目的:比較兒童期初發與青春期初發品行疾患(conduct disorder, CD)男受刑人在行為與性格上的差異,以驗證DSM-Ⅳ以發作年齡10歲前後區分CD亞型之分類效度。 方法:由台南監獄取樣105名男受刑人,依DSM-Ⅳ CD亞型分類標準分為兒童期CD、青春期CD及非CD等三組;另由社區取樣39名正常組進行比較。 結果:兒童期CD與青春期CD兩亞型在初次犯罪與入監年齡、攻擊性行為、犯罪次數與入獄次數、符合反社會性格之比例、持續型錯誤以及各項性格指標上均無顯著差異。 結論:DSM-Ⅳ以症狀初發年齡十歲來區分不同CD亞型之分類效度未獲支持。
Objective: This study was designed to examine the differences on personality and behavior between male prisoners with childhood-onset and those with adolescent-onset conduct disorders (CD). Method: We recruited 105 prisoners from Tainan Prison and 39 normal controls (NCS) from the local community. According to the diagnostic interviews based on DSM-Ⅳ, prisoners were divided into three groups: child-hood-onset (CCD), adolescent-onset (ACD), and non-CD (NCD). Data for the personality and behavior of all participants were collected by using questionnaires and the Wisconsin Card Sorting Test (WCST). Results: The CCD and ACD groups did not show differences on the onset of age for crime, severity of antisocial behaviors, perseverative errors measured by WCST, and several personality dimensions. Conclusion: The results did not support the validity of the DSM-Ⅳ criterion for the subtypes of CD based on age-of-onset before 10.