Ariga Michio, Uehara Toru, Takeuchi Kazuo, Ishige Yoko, Nakano Reiko, Mikuni Masahiko
Department of Psychiatry and Human Behaviour, Gunma University Graduate School of Medicine, Maebashi, Japan.
J Child Psychol Psychiatry. 2008 Jan;49(1):79-87. doi: 10.1111/j.1469-7610.2007.01817.x. Epub 2007 Nov 1.
Although juveniles within the justice system have high psychiatric morbidity, few comprehensive investigations have shown posttraumatic stress disorder (PTSD) in female delinquents. Here, we aim to describe the nature and extent of PTSD and trauma exposure and to clarify the relationships among comorbidity and psychosocial factors in juvenile female offenders.
Sixty-four girls were randomly interviewed using structured tools. Self-report measures were used to assess depression, eating behaviour, impulsivity and parental attitude.
The PTSD prevalence was 33%, and 77% of the female juvenile offenders had been exposed to trauma. The offenders with PTSD showed a significantly high psychiatric comorbidity. Depression and adverse parenting were associated with PTSD development, and abnormal eating was also correlated with PTSD symptoms. Marked differences in the frequency and intensity of PTSD evaluation depending on the type of comorbidity and trauma were observed.
Incarcerated young females in Japan have serious trauma-related problems, and the degree of depression is a strong predictor of PTSD development and symptoms. This study highlights the importance of adequate diagnosis and treatment of PTSD in delinquent female adolescents.
尽管司法系统中的青少年存在较高的精神疾病发病率，但很少有全面调查显示女性少年犯患有创伤后应激障碍（PTSD）。在此，我们旨在描述PTSD的性质和程度以及创伤暴露情况，并阐明青少年女性罪犯中合并症与心理社会因素之间的关系。
使用结构化工具对64名女孩进行随机访谈。采用自我报告测量法评估抑郁、饮食行为、冲动性和父母态度。
PTSD患病率为33%，77%的女性少年犯曾遭受过创伤。患有PTSD的罪犯显示出明显较高的精神疾病合并症。抑郁和不良养育方式与PTSD的发生有关，异常饮食也与PTSD症状相关。根据合并症类型和创伤类型，观察到PTSD评估的频率和强度存在显著差异。
日本被监禁的年轻女性存在严重的创伤相关问题，抑郁程度是PTSD发生和症状的有力预测指标。本研究强调了对女性青少年罪犯的PTSD进行充分诊断和治疗的重要性。
