Vermeiren R, Colins O F, Popma A, Mulder E
Tijdschr Psychiatr. 2015;57(12):881-5.
Over the past 20 years there has been a marked increase in research relating to forensic child and adolescent psychiatry.
To review briefly and reflect on this research.
First of all, we describe the characteristics of forensic psychiatry and consider the consequences of this type of psychiatry for research in forensic settings. Secondly, we highlight several lines of research; these range from neurobiology to the prevalence of psychiatric disorders in persons who have committed specific types of offences.
A majority of young people who have been in contact with the law appeared to have a psychiatric disorder, especially behavioural disorders, ADHD and substance abuse. However, also anxiety and depressive disorders were found in 10-20% of all delinquent young people. Particularly the existence of more than one disorder showed a connection between the nature and the severity of the delinquent behaviour and the disfunctioning of the adolescent. Current research focuses on stress and HPA axis of young people in relation to proactive and reactive aggression.
In the past decades research in forensic child and adolescent psychiatry has taken an enormous flight. One of the challenges for the future will be translating the results of the research into practice.
在过去20年里，与法医儿童和青少年精神病学相关的研究显著增加。
简要回顾并思考这项研究。
首先，我们描述法医精神病学的特征，并考虑这种精神病学类型对法医环境中研究的影响。其次，我们突出几条研究线路；这些研究范围从神经生物学到实施特定类型犯罪的人群中精神障碍的患病率。
大多数与法律有接触的年轻人似乎患有精神障碍，尤其是行为障碍、注意力缺陷多动障碍和药物滥用。然而，在所有违法青少年中，10%-20%的人也患有焦虑和抑郁障碍。特别是多种障碍的存在表明了违法犯罪行为的性质和严重程度与青少年功能失调之间的联系。当前的研究集中在年轻人的压力和下丘脑-垂体-肾上腺轴与主动攻击和反应性攻击的关系上。
在过去几十年里，法医儿童和青少年精神病学的研究取得了巨大进展。未来的挑战之一将是把研究结果转化为实践。
