Behaviour problems in childhood and adolescence in psychotic offenders: an exploratory study.
Behaviour problems in childhood and adolescence in psychotic offenders: an exploratory study.
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DOI：
10.1002/cbm.688
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发表时间：
2008-01-01
期刊：
影响因子：
--
通讯作者：
Van Marle, Hjalmar
中科院分区：
文献类型：
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作者：
Goethals, Kris;Willigenburg, Lisette;Van Marle, Hjalmar
背景：几项研究表明，患有精神分裂症并犯下刑事罪行的成年人可能在童年或青春期就已经表现出行为问题。目前尚不清楚此类问题在此类患者中是否遵循特定模式。AIMS：检查儿童行为检查表(CBCL)在罪犯中的效用，测试CBCL测量的外在行为问题在精神病罪犯中是否比非精神病罪犯更常见，方法：对根据荷兰《托管法》被拘留的三组暴力罪犯(TBS-REQUECTORY)(n=78)和一组普通精神科的精神病患者(n=16)进行CBCL评分。结果：有人格障碍的精神病罪犯(n=25)与非罪犯的精神病患者(n=16)在犯罪行为量表上有显著差异，而有人格障碍的精神病罪犯(n=25)和不伴人格障碍的精神病患者(n=21)之间的差异无统计学意义。等级聚类分析显示，在所有TBS-有人格障碍的被拘留者中，外化行为的得分显著更高。早期犯罪者的外化行为得分高于晚期犯罪者。结论：有人格障碍的精神病罪犯与非精神病罪犯在儿童早期行为问题上有相似之处；无人格障碍的精神病罪犯与无人格障碍的精神病罪犯不同，但与有精神病的非精神病罪犯相似。与非法医人群的研究结果相比，在CBCL的其他问题量表上没有差异。考虑到样本量较小，复制是必要的，但这些发现支持关注后两组精神病但也扩展到前一组人格障碍的治疗模型。
BACKGROUND: Several studies have shown that adults who develop schizophrenia and commit a criminal offence may already have shown behaviour problems in childhood or adolescence. It is less clear whether such problems follow a particular pattern in such patients.AIMS: To examine the utility of the Child Behavior Checklist (CBCL) among offenders, to test whether externalizing behaviour problems, as measured by the CBCL, are more frequent in psychotic offenders than in non-offenders with psychosis, and to investigate relationships between early behavioural problems and adult personality disorder in psychotic offenders.METHODS: Three groups of violent offenders detained under the Dutch Entrustment Act (TBS-detainees)(n = 78) and one group of psychotic patients in general psychiatry (n = 16) were rated from case records on the CBCL.RESULTS: There was a significant difference between psychotic offenders with a personality disorder (n = 25) and the non-offender patients with psychosis (n = 16) on the 'delinquent behavior' scale, but no such difference between psychotic offenders with (n = 25) and without (n = 21) personality disorder. A hierarchic cluster analysis revealed significantly higher scores for externalizing behaviour in all TBS-detainees with a personality disorder. Those starting to offend early had higher scores for externalizing behaviour than late starters.CONCLUSIONS: Psychotic and non-psychotic offenders with personality disorder resemble one another in their early childhood behaviour problems; psychotic offenders without a personality disorder differ from these two groups but resemble non-offenders with psychosis. In contrast to findings in non-forensic populations, there were no differences on other problem scales of the CBCL. Given the small sample sizes, replication is needed, but the findings lend weight to treatment models which focus on the psychosis in the latter two groups but extend also to personality disorder in the former.