Sherri MacKAY1, Joanna Henderson2, Giannetta Del Bove2, Peter Marton2, Diane Warling2, Carol Root2. 1. Dr. MacKay is with the Department of Psychiatry, University of Toronto; Drs. MacKay, Henderson, Del Bove, Warling, and Root are with the Centre for Addiction and Mental Health, Toronto; and Dr. Marton is in independent practice. Electronic address: sherri_mackay@camh.net. 2. Dr. MacKay is with the Department of Psychiatry, University of Toronto; Drs. MacKay, Henderson, Del Bove, Warling, and Root are with the Centre for Addiction and Mental Health, Toronto; and Dr. Marton is in independent practice.
Abstract
OBJECTIVE: In the DSM-IV-TR, firesetting is included as a criterion for the diagnoses of conduct disorder and pyromania. The link between firesetting and antisocial behavior is well established in the empirical literature. Although theoretical models of firesetting often include fire interest as a putative risk factor, there is little research on the role of fire interest in firesetting or on the construct of pyromania. METHOD: The present study evaluated a sample of children and adolescents referred to an outpatient specialty program for juvenile firesetters with firesetting as the primary presenting problem. By assessing fire interest and antisocial behavior concurrently, the contribution of fire interest to firesetting after controlling for the role of conduct problems was evaluated. RESULTS: Results revealed that fire interest and antisocial behavior were significantly and positively correlated. Moreover, variations in fire interest added to the prediction of firesetting severity at assessment and firesetting recidivism at 18-month follow-up above and beyond what was predicted by antisociality alone. CONCLUSIONS: These findings have implications for an empirically derived taxonomy of pathological firesetting.
OBJECTIVE: In the DSM-IV-TR, firesetting is included as a criterion for the diagnoses of conduct disorder and pyromania. The link between firesetting and antisocial behavior is well established in the empirical literature. Although theoretical models of firesetting often include fire interest as a putative risk factor, there is little research on the role of fire interest in firesetting or on the construct of pyromania. METHOD: The present study evaluated a sample of children and adolescents referred to an outpatient specialty program for juvenile firesetters with firesetting as the primary presenting problem. By assessing fire interest and antisocial behavior concurrently, the contribution of fire interest to firesetting after controlling for the role of conduct problems was evaluated. RESULTS: Results revealed that fire interest and antisocial behavior were significantly and positively correlated. Moreover, variations in fire interest added to the prediction of firesetting severity at assessment and firesetting recidivism at 18-month follow-up above and beyond what was predicted by antisociality alone. CONCLUSIONS: These findings have implications for an empirically derived taxonomy of pathological firesetting.