Curtis Ashlee, Gooden James R, Cox Catherine A, Harries Travis, Peterson Vanessa, Enticott Peter G, Sanfilippo Paul G, Miller Peter G, Lubman Dan I, Manning Victoria
Centre for Drug Use, Addiction, and Anti-Social Behaviour Research, School of Psychology, Deakin University, Geelong, VIC, Australia.
Turning Point, Eastern Health, Richmond, VIC, Australia.
Psychiatr Psychol Law. 2021 Mar 17;28(6):854-866. doi: 10.1080/13218719.2021.1873204. eCollection 2021.
Effectiveness of interventions for violent behaviour may be undermined by the presence of neurocognitive impairment, which is known to be common among alcohol and other drug (AOD) users and violent offenders. The current study aimed to examine whether the cognitive functioning of individuals with AOD histories presenting to a specialist addiction neuropsychology service differed according to their offending history (i.e. non-offending, non-violent offending and violent offending), using a retrospective case file audit design. Data were extracted from 190 clients. Tests assessed a breadth of cognitive domains. Violent offenders demonstrated the lowest premorbid IQ out of the three groups, and a significantly higher proportion of violent offenders presented with impaired divided attention and impaired cognitive inhibition compared to non-violent offenders. Rates of impairment across groups were well beyond those expected within the general population. Delivery of both AOD and violence interventions should be adapted to accommodate individuals' cognitive difficulties.
暴力行为干预措施的有效性可能会因神经认知障碍的存在而受到削弱，众所周知，神经认知障碍在酒精和其他药物（AOD）使用者以及暴力罪犯中很常见。本研究旨在通过回顾性病例档案审计设计，检验到专业成瘾神经心理学服务机构就诊的有AOD病史的个体的认知功能是否因其犯罪史（即无犯罪史、非暴力犯罪史和暴力犯罪史）而有所不同。数据来自190名客户。测试评估了广泛的认知领域。在三组中，暴力罪犯的病前智商最低，与非暴力罪犯相比，暴力罪犯中存在注意力分散受损和认知抑制受损的比例显著更高。各组的损伤率远高于一般人群的预期水平。AOD干预和暴力干预的实施都应进行调整，以适应个体的认知困难。
