[Psychopathology and recidivism among violent offenders with a dual diagnosis. A comparison with other subgroups of violent offenders].
| Autor: | van Horn JE; Hoofd afd. Onderzoek, De Waag, Utrecht, The Netherlands. jvanhorn@dewaag-nederland.nl, Eisenberg MJ, van Kuik S, van Kinderen GM |
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| Jazyk: | Dutch; Flemish |
| Zdroj: | Tijdschrift voor psychiatrie [Tijdschr Psychiatr] 2012; Vol. 54 (6), pp. 497-507. |
| Abstrakt: | Background: Offenders with a dual diagnose (DD) are more likely than other offenders to repeat delinquent behavior. Aim: To investigate whether male violent offenders with substance-related disorders and co-occurring disorders differed from other subgroups of violent offenders in terms of substance disorders, psychopathology, and recidivism. We expected to find that persons with a dual diagnosis would more often be diagnosed with an anxiety or mood disorder and antisocial personality disorder. We also expected that they could have the highest recidivism rates. Method: Our sample consisted of 148 (domestic) violent offenders subdivided into offenders with a substance-related disorder and comorbid disorders (dual diagnosis group; n = 50), offenders without an axis I or axis II disorder (n = 28), offenders with a substance-related disorder (n = 23), and offenders with one or several comorbid axis I disorders (excluding substance related disorders) and/or axis II disorders (n = 47). Results: Survival analyses showed - with an average follow-up period of 79,6 months - significantly higher general (60%) and violent (44,9%) recidivism rates in the DD-group than in the other subgroups in which the rates were lower than 40% for both general and violent recidivism. Results of Cox regression analyses indicated that merely belonging to the DD-group increased the risk of violent recidivism by a factor of 5.21. Conclusions: The DD-delinquents under study did not differ fundamentally from other subgroups of (domestic) violent offenders as far as substance-related disorders and psychopathology were concerned. However, they did engage more often in recidivism, committing general or violent offences. |
| Databáze: | MEDLINE |
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