Private Practice, Saskatoon, SK, Canada.
University of Saskatchewan, Saskatoon, Canada.
Int J Offender Ther Comp Criminol. 2022 Nov;66(15):1575-1602. doi: 10.1177/0306624X21994066. Epub 2021 Feb 15.
The present study examined the association of juvenile psychopathy features and treatment response in a sample of 102 youth, court adjudicated for sexual offenses and followed up more than 11 years in the community. The Psychopathy Checklist: Youth Version (PCL: YV) was rated from comprehensive archival sources, along with a youth sexual offense risk assessment and treatment planning measure scored pre-and posttreatment. The PCL: YV converged with domains of sexual offense risk and change in conceptually meaningful ways, and significantly predicted nonsexual violent, general violent, and any recidivism; it did not significantly predict sexual recidivism. Higher levels of psychopathy-related personality features were significantly associated with noncompletion of youth sexual offense-specific treatment, while changes in risk were associated with decreased recidivism controlling for PCL: YV score and baseline risk at < .10. The findings underscore the importance of intervention and support services for youth convicted of sexual offenses as well as the clinical and risk relevance of the juvenile psychopathy construct to decrease violent victimization to others.
本研究考察了少年精神病特征与治疗反应之间的关联,该研究样本为 102 名因性犯罪而被法庭判决的青年,并在社区中进行了超过 11 年的随访。使用青少年精神病检查表(PCL:YV)从全面的档案来源进行评估,同时还评估了青少年性犯罪风险评估和治疗计划措施,在治疗前后进行评分。PCL:YV 与性犯罪风险领域以及概念上有意义的变化相一致,并显著预测了非性暴力、一般暴力和任何复发;它与性复发无显著相关性。与青少年性犯罪特定治疗未完成相关的精神病相关人格特征水平较高,而风险的变化与控制 PCL:YV 分数和基线风险(<.10)后减少复发相关。研究结果强调了为被判犯有性犯罪的青年提供干预和支持服务的重要性,以及青少年精神病结构对减少对他人的暴力受害的临床和风险相关性。