The criterion validity of general and antisocial personality disorder-specific criterion A in the alternative model of personality disorders: A scoping review and meta-analysis.
Nathan Akoka, Ashley L Dunne, Michael Trood et al.
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In 30 seconds
This scoping review and meta-analysis examined the criterion validity of general Levels of Personality Functioning Scale (LPFS) measures and antisocial personality disorder (ASPD)-specific measures for assessing ASPD, psychopathy, antisocial behavior, and aggression. The review identified 32 studies. Pooled associations between LPFS measures and Section II ASPD were strong; associations with psychopathy varied by rating method, while links with aggression and antisocial behavior were weak to moderate. ASPD-specific measures showed moderate associations with Section II ASPD and large associations with psychopathy.
Key findings
- Pooled associations between self-report and clinician-rated LPFS measures and Section II ASPD were strong.
- LPFS associations with psychopathy were moderate for self-report measures and weak for clinician-rated measures.
- LPFS associations with aggression and antisocial behavior were weak to moderate.
- ASPD-specific impairment measures had moderate associations with Section II ASPD and large associations with psychopathy.
Why it matters
Criterion A assessment may capture antisociality differently depending on the measure and the construct being assessed. The review highlights that general personality-functioning measures and ASPD-specific instruments provide complementary information, relevant to diagnostic assessment and to violence risk formulation and management.
What to keep in mind
The review found variable validity across measures and outcomes, so pooled findings do not support relying on a single measure in isolation.