Department of Special Needs Education at the Faculty of Psychology and Educational Sciences, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
Psychiatrisch Centrum Sint-Amandus, Beernem, Belgium.
Res Child Adolesc Psychopathol. 2022 Dec;50(12):1589-1604. doi: 10.1007/s10802-022-00974-6. Epub 2022 Sep 9.
To maximize the benefits of prevention and treatment efforts the psychopathy construct has been extended downward in age. Despite advances in the study of psychopathy in adolescence it remains unknown if adolescents with psychopathic traits engage in treatment. To fill this knowledge gap, the relationship between psychopathy and treatment engagement was scrutinized in 261 criminal justice-involved male adolescents (ages 16-17 years). Psychopathic traits were measured by means of a well-established self-report questionnaire (Youth Psychopathic traits Inventory; YPI), whereas treatment engagement was measured using a self-report questionnaire consisting of readiness to change, bond with staff, collaboration on goals/tasks, and therapeutic engagement dimensions. Network analysis was used to detect the most robust relations between ten YPI subscales or the three YPI components and the four treatment engagement dimensions. Findings indicated that the YPI subscales (e.g., remorselessness) rather than the YPI components (e.g., callous-unemotional) might help to understand the complex relationship between psychopathic traits and treatment engagement. Disaggregating all the dimensions across its subscales can help us to identify which specific feature of psychopathy is related to treatment engagement and should be the first focus of intervention.
为了最大程度地发挥预防和治疗工作的益处，人们已经将精神病态结构向下扩展到了年龄更低的阶段。尽管在青少年精神病态研究方面取得了进展，但仍不清楚具有精神病态特征的青少年是否会接受治疗。为了填补这一知识空白，研究人员在 261 名涉及刑事司法的男性青少年（16-17 岁）中仔细研究了精神病态与治疗参与之间的关系。通过使用经过充分验证的自我报告问卷（青少年精神病态特质量表；YPI）来衡量精神病态特征，而使用自我报告问卷来衡量治疗参与度，该问卷包含改变意愿、与工作人员的联系、目标/任务协作以及治疗参与度等维度。网络分析用于检测 YPI 的十个分量表或三个分量表与四个治疗参与度维度之间最稳健的关系。研究结果表明，YPI 分量表（例如，无情）可能比 YPI 分量表（例如，冷酷无情）更有助于理解精神病态特征与治疗参与之间的复杂关系。将所有维度分解为其分量表可以帮助我们确定与治疗参与相关的特定精神病态特征是什么，这应该是干预的首要重点。
