Criminal conviction, impulsivity, and course of illness in bipolar disorder

Alan C. Swann, Marijn Lijffijt, Scott D. Lane, Kimberly L. Kjome, Joel L. Steinberg, F. Gerard Moeller

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: Criminal behavior in bipolar disorder may be related to substance use disorders, personality disorders, or other comorbidities potentially related to impulsivity. We investigated relationships among impulsivity, antisocial personality disorder (ASPD) or borderline personality disorder symptoms, substance use disorder, course of illness, and history of criminal behavior in bipolar disorder. Methods: A total of 112 subjects with bipolar disorder were recruited from the community. Diagnosis was by Structured Clinical Interview for DSM-IV (SCID-I and SCID-II); psychiatric symptom assessment by the Change version of the Schedule for Affective Disorders and Schizophrenia (SADS-C); severity of Axis II symptoms by ASPD and borderline personality disorder SCID-II symptoms; and impulsivity by questionnaire and response inhibition measures. Results: A total of 29 subjects self-reported histories of criminal conviction. Compared to other subjects, those with convictions had more ASPD symptoms, less education, more substance use disorder, more suicide attempt history, and a more recurrent course with propensity toward mania. They had increased impulsivity as reflected by impaired response inhibition, but did not differ in questionnaire-measured impulsivity. On logit analysis, impaired response inhibition and ASPD symptoms, but not substance use disorder, were significantly associated with criminal history. Subjects convicted for violent crimes were not more impulsive than those convicted for nonviolent crimes. Conclusions: In this community sample, a self-reported history of criminal behavior is related to ASPD symptoms, a recurrent and predominately manic course of illness, and impaired response inhibition in bipolar disorder, independent of current clinical state.

Original languageEnglish (US)
Pages (from-to)173-181
Number of pages9
JournalBipolar Disorders
Volume13
Issue number2
DOIs
StatePublished - Mar 1 2011

Fingerprint

Antisocial Personality Disorder
Impulsive Behavior
Bipolar Disorder
Substance-Related Disorders
Borderline Personality Disorder
Crime
Symptom Assessment
Personality Disorders
Mood Disorders
Diagnostic and Statistical Manual of Mental Disorders
Suicide
Psychiatry
Comorbidity
Schizophrenia
Appointments and Schedules
History
Interviews
Education
Inhibition (Psychology)
Criminal Behavior

Keywords

  • Antisocial personality disorder
  • Bipolar disorder
  • Borderline personality disorder
  • Comorbidity
  • Crime
  • Impulsive behavior
  • Personality disorders
  • Recurrence
  • Substance-related disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Swann, A. C., Lijffijt, M., Lane, S. D., Kjome, K. L., Steinberg, J. L., & Moeller, F. G. (2011). Criminal conviction, impulsivity, and course of illness in bipolar disorder. Bipolar Disorders, 13(2), 173-181. https://doi.org/10.1111/j.1399-5618.2011.00900.x

Criminal conviction, impulsivity, and course of illness in bipolar disorder. / Swann, Alan C.; Lijffijt, Marijn; Lane, Scott D.; Kjome, Kimberly L.; Steinberg, Joel L.; Moeller, F. Gerard.

In: Bipolar Disorders, Vol. 13, No. 2, 01.03.2011, p. 173-181.

Research output: Contribution to journalArticle

Swann, AC, Lijffijt, M, Lane, SD, Kjome, KL, Steinberg, JL & Moeller, FG 2011, 'Criminal conviction, impulsivity, and course of illness in bipolar disorder', Bipolar Disorders, vol. 13, no. 2, pp. 173-181. https://doi.org/10.1111/j.1399-5618.2011.00900.x
Swann, Alan C. ; Lijffijt, Marijn ; Lane, Scott D. ; Kjome, Kimberly L. ; Steinberg, Joel L. ; Moeller, F. Gerard. / Criminal conviction, impulsivity, and course of illness in bipolar disorder. In: Bipolar Disorders. 2011 ; Vol. 13, No. 2. pp. 173-181.
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