Hachtel H, Jenkel N, Schmeck K, Graf M, Fegert J M, Schmid M, Boonmann C
Department of Forensic Psychiatry, Psychiatric University Hospitals (UPK) Basel, Wilhelm Klein-Strasse 27, 4002, Basel, Switzerland.
Child and Adolescent Research Department, Psychiatric University Hospitals (UPK) Basel, Basel, Switzerland.
Child Adolesc Psychiatry Ment Health. 2022 Jun 28;16(1):55. doi: 10.1186/s13034-022-00487-6.
The purpose of this study was to evaluate the self-reported stability of psychopathic traits in adolescents in residential care (both child welfare and juvenile justice placed juveniles) and potential influencing factors.
We applied the Youth Psychopathic traits Inventory (YPI) in a sample of 162 adolescents (M = 15.0 years, SD = 1.3) over a mean time interval of 11 months (min. 6, max. 21 months, SD = 3.14).
There was no significant difference in YPI total score nor in the three underlying dimensions Grandiose-Manipulative (GM), Callous-Unemotional (CU), and Impulsive-Irresponsible (II) between t1 and t2. Furthermore, approximately 70% of the adolescents showed no clinically significant reliable change on the YPI total score (as measured with the reliable change index), 15% improved, 15% deteriorated. The strongest predictor for psychopathic traits at t2 were psychopathic traits at t1. Additional predictors for higher levels of general psychopathic traits was male sex, for CU-traits male sex and lower levels of internalizing mental health problems, and for II-traits higher levels of externalizing mental health problems. Generally, the three reliable change groups (increase, no change, decrease) did not seemed to differ on relevant factors.
Our results add to the findings that psychopathic traits are relatively stable in this at-risk group over approximately a 1-year time interval. Research with a longer follow-up time and more time points is warranted to better interpret these results.
本研究旨在评估在寄养机构中的青少年(包括儿童福利机构和少年司法机构安置的青少年)自我报告的精神病态特质稳定性及潜在影响因素。
我们在162名青少年(平均年龄M = 15.0岁,标准差SD = 1.3)样本中应用青少年精神病态特质量表(YPI),平均时间间隔为11个月(最短6个月,最长21个月,标准差SD = 3.14)。
在t1和t2之间,YPI总分以及三个潜在维度(夸大-操纵性(GM)、冷酷-无情(CU)和冲动-不负责任(II))均无显著差异。此外,约70%的青少年在YPI总分上没有临床显著的可靠变化(用可靠变化指数衡量),15%有所改善,15%有所恶化。t2时精神病态特质的最强预测因素是t1时的精神病态特质。一般精神病态特质水平较高的其他预测因素是男性,CU特质的预测因素是男性和较低水平的内化心理健康问题,II特质的预测因素是较高水平的外化心理健康问题。总体而言,三个可靠变化组(增加、无变化、减少)在相关因素上似乎没有差异。
我们的结果进一步证明,在大约1年的时间间隔内,这一高危群体中的精神病态特质相对稳定。有必要进行更长随访时间和更多时间点的研究,以更好地解释这些结果。