关键词: Brief Psychiatric Rating Scale Brief Psychotic Disorder Competence to Stand Trial Delusional Disorder Fitness to Stand Trial Psychotic Disorder Not Otherwise Specified Schizoaffective Disorder Schizophrenia Schizophrenia Spectrum and Other Psychotic Disorders Schizophreniform Disorder behavioral science criminal justice criminal law expert opinion expert witness forensic science justice-involved persons mental defect mental disease mental disease or defect psychiatry psychology psychosis psychotic disorders

Mesh : Adolescent Adult Aged Case-Control Studies Female Forensic Psychiatry Humans Male Mental Competency / legislation & jurisprudence Mental Disorders / psychology Mentally Ill Persons / legislation & jurisprudence Middle Aged New York Psychiatric Status Rating Scales Retrospective Studies Young Adult

来  源:   DOI:10.1111/1556-4029.12429

Abstract:
Fitness to Stand Trial is a critical concept in the adjudication of justice-involved persons. A retrospective study was conducted to examine criminal defendants\' specific psychiatric symptoms and those symptoms\' associations with expert opinions on Competence to Stand Trial. One hundred charts were reviewed: 50 Cases (opined as Not Fit) were compared against 50 Controls (opined as Fit) with respect to ratings on the Brief Psychiatric Rating Scale (BPRS). A significance level of 0.001 was selected a priori. Statistically significant differences were found in seven of the eighteen BPRS symptom constructs (with the highest differences in Conceptual Disorganization and Unusual Thought Content) and two of the four BPRS higher-order syndrome factors (Thinking Disorder and Hostile-Suspiciousness). Consistent with previous reports, psychotic symptoms are found in this study to be inversely associated with Fitness. Validity, reliability, and limitations of this study, as well as directions for future research, are discussed herein.
摘要:
适合受审是审判涉及司法人员的关键概念。进行了一项回顾性研究,以检查刑事被告的特定精神症状以及这些症状与专家对受审能力的意见的关联。审查了一百张图表:就简短精神病学评定量表(BPRS)的评分而言,将50例(认为不适合)与50例对照(认为适合)进行了比较。先验地选择0.001的显著性水平。在18个BPRS症状结构中的7个(在概念混乱和不寻常的思想内容方面差异最大)和四个BPRS高阶综合症因素中的两个(思维障碍和敌对可疑)中发现了统计学上的显着差异。与以前的报告一致,在这项研究中发现精神病症状与健身呈负相关。有效性,可靠性,以及这项研究的局限性,以及未来研究的方向,在这里讨论。
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