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Attention Problems Predict Risk of Violence and Rehabilitative Engagement in Mentally Disordered Offenders

Bibliographic Data

ID15525935
AuthorsIgnazio Puzzo (0000-0002-3732-9307, Brunel University of London, corresponding author), Ottilie Sedgwick (0000-0001-5604-8239, King's College London), Rachel Kelly (0000-0002-8364-1836, University of Bath), Ben Greer (0000-0002-8687-4002, King's College London), Ved Kumari (0000-0002-9635-5505, Brunel University of London), Veena Kumari (0000-0003-3153-1472), Gisli H Gudjonsson (0000-0002-8817-0797, Reykjavík University), Gisli Gudjonsson, Susan Young (0000-0002-8494-6949, Reykjavík University)
Year2019
Volume10
Pages279-279
Publication date2019-05-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00279
PMID31133891
OpenAlexW2944673843
LanguageEN
Citations received2
References cited41

Mentally disordered offenders (MDOs) endorse difficulties with attention, impulsivity, and hyperactivity. Assessing these difficulties among MDOs may confer practical benefits for the management and provision of care for this population, by informing strategies to improve rehabilitative engagement and risk assessments for violence. However, there is a dearth of literature exploring these cognitive problems in MDOs in relation to outcome factors. Forty-eight MDOs from a high-security hospital completed the QbTest, which measures the domains of inattention, impulsivity, and hyperactivity. Comprehensive file review of clinical and occupational/vocational rehabilitative engagement and Historical Clinical Risk Management-20 (HCR-20) were used as outcome measures of interest. Participants displayed greater cognitive deficits in attention, impulsivity, and hyperactivity compared to the general population. The domain of inattention and omission errors was related to occupational/vocational therapy engagement as well as a higher risk of present and future violence as measured by the HCR-20. The findings suggest that QbTest is a helpful objective tool that could be incorporated into the assessment of MDOs. Specifically, inattention emerged as a strong predictor of patients' risk of violence as well as patient's vocational therapy engagement. Therefore, cognitive skills programs targeting attention problems should be introduced to improve outcomes for this population

Cognition · Impulsivity · Population · Psychiatry · Vocational education · Clinical Psychology · Medicine · Personality Disorders and Psychopathology · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Schizophrenia research and treatment

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Unique citing works2
Citations per year0,29
Citation span2019 - 2023 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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