中国临床心理学杂志

长沙、成都男性犯罪青少年精神障碍患病率调查

作者：周建松¹ 陈琛¹ 王红¹ 张四美¹ 罗宇鹏² 邱昌建² 蔡伟雄¹ 3 王小平¹

单位：1. 中南大学湘雅二医院精神卫生研究所湖南长沙410011
2. 四川大学华西心理卫生中心四川成都610041
3. 司法部司法鉴定科学技术研究所上海法医重点实验室

关键词：青少年犯罪品行障碍患病率

分类号：C913.5

出版年,卷(期):页码：2012,20(1):53-55

摘要：

目的:比较长沙、成都两地男性青少年犯罪者及不同犯罪类型间精神障碍患病率差异。方法:抽取长沙某未成年管教所100例暴力犯罪青少年、65例非暴力犯罪青少年,成都某未成年管教所90例暴力犯罪青少年,抽取长沙某中学40名、成都某中学50名高中学生为对照。以儿童少年精神障碍调查表及半定式诊断检查表,调查精神障碍的患病状况。结果:长沙暴力犯罪组品行障碍(CD)(86.6%)、物质滥用(17.6%)和物质依赖(9.9%)的患病率,长沙非暴力犯罪组CD(75.0%)和物质滥用(11.7%)的患病率均显著高于长沙对照组;成都暴力犯罪组注意缺陷障碍(17.3%)、对抗性障碍(18.5%)、CD(69.1%)和物质滥用(22.2%)的患病率均显著高于成都对照组。长沙暴力组与成都暴力组的注意缺陷患病率(5.0%vs.20.8%)与CD患病率(90.0%vs 73.6%)差异显著。结论:青少年犯罪者精神健康问题严重,迫切需要制定和实施针对青少年犯罪精神状况有效的评估和治疗方法。

Objective: To investigate and compare the mental health of the juvenile delinquents, in Changsha and Chengdu. Methods: 100 male violent juvenile offenders and 65 male non-violent juvenile offenders in a Juvenile Correctional Facility of Changsha, and 90 male violence juvenile offenders in a Juvenile Correctional Facility of Chengdu, 40 high school students from a middle school of Changsha and 50 high school students from a middle school of Chengdu were investigated with the Investigation Screening Inventory for Child Mental Disorder (self-made) and the Kiddy Schedule for Affective Diseases and Schizophrenia (K-SADS-PL). Results: In the Changsha violent group, 86.6% of the juvenile offenders met the criteria for Conduct Disorder (CD), 17.6% met the criteria for the Substance Abuse, 9.9% met the criteria for the Substance Dependence, these were all significantly higher than those of the Changsha control group. In the Chengdu violent group, 17.3% met the criteria for ADHD, 18.5% met the criteria for the OCD, 69.1% met the criteria for the CD, 22.2% met the criteria for the Substance Abuse, these were all significantly higher than those of the Chengdu control. The prevalence of the ADHD(5.0% vs. 20.8%) and CD(90.0% vs 73.6%) in the robbery had significant difference between the Changsha and Chengdu violent group. Conclusion: There are high rates of mental disorder in juvenile delinquents.

基金项目：

国家科技支撑计划(2007BAI17B03);国家自然科学基金(30800368);上海市法医学重点实验室开放课题(KF1006)

作者简介：

参考文献：

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