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采用多种方法对青少年品行障碍进行评估:比较 PCL:YV、YPI 和 NEO PRI 的预测效用。

A multimethod assessment of juvenile psychopathy: comparing the predictive utility of the PCL:YV, YPI, and NEO PRI.

机构信息

Department of Psychology and Social Behavior, University of California, Irvine, CA 92697-7085, USA.

出版信息

Psychol Assess. 2009 Dec;21(4):528-42. doi: 10.1037/a0017367.

Abstract

The current study compares 3 distinct approaches for measuring juvenile psychopathy and their utility for predicting short- and long-term recidivism among a sample of 1,170 serious male juvenile offenders. The assessment approaches compared a clinical interview method (the Psychopathy Checklist: Youth Version [PCL:YV]; Forth, Kosson, & Hare, 2003), a new self-report measure (the Youth Psychopathic Traits Inventory; Andershed, Kerr, Stattin, & Levander, 2002), and a personality-based approach (the NEO Psychopathy Resemblance Index; Lynam & Widiger, 2007). Results indicate a modest overlap between the 3 measures (rs = .26-.36); however, youths were often identified as psychopathic by 1 measure but not by others. Measures were weakly correlated with reoffending during subsequent 6- and 12-month periods. Findings suggest that although such scores may be useful indicators of the need for heightened monitoring in the short term, care should be taken when making predictions about long-term recidivism among adolescents. Moreover, the lack of long-term predictive power for the PCL:YV and the inconsistent psychopathy designations obtained with different measures raise serious questions about the use of such measures as the basis for legal or clinical treatment decisions.

摘要

本研究比较了 3 种不同的方法来衡量青少年的精神病态,并在 1170 名严重的男性青少年罪犯样本中预测短期和长期累犯的效用。评估方法比较了临床访谈方法(《精神病态检查表:青少年版》[PCL:YV];Forth、Kosson 和 Hare,2003)、新的自我报告量表(青少年精神病态特征量表;Andershed、Kerr、Stattin 和 Levander,2002)和基于人格的方法(NEO 精神病态相似指数;Lynam 和 Widiger,2007)。结果表明,这 3 种方法之间存在适度的重叠(rs =.26-.36);然而,青少年往往通过 1 种方法而不是其他方法被认定为精神病态。这些措施与随后 6 个月和 12 个月的再犯罪率呈弱相关。研究结果表明,尽管这些分数可能是短期加强监测的有用指标,但在预测青少年的长期累犯时应谨慎。此外,PCL:YV 的长期预测能力不足,以及不同测量方法得出的不一致的精神病态指定,对这些措施作为法律或临床治疗决策基础的使用提出了严重质疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e3/2804251/f13ce53c9fda/nihms164866f1.jpg

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