Journal of Forensic Psychology Practice Pub Date : 2020-08-08 , DOI: 10.1080/24732850.2020.1800328 Maartje Clercx 1 , Marije E. Keulen–de Vos 1 , Judith Beurskens 2
ABSTRACT
Personality disorders (PDs) are ingrained dysfunctional patterns of cognition, emotion, and behavior. PDs, especially Cluster B PDs, are related to an increased violence risk and are highly prevalent in offender populations. Patients with PDs may suffer from dysregulated affect in a sense that they experience many maladaptive emotional states and relatively few healthy emotional states. It was therefore hypothesized that violence risk can be predicted by emotional states. It was expected that a decrease in maladaptive emotional states or an increase in healthy emotional states would precede a decrease in violence risk.
The study sample consisted of 103 male offenders with a Cluster B PD, hospitalized in the Netherlands. We used the Schema Mode Inventory-Revised (SMI-R) to assess healthy and maladaptive emotional states and the Short-Term Assessment of Risk and Treatability (START) to assess short-term violence risk and to monitor changes thereof. Assessments were repeated after 6 months, 12 months, and 18 months.
We conducted hierarchical regression analyses with START Risks or Strengths as outcome variables, predicted by START scores, SMI healthy, and maladaptive total scores at an earlier time point and the change over time. Results show that all models were highly significant, but neither the healthy and maladaptive emotional states nor the change over time was a significant predictor. The exception was at 6 and 12 months of START Strengths, where an SMI healthy score was a significant predictor in the model. Our hypothesis was only partially supported, which is likely explained by limitations of the study.
中文翻译:
健康的情绪,较低的风险?B类人格障碍罪犯情绪状态与暴力风险之间的关系
摘要
人格障碍(PDs)是根深蒂固的功能障碍模式,即认知,情感和行为。PD,特别是B类PD PD,与暴力风险增加有关,在罪犯人群中非常普遍。从某种意义上来说,PD患者可能会经历情绪失调,因为他们会经历许多适应不良的情绪状态和相对较少的健康情绪状态。因此,有人假设暴力情绪可以通过情绪状态来预测。可以预料,适应不良的情绪状态降低或健康的情绪状态升高会先于暴力风险降低。
该研究样本由103名在荷兰住院的B类PD男性罪犯组成。我们使用模式模式清单修订(SMI-R)评估健康和适应不良的情绪状态,并使用短期风险和可治疗性评估(START)评估短期暴力风险并监控其变化。在6个月,12个月和18个月后重复评估。
我们进行了以START风险或优势作为结果变量的分层回归分析,并通过START分数,SMI健康状况和适应不良的总分数在较早的时间点进行预测,并随时间变化。结果表明,所有模型均具有很高的显着性,但是健康和适应不良的情绪状态以及随时间的变化均不是重要的预测指标。在START Strengths的6个月和12个月时例外,其中SMI健康评分是该模型的重要预测指标。我们的假设仅得到部分支持,这可能是由于研究局限性所致。