研究人员和心理健康临床医生的普遍观点是,随着受影响的个体达到中年,反社会人格障碍(ASPD)/精神病的症状会减少。在目前的调查中,调查了举报人的行为,他们认为这些人具有ASPD/精神病特征,并且年龄在50岁以上。1,215名受访者的最终样本根据《精神障碍诊断和统计手册》第五版的出版前初稿得出的ASPD/精神病特征对指数个人进行了评分,揭示与ASPD相关的性状的高度认可。调查受访者报告说,他们的观察结果是,达到推定的ASPD/精神病阈值的人在50岁以后继续从事反社会行为,因此受访者遭受了重大伤害,包括材料损失,财务损失,以及各种自我报告的心理健康问题。那些在50岁之前和之后都知道该指标的人被特别询问个人参与操纵是否有变化,欺骗,和反社会行为;93%的受访者表示,50岁后,这种行为同样糟糕或更糟糕。其他研究人员认为,DSM诊断标准不能准确描述老年人的ASPD/精神病症状和行为,疾病保持稳定,但是它的表现随着年龄的增长而变化。这项研究支持这些结论。
A prevailing view among researchers and mental health clinicians is that symptoms of antisocial personality disorder (ASPD)/
psychopathy decrease as affected individuals reach middle age. In the current investigation, informants were surveyed about the behavior of individuals who they believed showed traits of ASPD/
psychopathy and were over the age of 50. A final sample of 1,215 respondents rated the index individuals according to the ASPD/
psychopathy traits derived from the pre-publication first draft of the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, revealing high endorsement of traits associated with ASPD. Survey respondents reported their observations that individuals who met a threshold for putative ASPD/
psychopathy continued to engage in antisocial behavior after age 50, and as a result the respondents endured significant harm, including material losses, financial losses, and various self-reported mental health problems. Those who knew the index individuals both before and after the age of 50 were specifically asked whether there was a change in the individual\'s engagement in manipulation, deceit, and antisocial behavior; 93% of respondents reported that the behavior was just as bad or worse after age 50. Other researchers have suggested that the DSM diagnostic criteria do not accurately describe ASPD/
psychopathy symptoms and behavior in older adults, and that the disorder remains stable, but its manifestation changes with age. This study supports those conclusions.