Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood
Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood
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DOI：
10.1176/appi.ajp.157.9.1406
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发表时间：
2000-09-01
影响因子：
17.7
通讯作者：
Brook, JS
中科院分区：
文献类型：
--
作者：
Johnson, JG;Cohen, P;Brook, JS
目的：一个以社区为基础的，纵向前瞻性研究进行了调查是否在青春期的人格障碍与青少年和成年早期的暴力行为的风险升高。方法：一个以社区为基础的样本717名青少年从北部纽约和他们的母亲在1983年，1985-1986年，1991-1993年进行了采访。1983年和1985-1986年对轴I和轴II疾病进行了评估。反社会人格障碍没有被评估，因为大多数参与者在1983年和1985-1986年不到18岁。1985-1986年和1991- 1993年对青少年的暴力行为进行了评估。结果：与社区其他青少年相比，具有较多DSM-IV A群或B群人格障碍症状的青少年在青春期和成年早期更容易发生暴力行为，包括纵火、殴打、破门而入、引发肢体冲突、抢劫和威胁伤害他人。在控制了青少年的年龄和性别、父母的精神病理学和社会经济地位以及青春期同时发生的精神疾病后，这些关联仍然显着。偏执，自恋，和被动攻击性人格障碍症状在青春期独立相关的暴力行为和犯罪行为的风险在青春期和成年早期的协变量后controlled.Conclusions：集群A和集群B人格障碍和偏执，自恋，和被动攻击性人格障碍症状在青春期可能会增加暴力行为的风险，持续到成年早期。
Objective: A community-based, longitudinal prospective study was conducted to investigate whether personality disorders during adolescence are associated with elevated risk for violent behavior during adolescence and early adulthood.Method: A community-based sample of 717 youths from upstate New York and their mothers were interviewed in 1983, 1985-1986, and 1991-1993. Axis I and II disorders were assessed in 1983 and 1985-1986. Antisocial personality disorder was not assessed because most participants were less than 18 years of age in 1983 and 1985-1986. Violent behavior was assessed in 1985-1986 and 1991-1993.Results: Adolescents with a greater number of DSM-IV cluster A or cluster B personality disorder symptoms were more likely than other adolescents in the community to commit violent acts during adolescence and early adulthood, including arson, assault, breaking and entering, initiating physical fights, robbery, and threats to injure others. These associations remained significant after controlling for the youths' age and sex, for parental psychopathology and socioeconomic status, and for co-occurring psychiatric disorders during adolescence. Paranoid, narcissistic, and passive-aggressive personality disorder symptoms during adolescence were independently associated with risk for violent acts and criminal behavior during adolescence and early adulthood after the covariates were controlled.Conclusions: Cluster A and cluster B personality disorders and paranoid, narcissistic, and passive-aggressive personality disorder symptoms during adolescence may increase risk for violent behavior that persists into early adulthood.