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Antisocial violent
offenders with attention deficit hyperactivity disorder demonstrate
akathisia-like hyperactivity in three-channel
actometry.
Tuisku K, Virkkunen M, Holi M, Lauerma
H, Naukkarinen H, Rimon R, Wahlbeck K.
Helsinki University
Central Hospital, Department of Psychiatry, Helsinki, Finland.
katinka.tuisku@hus.fi
Actometry enables quantitative and
qualitative analysis of various hyperactivity disorders. Antisocial
violent offenders have demonstrated diurnal increases in motor activity
that may be related to attention deficit hyperactivity disorder (ADHD)
that often precedes antisocial development. Motor restlessness in ADHD
has common features with neuroleptic-induced akathisia. In this study,
three-channel actometry was used to compare 15 antisocial violent
offenders who had a history of ADHD with 15 healthy control subjects and
10 akathisia patients. The Barnes Akathisia Rating Scale (BARS) was used
for clinical evaluation of akathisia symptoms. Ankle movement indices
and the ankle-waist ratio differentiated the antisocial patients from
the healthy controls significantly, with no overlap, and the same
parameters expectedly differentiated the akathisia patients from the
healthy controls. The repetitive, rhythmic pattern of akathisia was
found in 13 of the 15 antisocial patients. Nine of the antisocial
patients scored 2 or 3 (mild to moderate akathisia) on the BARS. Thus,
the motor hyperactivity of antisocial ADHD patients has common features
with mild akathisia. This may be due to a common hypodopaminergic
etiology of ADHD and akathisia.
PMID: 12724461 [PubMed - indexed
for MEDLINE]
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