Table 1.
Studies Under Review: Neuropsychology, Neurological Soft Signs, Structural Brain Imaging, and Functional Brain Imaging
| Authors | Year | Sample Size | Sex | Inpatients | Outpatients | Period Violence Assessed | Source of Information | Subjects | Recent Substance Abuse | Current Antipsychotics | Results (violent group compared to nonviolent) |
| Neuropsychology | |||||||||||
| Roy et al.19 | 1987 | 20 | M | Stable | n/a | 6 months | Medical file reviewed; Observation | High violent (n = 11); Low violent (n = 9) | No information | Yes | Better |
| Lapierre et al.23 | 1995 | 61 | M | n/a | Stable | Lifelong | Medical and criminal file review; Interview | Outpatients (n = 31); Healthy volunteers (n = 30) | Yes | Yes | Better |
| Rasmussen et al.28 | 1995 | 39 | M | Stable | n/a | Unclear | Medical file review | Violent (n = 13); Nonviolent (n = 13); Healthy controls (n = 13) | No information | Unclear | Better |
| Krakowski et al.30 | 1997 | 94 | M | Acute | n/a | 4 weeks | MOAS | Persistently violent (n = 27); Transiently violent (n = 32); Nonviolent (n = 45) | No information | Unclear | No difference |
| Wong et al.33 | 1997 | 39 | M | Stable | n/a | Lifelong | Medical file review | Several violent offenses (n = 20); 1 violent offense (n = 19) | No | Yes | No difference |
| Lafayette et al.34 | 2003 | 96 | M (n = 70); F (n = 26) | n/a | Stable | Lifelong | Criminal files | History of violent arrest (n = 34); History of nonviolent arrest (n = 23); No history of arrest (n = 39) | Yes | Unclear | No difference |
| Krakowski et al.38 | 1989 | 89 | M (n = 71); F (n = 18) | Acute | n/a | 1–6 months | Medical file review; Observation | High violent (n = 28); Low violent (n = 27) | No information | Yes | Worse |
| Adams et al.39 | 1990 | 37 | M | Acute | n/a | Lifelong | Criminal and police files | NIMP (n = 12); IMP (n = 25) | No | Yes | Worse |
| Barkataki et al.42 | 2005 | 28 | M | Stable | n/a | Lifelong | Medical file review; Interview | History of severe violence (n = 13); No history of severe violence (n = 15) | No | Yes | Worse |
| Neurological Soft Signs (NSS) | |||||||||||
| Krakowski et al.38 | 1989 | 89 | M (n = 71); F (n = 18) | Acute | n/a | 1–6 months | Medical file review; Observation; QNS | High violent (n = 28); Low violent (n = 27) | No information | Yes | More |
| Krakowski et al.30 | 1997 | 94 | M | Acute | n/a | 4 weeks | MOAS; QNS | High violent (n = 28); Low violent (n = 27) | No information | Yes | More |
| Arango et al.49 | 1999 | 63 | M (n = 46); F (n = 17) | Acute | n/a | 4–5 weeks | OAS; NES | Violent (n = 16); Nonviolent (n = 47) | Yes | Yes | No difference |
| Braun and Lapierre52 | 1995 | 61 | M | n/a | Stable | Lifelong | Medical and criminal file review; Interview; QNS | Outpatients (n = 31); Healthy volunteers (n = 30) | Yes | Yes | More |
| Structural Brain Imaging | |||||||||||
| Convit et al.54 | 1996 | 18 | M | Acute | n/a | Unclear | CT scan | Repetitively violent (n = 9); No history of violence (n = 9) | No information | No information | Sylvian fissure |
| Wong et al.33 | 1997 | 39 | M | Stable | n/a | Lifelong | MRI scan | Several violent offenses (n = 20); 1 violent offense (n = 19) | Yes | Unclear | Amygdala |
| Hoptman et al.55 | 2002 | 14 | M | Acute and stable | n/a | Lifelong | Medical file review; Interview; LHA scale; BIS-11; DTI scan | All violent (n = 14) | No information | Yes | Amygdala-OFC |
| Barkataki et al.58 | 2004 | 28 | M | Stable | n/a | Lifelong | Medical file review; Interview; MRI scan | History of severe violence (n = 13); No history of severe violence (n = 15) | No | Yes | Whole brain volume hippocampus putamen |
| Functional Brain Imaging | |||||||||||
| Wong et al.62 | 1997 | 39 | M | Stable | n/a | Lifelong | PET scan | Several violent offenses (n = 20); 1 violent offense (n = 19) | Yes | Unclear | Reduced FDG uptake at anterior inferior temporal cortex |
| Spalletta et al.62 | 2001 | 15 | No information | Acute | n/a | Not week of hospitalization | Medical file review; SPECT scan | Violent (n = 3); Nonviolent (n = 12) | No information | No information | Reduced prefrontal rCBF at anterior inferior temporal cortex |
Note: MOAS: Modified Overt Aggression Scale; OAS: Overt Aggression Scale; QNS: Quantified Neurological Scale; NES: Neurological Evaluation Scale; LHA scale: Lifetime History of Aggression scale; BIS-11: Barratt Impulsiveness Scale; DTI: Diffusion Tensor Imaging; FDG: Fluorodeoxyglucose; rCBF: Regional Cerebral Blood Flow; IMP: Neuropsychologically impaired; NIMP: Not neuropsychologically impaired.