Yoshinaga Chieko, Kadomoto Izumi, Otani Toshiyuki, Sasaki Tsukasa, Kato Nobumasa
Tokyo Juvenile Classification Home, Tokyo, Japan.
Psychiatry Clin Neurosci. 2004 Aug;58(4):383-8. doi: 10.1111/j.1440-1819.2004.01272.x.
The present study investigated frequency of post-traumatic stress disorder (PTSD) in incarcerated juvenile delinquents in Japan. The presence of overwhelming traumatic experiences, which fulfilled the DSM-IV criterion A for PTSD, was evaluated using a self-report questionnaire in 251 delinquents (206 males and 45 females). The structured interview using the Clinician-administered PTSD Scale for DSM-IV (CAPS) was administered to those with the experiences. A substantial portion (36%) of the delinquents reported experiences of exposure to such overwhelming traumatic events, which fulfilled the criterion A. Among those who met the criterion A, 48 subjects (40 males and eight females) received the CAPS interview. Ten (21%) out of 48 were diagnosed with current or past history of full PTSD. Three subjects out of the 10 were currently diagnosed with full PTSD. Another 10 subjects out of 48 (21%) had fulfilled the criteria for current or past history of partial PTSD. Among the 10, one was diagnosed as currently suffering from partial PTSD. In females, frequencies of the past history were quite high (50% for full PTSD and 25% for partial PTSD in the eight subjects), while none was currently diagnosed with PTSD.
本研究调查了日本被监禁青少年罪犯中创伤后应激障碍(PTSD)的发生率。使用一份自填式问卷,对251名罪犯(206名男性和45名女性)评估了符合PTSD的《精神疾病诊断与统计手册》第四版(DSM-IV)A标准的压倒性创伤经历的存在情况。对有此类经历的人进行了使用《DSM-IV临床医生用PTSD量表》(CAPS)的结构化访谈。相当一部分(36%)罪犯报告有暴露于此类压倒性创伤事件的经历,符合A标准。在符合A标准的人中,48名受试者(40名男性和8名女性)接受了CAPS访谈。48人中有10人(21%)被诊断为有当前或过去的完全型PTSD病史。这10人中有3人目前被诊断为完全型PTSD。48人中有另外10人(21%)符合当前或过去部分型PTSD病史的标准。在这10人中,有1人被诊断为目前患有部分型PTSD。在女性中,过去病史的发生率相当高(8名受试者中完全型PTSD为50%,部分型PTSD为25%),但目前无人被诊断为PTSD。