Colins Olivier, Vermeiren Robert, Schuyten Gilberte, Broekaert Eric
Department of Special Education, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
Am J Orthopsychiatry. 2009 Jan;79(1):31-8. doi: 10.1037/a0015337.
This study examines the past year prevalence rate of psychiatric disorders in detained male adolescents and the relation between psychiatric disorders and type of offending. The Diagnostic Interview Schedule for Children (DISC-IV) was administered in a sample (N = 245) of male detained adolescents aged 12 to 17 years. Based on lifetime official criminal history, participants were classified into property, violent, and versatile subgroups. High rates of psychiatric disorders were found in all groups. In addition, property offenders reported significantly higher rates of depression, disruptive behavior disorders, substance use disorders and comorbidity than violent and versatile offenders. Overall, versatile offenders did not differ from violent offenders, with the exception of more marijuana use disorder found in violent offenders. This study once more emphasizes that detained boys have substantial mental health needs, a finding that is generalizable across countries. In addition, the current study suggests that classifying detained juveniles by offense subgroups may carry clinical relevance. The long-term impact of these differences, and the possible effects of intervention, should be subject of further research.
本研究调查了被拘留男性青少年过去一年中精神障碍的患病率,以及精神障碍与犯罪类型之间的关系。对245名年龄在12至17岁的被拘留男性青少年样本实施了儿童诊断访谈表(DISC-IV)。根据终生官方犯罪史,参与者被分为财产犯罪、暴力犯罪和多面手犯罪亚组。所有组中均发现精神障碍的高患病率。此外,财产犯罪者报告的抑郁症、破坏性行为障碍、物质使用障碍及共病率显著高于暴力犯罪者和多面手犯罪者。总体而言,多面手犯罪者与暴力犯罪者没有差异,但暴力犯罪者中发现的大麻使用障碍更多。本研究再次强调,被拘留男孩有大量的心理健康需求,这一发现具有跨国普遍性。此外,当前研究表明,按犯罪亚组对被拘留青少年进行分类可能具有临床相关性。这些差异的长期影响以及干预的可能效果应成为进一步研究的主题。