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Neurological Soft Signs in Mentally Disordered Offenders

Received August 29, 2006; revised December 7, 2006; accepted December 13, 2006. Drs. Assadi and Noroozian are affiliated with the Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Iran. Drs. Yahyazadeh, Pakravannejad, and Aghayan are affiliated with the Department of Psychiatry, Tehran University of Medical Sciences, Iran. Dr. Shariat is affiliated with the Mental Health Research Center, Iran University of Medical Sciences, Iran. Address correspondence to Dr. Assadi, Roozbeh Psychiatric Hospital, South Kargar Avenue, Tehran 13337, Iran; assadism{at}sina.tums.ac.ir (e-mail).

The study used the Neurological Evaluation Scale to assess neurological soft signs in 351 offenders and 80 healthy comparison subjects. Offenders were also interviewed using the Structured Clinical Interview for DSM-IV and the Hare Psychopathy Checklist. Neurological signs were significantly increased in offenders compared with healthy subjects. Offenders with repeated misdemeanors had higher rates of neurological signs than those with a single felony. Neurological scores were significantly predicted by lifetime diagnoses of psychotic, anxiety, and substance use disorders. Each diagnostic category was associated with a distinct pattern of neurological abnormalities.

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