不能进步的人格障碍罪犯:使用部分最小方程的案例对照研究 结构方程建模 路径分析
Georgina Mathlin1, Mark Freestone1,2, Celia Taylor3
1Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
JMIRx med
|September 19, 2023
概括
具有人格障碍的犯罪者,对治疗和显著的精神病理有负面态度,不太可能在犯罪者人格障碍 (OPD) 途径上取得进展. 解决这些因素是改善服务接受度的关键.
科学领域:
- 法医心理学 法医心理学
- 临床心理学 临床心理学
- 犯罪学 犯罪学
背景情况:
- 让有个性障碍的犯罪者参与治疗并留在治疗中,带来了重大挑战.
- 英国犯罪者人格障碍 (OPD) 途径旨在识别和参与这些个人.
- 在OPD路径上的一小部分违法者没有被接受到服务中,阻碍了他们的进步.
研究的目的:
- 识别和描述OPD路径上未能取得进展的违法者.
- 了解路径内不进步的根本原因.
主要方法:
- 一项比较研究涉及50名违法者被拒绝至少两项OPD服务 (非进展组) 和100名被接受服务的违法者 (控制组).
- 部分最小方程结构方程建模用于分析影响服务不接受的因果因素.
主要成果:
- 对治疗的态度是非进展中最重要的因素 (β=.41;P<.001;f2=0.25).
- 精神病理学,包括精神病变,精神病症和同时出现的人格障碍,也强烈影响了非进展 (β=.41; P<.001; f2=0.25).
结论:
- 调查结果为未来的干预提供了基础,以增强在OPD服务中接受有个性障碍的犯罪者.
- 针对负面的治疗态度和管理心理病理对于改善途径进展至关重要.
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