specifically, on distress emotions (e.g., fear), a deficit that transcends all modalities of emotion presentation and all emotional stimuli used. Moreover, they supported the key role of attention to relevant areas that provide emotional cues (e.g., eye-region) and point out differences according to the presence of disruptive behavior and based on the psychopathy dimension examined. This evidence could advance the current knowledge on developmental models of psychopathic traits. Yet, homogenization of the conditions of research in this area should be prioritized to be able to draw more robust and generalizable conclusions.
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  • 文章类型: Meta-Analysis
    在与脑电图研究相关的任务中分析CNV,经常有参与者表现出精神病性格特征。对文献进行了系统的搜索,解决精神病引起的CNV调幅不一致的问题。检索到9项研究(N=317)用于分析。进行了三项荟萃分析-CNV,iCNV,tCNV。还进行了定性分析-报告由精神病尺寸特征调节的CNV幅度-。CNV和iCNV的总体效果不显著。在报告较高精神病特征的参与者中发现了较大的tCNV振幅,g=-0.58,95%CI[-0.94,-0.22]。当面对文献中先前的假设时,这些发现令人惊讶,特别是考虑到研究之间没有发现显著的异质性。这两个研究的特征都不是一个重要的调节因素。研究结果需要讨论呈现精神病特征的参与者的适应性/(正常)调整模式之间的关键差异。未来研究通过精神病分离iCNV和tCNV调节,特别是在社区样本中,通过维度镜头,可以帮助更好地理解精神病的结构。
    The CNV is analyzed in tasks related to EEG studies, often with participants presenting psychopathic personality traits. A systematic search of the literature was conducted, to solve some inconsistencies regarding CNV amplitude modulation by psychopathy. Nine studies (N = 317) were retrieved for analysis. Three meta-analyses were run - CNV, iCNV, tCNV. A qualitative analysis - reporting CNV amplitudes modulated by psychopathy dimensional features - was also featured. Overall effects for CNV and iCNV were not significant. Larger tCNV amplitudes were found in participants reporting higher psychopathy traits, g = -0.58, 95% CI [- 0.94, - 0.22]. These findings were surprising when confronted with previous assumptions in the literature, especially considering that no significant heterogeneity between studies was found. Neither of the studies\' characteristics was a significant moderator. Findings require the need to discuss key differences between adaptive/(mal)adjustment patterns in participants presenting psychopathic traits. Future studies dissociating iCNV and tCNV modulation by psychopathy, especially in community samples and through a dimensional lens, could help to better understand the construct of psychopathy.
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  • 文章类型: Journal Article
    精神疾病诊断和统计手册(DSM-5)的第五版,2013年出版,包括人格障碍(AMPD)的替代模型,重点是用于诊断几种人格障碍的适应不良特征模型。边缘性人格障碍(BPD)和反社会人格障碍(ASPD)是AMPD分类的两种疾病,表现出很高的暴力和侵略率。AMPD中概述的几个特征,包括敌意,冲动,冒险,和无情,以前曾与BPD和ASPD的侵略有关。然而,据我们所知,在BPD和ASPD中,从来没有一项神经影像学综合研究调查了这些特征与攻击性之间的联系.为了克服这个差距,我们在PRISMA框架下进行了系统评价,以定位自AMPD发布以来发表的神经影像学文章,冲动,冒险,以及对BPD和ASPD侵略的冷酷无情。主要发现包括以下内容:i)愤怒/敌意,与前额叶和皮质下区域(主要是杏仁核)之间相互作用的改变有关,可能是解释对人际威胁或挑衅的积极反应的共同因素;ii)额-颞区和5-羟色胺能和内源性大麻素信号系统的改变可能将冲动与BPD和ASPD的侵略联系起来;iii)皮质-纹状体连通性较弱可能与更大的风险承担和更大的暴力倾向有关。从神经影像学文章中没有足够的证据来描述冷酷与侵略之间的关系。总的来说,这篇综述的结果揭示了神经影像学研究的相对缺乏,这些研究检查了与BPD和ASPD中的攻击性相关的AMPD特征。除了鼓励进一步研究与侵略有关的AMPD特征的神经影像学标记外,我们推荐多方法设计,包括其他生物标志物的掺入,如激素和生理唤醒指数,以充分扩展我们对BPD和ASPD侵略的理解。
    The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published in 2013, includes an alternative model of personality disorders (AMPD) focusing on a maladaptive trait model utilized to diagnose several personality disorders. Borderline personality disorder (BPD) and antisocial personality disorder (ASPD) are two conditions categorized by AMPD that exhibit high rates of violence and aggression. Several of the traits outlined in the AMPD, including hostility, impulsivity, risk-taking, and callousness, have been previously linked to aggression in BPD and ASPD. However, to the best of our knowledge, there has never been a synthesis of neuroimaging studies that have investigated links between these traits and aggression in BPD and ASPD. To overcome this gap, we conducted a systematic review under the PRISMA framework to locate neuroimaging articles published since the release of AMPD linking trait anger/hostility, impulsivity, risk-taking, and callousness to aggression in BPD and ASPD. Key findings included the following: i) anger/hostility, associated with alterations in the interplay between prefrontal and subcortical regions (primarily the amygdala), may be a common factor explaining aggressive reactions to response to interpersonal threat or provocation; ii) alterations of fronto-temporal-limbic regions and serotonergic and endocannabinoid signaling systems may link impulsivity to aggression in BPD and ASPD; iii) weaker cortico-striatal connectivity could relate to greater risk taking and greater proclivity for violence. Insufficient evidence from neuroimaging articles was discerned to describe a relationship between callousness and aggression. Overall, results of this review reveal a relative paucity of neuroimaging studies examining AMPD traits relevant to aggression in BPD and ASPD. In addition to encouraging further investigation of neuroimaging markers of AMPD traits linked to aggression, we recommend multi-methodological designs, including the incorporation of other biomarkers, such as hormones and indices of physiological arousal, to fully expand our understanding of aggression in BPD and ASPD.
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  • 文章类型: Systematic Review
    背景:胆碱能停药症状,也被称为胆碱能反弹,氯氮平突然停药的特点是一系列躯体和精神症状。
    目的:描述氯氮平戒断相关胆碱能反弹综合征(以下称为CWCRS)的临床特征和治疗方案,并提供说明性病例报告。
    方法:基于对PubMed数据库的文献检索,OVIDMedline,和Embase以及审查相关过去审查的参考清单,我们对1946年至2023年CWCRS管理的病例报告进行了系统回顾.
    结果:我们确定了10篇以前发表的关于CWCRS临床管理的文章,共有18名患者(6名女性,12名男性),平均年龄43岁(SD14)。一半的患者有迟发性运动障碍病史。停药前氯氮平的平均剂量为351mg/天,氯氮平治疗的持续时间为3周至9年。氯氮平是最有效的治疗方法,其次是苯托品。
    结论:鉴于现有研究的病例数较少且非实验性,本综述无法提供可靠的数据来指导CWCRS的管理.然而,调查结果,提示氯氮平可能比其他常用治疗方案更有效.由于服用氯氮平的患者停药率高,迫切需要进一步研究流行病学,自然史,以及氯氮平戒断综合征的治疗。
    BACKGROUND: Cholinergic discontinuation symptoms, also known as \"cholinergic rebound,\" from abrupt clozapine discontinuation are characterized by a range of somatic and psychiatric symptoms.
    OBJECTIVE: The objective of this study was to describe the clinical features and management options for clozapine withdrawal-associated cholinergic rebound syndrome (henceforth referred to as CWCRS) and present an illustrative case report.
    METHODS: Based on a literature search of the databases PubMed, OVID Medline, and Embase as well as reviewing reference lists of relevant past reviews, we carried out a systematic review of case reports on the management of CWCRS from 1946 to 2023.
    RESULTS: We identified 10 previously published articles on the clinical management of CWCRS, with a total of 18 patients (6 female, 12 male) with an average age of 43 years (standard deviation 14). Half of the patients had a history of tardive dyskinesia. The mean dose of clozapine before discontinuation was 351 mg/day, with duration of clozapine treatment ranging from 3 weeks to 9 years. Clozapine was the most effective treatment, followed by benztropine.
    CONCLUSIONS: Given the small number of cases and the nonexperimental nature of the available studies, this review could not provide reliable data to guide management of CWCRS. The findings, however, suggest that clozapine may be more effective than other commonly used treatment options. With the high rates of discontinuation among patients on clozapine, there is a pressing need for further research into the epidemiology, natural history, and management of clozapine withdrawal syndromes.
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  • 文章类型: Journal Article
    精神病包括一系列人格特质,包括人际关系的冷酷,没有悔恨和内疚,和冲动。虽然广泛的研究已经将精神病与各种反社会行为联系起来,很少有研究调查它与亲社会行为的关系,特别是在不同的社会文化背景下。这篇全面的综述探讨了最近的文献,这些文献深入研究了精神病之间的复杂相互作用,亲社会行为,和自我建构。当前的评论揭示了精神病和亲社会行为之间复杂且有时相互矛盾的关系。作者还研究了自我建构的作用,一个重要的社会文化方面,关于精神病和亲社会行为,并暗示它们之间错综复杂的相互作用。在审查中,关键结构与社会文化和环境因素之间的相互作用,包括群体认同和公众意识,被突出显示,并讨论了它们在调节个体亲社会决策中的潜在作用。最后,这篇综述指出了值得注意的研究空白:自我构造在精神病和亲社会行为之间的联系中的潜在调节作用,并提出了针对未来研究的方法建议。这些发现巩固了目前关于精神病的证据,自我建构和亲社会行为,并提供有关社会文化因素如何导致精神病特征的异质性表达的有价值的见解,阐明了针对特定文化的精神病概念化发展的研究方向。
    Psychopathy encompasses a constellation of personality traits, including interpersonal callousness, absence of remorse and guilt, and impulsivity. While extensive research has linked psychopathy to various antisocial behaviours, there has been a scarcity of studies investigating its association with prosocial behaviours, particularly within diverse sociocultural contexts. This comprehensive review explores recent literature that delves into the intricate interplay between psychopathy, prosocial behaviours, and self-construal. The current review reveals a complex and sometimes contradictory relationship between psychopathy and prosocial behaviours. The authors also examine the role of self-construal, a crucial sociocultural aspect, in relation to psychopathy and prosocial behaviours, and imply the intricate interplay between them. Amidst the review, the interactions between key constructs and sociocultural as well as contextual factors, including group identification and public awareness, are highlighted, and their potential role in modulating individuals\' prosocial decision-making is discussed. At last, this review pinpointed notable research gaps: the potential moderating role of self-construal in the connection between psychopathy and prosocial behaviours, and a methodologically specific recommendation for future research is proposed. These findings consolidate the current evidence on psychopathy, self-construal and prosocial behaviours, and offer valuable insights into how sociocultural factors contribute to the heterogeneous expression of psychopathic traits, illuminating the directions for research on the development of culture-specific conceptualizations of psychopathy.
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  • 文章类型: Meta-Analysis
    Thigmotaxis是啮齿动物天生的捕食者回避行为。为了深入了解伤害和疾病模型,和镇痛药物治疗影响thigmotaxis,我们对在野外试验中评估thigmotaxis的研究进行了系统评价和荟萃分析.在2020年10月,2022年3月和8月对3个数据库进行了系统搜索。使用随机效应荟萃分析提取和分析研究设计特征和实验数据。我们还评估了thigmotaxis与刺激诱发的肢体退缩之间的相关性。这篇综述包括对165项研究的荟萃分析。我们报告说,在与持续性疼痛相关的损伤和疾病模型中,thigmotaxis增加,并且在大鼠和小鼠实验中,这种增加被镇痛药物治疗减弱。它的有用性,然而,在某些损伤和疾病模型中可能受到限制,因为我们的分析表明thigmotaxis可能与运动功能有关。我们还进行了亚组分析和荟萃回归,但我们对异质性来源的研究结果尚无定论,因为分析受到现有数据不足的限制.很难评估内部有效性,因为方法质量衡量标准的报告很差,因此,这些研究存在不明确的偏倚风险.中心时间(thigmotic度量的类型)与刺激诱发的肢体退缩类型之间的相关性不一致。因此,刺激诱发和道德相关的行为范式应被视为两个独立的实体,因为它们在概念和方法上彼此不同。
    Thigmotaxis is an innate predator avoidance behaviour of rodents. To gain insight into how injury and disease models, and analgesic drug treatments affect thigmotaxis, we performed a systematic review and meta-analysis of studies that assessed thigmotaxis in the open field test. Systematic searches were conducted of 3 databases in October 2020, March and August 2022. Study design characteristics and experimental data were extracted and analysed using a random-effects meta-analysis. We also assessed the correlation between thigmotaxis and stimulus-evoked limb withdrawal. This review included the meta-analysis of 165 studies We report thigmotaxis was increased in injury and disease models associated with persistent pain and this increase was attenuated by analgesic drug treatments in both rat and mouse experiments. Its usefulness, however, may be limited in certain injury and disease models because our analysis suggested that thigmotaxis may be associated with the locomotor function. We also conducted subgroup analyses and meta-regression, but our findings on sources of heterogeneity are inconclusive because analyses were limited by insufficient available data. It was difficult to assess internal validity because reporting of methodological quality measures was poor, therefore, the studies have an unclear risk of bias. The correlation between time in the centre (type of a thigmotactic metric) and types of stimulus-evoked limb withdrawal was inconsistent. Therefore, stimulus-evoked and ethologically relevant behavioural paradigms should be viewed as two separate entities as they are conceptually and methodologically different from each other.
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  • 文章类型: Journal Article
    这篇综述旨在估计当前文献中无家可归者中癫痫发作和癫痫的患病率,并了解该群体承受的主要逆境。我们进行了搜索“epilep*”,\"seizur*\",和PubMed文章标题和摘要中的“homeles*”。总的来说,25篇文章符合最终纳入标准,值得分析。这项研究表明,癫痫在无家可归人群中的患病率在2%到30%之间,而癫痫患者无家可归的患病率在2%到4%之间。这篇综述中的每一项研究都证实了无家可归者中癫痫发作和癫痫的患病率增加,这使他们面临与这种情况和许多相关的合并症相关的更坏结果的风险。需要进一步的证据来澄清该组中原发性和继发性癫痫的区别,这表明癫痫发作的混杂因素比例很高,如药物滥用或戒断和头部受伤,并减少癫痫和无家可归的负担在一个已经缺乏资源的社区。
    This review aims to estimate the prevalence of seizures and epilepsy among homeless people in current literature as well as understand the main adversities that this group withstands. We conducted a search for \"epilep*\", \"seizur*\", and \"homeles*\" in titles and abstracts of articles in PubMed. Overall, 25 articles met the final inclusion criteria and warranted analyses. This study suggests that the prevalence of epilepsy in the homeless population is between 2 and 30%, whereas the prevalence of homelessness in people with epilepsy is between 2 and 4%. Every study included in this review corroborates the increased prevalence of seizures and epilepsy among the homeless, which puts them at risk for worse outcomes related to this condition and numerous associated comorbidities. Further evidence is needed to clarify the distinction of primary and secondary seizures in this group, which shows a high rate of confounding factors for seizures like substance abuse or withdrawal and head injury, and to decrease the burden of epilepsy and homelessness in an already resource-deficient community.
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  • 文章类型: Systematic Review
    从经验上讲,精神病与包括性侵犯在内的各种形式的反社会行为有关。事实上,缺乏同理心的精神变态罪犯的特点可能会促进更极端的暴力行为的实施。本系统评价旨在探讨成年男性性犯罪者的精神病特征与任何类型犯罪的累犯风险增加之间的关系。特别关注性累犯。从与该主题相关的757篇文章的初始样本中,在纳入过程结束时,从现有文献中只有14人入选.这些都评估了男性性犯罪者(年龄>18岁)的精神病特征(通过PCL-R测量)与累犯风险之间的关系,提供效果大小(定量结果)。他们的分析结果与当前可用的文献一致:性犯罪者中精神病特征的存在似乎与一般但非性行为的累犯风险增加有关。此外,几乎一半的作品强调了精神病和暴力犯罪之间的积极关系。然而,研究的有限可用性和结果的不均匀性表明需要在这个方向上扩展未来的研究。
    Psychopathy has been empirically associated with various forms of antisocial behavior including sexual assault. In fact, the lack of empathy characterizing psychopathic offenders may facilitate the perpetration of more extreme violence. This systematic review aims to explore the relationship between psychopathy traits in male adult sex offenders and the increase in recidivism risk for any type of reoffence, with a special focus on sexual recidivism. From an initial sample of 757 articles related to the topic, only 14 were selected from the current literature at the end of the inclusion process. Each of these assessed the relation between psychopathy traits (measured by PCL-R) and recidivism risk in male sex offenders (age > 18), providing an effect size (quantitative findings). The results of their analysis agree with the currently available literature: the presence of psychopathic traits in sex offenders would seem to correlate with an increased risk of recidivism of general but non-sexual. Furthermore, almost half of the included works highlighted a positive relationship between psychopathy and violent reoffences. However, the limited availability of studies and the unevenness in their results indicate the need to expand future research in this direction.
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  • 文章类型: Meta-Analysis
    儿童精神病特征似乎与负面结果有关。尽管对青年精神病的研究经常依赖于多个记者(例如,孩子,看护者,教师),对这些不同来源贡献了多少信息的洞察力有限,而且,这些信息是如何整合的。本研究试图通过检查自我和他人报告的青年精神病与负面结果之间的关系程度来解决文献中的这一差距(例如,犯罪,侵略)使用元分析方法。结果显示,精神病特征与负面结果之间存在中度关联。主持人分析显示,与自我报告的精神病患者的关系更大,虽然没有实质性的程度。结果进一步表明,总体精神病阴性结果关联的程度对于外在化结果比内在化结果更强。研究结果可以在研究和实践中改善对青年精神病的评估,除了提高我们对精神病特征在临床相关结局预测中的实用性的理解。这篇评论还为未来的多源评估者和青少年精神病研究中的特定源信息提供了指导。
    Child psychopathic traits appear to be associated with negative outcomes. Despite the study of youth psychopathy often relying on multiple reporters (e.g., child, caregivers, teachers), there is limited insight into how much information these various sources contribute and moreover, how this information is integrated. The present study sought to address this gap in the literature by examining the magnitude of relationships between self- and other-reported youth psychopathy and negative outcomes (e.g., delinquency, aggression) using a meta-analytic approach. Results revealed a moderate association between psychopathic traits and negative outcomes. Moderator analyses showed a greater relationship for other- than self-reported psychopathy, although not to a substantive extent. Results further indicated the magnitude of the overall psychopathy-negative outcomes association was stronger for externalizing than internalizing outcomes. Study findings can inform improvements in the assessment of youth psychopathy across research and practice, in addition to advancing our understanding of the utility of psychopathic traits in the prediction of clinically relevant outcomes. This review also provides guidance for future multisource raters and source-specific information in the study of psychopathy in youth.
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  • 文章类型: Journal Article
    网络性别歧视在网络游戏社区的背景下,正如2014年的Gamergate事件所体现的那样,对于游戏玩家女性来说,这已经是一个问题了一段时间,然而,它没有得到适当的关注。在这次范围审查中,我们的目标是评估它的主要特征,它对游戏女性的影响,它的触发因素和预测因素,以及现有研究提供的相关预防和缓解政策。将系统审查的首选报告项目和范围审查的荟萃分析(PRISMA-ScR)指南应用于范围审查的设计。通过数据库搜索访问了实证研究。对以下数据库进行了展望:Scopus,ProQuest,WebofScience,PsycINFO,PubMed,和ACM从2021年3月到5月。在数据库搜索后,共有33项研究被纳入最终分析,过滤,滚雪球。大多数选定的研究(66%,n=22)专注于游戏社区中网络性别歧视的表现,性别驱动的垃圾谈话是主要的。在66%(n=22)的研究中,网络存在行为背后的主要驱动因素和触发因素也是研究主题,在52%(n=17)的文章中研究了后果和应对策略。此外,12%(n=4)的研究评估了防止网络性别歧视的政策和行动。网络性别歧视及其表现形式是制约游戏玩家女性的现实,挑起回避并最终退出游戏,因此,造成不平等,损害完整的数字公民身份,扩大数字性别差距。
    Cybersexism in the context of online gaming communities, as epitomized by the Gamergate incident back in 2014, has been an issue for a while for gamer women, yet it has not received proper attention. In this scoping review, we have aimed to assess its main characteristics, its consequences for gamer women, its triggers and predictors, and related prevention and mitigation policies provided by the existing research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines were applied to the design of the scoping review. Empirical studies were accessed via database searches. The following databases were prospected: Scopus, ProQuest, Web of Science, PsycINFO, PubMed, and ACM from March to May 2021. A total of 33 studies were included in the final analysis after database searching, filtering, and snowballing. Most of the selected studies (66%, n = 22) were focused on the manifestations of cybersexism in gaming communities, with gender-driven trash-talking being the main one. The main drivers and triggers behind cybersexist behaviors were also the research topic in 66% (n = 22) of the studies and the consequences and coping strategies were studied in 52% (n = 17) of the articles. Furthermore, 12% (n = 4) of the studies assessed policies and actions to prevent cybersexism. Cybersexism and its manifestations are a reality that conditions gamer women, provoking avoidance and ultimately withdrawal from gaming and, therefore, creating inequality, impairing full digital citizenship, and widening the digital gender gap.
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