The Effect of Systematic Variation in Retrospective Conduct Disorder Reports on Antisocial Personality Disorder Diagnoses

A diagnosis of antisocial personality disorder (ASPD) requires a conduct disorder (CD) diagnosis. A CD diagnosis is often obtained retrospectively. This study tested the influence of current behavior on CD recall and the association between recent behavior change and inconsistencies in contemporaneo...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2000-04, Vol.68 (2), p.307-312
Main Authors: Rueter, Martha A, Chao, Wei, Conger, Rand D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Antisocial Personality Disorder
Antisocial Personality Disorder - diagnosis
Antisocial Personality Disorder - psychology
Behavior
Behavior Change
Biological and medical sciences
Child
Child Behavior Disorders - diagnosis
Child Behavior Disorders - psychology
Childhood
Conduct Disorder
Conduct disorders
Female
Human
Humans
Male
Medical sciences
Mental disorders
Nosology. Terminology. Diagnostic criteria
Personality
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
Self-Report
Selfreport
Techniques and methods
Young adults
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Summary:A diagnosis of antisocial personality disorder (ASPD) requires a conduct disorder (CD) diagnosis. A CD diagnosis is often obtained retrospectively. This study tested the influence of current behavior on CD recall and the association between recent behavior change and inconsistencies in contemporaneous and retrospective CD reports. Five hundred young adults reported ASPD; retrospective CD; current problem behavior; and, at ages 12 to 15 years, contemporaneous CD. True-positive, true-negative, false-positive, and false-negative CD and ASPD groups were identified. The results supported the hypotheses. Participants whose current behavior agreed with past behavior provided reliable retrospective CD reports. Inaccurate diagnoses occurred among participants whose current behavior was inconsistent with past behavior, either becoming more problematic (CD and ASPD false positives) or less problematic (CD and ASPD false negatives) over time.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.68.2.307