ABSTRACT

This study sought to investigate the relationship between psychosocial risk factors at age 8-10, antisocial personality (ASP) at ages 18, 32 and 48, and poor health (based on self-reports and GP records). Using data from the Cambridge Study in Delinquent Development, a prospective longitudinal survey of 411 South London males, we found that high ASP scores at ages 18, 32 and 48 were related to a high prevalence of hospitalization. We also found that, according to GP records, high ASP scores at age 32 were related to poor physical health, and high ASP scores at age 48 were related to more mental illness and disabling medical conditions. Of the age 8-10 risk factors, a convicted father and high daring significantly predicted self-reported hospitalization. Low family income significantly predicted GP-reported mental illness and disabling medical conditions. Some of the relationships with high ASP scores did not hold up after controlling for age 8-10 risk factors. Findings from this study are important for developing intervention and risk assessment plans. They also highlight the importance of longitudinal and life-course approaches in investigating the interface between antisocial personality, lifestyles and health.

摘要

本研究旨在调查 8-10 岁的社会心理风险因素、18、32 和 48 岁的反社会人格 (ASP) 与健康状况不佳（基于自我报告和全科医生记录）之间的关系。使用剑桥犯罪发展研究的数据，这是一项对 411 名南伦敦男性的前瞻性纵向调查，我们发现 18、32 和 48 岁的高 ASP 分数与高住院率有关。我们还发现，根据 GP 记录，32 岁时的高 ASP 分数与身体健康状况不佳有关，而 48 岁时的高 ASP 分数与更多的精神疾病和致残的医疗状况有关。在 8-10 岁的风险因素中，被定罪的父亲和大胆的人显着预测了自我报告的住院治疗。低家庭收入显着预测 GP 报告的精神疾病和致残的医疗状况。在控制了 8-10 岁的风险因素后，一些具有高 ASP 分数的关系并不成立。这项研究的结果对于制定干预和风险评估计划很重要。他们还强调了纵向和生命历程方法在调查反社会人格、生活方式和健康之间的联系方面的重要性。