犯罪行为以及与行为障碍和药物滥用的关联。

Delinquency and association with behavioral disorders and substance abuse.

作者信息

Dória Gustavo Manoel Schier, Antoniuk Sérgio Antonio, Assumpção Junior Francisco Baptista, Fajardo Daniele Nascimento, Ehlke Maurício Nasser

机构信息

Post-Graduate Program in Child and Adolescent Health, Health Sciences Sector, Federal University of Paraná, Curitiba, PR, Brazil.

Department of Clinical Psychology, University of São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2015 Jan-Feb;61(1):51-7. doi: 10.1590/1806-9282.61.01.051.

DOI:10.1590/1806-9282.61.01.051

PMID:25909209

Abstract

OBJECTIVE

to determine the incidence and associations of attention deficit-hyperactivity disorder (ADHD), conduct disorder (CD), and substance abuse disorder (SAD) in adolescents in conflict with the law in a Brazilian cohort.

METHODS

the Brazilian version of the Schedule for Affective Disorders and Schizophrenia for School Aged-Children (K-SADS-PL) was administered to 69 adolescent boys who were incarcerated for 45 days in the city of Curitiba, Brazil.

RESULTS

mean age was 15.5 years (range, 12-16.9 years) and most adolescents originated from disadvantaged social classes (87%). They resided in neighborhoods on the outskirts of the city or towns in the greater metropolitan area. Truancy and low educational achievement were common, with 73.9% not currently attending school and 43.4% not having finished the 5th grade. The great majority lived in single-parent families and many had relatives who themselves had problems with the law. Psychiatric disorders were apparent in 81.1% of the subjects, with the most common disorders being CD (59.4%), SAD (53.6%), and ADHD (43.5%). Both ADHD (p <0.001) and CD (p <0.01) had significant associations with substance abuse.

CONCLUSION

in male adolescents in conflict with the law, ADHD, CD, and SAD were all found to be associated with delinquency.

摘要

目的

确定巴西一个队列中与法律有冲突的青少年的注意力缺陷多动障碍（ADHD）、品行障碍（CD）和物质使用障碍（SAD）的发病率及相关性。

方法

对巴西库里蒂巴市69名被监禁45天的青少年男性实施巴西版学龄儿童情感障碍和精神分裂症检查表（K-SADS-PL）。

结果

平均年龄为15.5岁（范围12 - 16.9岁），大多数青少年来自社会弱势群体（87%）。他们居住在大城市周边的城市或城镇郊区。逃学和低学业成绩很常见，73.9%的人目前未上学，43.4%的人未完成五年级学业。绝大多数人生活在单亲家庭，许多人的亲属自身存在法律问题。81.1%的受试者存在精神障碍，最常见的障碍是品行障碍（59.4%）、物质使用障碍（53.6%）和注意力缺陷多动障碍（43.5%）。注意力缺陷多动障碍（p <0.001）和品行障碍（p <0.01）均与物质滥用存在显著相关性。