Ruchkin Vladislav, Koposov Roman, Vermeiren Robert, Schwab-Stone Mary
Yale Child Study Center, Yale University School of Medicine, New Haven, Conn., USA.
J Clin Psychiatry. 2003 Aug;64(8):913-20. doi: 10.4088/jcp.v64n0809.
This study aimed to assess psychopathology among incarcerated Russian juvenile delinquents in relation to the onset of conduct problems.
358 male juvenile delinquents were interviewed from January to September 1999, using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version. Early behavior problems, current antisocial behavior, and psychopathology were also assessed through self-reports. The presence of conduct disorder (CD) and other diagnoses was determined according to DSM-IV criteria.
73.2% of the incarcerated youths met criteria for CD. 23.5% of the total sample reported at least 1 criterion for CD being present before the age of 10 years. All participants from this early-onset group fulfilled the criteria for CD. This group also had significantly higher rates of psychopathology, and particularly of externalizing behaviors, as compared with youths whose conduct problems began at or after the age of 10 years.
Poor psychosocial adaptation and future prognosis in juvenile delinquents with early-onset conduct problems may be related to their greater degree of psychiatric disturbance compared with later-onset delinquent youths. Need for psychiatric treatment should be carefully considered in prevention and rehabilitation efforts for troubled youths.
本研究旨在评估俄罗斯在押青少年罪犯中与品行问题发作相关的精神病理学情况。
1999年1月至9月，对358名男性青少年罪犯进行了访谈，使用的是《学龄儿童情感障碍和精神分裂症量表——目前和终生版》。还通过自我报告评估了早期行为问题、当前反社会行为和精神病理学情况。根据《精神疾病诊断与统计手册》第四版标准确定品行障碍（CD）及其他诊断的存在情况。
73.2%的在押青少年符合CD标准。在整个样本中，23.5%报告在10岁之前至少有1条CD标准存在。这个早发性组的所有参与者都符合CD标准。与品行问题在10岁及之后开始的青少年相比，这个组的精神病理学发生率，尤其是外化行为发生率也显著更高。
早发性品行问题的青少年罪犯中不良的社会心理适应和未来预后可能与其相比晚发性犯罪青少年更高程度的精神障碍有关。在对问题青少年的预防和康复工作中，应仔细考虑对精神治疗的需求。
