童年和青少年逆境与首发精神病患者被捕风险的关联。
Associations Between Childhood and Adolescence Adversity and Risk for Arrest Among Patients With First-Episode Psychosis.
机构信息
Research Foundation for Mental Hygiene, Inc., New York City (Pope); DeKalb Community Service Board, Decatur, Georgia (Ashekun); Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Pope, Zern, Compton); Department of Biostatistics and Bioinformatics, Rollins School of Public Health of Emory University, Atlanta (Kelley); New York State Psychiatric Institute, New York City (Compton).
出版信息
Psychiatr Serv. 2021 Jul 1;72(7):826-829. doi: 10.1176/appi.ps.202000238. Epub 2021 Apr 6.
OBJECTIVE
The authors assessed associations between childhood and adolescent adversity and arrest among individuals with first-episode psychosis (FEP). The authors also sought to determine which domains of adversity had the greatest impact and whether associations varied by gender.
METHODS
Data were analyzed from 247 patients with FEP admitted to inpatient psychiatric units between August 2008 and June 2013. Analyses focused on self-reported history of arrest and seven scales of past adversity, with 14 subscales reduced to three factors. Binary logistic regression and negative binomial regression determined associations between the three childhood adversity factors and having ever been arrested and number of arrests, respectively.
RESULTS
Past experience of violence and environmental adversity was significantly (p<0.001) associated with both history of arrest (odds ratio=2.29) and number of arrests (β=0.60), and this association was stronger for female patients than for male patients.
CONCLUSIONS
Findings suggest a need to address both past adversity and criminal justice system involvement in the context of early psychosis specialty care.
目的
本研究旨在评估个体首次发病精神病（FEP）患者的童年和青少年逆境与逮捕之间的关联。作者还试图确定逆境的哪些领域影响最大，以及这些关联是否因性别而异。
方法
本研究分析了 2008 年 8 月至 2013 年 6 月期间住院精神科病房收治的 247 名 FEP 患者的数据。分析集中在自我报告的被捕史和过去逆境的七个量表上，14 个分量表简化为三个因素。二元逻辑回归和负二项回归分别确定了三个童年逆境因素与曾经被捕和被捕次数之间的关联。
结果
过去经历过暴力和环境逆境与被捕史（优势比=2.29）和被捕次数（β=0.60）显著相关（p<0.001），而且这种关联在女性患者中比男性患者更强。
结论
研究结果表明，在早期精神病专科护理中，需要同时解决过去的逆境和刑事司法系统的参与问题。
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