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精神病特征较高的青少年与早逝死亡风险增加有关
J Michael Maurer1, Aparna R Gullapalli2, Michaela M Milillo2,3
1The Mind Research Network, 1101 Yale Boulevard NE, Albuquerque, NM, 87106, USA. mmaurer@mrn.org.
Research on child and adolescent psychopathology
|August 29, 2024
概括
青少年的精神病态特征,而不是外化疾病,显著增加了被监禁的年轻人过早死亡的风险. 较高的精神病症得分与高风险人群中较快的死亡率相关.
科学领域:
- 法医心理学 法医心理学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 青少年死亡率正在上升,外部化精神病理与风险增加有关.
- 之前的研究确定了注意力缺陷/多动症 (ADHD),物质使用障碍 (SUD),对立挑障碍 (ODD) 和行为障碍 (CD) 作为危险因素.
研究的目的:
- 研究青少年精神病态特征与过早死亡风险之间的关联.
- 评估精神病特征,超出外化疾病,预测监禁青少年的死亡率.
主要方法:
- 一项对332名被监禁在最高安全监狱中的青少年进行纵向研究,对其进行了10-14年的跟踪.
- 使用"子精神病症检查清单:青少年版本" (PCL:YV) 评估精神病特征.
- 使用费舍尔精确测试和考克斯比例危险回归分析的死亡风险.
主要成果:
- 观察到9.94%的过早死亡率,几乎是人口标准的十倍.
- 较高的PCL:YV总得分与较高的过早死亡率显著相关.
- PCL:YV总数,因子2,因子1和因子3得分预测过早死亡的时间更快.
结论:
- 青少年的精神病态特征是监禁青少年过早死亡的重要预测因素.
- 外向化精神病理 (ADHD,SUD,ODD,CD) 在这个样本中没有显示出与过早死亡的显著关联.
- 精神病特征代表了关键的不适应性人格因素,在高风险青少年群体中考虑过早死亡风险评估.
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