Abstract
The present study assessed the mental health and criminal records of 6,449 males and 6,268 females who presented conduct problems as children by examining an unselected birth cohort followed up to age 30. Conduct problems were defined by teacher ratings of behavior problems and/or antisocial behavior in the community. There was little overlap in the children identified by teachers and by the community. These two groups of children were at differential risk for adult mental disorder. Seventy-six percent of the males and 30% of females with childhood conduct problems had either a criminal record, a mental disorder, or both by age 30. Risk ratios for adult criminality and/or mental disorders, however, were greater for females than for males with a history of childhood conduct problems. Almost all of the mental disorders were severe substance abuse. Mental disorders and crime were strongly associated among males with a history of childhood conduct problems.
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REFERENCES
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of menial disorders (4th ed.). Washington, DC: Author.
Angold, A., & Costello, E. J. (1993). Depressive comorbidity in children and adolescents: Empirical, theoretical, and methodological issues. American Journal of Psychiatry, 150, 1779–1791.
Asarnow, J. R. (1988). Children at risk for schizophrenia. Converging lines of evidence. Schizophrenia Bulletin, 14, 613–631.
Blumstein, A., Farrington, D. P., & Moitra, S. (1985). Delinquency careers: Innocents, desisters, and persisters. In M. Tonry & N. Morris (Eds.), Crime and justice: An annual review of research (Vol. 6, pp. 187–219). Chicago: University of Chicago Press.
Boyle, M. H., Offord, D. R., Racine, Y. A., Fleming, J. E., Szatmari, P., & Links, P. S. (1993). Predicting substance use in early adolescence based on parent and teacher assessments of childhood psychiatric disorder: Results from the Ontario Child Health Study Follow Up. Journal of Child Psychology and Psychiatry, 34, 535–544.
Brook, J. S., Whiteman, M., Cohen, P., & Tanaka, J. S. (1992). Childhood precursors of adolescent drug use: A longitudinal analysis. Genetic, Social and General Psychology Monographs, 118, 195–213.
Cannon, T. D. Mednick, S. A., Parnas, J., Schulsinger, F., Praestholm, J., & Vestergaard, A. (1993). Developmental brain abnormalities in the offspring of schizophrenic mothers. Archives General of Psychiatry, 50, 551–564.
Carlson, G. A., & Weintraub, S. (1993). Childhood behavior problems and bipolar disorder—relationship or coincidence? Journal of Affective Disorders, 28, 143–153.
Dubé, M. (1992). Une comparison entre l'histoire des comportements d'agression des hommes et des femmes souffrant de schizophrenie et ceux et celles ne manifestant aucun trouble mental grave. Unpublished master's thesis, Université de Montreal.
Farrington, D. P., Loeber, R., & Van Kammen, W. B. (1990). In L. N. Robins & M. Rutter (Eds.), Straight and devious pathways from childhood to adulthood (pp. 62–81) Cambridge, England: Cambridge University Press.
Hinshaw, S. P. (1987) On the distinction between attentional deficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychological Bulletin, 101, 443–463.
Hinshaw, S. P., Lahey, B. B., & Hart, E. L. (1993). Issues of taxonomy and comorbidity in the development of conduct disorder. Development and Psychopathology, 5, 31–49.
Hodgins, S. (1995). Major mental disorder and crime: An overview. Psychology, Crime, and Law, 2, 5–17.
Hodgins, S., & Coté, G. (1993). Major mental disorder and APD: A criminal combination. Bulletin of the American Academy of Psychiatry and the Law, 2, 155–160.
Hodgins, S., Toupin, J., & Coté, G. (1996). Schizophrenia and antisocial personality disorder A criminal combination. In L. B. Schesinger (Ed.), Explorations in criminal psychopothology (pp. 217–237). Springfield, IL: Charles C. Thomas.
Janson, C.-G., (1982). Delinquency among metropolitan boys (Research Report No. 17). Stockholm: University of Stockholm, Department of Sociology.
Janson, C.-G. (1984). A longitudinal study of a Stockholm cohort (Research Report No. 21). Stockholm: University of Stock-holm, Department of Sociology.
Jessor, R., Donovan, J. E., & Costa, F. M. (1991). Beyond adolescence: Problem behavior and young adult development. New York: Cambridge University Press.
Kandel, D., Simcha-Fagan, O., & Davies, M. (1986). Risk factors for delinquency and illicit drug use from adolescence to young adulthood. The Journal of Drug Issues, 16, 67–90.
Kristjansson, E., Allebeck, P., & Wistedt, B. (1987). Validity of the diagnosis schizophrenia in a psychiatric inpatient register. Nordisk Psykiatrisk Tidsskrift, 41, 229–234.
Lidberg, L, Wiklund, N., & Jakobsson, S. W. (1989). Mortality among criminals with suspected mental disturbance. Scandinavian Journal of Social and Medicine, 17, 59–65.
Loney, J. (1987). Hyperactivity and aggression in the diagnosis of attention deficit disorder. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 10, pp. 99–135). New York: Plenum Press.
Magnusson, D. (1988). Individual development from an interactional perspective: A longitudinal study. Hillsdale, NJ: Erlbaum.
Mesquita, P. B., & Gilliam, W. S. (1994). Differential diagnosis of childhood depression: Using comorbidity and symptom overlap to generate multiple hypotheses. Child Psychiatry and Human Development, 24, 157–172.
Moffitt, T. E. (1994). Natural histories of delinquency. In E. G. M. Weitekamp & H.-J. Kemer (Eds.). Cross-national longitudinal research on human development and criminal behavior (pp. 3–61). Dordrecht, Netherlands: Academic Publishers.
Norusis, M. J. (1990). SPSS/PC + 4.0 Base manual. Chicago: SPSS.
Pulkkinen, L., & Pitkanen, T. (1993). Continuities in aggressive behavior from childhood to adulthood. Aggressive Behavior, 19, 249–263.
Quinton, D., Pickles, A., Maughan, B., & Rutter, M. (1993). Partners, peers, and pathways: Assortative pairing and continuities in conduct disorder. Development and Psychopathology, 5, 763–783.
Quinton, D. Rutter, M., & Gulliver, L. (1990). Continuities in psychiatric disorders from childhood to adulthood in children of psychiatric patients. In L. N. Robins & M. Rutter (Eds.), Straight and devious pathways from childhood to adulthood (pp. 259–278). Cambridge, England: Cambridge University Press.
Robins, L. (1979). Sturdy childhood predictors of adult outcomes: Replications from longitudinal studies. In J. E. Barrett (Ed.), Stress and mental disorder (pp. 219–235). New York: Raven Press.
Robins, L. N. (1986a). The consequences of conduct disorders in girls. In D. Olweus, J. Block, & M. Radke-Yarrow (Eds.), Development of antisocial and prosocial behavior: Research, theories and issues (pp. 385–414). Orlando, FL: Academic Press.
Robins, L. N. (1986b). Changes in conduct disorder over time. In D. C. Farran & J. D. McKinney (Eds.), Risk in intellectual and psychosocial development (pp. 227–259). Orlando, FL: Academic Press.
Robins, L. N. (1993). Childhood conduct problems, adult psychopathology and crime. In. S. Hodgins (Ed.), Mental disorder and crime (pp. 173–193). Newbury Park, CA: Sage.
Robins, L. N., & McEvoy, L. (1990). Conduct problems as predictors of substance abuse. In L. N. Robins & M. Rutter (Eds.), Straight and devious pathways from childhood to adulthood (pp. 182–204). Cambridge, England: Cambridge University Press.
Robins, L. N., & Price, R. K. (1991). Adult disorders predicted by childhood conduct problems: Results from the NIMH Epidemiological Catchment Area Project. Psychiatry, 54, 116–132.
Robins, L. N., & Regier, D. A. (1991). Psychiatric Disorders in America. New York: The Free Press.
Robins, L. N., Tipp, J., & Przbeck, T. (1990). Antisocial personality. In L. Robins & D. A. Regier (Eds.), Psychiatric disorders in America (pp. 258–290). New York: The Free Press.
Rutter, M. (1984). Psychopathology and development: 1. Childhood antecedents of adult psychiatric disorder. Australian and New Zealand Journal of Psychiatry, 18, 225–234.
Stattin, H., & Magnusson, D. (1995). Stability and change in criminal behaviour up to age 30: It's co-occurrence in time with educational, behavioural and interpersonal problems. British Journal of Criminology, 35, 417–449.
Tsuang, M. T., Woolson, R. F., & Fleming, J. A. (1980). Premature deaths in schizophrenia and affective disorders: An analysis of survival curves and variables affecting the shortened survival. Archives of General Psychiatry, 37, 979–983.
Walsh, A. (1992). Genetic and environmental explanations of juvenile violence in advantaged and disadvantaged environments. Aggressive Behavior, 18, 187–199.
Wetteberg, L., & Farmer, A. E. (1990). Clinical polydiagnostic studies in a large Swedish pedigree with schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 240, 188–190.
Zahn-Waxler, C. (1993). Warriors and worriers: Gender and psychopathology. Development and Psychopathology, 5, 79–89.
Zoccolillo, M. (1992). Co-occurrence of conduct disorder and its adult outcomes with depression and anxiety disorder. A review. Journal of American Academy of Child Adolescence Psychiatry, 31, 547–556.
Zoccolillo, M. (1993). Gender and development of conduct disorder. Development and Psychopathology, 5, 65–78.
Zoccolillo, M., Pickles, A. Quinton, D., & Rutter, M. (1992). The outcome of childhood conduct disorder: Implications for defining adult personality disorder and conduct disorder. Psychological Medicine, 22, 971–986.
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Kratzer, L., Hodgins, S. Adult Outcomes of Child Conduct Problems: A Cohort Study. J Abnorm Child Psychol 25, 65–81 (1997). https://doi.org/10.1023/A:1025711525255
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DOI: https://doi.org/10.1023/A:1025711525255