在法国的封闭教育中心中精神障碍的流行程度
Guillaume Bronsard1, Pierre-Antoine Leroux2, Issaga Diallo3
1Childhood and Adolescent Psychiatry Department, Bohars Hospital, Brest University Hospital, Brest, France; EA7479 SPURBO, University of Western Brittany, Brest, France; EA3279 CEReSS, University of Aix-Marseille, Marseille, France.
L'Encephale
|February 17, 2024
概括
关闭教育中心的年轻犯罪者经常有行为障碍和其他心理健康问题. 早期发现和量身定制的干预措施对于更好的结果至关重要.
科学领域:
- 法医精神病学 法医精神病学
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 关闭教育中心 (CEC) 的年轻犯罪者经常出现行为障碍 (CD) 和其他心理健康状况.
- 在这个弱势群体中,不良的生活经历和创伤很常见,影响了教育干预措施.
- 了解精神疾病,创伤和心理行为特征的相互作用对于有效的支持至关重要.
研究的目的:
- 确定法国MEC中青少年中精神疾病的患病率.
- 调查心理健康状况,创伤暴露 (不良童年经历) 和心理行为特征之间的联系.
- 根据青少年的精神病学资料,确定不同的青少年子组,以进行有针对性的干预.
主要方法:
- 一项多中心流行病学研究,涉及9个法国中部经济区的101名青少年.
- 使用MINI-KID 2和康纳斯评分尺度评估的精神疾病.
- 通过调查问卷收集的社会人口统计数据和心理资料.
主要成果:
- 观察到精神障碍的高患病率 (90.2%),主要是行为障碍 (80%).
- 发现了显著的并发症,有37%的行为障碍患者患有另一种精神疾病.
- 行为障碍的强度与ACE分数相关;有其他障碍的青少年表现出更大的脆弱性和更差的结果.
结论:
- 这是法国第一个在MEC中对未成年犯罪者的精神障碍的流行病学研究.
- 早期发现精神疾病对于制定有针对性的干预措施至关重要.
- 医疗-心理和司法部门之间的合作是必要的,以最好地支持这些青少年.
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