Research Topics
Genomes and GenesSpecies | E F CoccaroSummaryAffiliation: University of Chicago Country: USA Publications
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Publications
A novel approach to assess inter-rater reliability in the use of the Overt Aggression Scale-ModifiedJean Endicott
New York State Psychiatric Institute, Unit 123, 1051 Riverside Drive, New York 10032, USA
Psychiatry Res 112:153-9. 2002..The method described here may be useful in future assessments of inter-rater reliability...
Affective intensity and lability: heritability in adult male twinsEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, USA
J Affect Disord 136:1011-6. 2012..Despite the importance of these aspects of affective regulation, there are no twin study data to shed light on the genetic and environmental components of these constructs...
Prevalence and features of intermittent explosive disorder in a clinical settingEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA
J Clin Psychiatry 66:1221-7. 2005....
Comparative proteomic analysis with postmortem prefrontal cortex tissues of suicide victims versus controlsKatja Schlicht
Psychiatric Hospital of the Ludwig Maximilians University, Munich, Nussbaumstrasse 7, D 80336 Munich, Germany
J Psychiatr Res 41:493-501. 2007..Proteomics is a powerful method to investigate modifications in protein expression...
CSF testosterone: relationship to aggression, impulsivity, and venturesomeness in adult males with personality disorderEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The Pritzker School of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
J Psychiatr Res 41:488-92. 2007....
Plasma homovanillic acid correlates inversely with history of learning problems in healthy volunteer and personality disordered subjectsEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, MC 3077, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Psychiatry Res 149:297-302. 2007..Replication is needed in treated and untreated ADHD samples to confirm these initial results...
Amygdala and orbitofrontal reactivity to social threat in individuals with impulsive aggressionEmil F Coccaro
Department of Psychiatry, Biological Sciences Division and the Pritzker School of Medicine, The University of Chicago, Chicago, Illinois 60637 1470, USA
Biol Psychiatry 62:168-78. 2007..In this study we employed a social-emotional probe of amygdala-OFC function in individuals with impulsive aggression...
PennTwins: a population-based cohort for twin studiesEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The University of Chicago, 5841 S Maryland Avenue, Chicago, IL 60637, USA
Twin Res Hum Genet 9:998-1005. 2006..Thus, despite a relatively low overall response rate (12% of all twins born in Pennsylvania from 1959-1978), there is no evidence that the sample differs in any meaningful respect from the larger population...
Corticolimbic function in impulsive aggressive behaviorEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois
Biol Psychiatry 69:1153-9. 2011..We review psychiatric disorders, including borderline personality disorder and antisocial personality disorder, characterized by elevated reactive aggression, focusing on abnormalities in these three neural systems...
A double-blind, randomized, placebo-controlled trial of fluoxetine in patients with intermittent explosive disorderEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, University of Chicago, Chicago, IL 60637, USA
J Clin Psychiatry 70:653-62. 2009..Since central serotonergic (5-HT) system dysfunction is related to impulsive aggressive behavior, pharmacologic enhancement of 5-HT activity should reduce impulsive aggressive behavior in individuals with IED...
Inverse relationship between numbers of 5-HT transporter binding sites and life history of aggression and intermittent explosive disorderEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, United States
J Psychiatr Res 44:137-42. 2010..Results from the examination of IED as a categorical aggression variable suggest that Research, rather than DSM-IV, criteria better identify individuals with reduced numbers of platelet 5-HTT sites...
Aggression, suicidality, and intermittent explosive disorder: serotonergic correlates in personality disorder and healthy control subjectsEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA
Neuropsychopharmacology 35:435-44. 2010..These data have particular relevance to the notion of impulsive aggression and the biological validity of IED...
Cerebrospinal fluid 5-hydroxyindolacetic acid and homovanillic acid: reciprocal relationships with impulsive aggression in human subjectsEmil F Coccaro
Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, The University of Chicago, 5841, South Maryland Avenue, Chicago, IL 60637, USA
J Neural Transm 117:241-8. 2010....
GH response to intravenous clonidine challenge: absence of relationship with behavioral irritability, aggression, or impulsivity in human subjectsEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, United States
Psychiatry Res 178:443-5. 2010..Unlike a previous investigation, this study provides little support for a role of post-synaptic alpha(2)-noradrenergic receptor sensitivity in aggression in healthy or personality disordered subjects...
A family history study of intermittent explosive disorderEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, The Pritzker School of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
J Psychiatr Res 44:1101-5. 2010..Intermittent Explosive Disorder (IED) is newly appreciated as a commonly occurring disorder of impulsive aggression. Since aggression and impulsivity are under genetic influence, IED may be familial...
Intermittent explosive disorder: development of integrated research criteria for Diagnostic and Statistical Manual of Mental Disorders, Fifth EditionEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, USA
Compr Psychiatry 52:119-25. 2011..We conclude that the IED-IR criteria can be reliably applied and have sufficient validity to warrant consideration as DSM-V criteria for IED...
Association of C-reactive protein elevation with trait aggression and hostility in personality disordered subjects: a pilot studyEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, United States
J Psychiatr Res 40:460-5. 2006..In this pilot study, the author tests the hypothesis that pCRP elevations are associated with the traits of aggression and hostility in personality disordered subjects, a group at high risk for the presence of aggression and hostility...
Attributional and emotional responses to socially ambiguous cues: validation of a new assessment of social/emotional information processing in healthy adults and impulsive aggressive patientsEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, The Pritzker School of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
J Psychiatr Res 43:915-25. 2009..Implications regarding the cognitive and emotional correlates of aggression are discussed...
Intermittent explosive disorder and impulsive aggression: the time for serious study is nowEmil F Coccaro
Department of Psychiatry, University of Chicago, MC #3077, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Curr Psychiatry Rep 6:1-2. 2004
Platelet serotonin content correlates inversely with life history of aggression in personality-disordered subjectsJoseph S Goveas
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, MC 3077, Pritzker School of Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60615, USA
Psychiatry Res 126:23-32. 2004..Similar to other studies of platelet 5-HT markers, these data suggest that platelet 5-HT content may also reflect central 5-HT alterations and may be used as a biological marker in appropriate patient samples...
Norepinephrine function in personality disorder: plasma free MHPG correlates inversely with life history of aggressionEmil F Coccaro
Department of Psychiatry, University of Chicago, Illinois 60637, USA
CNS Spectr 8:731-6. 2003..In this study, the relationship between plasma free NE metabolite, plasma free 3-methoxy-4-hydroxyphenylglycol (pMHPG), and impulsive aggression was explored in subjects with personality disorder...
Intermittent explosive disorderE F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, The Pritzker School of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Curr Psychiatry Rep 2:67-71. 2000....
Lifetime and 1-month prevalence rates of intermittent explosive disorder in a community sampleEmil F Coccaro
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The Pritzker School of Medicine, University of Chicago, IL 60637, USA
J Clin Psychiatry 65:820-4. 2004..To determine the lifetime and 1-month prevalence of intermittent explosive disorder (IED) by both DSM-IV and research criteria in a community sample...
Impact of trait impulsivity and state aggression on divalproex versus placebo response in borderline personality disorderEric Hollander
Department of Psychiatry, Mount Sinai School of Medicine, 1 Gustave L Levy Place, Box 1230, New York, NY 10029 6574, USA
Am J Psychiatry 162:621-4. 2005....
Placebo-controlled, randomized trial of fluoxetine in the treatment of aggression in male intimate partner abusersRoyce Lee
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The University of Chicago, Chicago, Illinois
Int Clin Psychopharmacol 23:337-41. 2008..Despite the small sample, these results do not support the hypothesis that treatment with an SSRI is associated with a reduction in aggressive behavior among men with a history of intimate partner abuse...
Preliminary evidence of white matter abnormality in the uncinate fasciculus in generalized social anxiety disorderK Luan Phan
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan 48105, USA
Biol Psychiatry 66:691-4. 2009..The goal of this study was to investigate brain frontal WM abnormalities using diffusion tensor imaging (DTI) in patients with social anxiety disorder...
Divalproex sodium for impulsive aggressive behavior in patients with personality disorderR J Kavoussi
Department of Psychiatry, MCP Hahnemann School of Medicine, Philadelphia, PA, USA
J Clin Psychiatry 59:676-80. 1998....
Prolactin response to D-fenfluramine in outpatients with major depressionR J Kavoussi
Department of Psychiatry, Allegheny University of the Health Sciences, MCP Hahnemann School of Medicine, Philadelphia, PA 19129, USA
Psychiatry Res 79:199-205. 1998..5 mg/kg. The possible implications of these findings are discussed with respect to theories regarding biological vulnerabilities to major depression...
Divalproex in the treatment of impulsive aggression: efficacy in cluster B personality disordersEric Hollander
Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 10029, USA
Neuropsychopharmacology 28:1186-97. 2003....
Serotonin transporter protein gene polymorphism and personality measures in African American and European American subjectsJ Gelernter
Department of Psychiatry, VA Connecticut Healthcare System, West Haven Campus, 06516, USA
Am J Psychiatry 155:1332-8. 1998..The authors attempted to replicate this finding...
Effects of acute alcohol intoxication and paroxetine on aggression in menMichael S McCloskey
Pritzker School of Medicine, Department of Psychiatry, University of Chicago, Chicago, Illinois 60637, USA
Alcohol Clin Exp Res 33:581-90. 2009..The purpose of this study was to examine the role of the serotonin (5-HT) system in alcohol-related aggression...
Evaluation of behavioral impulsivity and aggression tasks as endophenotypes for borderline personality disorderMichael S McCloskey
Department of Psychiatry and Behavioral Neuroscience, The Pritzker School of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, United States
J Psychiatr Res 43:1036-48. 2009....
Acute tryptophan depletion and self-injurious behavior in aggressive patients and healthy volunteersMichael S McCloskey
Department of Psychiatry, University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL, 60637, USA
Psychopharmacology (Berl) 203:53-61. 2009..Studies to date, however, have relied on nonexperimental designs to examine this relationship, limiting the causal inferences that can be drawn about the role of 5-HT in self-aggressive behavior...
History of mild to moderate traumatic brain injury and aggression in physically healthy participants with and without personality disorderSherise D Ferguson
University of Chicago, Chicago, IL, USA
J Pers Disord 23:230-9. 2009..These data suggest that lifetime history of mild TBI is associated with history of aggression regardless of history of psychiatric disorder...
Cerebrospinal fluid oxytocin, life history of aggression, and personality disorderRoyce Lee
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA
Psychoneuroendocrinology 34:1567-73. 2009..We hypothesized that CSF Oxytocin levels would be inversely related to dimensional measures of lifetime aggression...
Plasma oxytocin in response to pharmaco-challenge to D-fenfluramine and placebo in healthy menRoyce Lee
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry MC 3077, Pritzker School of Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Psychiatry Res 118:129-36. 2003..g. aggression) than that of less central outcome parameters of 5-HT responsiveness (e.g. prolactin)...
Plasma homovanillic acid correlates inversely with history of childhood trauma in personality disordered and healthy control adultsRoyce Lee
Clinical Neuroscience Research Unit, Department of Psychiatry, University of Chicago, Chicago, USA
J Neural Transm 117:1327-34. 2010....
Indices of orbitofrontal and prefrontal function in Cluster B and Cluster C personality disordersAnthony C Ruocco
Department of Psychiatry, University of Chicago Medical Center, Chicago, IL, USA
Psychiatry Res 170:282-5. 2009..The present study is among the first to report neurocognitive findings for the full range of Cluster B personality disorders and any Cluster C personality disorder...
Cognitive-behavioral therapy for intermittent explosive disorder: a pilot randomized clinical trialMichael S McCloskey
The University of Chicago, Department of Psychiatry, Chicago, IL 60637, USA
J Consult Clin Psychol 76:876-86. 2008..Posttreatment effect sizes were large. These effects were maintained at 3-month follow-up. Findings provide initial support for the use of multicomponent cognitive-behavioral therapy in the treatment of IED...
Developmental psychopathology and neurobiology of aggressionJackie K Gollan
University of Chicago, Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, IL 60637, USA
Dev Psychopathol 17:1151-71. 2005..Finally, we comment on the data of the relative stability of aggression in BPD, adolescence as a developmental stage of potential vulnerability, and the course of aggressive behavior during the life span...
Intermittent explosive disorder-integrated research diagnostic criteria: convergent and discriminant validityMichael S McCloskey
Department of Psychiatry, The Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA
J Psychiatr Res 40:231-42. 2006..Furthermore, the IED-IR subjects evidenced more behavioral aggression than their DSM-IED counterparts...
CSF corticotropin-releasing factor in personality disorder: relationship with self-reported parental careRoyce J Lee
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The University of Chicago, Chicago, IL 60637, USA
Neuropsychopharmacology 31:2289-95. 2006..The cross-sectional design of the study, however, limits causal inferences...
Neuroimaging and personality disordersMichael S McCloskey
Department of Psychiatry, MC 3077, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Curr Psychiatry Rep 7:65-72. 2005....
The relationship between impulsive verbal aggression and intermittent explosive disorderMichael S McCloskey
Department of Psychiatry, Pritzker School of Medicine, The University of Chicago, Chicago, Illinois 60637, USA
Aggress Behav 34:51-60. 2008..These results support the clinical importance of frequent VA for future iterations of the IED criteria set...
Prevalence of suicidal and self-injurious behavior among subjects with intermittent explosive disorderMichael S McCloskey
Department of Psychiatry, University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60637, USA
Psychiatry Res 158:248-50. 2008..Results showed 16% of IED subjects reported self-aggression, with 12.5% reporting suicide attempts and 7.4% reporting non-lethal self-injurious behaviors. Additional risk factors were identified...
Cerebrospinal fluid GABA concentration: relationship with impulsivity and history of suicidal behavior, but not aggression, in human subjectsRoyce Lee
Department of Psychiatry, The University of Chicago School of Medicine, Chicago, IL 60637, USA
J Psychiatr Res 43:353-9. 2009..Further work assessing this and other aspects of the central GABA system in personality disordered subjects are warranted...
Childhood trauma and personality disorder: positive correlation with adult CSF corticotropin-releasing factor concentrationsRoyce Lee
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, The University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637, USA
Am J Psychiatry 162:995-7. 2005....
Assessment of behavioral and cognitive impulsivity: development and validation of the Lifetime History of Impulsive Behaviors InterviewCatherine A Schmidt
Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry, University of Chicago, MC# 3077, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Psychiatry Res 126:107-21. 2004..No relationship was obtained between the LHIB and laboratory analogue measures. While evidence of discriminant validity was mixed, these data suggest that the LHIB may be a useful instrument for the assessment of impulsive behavior...
Identifying differences in biased affective information processing in major depressionJackie K Gollan
Department of Psychiatry and Behavioral Sciences, Northwestern University, Feinberg School of Medicine, 446 East Ontario Street, Suite 7 204, Chicago, IL 60611, USA
Psychiatry Res 159:18-24. 2008....
Blunted hormone responses to Ipsapirone are associated with trait impulsivity in personality disorder patientsMichael J Minzenberg
Department of Psychiatry, The Mount Sinai School of Medicine, New York, NY, USA
Neuropsychopharmacology 31:197-203. 2006..In addition, D(2) receptor dysfunction may play a role in impulsivity, whereas 5-HT(1A) cell-body autoreceptor function may be spared in these disorders...
High prevalence of personality disorders among healthy volunteers for research: implications for control group biasScott C Bunce
Clinical Neuroscience Research Unit, Department of Psychiatry, Drexel University College of Medicine, Philadelphia, PA, USA
J Psychiatr Res 39:421-30. 2005..Implications are discussed for routine Axis II screening of volunteers for research with specific diagnostic instruments...
Emotional experience modulates brain activity during fixation periods between tasksSean Pitroda
Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
Neurosci Lett 443:72-6. 2008....
Molecular genetics of personalityKurtis L Noblett
Department of Psychiatry, MC #3077, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
Curr Psychiatry Rep 7:73-80. 2005..This article endeavors to review and evaluate the most recent literature within the context of this burgeoning field. Some considerations for future research are presented in summary...
Evidence for a dysfunctional prefrontal circuit in patients with an impulsive aggressive disorderMary Best
Department of Psychology, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Proc Natl Acad Sci U S A 99:8448-53. 2002..These results extend the link between dysfunction of the orbital/medial prefrontal circuit and impulsive aggressive behavior...
Consensus report on impulsive aggression as a symptom across diagnostic categories in child psychiatry: implications for medication studiesPeter S Jensen
Center for the Advancement of Children s Mental Health, Columbia University NYSPI 1051 Riverside Drive, Unit 78, New York, NY 10032, USA
J Am Acad Child Adolesc Psychiatry 46:309-22. 2007..If so, how should IA be assessed, pharmacological studies designed, and ethical issues addressed?..
The prevalence and correlates of DSM-IV intermittent explosive disorder in the National Comorbidity Survey ReplicationRonald C Kessler
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Arch Gen Psychiatry 63:669-78. 2006..Little is known about the epidemiology of intermittent explosive disorder (IED)...
Research Grants
- Intermittent Explosive Disorder: A Family StudyEMIL COCCARO; Fiscal Year: 2005..e., relatives of IED probands with and without IED). ..
- Impulsive Aggression : A Twin Study of Behavior and 5-HTEMIL COCCARO; Fiscal Year: 2006..abstract_text> ..
- Fluoxetine and Divalproex:Treatment Correlated IED (RMI)EMIL COCCARO; Fiscal Year: 2005..Duration of treatment will be twelve weeks. ..
- Fluoxetine and Divalproex:Treatment Correlates in Intermittent Explosive DisorderEMIL COCCARO; Fiscal Year: 2007..Duration of treatment will be twelve weeks. ..
- Social Information Processing: Assessment DevelopmentEMIL COCCARO; Fiscal Year: 2007..Development of such measures is critical for the further scientific study of SIP and for its integration in neurobiologhical research. ..
- Understanding The Pathways To AggressionEMIL FRANK COCCA; Fiscal Year: 2010..To gain a better understanding of these potential genetic mechanisms, twin studies can be used to identify biologically-based traits that may serve as endophenotpyes for aggression and related behaviors. ..
- SSRIs and Self-harm in Borderline Personality DisorderMichael S McCloskey; Fiscal Year: 2010..Selfharm will also be assessed using a laboratory analogue task (SAP) at baseline and again after the eight week trial. Age, 5-HT dysfunction and emotion dysregulation will be evaluated as potential moderators of SSRI response. ..
