具有神经认知障碍的法医精神病患者的特征
Jesse Meijers1, Niki C Kuin2, Erik J A Scherder3
1Willem Pompe Institute for Criminal Law and Criminology, Utrecht University, The Netherlands; and Judicial Complex Zaanstad, Dutch Custodial Institutions Agency, Ministry of Justice and Security, The Hague, The Netherlands.
BJPsych open
|May 19, 2024
概括
神经认知障碍存在于法医精神病患者的3.0%,高比例的未指定的诊断表明潜在的诊断不足. 建议在法医环境中进一步评估神经心理专业知识.
科学领域:
- 法医精神病学 法医精神病学
- 神经心理学 神经心理学
- 刑事司法 心理健康 心理健康
背景情况:
- 神经认知障碍可能导致犯罪行为,形成一个独特的法医亚群.
- 与法医环境中的其他精神疾病相比,对这一群体的现有研究较不发达.
研究的目的:
- 确定法医精神病学人口中神经认知障碍的患病率和特征.
- 研究神经认知障碍患者的人口,临床和犯罪学差异.
主要方法:
- 荷兰监狱精神中心 (PPC) 匿名国家数据库的回顾性分析 (N=8391).
- 纳入标准:神经认知障碍的DSM-IV-TR或DSM-5诊断代码.
- 与随机对照组进行比较 (n=762).
主要成果:
- 发现神经认知障碍的患病率为3.0% (在8391人中有254人).
- 不确定的神经认知障碍是最常见的诊断 (59.1%).
- 在多个变量中,神经认知障碍组和对照组之间观察到显著的差异.
结论:
- 观察到的患病率低于之前的研究,这表明法医群体中神经认知障碍的潜在诊断不足.
- 不明确诊断的高率需要进一步调查.
- 法医精神病学服务应该评估他们的神经心理评估能力,以确保准确的诊断.
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