UNDERSTANDING ANTISOCIAL PERSONALITY DISORDER IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW

Abstract

Objective: The general objective of the present study is to analyze the scientific production on Antisocial Personality Disorder (ASPD) in children and adolescents, seeking to identify the main clinical manifestations, as well as the comorbidities that are associated with the disorder. Methodology: Searches were carried out through searches in the PubMed Central (PMC) databases. Three descriptors were used in combination with the Boolean term "AND": clinical manifestations, antisocial personality disorder, child, conduct disorder, and pediatrics, mental disorders. A total of 371 articles were found, which were subsequently submitted to the selection criteria. A total of 17 studies were selected. Results: ASPD in children and adolescents is characterized by persistent behaviors that violate the rights of others and social norms, such as aggression, destruction of property, and manipulation. Common comorbidities include Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder, and a lower amount of gray matter in areas of the brain such as limbic structures and the amygdala. Other risk factors identified are chronic exposure to violence, abuse and neglect in childhood, as well as injuries or dysfunctions of the central nervous system. Conclusion: SPD is associated with several comorbidities that can amplify problematic behaviors and hinder effective intervention. Early identification and multifaceted interventions are essential to mitigate the development of antisocial behaviors and promote healthy emotional and social development. Public policies that prioritize children's mental health and awareness programs are essential to destigmatize mental disorders and encourage the search for help.