Morshed N M, Rahman F, Qusar M S, Shahid S B, Arafat S M
Professor Dr Nahid Mahjabin Morshed, Professor, Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Mymensingh Med J. 2018 Jan;27(1):168-172.
Inmates of Juvenile Developmental Centers are the special group of youth population who are in conflict with law and are vulnerable to psychiatric disorders. It was aimed to see the variation of prevalence and type of psychiatric disorders in institutionalized male juvenile offenders and non-offenders of same age, sex and socioeconomic group in the community. The association of mental disorders was examined in 138 male inmates of Juvenile Development Centers and 138 randomly selected comparison subjects in community. One stage-structured assessment of psychopathology was carried out by using a structured and valid Bangla version of the Development and Well-Being Assessment (DAWBA). Psychiatric diagnosis was established after scoring from DAWBA that is actually corresponds to diagnosis of ICD-10 for research. It was revealed that, of those who were in conflict with law, 57.2% had mental disorder, whereas 9.4% of non-offenders had psychiatric disorder. Among the offenders with psychiatric disorders, most of them (16.7%) suffered from Conduct Disorder (CD), followed by Major Depressive Disorder (MDD). On the other hand, among the non-offenders with psychiatric disorder 2.2% suffered from CD. Study revealed that psychiatric disorders are more prevalent among the male juvenile offenders with comparison to non-offenders. Broad-based multi centered and cross cultural replication study can generalize the findings.
青少年发展中心的在押人员是与法律发生冲突且易患精神疾病的特殊青年群体。本研究旨在观察在青少年发展中心被收容的男性少年犯以及社区中年龄、性别和社会经济群体相同的非少年犯中精神疾病患病率和类型的差异。对138名青少年发展中心的男性在押人员和138名在社区中随机选取的对照对象进行了精神障碍相关性研究。使用经结构化且有效的孟加拉语版发展与幸福评估量表（DAWBA）进行了一期精神病理学结构性评估。根据DAWBA评分确定精神疾病诊断，该评分实际上与研究中的ICD - 10诊断相对应。结果显示，在与法律发生冲突的人群中，57.2%患有精神障碍，而在非少年犯中，9.4%患有精神疾病。在患有精神疾病的少年犯中，大多数（16.7%）患有品行障碍（CD），其次是重度抑郁症（MDD）。另一方面，在患有精神疾病的非少年犯中，2.2%患有品行障碍。研究表明，与非少年犯相比，精神疾病在男性少年犯中更为普遍。基于广泛的多中心和跨文化重复研究可以推广这些研究结果。
