't Hart-Kerkhoffs Lisette A, Jansen Lucres M, Doreleijers Theo A, Vermeiren Robert, Minderaa Ruud B, Hartman Catharina A
Department of Child and Adolescent Psychiatry, VU University Medical Center Amsterdam, Duivendrecht, The Netherlands.
J Clin Psychiatry. 2009 Feb;70(2):266-72. doi: 10.4088/jcp.08m04635. Epub 2009 Feb 10.
To investigate autism spectrum disorder (ASD) symptoms in juvenile suspects of sex offenses.
A group of 175 juvenile suspected sex offenders (all males, mean +/- SD age = 14.9 +/- 1.4 years) was compared with a matched healthy control group (N = 500, mean +/- SD age = 14.0 +/- 1.4 years) and a group of children with DSM-IV-diagnosed ASD (N = 114, mean +/- SD age = 14.2 +/- 1.9 years) with respect to autistic symptoms as measured by means of a standardized questionnaire, the Children's Social Behavior Questionnaire. Furthermore, specific subgroups of sexual offenders, i.e., child molesters, solo peer offenders, and group offenders, were compared with regard to levels of ASD symptoms. The study was conducted from May 2003 to December 2006.
Significantly higher levels of ASD symptoms were found in juvenile sex offenders than in healthy controls, while levels were lower than in the ASD group (F = 148.259, p < .05). Solo peer offenders and child molesters scored higher on several subscales as well as on core autistic symptoms than group offenders (F = 5.127, p < .05).
Levels of ASD symptoms are higher in juvenile suspects of sex offenses as compared to the healthy population, which argues for considering specific diagnostic assessment in this population, especially in solo offenders and child molesters.
调查青少年性犯罪嫌疑人的自闭症谱系障碍(ASD)症状。
将一组175名青少年性犯罪嫌疑人(均为男性,平均年龄±标准差=14.9±1.4岁)与一组匹配的健康对照组(N = 500,平均年龄±标准差=14.0±1.4岁)以及一组经DSM-IV诊断为ASD的儿童(N = 114,平均年龄±标准差=14.2±1.9岁)进行比较,通过标准化问卷《儿童社会行为问卷》来测量自闭症症状。此外,还比较了性犯罪者的特定亚组,即恋童癖者、单独与同龄人犯罪者以及团伙犯罪者的ASD症状水平。该研究于2003年5月至2006年12月进行。
发现青少年性犯罪嫌疑人的ASD症状水平显著高于健康对照组,而低于ASD组(F = 148.259,p <.05)。单独与同龄人犯罪者和恋童癖者在几个分量表以及核心自闭症症状上的得分高于团伙犯罪者(F = 5.127,p <.05)。
与健康人群相比,青少年性犯罪嫌疑人的ASD症状水平更高,这表明应对该人群进行特定的诊断评估,尤其是单独犯罪者和恋童癖者。