Moran P
Section of Epidemiology & General Practice, Institute of Psychiatry, London, UK.
Soc Psychiatry Psychiatr Epidemiol. 1999 May;34(5):231-42. doi: 10.1007/s001270050138.
This paper reviews the current state of knowledge about the frequency, natural history, risk factors and associations of antisocial personality disorder. Important recent developments are discussed, and where possible, findings have been tabulated Epidemiological surveys have shown that antisocial personality disorder is a common disorder, with a prevalence rate of between 2 and 3% among community samples, rising to 60% among male prisoners. Antisocial personality disorder is a chronic condition, and is associated with a multitude of medical and social problems. These include substance abuse, deliberate self harm and crime. Genetic and environmental factors have been implicated in the aetiology of the disorder. However, despite the large amount of research into antisocial personality disorder, longitudinal data are missing and the validity of the diagnosis, therefore, remains questionable. The paper concludes with recommendations for future research.
本文综述了关于反社会型人格障碍的发病率、自然病程、危险因素及关联的当前知识状况。讨论了近期的重要进展，并尽可能将研究结果制成表格。流行病学调查显示，反社会型人格障碍是一种常见疾病，在社区样本中的患病率为2%至3%，在男性囚犯中升至60%。反社会型人格障碍是一种慢性疾病，与众多医学和社会问题相关。这些问题包括药物滥用、蓄意自我伤害和犯罪。遗传和环境因素被认为与该障碍的病因有关。然而，尽管对反社会型人格障碍进行了大量研究，但缺乏纵向数据，因此诊断的有效性仍然存疑。本文最后给出了未来研究的建议。
