Alessi N E, McManus M, Grapentine W L, Brickman A
J Affect Disord. 1984 Feb;6(1):9-17. doi: 10.1016/0165-0327(84)90003-x.
The authors systematically evaluated a selected population of juvenile offenders for the prevalence of affective disorders. Seventy-one (40 male, 31 female) serious juvenile offenders were interviewed using the Schedule for Affective Disorders and Schizophrenia (SADS). They were then diagnosed using the Research Diagnostic Criteria (RDC) and the DSM-III. The Hamilton Rating Scales (HRS), Carroll Self-Rating Scale (CSRS), and Global Rating Scale for Depression (GRS) were also obtained for each subject. Eleven (15%) subjects were diagnosed as having an active major depressive disorder (MDDa), 6 (8%) subjects were diagnosed as having a major depressive disorder in remission (MDDr), and 9 (13%) as having a minor depressive disorder (mDD). The HRS, CSRS, and GRS differentiated the MDDa from the other three groups including MDDr, mDD and all other psychiatric diagnoses. RDC subtypes of depressive disorders were identified in those juvenile offenders with active major depressive disorders (MDDa) and compared to a population of hospitalized adolescents with major depressive disorders. There were significant differences in the distribution of the subtypes identified. Secondary, agitated and endogenous subtypes occurred significantly more often. The diagnostic, prognostic and therapeutic significance of these findings are discussed.
作者系统评估了特定群体的青少年罪犯情感障碍的患病率。使用情感障碍和精神分裂症检查表（SADS）对71名（40名男性，31名女性）严重青少年罪犯进行了访谈。然后根据研究诊断标准（RDC）和《精神疾病诊断与统计手册》第三版（DSM-III）对他们进行诊断。还为每个受试者获取了汉密尔顿评定量表（HRS）、卡罗尔自评量表（CSRS）和抑郁总体评定量表（GRS）。11名（15%）受试者被诊断为患有活动性重度抑郁症（MDDa），6名（8%）受试者被诊断为患有缓解期重度抑郁症（MDDr），9名（13%）患有轻度抑郁症（mDD）。HRS、CSRS和GRS将MDDa与其他三组区分开来，包括MDDr、mDD和所有其他精神疾病诊断。在患有活动性重度抑郁症（MDDa）的青少年罪犯中确定了抑郁症的RDC亚型，并与患有重度抑郁症的住院青少年群体进行了比较。所确定的亚型分布存在显著差异。继发性、激越性和内源性亚型出现的频率明显更高。讨论了这些发现的诊断、预后和治疗意义。
