Louis de la Parte Florida Mental Health Institute, Mental Health Law and Policy, University of South Florida, 13301 Bruce B. Downs Boulevard MHC 2639, Tampa, FL 33612, USA.
Psychol Addict Behav. 2012 Jun;26(2):212-25. doi: 10.1037/a0028047. Epub 2012 May 7.
Substance use disorders are associated with psychopathy, a personality disorder that is heterogeneous in both adults and youth; secondary variants of psychopathy with comorbid psychopathology and primary variants without comorbidity show distinct correlates and outcomes. In adult criminal populations, secondary variants report greater substance abuse compared with primary variants. The primary aim of this study is to replicate and extend these findings to a juvenile offender population. Compared with primary variants of juvenile psychopathy, secondary variants (a) reported significantly more frequent substance use--particularly alcohol--within the 6 months prior to incarceration (d = .43), (b) were almost twice as likely to abuse substances while incarcerated, and (c) were more likely to be diagnosed with a current Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV; American Psychiatric Association, 2000) substance use disorder. Practical implications for working with justice-involved youth are discussed.
物质使用障碍与精神病态有关，精神病态是一种在成人和青少年中都具有异质性的人格障碍；伴有共病精神病理学的次要变体和没有共病的主要变体表现出不同的相关性和结果。在成年罪犯群体中，次要变体报告的物质滥用比主要变体更为严重。本研究的主要目的是将这些发现复制并扩展到青少年犯罪人群。与青少年精神病态的主要变体相比，次要变体（a）在被监禁前的 6 个月内报告了更频繁的物质使用——尤其是酒精（d =.43），（b）在监禁期间滥用物质的可能性几乎是前者的两倍，（c）更有可能被诊断为当前的《精神障碍诊断与统计手册》（第 4 版，文本修订版；DSM-IV；美国精神病学协会，2000）物质使用障碍。讨论了与涉及司法的青少年合作的实际意义。
