Abstract：
BACKGROUND: The nature of the pathway from conduct disorder (CD) in adolescence to antisocial behavior in adulthood has been debated and the role of certain mediators remains unclear. One perspective is that CD forms part of a general psychopathology dimension, playing a central role in the developmental trajectory. Impairment in reflective functioning (RF), i.e., the capacity to understand one\'s own and others\' mental states, may relate to CD, psychopathology, and aggression. Here, we characterized the structure of psychopathology in adult male-offenders and its role, along with RF, in mediating the relationship between CD in their adolescence and current aggression.
METHODS: A secondary analysis of pre-treatment data from 313 probation-supervised offenders was conducted, and measures of CD symptoms, general and specific psychopathology factors, RF, and aggression were evaluated through clinical interviews and questionnaires.
RESULTS: Confirmatory factor analyses indicated that a bifactor model best fitted the sample\'s psychopathology structure, including a general psychopathology factor (p factor) and five specific factors: internalizing, disinhibition, detachment, antagonism, and psychoticism. The structure of RF was fitted to the data using a one-factor model. According to our mediation model, CD significantly predicted the p factor, which was positively linked to RF impairments, resulting in increased aggression.
CONCLUSIONS: These findings highlight the critical role of a transdiagnostic approach provided by RF and general psychopathology in explaining the link between CD and aggression. Furthermore, they underscore the potential utility of treatments focusing on RF, such as mentalization-based treatment, in mitigating aggression in offenders with diverse psychopathologies.
METHODS: A secondary analysis of pre-treatment data from 313 probation-supervised offenders was conducted, and measures of CD symptoms, general and specific psychopathology factors, RF, and aggression were evaluated through clinical interviews and questionnaires.
RESULTS: Confirmatory factor analyses indicated that a bifactor model best fitted the sample\'s psychopathology structure, including a general psychopathology factor (p factor) and five specific factors: internalizing, disinhibition, detachment, antagonism, and psychoticism. The structure of RF was fitted to the data using a one-factor model. According to our mediation model, CD significantly predicted the p factor, which was positively linked to RF impairments, resulting in increased aggression.
CONCLUSIONS: These findings highlight the critical role of a transdiagnostic approach provided by RF and general psychopathology in explaining the link between CD and aggression. Furthermore, they underscore the potential utility of treatments focusing on RF, such as mentalization-based treatment, in mitigating aggression in offenders with diverse psychopathologies.
摘要：
背景：从青春期的行为障碍（CD）到成年期的反社会行为的途径的性质一直存在争议，某些介质的作用仍不清楚。一种观点是CD构成了一般精神病理学维度的一部分，在发展轨迹中起着核心作用。反射功能(RF)受损，即，了解自己和他人精神状态的能力，可能与CD有关，精神病理学,和侵略。这里,我们描述了成年男性罪犯的精神病理学结构及其作用，随着RF，在调节青春期CD和当前攻击性之间的关系。
方法：对313名缓刑监督罪犯的治疗前数据进行了二次分析，和CD症状的测量，一般和特定的精神病理学因素，射频,和攻击性通过临床访谈和问卷调查进行评估。
结果：验证性因素分析表明，双因素模型最适合样本的精神病理学结构，包括一般精神病理学因素(P因素)和五个具体因素：内在化，去抑制,脱离,对抗,和精神病。使用单因素模型将RF的结构拟合到数据。根据我们的调解模式，CD显著预测了p因子，这与射频损伤呈正相关，导致侵略增加。
结论：这些发现强调了RF和一般精神病理学提供的诊断方法在解释CD和攻击性之间的联系方面的关键作用。此外，他们强调了以射频为重点的治疗的潜在效用，例如基于心理的治疗，减轻具有不同精神病理学的罪犯的侵略。
方法：对313名缓刑监督罪犯的治疗前数据进行了二次分析，和CD症状的测量，一般和特定的精神病理学因素，射频,和攻击性通过临床访谈和问卷调查进行评估。
结果：验证性因素分析表明，双因素模型最适合样本的精神病理学结构，包括一般精神病理学因素(P因素)和五个具体因素：内在化，去抑制,脱离,对抗,和精神病。使用单因素模型将RF的结构拟合到数据。根据我们的调解模式，CD显著预测了p因子，这与射频损伤呈正相关，导致侵略增加。
结论：这些发现强调了RF和一般精神病理学提供的诊断方法在解释CD和攻击性之间的联系方面的关键作用。此外，他们强调了以射频为重点的治疗的潜在效用，例如基于心理的治疗，减轻具有不同精神病理学的罪犯的侵略。
