The Factor Structure and Validity of the Psychopathy Checklist-Short Version When Used With Autistic Psychiatric Inpatients.
| Title: | The Factor Structure and Validity of the Psychopathy Checklist-Short Version When Used With Autistic Psychiatric Inpatients. |
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| Authors: | Maguire K; School of Health and Social Care, University of Essex, Colchester, UK.; Barnoux M; Tizard Centre, University of Kent, Kent, UK.; Collins J; Department of Law and Criminology, Royal Holloway, University of London, London, UK.; Melvin CL; Department of Psychology, University of East Anglia, Norwich, UK.; Inkson I; Norfolk Community Health and Care NHS Trust, Norwich, UK.; Alexander RT; University of Hertfordshire, Hatfield, UK.; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust, Norwich, UK.; Devapriam J; Herefordshire and Worcestershire Health and Care NHS Trust, Worcester, UK.; Duggan C; Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.; Shepstone L; Norwich Medical School, University of East Anglia, Norwich, UK.; Staufenburg E; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust, Norwich, UK.; Thompson P; Intellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.; Turner D; Norwich Medical School, University of East Anglia, Norwich, UK.; Viding E; Division of Psychology and Language Sciences, University College London, London, UK.; Langdon PE; Herefordshire and Worcestershire Health and Care NHS Trust, Worcester, UK.; Intellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK. |
| Source: | Autism research : official journal of the International Society for Autism Research [Autism Res] 2025 Mar; Vol. 18 (3), pp. 614-631. Date of Electronic Publication: 2025 Feb 18. |
| Publication Type: | Journal Article; Validation Study; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101461858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-3806 (Electronic) Linking ISSN: 19393806 NLM ISO Abbreviation: Autism Res Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Hoboken, NJ : John Wiley & Sons, Inc. |
| MeSH Terms: | Inpatients*/psychology ; Autistic Disorder*/psychology ; Antisocial Personality Disorder*/diagnosis ; Antisocial Personality Disorder*/psychology ; Personality Tests*/standards ; Personality Tests*/statistics & numerical data ; Prisoners*/psychology; Checklist/standards ; Intellectual Disability/psychology ; Factor Analysis, Statistical ; Reproducibility of Results ; ROC Curve ; Regression Analysis ; Prospective Studies ; England ; Wales ; Humans ; Male ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Psychometrics ; Hospitals, Psychiatric |
| Abstract: | The Psychopathy Checklist Short Version (PCL:SV) is a brief measure of psychopathy. This study aimed to assess the reliability and validity of the PCL:SV with autistic adults detained in inpatient psychiatric care. Data were collected from 282 autistic adults at two time points separated by 12-months. Reliability and validity were investigated using omega, regression, receiver operating characteristic curves, and correlational analysis. PCL:SV Total, Factor 1, and Factor 2 had satisfactory to high reliability and construct validity. Higher PCL:SV scores were associated with poorer treatment progress, a longer length of stay, and previous criminal offending. Factor 1 was associated with a forensic history, detention under Part III of the Mental Health Act, and a personality disorder diagnosis, while Factor 2 was also associated with the absence of a forensic history, detention under Part II of the Mental Health Act, but not a personality disorder diagnosis. It was thought that Factor 2 most likely captured data associated with autism and/or intellectual disabilities (e.g., behaviors that challenge). Those with intellectual disabilities were less likely to have convictions, a history of violent offending, or a forensic history. They were also more likely to be detained under Part II of the Mental Health Act, and were more likely to have had a positive transfer 12-months later to a ward with lesser security. The PCL-SV correlated as expected with the HCR-20 and the START. This study provides preliminary evidence to support the use of the PCL:SV with autistic adults, including those with intellectual disabilities, within inpatient psychiatric hospitals.; (© 2025 The Author(s). Autism Research published by International Society for Autism Research and Wiley Periodicals LLC.) |
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| Grant Information: | National Institute for Health and Care Research |
| Contributed Indexing: | Keywords: autism; crime; intellectual disabilities; psychiatric inpatient; psychopathy; risk |
| Entry Date(s): | Date Created: 20250218 Date Completed: 20250324 Latest Revision: 20250711 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11928917 |
| DOI: | 10.1002/aur.70004 |
| PMID: | 39963077 |
| Database: | MEDLINE |
Journal Article; Validation Study; Research Support, Non-U.S. Gov't