在法医医院接受护理的个人临床子组:20年的比较和治疗需求影响
Arianne Imbeault1,2, Anne G Crocker1,2, Elke Ham3
1Institut National de psychiatrie légale Philippe-Pinel, Montreal, QC, Canada.
International journal of offender therapy and comparative criminology
|December 16, 2025
概括
法医护理患者子组在20年内保持稳定,在这些组中观察到的不良童年经历 (ACE) 和攻击性行为存在显著差异,特别是在复杂需求集群中.
科学领域:
- 法医精神病学 法医精神病学
- 临床心理学 临床心理学
- 犯罪学 犯罪学
背景情况:
- 在法医护理中了解患者子组对于定制治疗至关重要.
- 以前的研究表明,童年不良经历 (ACE) 和以后的行为问题之间存在联系.
研究的目的:
- 为了研究两十年来男性法医病人的临床需求子组的演变.
- 为了比较这些子组中ACE和攻击性行为的流行率.
主要方法:
- 这是一项回顾性观察性研究,使用来自两个不同的时间段 (1990年和2009-2012年) 的数据.
- 多重对应分析和集群分析以确定临床需求子组.
- 奇平方测试用于比较ACE和跨集群的攻击比例.
主要成果:
- 确定了四个稳定的临床需求子组:最小需求,精神障碍,人格障碍和复杂需求.
- 在集群之间发现了ACE (p=.004) 和攻击 (p<.001) 的显著差异.
- 复杂需求集群报告了ACE (84.6%) 和攻击 (61.5%) 的最高率.
结论:
- 在男性法医护理中的临床需求子组在过去20年中一直保持一致.
- 在复杂需求子组中,不良的童年经历和攻击性行为不成比例地代表了复杂需求子组.
- 调查结果强调了在法医人群中解决ACE的重要性,特别是那些有复杂需求的人群.
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