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Is Prefrontal Cortex Thinning Specific for Antisocial Personality Disorder?
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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We read with interest the article by Raine et al1
on prefrontal cortex volume in antisocial personality disorder (APD). These
findings represent an important link between prefrontal cortex integrity and
social behavior.2 However, their APD group
was diagnostically not uniform and included subjects with different co-occurring
substance use disorders (SUD). To control for this, they compared their APD-SUD
subjects not only with healthy controls but also with patients suffering from
various SUDs without APD. While they found significantly lower prefrontal
gray matter volumes in the APD-SUD group than in the healthy and the SUD groups,
the volumes in the latter 2 groups did not differ from one another.
This approach might be confounded by the fact that the APD-SUD group
exhibited significantly higher rates of cocaine dependence than the SUD group
(66.7% vs 30.8%) as well as higher rates of stimulant dependence (23.8% vs
11.5%) and abuse (14.3% vs 3.8%). . . . [Full Text of this Article]
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