Trends in Substance Use by Gender Among Participants in a Jail-Based Substance Use Disorder Treatment Program: 1998–2016

Understanding trends in substance use by gender among jail-based treatment program participants can inform policies and programs tailored to this population. Preprogram assessment data from 3509 individuals entering a jail-based substance use disorder treatment program in Missouri between 1998 and 2016 were analyzed. Primary outcome was program participants’ strongly preferred substances. Demographic covariates and drug preferences were compared between males and females. Average yearly trends in preferred substances were calculated. While 25.8% of the sample preferred heroin, it was more strongly preferred by women (36.4%) than men (22.0%, p < 0.0001). Alcohol and marijuana were preferred more by males. Overall, preferences for heroin and methamphetamine increased over time while alcohol, marijuana, and other stimulants decreased. Women being more likely to prefer heroin and the increasing preference for heroin over time are consistent with national trends. Offering evidence-based treatment like pharmacotherapy and gender-sensitive approaches can help address the needs of this vulnerable population.     

试论高校心理咨询工作的现状、问题及对策

社会经济迅猛发展 ,对当代大学生的综合素质要求也越来越高。但在压力之下 ,大学生心理障碍日益严重 ,而高校心理咨询在帮助大学生纠正心理偏常、缓解心理压力、开发自身潜能方面起着任何其它形式的教育都无法替代的作用。然而 ,根据大量的心理调查表明 ,目前高校在心理咨询方面还存在不少问题和误区 ,在宣传普及、资金投入、队伍建设、理论研究方面远远不能满足素质教育的要求 ,亟待加强和完善。     

Continuity of aggressive antisocial behavior from childhood to adulthood: The question of phenotype definition

Aiming to clarify the adult phenotype of antisocial personality disorder (ASPD), the empirical literature on its childhood background among the disruptive behaviour disorders, such as attention deficit/hyperactivity disorder (AD/HD), oppositional defiant disorder (ODD), conduct disorder (CD), or hyperkinetic conduct disorder (HKCD), was reviewed according to the Robins and Guze criteria for nosological validity. At least half of hyperactive children develop ODD and about a third CD (i.e. AD/HD + CD or HKCD) before puberty. About half of children with this combined problem constellation develop antisocial personality disorder (ASPD) in adulthood. Family and adoption/twin studies indicate that AD/HD and CD share a high heritability and that, in addition, there may be specific environmental effects for criminal behaviours. “Zones of rarity” delineating the disorders from each other, or from the normal variation, have not been identified. Neurophysiology, brain imaging, neurochemistry, neurocognition, or molecular genetics have not provided “external validity” for any of the diagnostic categories used today. Deficient mental functions, such as inattention, poor executive functions, poor verbal learning, and impaired social interaction (empathy), seem to form unspecific susceptibility factors. As none of today's proposed syndromes (e.g. AD/HD or psychopathy) seems to describe a natural category, a dimensional behavioural phenotype reflecting aggressive antisocial behaviours assessed by numbers of behaviours, the severity of their consequences and how early is their age at onset, which will be closely related to childhood hyperactivity, would bring conceptual clarity, and may form the basis for further probing into mental, cognitive, biological and treatment-related co-varying features.     

Antecedents and Consequences of Psychiatric Disorders in African-American Adolescents

This study included three waves of data, collected from approximately 890 African-American children and their families. Antecedents and consequences of psychiatric disorders among this population were examined. Children’s temperament, pubertal timing, and experience of stressful life events were tested as antecedents of psychiatric disorders. Several aspects of school functioning were then tested as consequences of psychiatric disorders. In addition, children with a single psychiatric disorder and those with comorbid disorders were statistically compared. Results showed that (1) children with at least one disorder, compared to those with no disorder, exhibited significantly more difficult temperament, experienced puberty earlier, and underwent greater numbers of stressful life events; (2) those with at least one disorder had significantly poorer school outcomes than those with no disorder; (3) children with comorbid disorders, compared with those who had only one disorder, displayed lower educational aspirations and poorer school commitment.

Oppositional defiant disorder: A systematic review of evidence of intervention effectiveness

This research synthesis examines rigorous evaluations of interventions for children diagnosed with ODD. The primary goal was to identify and synthesize through meta-analysis what is known regarding the effectiveness of various treatments. A secondary goal was to assess the degree to which treatment effectiveness is being evaluated in multiple domains. Seven studies were identified that measured outcomes in six domains. As in prior reviews, interventions demonstrate improvements in the child’s behavior at home and parental stress/strain. Support for improvements in behavior and performance in school is not as strong due in part to a scarcity of attention to the multiple domains of functioning. The interventions reviewed here demonstrate some benefit and no harm; however, there is room to strengthen the research base.     

精神病患者限定责任能力评定分级依据的研究

目的研究对限定责任能力进行分级的依据。方法根据责任能力的程度将92例限定责任能力案例分为三组,进行卡方检验、方差分析、因子分析和判别分析。结果三组在作案类型和责任能力量表评分上存在显著差异;反映作案预谋和准备的因子1在所有因子中最重要;作案现实动机、作案时间选择性、作案当时情绪、对作案行为的罪错性认识、生活自理能力损害和现实检验能力损害可以作为限定责任能力分级的判别因子。结论限定责任能力可以被划分为三级。