RISK FACTORS ASSOCIATED WITH JUVENILE ANTISOCIAL BEHAVIORS: A Systematic Literature Review Study (original) (raw)

Abstract

Antisocial behavior (ASB) among children and adolescents and related disorders are the leading issues in pediatric psychiatry appointments across the board, both in-patient and outpatient settings. Moreover, given multitude of ASB risk factors, treatment and management of these conditions often become ineffective, especially when these interventions focus on a single risk factor, while overlooked other potential factors. Methods: In this study, literature review of relevant peer reviewed papers was utilized, to dissect all risk factors of juvenile ASB through a biopsychosocial model of illness, diseases, and behavior, to better understand these factors. Outcomes: Results indicate that juvenile ASB risk factors include preexisting conditions such as genetics, brain structure and neurological functions, in close interaction with early childhood adverse events, and precipitating or perpetuating factors such as environment or socioeconomic strains (Appendices 1&2). Conclusion: The finding from this study shows that juvenile ASB is significantly linked to five interrelated risk factors including: (a) atypical brain development structure (ABDS) such as reduced engagement of anterior cingulate cortex, (b) genetics, (c) environment interaction, (d) mental disorders and related psychiatric comorbidities associated with adverse childhood experiences (ACEs), and (e) traumatic brain injury (TBI). Effective assessment, clinical interventions and evidence-based management strategies are provided in a holistic fashion.

Figures (1)

Butterfly Model of Juvenile Antisocial Behaviot1  Pathological brain structure, Trauma Brain Injury (TBI, often overlooked), are commonly known leading factors of  Juvenile ASB. However, predisposing factors such as genetic composition in interaction with the environment (poor parenting or parental absenteeism, negative child-parents’ interactions, unhealed early childhood adversity, domestic violence, bullying, chronic or consistent high crime environment, peer pressure...) and some mental health disorders (namely Fetal alcohol spectrum disorders FASD) have been found to be catalysts of subsequent antisocial behaviors.

Butterfly Model of Juvenile Antisocial Behaviot1 Pathological brain structure, Trauma Brain Injury (TBI, often overlooked), are commonly known leading factors of Juvenile ASB. However, predisposing factors such as genetic composition in interaction with the environment (poor parenting or parental absenteeism, negative child-parents’ interactions, unhealed early childhood adversity, domestic violence, bullying, chronic or consistent high crime environment, peer pressure...) and some mental health disorders (namely Fetal alcohol spectrum disorders FASD) have been found to be catalysts of subsequent antisocial behaviors.

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