Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, Tampa, USA.
Psychol Assess. 2012 Mar;24(1):77-87. doi: 10.1037/a0024623. Epub 2011 Jul 25.
We undertook a secondary data analysis to study issues relevant to co-occurring mental health and substance disorder in a combined sample of offenders (N = 3,197). Using the Personality Assessment Inventory, we compared the frequency of depressive, traumatic stress, and personality disorder symptom elevations across offenders with and without substance problems, identified the extent to which co-occurring problems were accompanied by risk factors for suicide and aggression, and tested for gender differences. Offenders with substance problems were more likely than others to have increased mental health problems and risk factors for suicide or aggression. Women with substance problems, compared with men, had higher depression, traumatic stress, and borderline features, in addition to lower antisocial features. The frequency with which suicide and aggression risk factors were associated with mental health problems was generally similar across men and women. Measurement issues relevant to co-occurring disorder and risk assessment are discussed.
我们进行了二次数据分析，以研究在合并的罪犯样本（N=3197）中同时存在的心理健康和物质障碍相关问题。我们使用人格评估量表（Personality Assessment Inventory），比较了有和没有物质问题的罪犯中抑郁、创伤后应激和人格障碍症状升高的频率，确定了同时存在的问题伴随自杀和攻击风险因素的程度，并测试了性别差异。有物质问题的罪犯比其他人更有可能出现心理健康问题和自杀或攻击的风险因素。与男性相比，有物质问题的女性除了反社会特征较低外，还有更高的抑郁、创伤后应激和边缘特征。自杀和攻击风险因素与心理健康问题相关的频率在男性和女性中大致相似。讨论了与共病和风险评估相关的测量问题。
