Vizard Eileen, Hickey Nicole, McCrory Eamon
Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry and Department of Psychology, University College London, London, UK.
Br J Psychiatry Suppl. 2007 May;49:s27-32. doi: 10.1192/bjp.190.5.s27.
Little is known about the developmental trajectories of juveniles presenting with sexually abusive behaviour or emerging severe personality disorder traits.
To investigate whether ;age at onset' of sexually abusive behaviour and whether emerging severe personality disorder traits are associated with specific developmental profiles.
A retrospective file review of 280 juveniles presenting with sexually abusive behaviour was conducted and follow-up Offenders Index data were analysed.
Juveniles with early onset (<11 years) of sexually abusive behaviour had higher levels of psychosocial adversity and early childhood antisocial behaviour compared withthose with late onset. Emerging severe personality disorder traits were associated with higher levels of psychosocial adversity, antisocial behaviour, convictions and predatory sexually abusive behaviour.
Preliminary evidence supports the existence of distinct developmental trajectories within this population and points to a key role for traits of emerging severe personality disorder.
对于表现出性虐待行为或出现严重人格障碍特征的青少年的发展轨迹知之甚少。
调查性虐待行为的“发病年龄”以及出现的严重人格障碍特征是否与特定的发展概况相关。
对280名表现出性虐待行为的青少年进行了回顾性档案审查，并分析了后续的犯罪者索引数据。
与性虐待行为发病较晚的青少年相比，性虐待行为发病较早（<11岁）的青少年具有更高水平的心理社会逆境和幼儿期反社会行为。出现的严重人格障碍特征与更高水平的心理社会逆境、反社会行为、定罪和掠夺性性虐待行为相关。
初步证据支持该人群中存在不同的发展轨迹，并指出出现严重人格障碍特征的关键作用。
