Purpose

The diagnostic criteria of the Antisocial Personality Disorder (ASPD) overlaps greatly with the Lifestyle and Antisocial facets of the Hare Psychopathy Checklist-Revised (PCL-R), whereas the Interpersonal and Affective facets seem to differentiate between antisocial and psychopathic offenders. Previous studies investigated either the ASPD diagnosis or psychopathy measured with the PCL-R, but not the combination of both in sexual offenders. The present study tested three hypotheses that PCL-R scores are incrementally predictive above and beyond the ASPD diagnosis regarding general recidivism, non-sexual violent recidivism, and sexual recidivism.

Methods

We performed Cox regression modeling with two-fold cross validation, using a training sample (n = 755) and a testing sample (n = 368) of adult male sexual offenders from Austria. Average time-at-risk was 10.13 years.

Results

The PCL-R scores predicted general and violent recidivism after the diagnosis of the ASPD was controlled for. The Lifestyle and Antisocial facets, in particular, were incremental. Sexual recidivism could not be predicted.

Conclusions

The current results support the use of the PCL-R in applied sexual offender assessment in addition to general clinical diagnostic procedures due to its incremental validity, despite a large overlap between the diagnostic criteria of ASPD and the PCL-R concept of psychopathy.

中文翻译：

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《精神病学检查表》修订版的有效性，超越了针对性犯罪者累犯的反社会人格障碍的诊断范围

目的

反社会人格障碍（ASPD）的诊断标准与《野兔精神病检查表修订版》（PCL-R）的生活方式和反社会方面有很多重叠，而人际和情感方面似乎在反社会罪犯和精神病犯之间有所区别。先前的研究调查了用PCL-R测得的ASPD诊断或精神病，但未对性犯罪者同时使用这两种方法进行调查。本研究测试了三个假设，即PCL-R得分在一般性累犯，非性暴力累犯和性累犯中高于ASPD诊断水平且具有递增预测性。

方法

我们使用 来自奥地利的成年男性性犯罪者的训练样本（n  = 755）和测试样本（n = 368），进行了两次交叉验证的Cox回归建模。平均风险时间为10.13年。

结果

在控制了ASPD的诊断后，PCL-R分数预测了普遍和暴力再犯。生活方式和反社会方面尤其是渐进的。无法预测性累犯。

结论

尽管ASPD的诊断标准与PCL-R精神病概念之间存在很大的重叠，但由于其有效性不断提高，目前的结果还支持PCL-R在一般性临床诊断程序之外，还可以在应用性罪犯评估中使用。