Arseneault L, Tremblay R E, Boulerice B, Séguin J R, Saucier J F
Research Unit of Children's Psychosocial Maladjustment, University of Montréal, Québec, Canada.
Am J Psychiatry. 2000 Jun;157(6):917-23. doi: 10.1176/appi.ajp.157.6.917.
Minor physical anomalies are considered indicators of disruption in fetal development. They have been found to predict behavioral problems and psychiatric disorders. This study examined the extent to which minor physical anomalies, family adversity, and their interaction predict violent and nonviolent delinquency in adolescence.
Minor physical anomalies were assessed in a group of 170 adolescent boys from low socioeconomic status neighborhoods of Montréal. The boys had been enrolled in a longitudinal study since their kindergarten year, when an assessment of family adversity had been made on the basis of familial status and the parents' occupational prestige, age at the birth of the first child, and educational level. Adolescent delinquency was measured by using self-reported questionnaires and a search of official crime records.
Results from logistic regression analyses indicated that both the total count of minor physical anomalies and the total count of minor physical anomalies of the mouth were significantly associated with an increased risk of violent delinquency in adolescence, beyond the effects of childhood physical aggression and family adversity. Similar findings were not found for nonviolent delinquency.
Children with a higher count of minor physical anomalies, and especially a higher count of anomalies of the mouth, could be more difficult to socialize for different and additive reasons: they may have neurological deficits, and they may have feeding problems in the first months after birth. Longitudinal studies of infants with minor physical anomalies of the mouth are needed to understand the process by which they fail to learn to inhibit physical aggression.
轻微身体异常被视为胎儿发育中断的指标。已发现它们可预测行为问题和精神障碍。本研究考察了轻微身体异常、家庭逆境及其相互作用在多大程度上可预测青少年的暴力和非暴力犯罪行为。
对来自蒙特利尔社会经济地位较低社区的170名青少年男性进行了轻微身体异常评估。这些男孩从幼儿园起就参加了一项纵向研究,当时根据家庭状况、父母职业声望、第一个孩子出生时的年龄和教育水平对家庭逆境进行了评估。青少年犯罪行为通过自我报告问卷和官方犯罪记录查询来衡量。
逻辑回归分析结果表明,除童年期身体攻击行为和家庭逆境的影响外,轻微身体异常总数和口腔轻微身体异常总数均与青少年暴力犯罪风险增加显著相关。非暴力犯罪行为未发现类似结果。
轻微身体异常数量较多,尤其是口腔异常数量较多的儿童,可能由于不同且累加的原因而更难进行社交:他们可能存在神经缺陷,并且在出生后的头几个月可能存在喂养问题。需要对有口腔轻微身体异常的婴儿进行纵向研究,以了解他们无法学会抑制身体攻击行为的过程。