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具有智力障碍和精神障碍的成年人的比较研究,包括有和没有法医参与的情况。

A comparison study of adults with intellectual disability and psychiatric disorder with and without forensic involvement.

机构信息

Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

出版信息

Res Dev Disabil. 2010 Jan-Feb;31(1):218-23. doi: 10.1016/j.ridd.2009.09.008. Epub 2009 Oct 23.

Abstract

The current study describes and compares profiles of patients in the same specialized hospital program for patients with intellectual disability with and without forensic involvement. A retrospective chart review of 78 individuals (39 forensic and 39 non-forensic) served between 2006 and 2008 was completed. The forensic sample was more likely to have a diagnosis of borderline to mild IQ and psychotic disorder was more common. Forensic patients were also more likely to have previously used drugs or alcohol. Forensic inpatients had significantly longer lengths of stay, and were more likely to change residence from admission to discharge than the non-forensic inpatients but the GAF scores did not differ between the two groups at admission or discharge. Although there are many similarities between the two groups, there are also some important differences that exist which should be considered in the design of inpatient and outpatient mental health and intellectual disability services.

摘要

本研究描述并比较了同一所专门医院中具有和不具有法医学背景的智障患者的患者特征。对 2006 年至 2008 年间的 78 名患者(39 名法医学患者和 39 名非法医学患者)进行了回顾性图表审查。法医学样本更有可能被诊断为边缘型至轻度智商障碍,且精神病障碍更为常见。法医学患者也更有可能曾经使用过毒品或酒精。法医学住院患者的住院时间明显更长,并且从入院到出院期间更有可能改变住所,而非法医学住院患者则没有这种情况,但两组患者在入院和出院时的 GAF 评分没有差异。尽管这两组患者有许多相似之处,但也存在一些重要的差异,在设计住院和门诊精神健康及智力残疾服务时应该考虑这些差异。

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