Colins Olivier F, Vermeiren Robert R J
Curium/Leiden University Medical Center, Leiden, the Netherlands.
J Nerv Ment Dis. 2013 Sep;201(9):736-43. doi: 10.1097/NMD.0b013e3182a20e94.
The aim of this study was to test whether the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and DSM-5 conduct disorder (CD) subtyping approaches identify adolescents with concurrent psychiatric morbidity and an increased risk to reoffend. A diagnostic interview was used to assess childhood-onset CD (CoCD), adolescent-onset CD (AoCD), and concurrent psychiatric morbidity in 223 detained male adolescents. The callous-unemotional (CU) specifier was established through a self-report questionnaire. Two to four years later, information on official criminal recidivism was collected. The CoCD and AoCD youths were different in concurrent psychiatric morbidity but not in their risk to reoffend. The youths with CD and CU (CD+CU) and the CD-only youths did not differ with regard to concurrent psychiatric morbidity. In addition, the CD+CU youths were at risk to reoffend but merely when compared with their counterparts without CD/CU. Although CD subtyping approaches may identify youths with concurrent psychiatric morbidity, the usefulness to predict recidivism in already delinquent youths is limited.
本研究的目的是检验《精神疾病诊断与统计手册》第四版（DSM-IV）和DSM-5中品行障碍（CD）的亚型分类方法能否识别出同时患有精神疾病且再次犯罪风险增加的青少年。采用诊断性访谈评估了223名被拘留男性青少年中的儿童期起病的品行障碍（CoCD）、青少年期起病的品行障碍（AoCD）以及同时存在的精神疾病。冷酷无情（CU）特质通过一份自陈问卷确定。两到四年后，收集了官方犯罪再犯信息。CoCD和AoCD青少年在同时存在的精神疾病方面存在差异，但在再次犯罪风险方面没有差异。患有CD和CU（CD+CU）的青少年与仅患有CD的青少年在同时存在的精神疾病方面没有差异。此外，CD+CU青少年有再次犯罪的风险，但仅与没有CD/CU的同龄人相比时才是如此。尽管CD亚型分类方法可能识别出同时患有精神疾病的青少年，但在预测已犯罪青少年的再犯情况方面其效用有限。
