Which Clinical and Demographic Factors are Related to Incarceration in Male Patients With Antisocial Personality Disorder?

• Published date: 01 December 2023
• DOI: http://doi.org/10.1177/0306624X221139073
• Author: Cecilia Maria Esposito,Alessandro Ceresa,Anna Maria Auxilia,Francesco Zanelli Quarantini,Alice Caldiroli,Enrico Capuzzi,Massimo Clerici,Massimiliano Buoli
• Date: 01 December 2023
• Subject Matter: Articles

https://doi.org/10.1177/0306624X221139073

International Journal of

Offender Therapy and

Comparative Criminology

2023, Vol. 67(16) 1630 –1641

© The Author(s) 2022

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DOI: 10.1177/0306624X221139073

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Article

Which Clinical and

Demographic Factors are

Related to Incarceration in

Male Patients With Antisocial

Personality Disorder?

Cecilia Maria Esposito1, Alessandro Ceresa1,

Anna Maria Auxilia2, Francesco Zanelli Quarantini1,

Alice Caldiroli3, Enrico Capuzzi3, Massimo Clerici2,3,

and Massimiliano Buoli1,4

Abstract

Antisocial Personality Disorder (APD) is a condition largely represented in detention

centers where can reach a prevalence of 60% in male prisoners. The objective of this

study is to identify the clinical and demographic factors that differentiate subjects

with APD and hosted in penitentiary with respect to those are treated in outpatient

psychiatric clinics. We recruited 65 male patients affected by APD, whose 26 were

followed up in community mental health services and 39 were serving their sentence

in a detention center located in Monza. Socio-demographic and clinical data were

obtained through a review of the clinical charts, and interviews with patients or

their relatives (if available). We performed descriptive analyses on the total sample,

then we compared the two groups identified by the type of setting (outpatient

clinic vs. penitentiary) by independent sample t tests (quantitative variables) or

χ2 tests (qualitative ones). For qualitative variables odds ratios (ORs) were also

calculated. Outpatients with APD (with respect to those hosted in the detention

center) resulted: to be older (p = .02), to be less likely married (p = .01), to have

more pre-onset psychiatric comorbidity (p = .05), to have more pre-onset substance

1Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

2University of Milano Bicocca, Monza, Italy

3Azienda Socio Sanitaria Territoriale Monza, Italy

4University of Milan, Italy

Corresponding Author:

Cecilia Maria Esposito, Department of Neurosciences and Mental Health, Fondazione IRCCS Ca’ Granda

Ospedale Maggiore Policlinico, Via F. Sforza 35, Milan 20122, Italy.

Email: cecilia.esposito@unimi.it

1139073IJOXXX10.1177/0306624X221139073International Journal of Offender Therapy and Comparative CriminologyEsposito et al.

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