Association Between Traumatic Brain Injury and Psychopathic Traits Among Justice-Involved Adolescents.
Michaela M Milillo, Craig S Neumann, J Michael Maurer, Christine Jin, Ella Commerce, Brooke L Reynolds, Carla L Harenski, Kent A Kiehl
Author Information
Michaela M Milillo: The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA. mmilillo@unm.edu. ORCID
Craig S Neumann: Department of Psychology, University of North Texas, Denton, TX, 76201, USA.
J Michael Maurer: The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA.
Christine Jin: Department of Psychology, University of North Texas, Denton, TX, 76201, USA.
Ella Commerce: Department of Psychology, University of North Texas, Denton, TX, 76201, USA.
Brooke L Reynolds: The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA.
Carla L Harenski: The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA.
Kent A Kiehl: The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA. kkiehl@mrn.org.
中文译文
English
Traumatic brain injury (TBI) is a global public health problem and is highly prevalent among justice-involved populations. Pediatric TBI is linked with long-term negative outcomes and is correlated with substance use, criminal behavior, psychiatric disorders, and disruptions in neurocognition. These same TBI correlates are evident among youth with psychopathic traits. Given ongoing neurobiological and social development in adolescence, understanding the link between psychopathic traits and TBI in justice-involved youth is critical. A sample of 263 male adolescents were recruited from a maximum-security juvenile justice facility. Using a structural equation modeling (SEM) framework, measurement invariance of psychopathic traits (TBI�����) was tested, and psychopathy scores were accounted for in terms of TBI variables (severity, age of first TBI, total number), participant's age, IQ, substance use, and internalizing psychopathology. There was evidence of strong invariance across TBI status and those with TBI had higher affective and impulsive lifestyle psychopathic traits than adolescents without TBI. The SEM indicated that TBI severity was associated with lower IQ scores, which in turn were associated with increased lifestyle/antisocial (Factor 2) psychopathic traits. Total number of TBIs was associated with higher substance use, which was associated with both increased interpersonal/affective (Factor 1) and Factor 2 psychopathic traits. These TBI variables also had indirect associations with psychopathic traits through IQ and substance use. The findings indicate that TBI is associated with psychopathic traits and suggest that disturbances in cognition and substance use may be treatment targets for youth with TBI and psychopathic traits.
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R01 HD092331/NICHD NIH HHS
R01 MH071896/NIMH NIH HHS
Humans
Adolescent
Male
Brain Injuries, Traumatic
Antisocial Personality Disorder
Juvenile Delinquency
Substance-Related Disorders