Mehmet Oguz, Recep Tutuncu, Alpay Ates, Sarper Ercan, Umit Baser Semiz, Nihan Oguz, Selma Bozkurt Zincir, Hakan Balibey, Ayhan Algul and Cengiz Basoglu
Objective: The studies investigating antisocial personality disorder are mostly applied to subjects in prison. In this study, we aimed to investigate comorbid disorders in a Turkish patient sample with the diagnosis of antisocial personality disorder (ASPD) who are not in prison and we investigated its relationship with psychopathy levels. Method: 140 male subjects were included in the study. None of them had been in the prison on admission. They all had the diagnoses of ASPD according to DSM-IV (Diagnostic and Statistical Manual of Mental Disorders-IV) diagnostic criteria. Socio-demographic data form, Structured Clinical Interview for DSM- Axis 1 Disorders and Axis 2 Disorders (SCID-I, SCID-II), and Hare Psychopathy Checklist-Revised (PCL-R) were applied. Results: Most commonly seen comorbid disorders were as follows: substance use disorders (66,9%), alcohol use disorders (65,4%) and adjustment disorders (36,4%). In the high psychopathy group "Current and Lifetime Alcohol and Substance Use Disorder" and "Generalized Anxiety Disorder" were detected significantly more than those of the low psychopathy group. Conclusion: This study supplies important epidemiological data about ASPD comorbidity. Of note, none of the subjects were in the prison during the study. Psychopathy also seems like a predictor in comorbid situations.