Schofield Peter W, Mason Racquel, Nelson Paul K, Kenny Dianna, Butler Tony
a Neuropsychiatry Service , Hunter New England Local Health District , Newcastle , Australia.
b School of Medicine and Public Health , University of Newcastle , Newcastle , Australia.
Brain Inj. 2019;33(4):412-418. doi: 10.1080/02699052.2018.1552020. Epub 2018 Dec 2.
To identify correlates of past traumatic brain injury (TBI) in a population of young offenders.
Cross-sectional analyses were conducted on available data from a sample derived from the NSW Young People on Community Orders Health Survey.
Study participants were administered questionnaires to collect history relating to past TBI, childhood trauma, substance abuse, and psychological/psychiatric symptoms and underwent assessments of intellectual functioning. Information on offending history was accessed through Juvenile Justice administrative records.
Analyses were undertaken on data from 788 young offenders (672 males and 116 females). A past TBI was reported in 39%. Symptoms of psychological distress were more prevalent in females. A history of TBI was associated with more symptoms on a Childhood Trauma Questionnaire, as well as higher psychological distress (K-10), and higher levels on standardized measures of anger/violence, post-traumatic stress, and substance abuse.
The experience of early life trauma warrants further consideration as an antecedent to both childhood TBI and offending which might account for some of the previously observed association of mild TBI with subsequent offending behavior.
在一群年轻罪犯中确定既往创伤性脑损伤（TBI）的相关因素。
对来自新南威尔士州社区令青年健康调查样本的现有数据进行横断面分析。
研究参与者接受问卷调查，以收集与既往TBI、童年创伤、药物滥用以及心理/精神症状相关的病史，并接受智力功能评估。通过少年司法行政记录获取犯罪历史信息。
对788名年轻罪犯（672名男性和116名女性）的数据进行了分析。报告有既往TBI的占39%。心理困扰症状在女性中更为普遍。TBI病史与儿童创伤问卷上更多的症状、更高的心理困扰（K-10）以及愤怒/暴力、创伤后应激和药物滥用的标准化测量水平升高有关。
早年创伤经历作为童年TBI和犯罪的一个先决条件值得进一步考虑，这可能解释了先前观察到的轻度TBI与随后犯罪行为之间的一些关联。
