Hogue T E, Mooney P, Morrissey C, Steptoe L, Johnston S, Lindsay W R, Taylor J
Nottinghamshire Healthcare NHS Trust, Nottingham, UK.
J Intellect Disabil Res. 2007 Oct;51(Pt 10):778-85. doi: 10.1111/j.1365-2788.2006.00938.x.
Despite an increasing knowledge base concerning the assessment of emotional and behavioural problems in people with intellectual disabilities (ID), relatively little research has examined such problems in offenders with ID.
The study assessed 172 male offenders with ID in three service settings (high, medium-low security and community) using the Behaviour Rating Scale of the Emotional Problem Scales (EPS), with the aim of assessing differences in Externalizing and Internalizing Behaviour Problems.
Normative information is presented on the Behaviour Rating Scale of the EPS across three levels of forensic ID care. It was found that offenders in higher secure care scored higher on sub-scales reflecting physical aggression than those in lower secure care. However, there was no difference in terms of other Externalizing Behaviour Problems, such as verbal aggression, non-compliance or hyperactivity. In addition, those offenders in higher secure care scored significantly higher on all Internalizing Behaviour Problems sub-scales, including anxiety, depression and low self-esteem.
Implications for research and clinical practice are discussed, including the utility of the EPS as a measure of clinical need and treatment outcome.
尽管关于智障人士情绪和行为问题评估的知识库不断扩大,但针对智障罪犯此类问题的研究相对较少。
该研究使用情绪问题量表(EPS)的行为评定量表,对172名在三种服务环境(高、中低安全级别和社区)中的男性智障罪犯进行了评估,目的是评估外化和内化行为问题的差异。
给出了跨三个法医智障护理级别的EPS行为评定量表的常模信息。结果发现,在反映身体攻击行为的分量表上,高安全级别护理中的罪犯得分高于低安全级别护理中的罪犯。然而,在其他外化行为问题方面,如言语攻击、不服从或多动,没有差异。此外,高安全级别护理中的那些罪犯在所有内化行为问题分量表上的得分都显著更高,包括焦虑、抑郁和自卑。
讨论了对研究和临床实践的启示,包括EPS作为临床需求和治疗结果衡量指标的效用。