Köhler Denis, Heinzen Hanna, Hinrichs Günter, Huchzermeier Christian
University of Hamburg, Germany.
Int J Offender Ther Comp Criminol. 2009 Apr;53(2):211-27. doi: 10.1177/0306624X07312950. Epub 2008 Feb 6.
The current study investigated the prevalence of mental disorders among incarcerated juvenile offenders in Germany and sought to identify clinically relevant subgroups. In sum, 149 newly incarcerated male juvenile delinquents (M age = 19 years) were included. Diagnostic tools included the German version of the Structured Clinical Interview for DSM-IV and the Psychopathy Checklist-Screening Version. The most prevalent diagnoses in the sample included conduct disorders (81%), Cluster B personality disorders (up to 62%), and substance-related disorders (up to 60%). Moreover, psychopathic features were found among 21% of the participants. Cluster analysis distinguished three subgroups among this group of young offenders. The most problematic consisted of juveniles with multiple psychopathology, including antisocial traits, personality pathology, higher scores on the Psychopathy Checklist, as well as multiple substance abuse. Study outcomes are discussed in light of their implications for the development of effective treatment for juvenile offenders.
本研究调查了德国被监禁青少年罪犯中精神障碍的患病率，并试图识别具有临床相关性的亚组。总计纳入了149名新被监禁的男性青少年罪犯（平均年龄 = 19岁）。诊断工具包括德文版的《精神疾病诊断与统计手册》第四版结构化临床访谈和《精神病态量表筛查版》。样本中最常见的诊断包括品行障碍（81%）、B类人格障碍（高达62%）和物质相关障碍（高达60%）。此外，21%的参与者具有精神病态特征。聚类分析在这组年轻罪犯中区分出三个亚组。问题最大的亚组由具有多种精神病理学问题的青少年组成，包括反社会特质、人格病理学、《精神病态量表》得分较高以及多种物质滥用。根据研究结果对青少年罪犯有效治疗发展的影响进行了讨论。
