CAJ | 학술논문

目的:调查湖南、四川两省男性青少年暴力犯罪者的精神健康状况,比较湖南省暴力犯罪与非暴力犯罪青少年间精神障碍患病率的差异.方法:在湖南某未成年管教所随机抽取100例(实际完成91例)暴力犯罪青少年、65例(实际完成64例)非暴力犯罪青少年；在四川某未成年管教所随机抽取90例(实际完成81例)暴力犯罪青少年；在湖南某中学抽取40例(实际完成39例)高中学生、四川某中学抽取50例(实际完成49例)高中学生作为对照.以儿童少年精神障碍调查筛查表及半定式诊断检查表,以精神疾病诊断与统计手册-Ⅳ为诊断标准调查上述青少年精神障碍的患病状况.结果:湖南暴力犯罪组品行障碍(86.6％)、物质滥用(17.6％)和物质依赖(9.9％)的患病率,湖南非暴力犯罪组品行障碍(75.0％)和物质滥用(11.7％)的患病率均高于湖南对照组,差异有统计学意义(P＜0.05).四川暴力犯罪组注意缺陷障碍(17.3％)、对抗性障碍(18.5％)、品行障碍(69.1％)和物质滥用(22.2％)的患病率均高于四川对照组,差异有统计学意义(P＜0.05).湖南暴力犯罪组中63.7％、四川暴力犯罪组中55.6％、湖南非暴力犯罪组中45.0％的青少年犯罪者有犯罪前科.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,从而减少青少年犯罪的发生.
목적:조사호남、사천량성남성청소년폭력범죄자적정신건강상황,비교호남성폭력범죄여비폭력범죄청소년간정신장애환병솔적차이.방법:재호남모미성년관교소수궤추취100례(실제완성91례)폭력범죄청소년、65례(실제완성64례)비폭력범죄청소년；재사천모미성년관교소수궤추취90례(실제완성81례)폭력범죄청소년；재호남모중학추취40례(실제완성39례)고중학생、사천모중학추취50례(실제완성49례)고중학생작위대조.이인동소년정신장애조사사사표급반정식진단검사표,이정신질병진단여통계수책-Ⅳ위진단표준조사상술청소년정신장애적환병상황.결과:호남폭력범죄조품행장애(86.6％)、물질람용(17.6％)화물질의뢰(9.9％)적환병솔,호남비폭력범죄조품행장애(75.0％)화물질람용(11.7％)적환병솔균고우호남대조조,차이유통계학의의(P＜0.05).사천폭력범죄조주의결함장애(17.3％)、대항성장애(18.5％)、품행장애(69.1％)화물질람용(22.2％)적환병솔균고우사천대조조,차이유통계학의의(P＜0.05).호남폭력범죄조중63.7％、사천폭력범죄조중55.6％、호남비폭력범죄조중45.0％적청소년범죄자유범죄전과.결론:청소년범죄자정신건강문제엄중,박절수요제정화실시침대청소년범죄정신상황유효적평고화치료방법,종이감소청소년범죄적발생.
To investigate the prevalence of mental health problems in male violent offenders of Hunan and Sichuan Provinces; and to compare the types and severity of problems between the violent and nonviolent offenders.Methods:Ninety-one violent juvenile offenders and 64 nonviolent juvenile offenders in the juvenile detention centers of Hunan,and 81 violent juvenile offenders in the juvenile detention centers of Sichuan; 39 high school students from a middle school of Hunan Province and 49 from a middle school of Sichuan Province were investigated using the Investigation Screening Inventory for Child Mental Disorder and the Kiddy Schedule for Affective Diseases and Schizophrenia (K-SADS-PL),and classified according to the Diagnostic and Statistical Manual of Mental Disorders.Results:In the Hunan violent group,86.6％ met the criterion of conduct disorder (CD),17.6％ of substance abuse,9.9％ of substance dependence,while in the Hunan nonviolent group,75.0％ met the criterion of CD,and 11.7％ of substance abuse; these were all significantly higher than those of the control group (P＜0.05).In the Sichuan violent group,17.3％ met the criterion of attention deficit/hyperactivity disorder (ADHD),18.5％ of oppositional defiant disorder (ODD),69.1％of CD,and 22.2％ of substance abuse; these were all significantly higher than those of the Sichuan control group.Moreover,63.7％ of Hunan-violent,55.6％ of Sichuan-violent,and 45.0％ of Hunannonviolent offenders had a previous offence records.Conclusion:Mental and behavioral disorders among delinquent youth is becoming a serious problem,and there is an urgent need to develop and implement effective assessment and treatment approaches for juvenile offenders with the aim of reducing offence and recidivism in this population.