Individuals with a history of offending behavior show high rates of mental disorder as well as fetal alcohol spectrum disorder (FASD). Neurocognitive impairments are common in both mental disorders and FASD and may interface with offending behavior. Understanding these impairments could effectively inform clinical considerations among this population. The purpose of this study was to characterize the life experiences and examine the neurocognitive profile of a group of adult forensic psychiatric outpatients. We also investigated potential differences between offenders with FASD and the rest of the sample. Data were collected on 45 subjects on numerous variables, including demographics, background information, offending histories, and comorbidities. Subjects also completed extensive neurocognitive testing. The sample was primarily male (82.2%) with a mean age of 42 years. There was a high prevalence of lifetime adversity and varied offense histories. Subjects showed the most significant neurocognitive impairment in executive function, visual memory (immediate and delayed recall), and full-scale IQ. The FASD group (n = 12) did not differ significantly from the No-FASD group (n = 33) on any background variables. The FASD group showed significantly lower neurocognitive scores in the areas of verbal IQ, full-scale IQ, working memory, processing speed, and expressive vocabulary.

中文翻译：

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患有精神疾病的罪犯的神经认知功能和胎儿酒精谱紊乱。

有犯罪行为史的人表现出较高的精神障碍和胎儿酒精谱系障碍（FASD）。神经认知障碍在精神障碍和FASD中都很常见，并且可能与犯罪行为有关。了解这些障碍可以有效地指导这一人群的临床考虑。这项研究的目的是表征生活经历，并检查一组成年法医精神科门诊病人的神经认知特征。我们还调查了FASD罪犯与其余样本之间的潜在差异。收集了有关45个主题的众多变量的数据，这些变量包括人口统计学，背景信息，犯罪历史和合并症。受试者还完成了广泛的神经认知测试。样本主要是男性（82。2％），平均年龄为42岁。一生的逆境和广泛的进攻历史盛行。受试者在执行功能，视觉记忆（立即和延迟回忆）和全面智商方面表现出最显着的神经认知障碍。在任何背景变量上，FASD组（n = 12）与No-FASD组（n = 33）没有显着差异。FASD组在语言智商，全面智商，工作记忆，处理速度和表达词汇方面表现出明显较低的神经认知得分。在任何背景变量上，FASD组（n = 12）与No-FASD组（n = 33）没有显着差异。FASD组在语言智商，全面智商，工作记忆，处理速度和表达词汇方面表现出明显较低的神经认知得分。在任何背景变量上，FASD组（n = 12）与No-FASD组（n = 33）没有显着差异。FASD组在语言智商，全面智商，工作记忆，处理速度和表达词汇方面表现出明显较低的神经认知得分。