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被拘留少女的攻击性与精神病理学

Aggression and psychopathology in detained adolescent females.

作者信息

Hamerlynck Sannie M J J, Doreleijers Theo A H, Vermeiren Robert, Jansen Lucres M C, Cohen-Kettenis Peggy T

机构信息

VU University Medical Center, Department of Child and Adolescent Psychiatry, c/o De Bascule, P.O. Box 303, 1115 ZG Duivendrecht, The Netherlands.

出版信息

Psychiatry Res. 2008 May 30;159(1-2):77-85. doi: 10.1016/j.psychres.2007.03.001. Epub 2008 Mar 7.

DOI:10.1016/j.psychres.2007.03.001
PMID:18314201
Abstract

The aim of the study was to investigate a group of detained females with regard to aggression and psychopathology and to examine the relationship between the two conditions. For this purpose, a representative sample of 216 detained adolescent females aged 12-18 (mean 15.5) was studied with a standard set of self-report instruments, while a subgroup of 73 parents was interviewed by telephone on the participants' externalizing psychopathology. Based on aggression items derived from the Conduct Disorder section of the Kiddie-SADS, the following three aggression subgroups were identified: (1) non-aggressive (NA; 41%), (2) mildly aggressive (MA; 39%), and (3) severely aggressive (SA; 20%). In addition to high levels of psychopathology for the group as a whole, differences were found between aggression groups, with the NA group demonstrating the lowest levels, the MA group intermediate levels, and the SA group the highest levels. These differences were most pronounced for externalizing psychopathology, and were also found for post-traumatic stress symptomatology (PTSS) and suicidality. The clinical implications of these findings should be investigated in the future, but may well relate to issues of diagnostic identification and administration of adequate and targeted treatment, especially with regard to PTSS and suicidality. Since the current study was cross-sectional, the predictive effect of the investigated relationships should be the focus of further study.

摘要

该研究的目的是调查一组被拘留女性的攻击性和精神病理学情况,并检验这两种情况之间的关系。为此,对216名年龄在12至18岁(平均15.5岁)的被拘留青少年女性进行了代表性抽样研究,使用了一套标准的自我报告工具,同时通过电话采访了73名参与者的父母,了解他们外化性精神病理学情况。根据从儿童版情感障碍及精神分裂症问卷(Kiddie-SADS)品行障碍部分得出的攻击性项目,确定了以下三个攻击性亚组:(1)非攻击性(NA;41%),(2)轻度攻击性(MA;39%),以及(3)重度攻击性(SA;20%)。除了整个组的精神病理学水平较高外,在攻击性亚组之间也发现了差异,NA组表现出最低水平,MA组为中等水平,SA组为最高水平。这些差异在外化性精神病理学方面最为明显,在创伤后应激症状(PTSS)和自杀倾向方面也有发现。这些发现的临床意义应在未来进行研究,但很可能与诊断识别以及给予充分和有针对性的治疗问题有关,特别是关于PTSS和自杀倾向。由于当前研究是横断面研究,所调查关系的预测效果应是进一步研究的重点。

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