the impact of adhd and conduct disorder in childhood on adult delinquency a 30 years follow-up study using official crime records多动症和品行障碍的影响在童年成年犯罪30年随访研究使用官方犯罪记录.pdf

Mordre et al. BMC Psychiatry 2011, 11:57 /1471-244X/11/57 RESEARCH ARTICLE Open Access The impact of ADHD and conduct disorder in childhood on adult delinquency: A 30 years follow-up study using official crime records 1* 2 3 4 1,2 Marianne Mordre , Berit Groholt , Ellen Kjelsberg , Berit Sandstad and Anne Margrethe Myhre Abstract Background: Few longitudinal studies have explored lifetime criminality in adults with a childhood history of severe mental disorders. In the present study, we wanted to explore the association between adult delinquency and several different childhood diagnoses in an in-patient population. Of special interest was the impact of disturbance of activity and attention (ADHD) and mixed disorder of conduct and emotions on later delinquency, as these disorders have been variously associated with delinquent development. Methods: Former Norwegian child psychiatric in-patients (n = 541) were followed up 19-41 years after hospitalization by record linkage to the National Register of Criminality. On the basis of the hospital records, the patients were re-diagnosed according to ICD-10. The association between diagnoses and other baseline factors and later delinquency were investigated using univariate and multivariate Cox regression analyses. Results: At follow-up, 24% of the participants had been convicted of criminal activity. In the multivariate Cox regression analysis, conduct disorder (RR = 2.0, 95%CI = 1.2-3.4) and hyperkinetic conduct disorder (RR = 2.7, 95% CI = 1.6-4.4) significantly increased the risk of future criminal behaviour. Pervasive developmental disorder (RR = 0.4, 95%CI = 0.2-0.9) and mental retardation (RR = 0.4, 95%CI = 0.3-0.8) reduced the risk for a criminal