Fishbein Diana, Dariotis Jacinda K, Ferguson Pamela L, Pickelsimer E Elisabeth
University of Maryland School of Medicine, Ellicott City, MD, USA
The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Int J Offender Ther Comp Criminol. 2016 Apr;60(5):575-97. doi: 10.1177/0306624X14554778. Epub 2014 Oct 16.
Extensive interviews of correctional inmates in South Carolina (2009-2010) were conducted under a Center for Disease Control and Prevention (CDC) grant. We evaluated the extent to which early traumatic brain injury (TBI) and subsequent illicit drug abuse may conjointly influence development of aggression, controlling for alcohol use, and whether cognitive or emotional dysregulation mediated this relationship. Early TBI predicted greater severity and earlier onset of drug use, and an earlier age at first use predicted greater aggression regardless of the age of TBI. Emotional dysregulation mediated effects of TBI on aggression. The potential to design more targeted treatments for this susceptible population are discussed.
在疾病控制与预防中心（CDC）的一项资助下，于2009年至2010年对南卡罗来纳州的惩教囚犯进行了广泛访谈。我们评估了早期创伤性脑损伤（TBI）和随后的非法药物滥用可能共同影响攻击行为发展的程度，同时控制酒精使用情况，以及认知或情绪失调是否介导了这种关系。早期TBI预示着药物使用的更严重程度和更早开始，而首次使用药物的年龄越早预示着更大的攻击性，无论TBI的发生年龄如何。情绪失调介导了TBI对攻击行为的影响。文中还讨论了为这一易感人群设计更具针对性治疗方法的可能性。
