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1.
J Affect Disord ; 358: 361-368, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38734244

RESUMO

BACKGROUND: Evidence supports the conceptualization of adult attachment as existing along a continuum of attachment security and insecurity; however, ongoing debates persist regarding the use of categorical versus continuous approaches to studying attachment. Attachment data collected from a large community sample of mothers and their offspring in young adulthood were used to examine i) latent classes of adult attachment, ii) associations between mother and offspring attachment, iii) the relationship between adult attachment and mental health symptoms. METHODS: Mothers and offspring were each administered the Attachment Style Questionnaire when offspring were aged 21-years. Latent class analyses (LCA) were performed to examine response patterns across ASQ items. Associations between mothers' and offspring attachment, and correlations between attachment domains and depression/anxiety subscales were examined. RESULTS: LCA identified four latent classes across a continuum of secure and insecure attachment rather than four distinct adult attachment styles. Anxious attachment subscales correlated strongly with depression/anxiety symptoms in both cohorts. Mothers' attachment was significantly but weakly correlated with their young adult offspring attachment. LIMITATIONS: Attachment was measured at one time point and as such, a causal maternal-offspring attachment relationship could not be established. CONCLUSIONS: Findings support a dimensional view of attachment security and insecurity over a four-category model of adult attachment. Attachment correlated with anxiety and depressive symptoms and highlights the importance of considering adult attachment when addressing mental health. There was limited evidence of a relationship between middle aged mothers and their offspring in young adulthood, suggesting other factors influence attachment in adulthood.


Assuntos
Filhos Adultos , Ansiedade , Depressão , Relações Mãe-Filho , Mães , Apego ao Objeto , Humanos , Feminino , Relações Mãe-Filho/psicologia , Adulto Jovem , Masculino , Ansiedade/psicologia , Mães/psicologia , Adulto , Depressão/psicologia , Filhos Adultos/psicologia , Análise de Classes Latentes , Inquéritos e Questionários , Pessoa de Meia-Idade
2.
Addiction ; 119(8): 1440-1452, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38532650

RESUMO

BACKGROUND AND AIMS: Substance use treatment (SUT) has shown to be effective in reducing self-reported offending; however, the association between SUT completion and criminal justice system (CJS) contact has been underexplored, especially in Latin America. This study aimed to estimate the association between SUT completion status and (1) any subsequent CJS contact and (2) CJS contact leading to imprisonment, at 1, 3 and 5 years post-discharge, in Chile. DESIGN: Retrospective cohort study using multivariable survival analysis based on linked administrative data from 2010 to 2019. SETTING: This study took place in Chile, where SUT is available at no cost through Chile's publicly funded health-care, and is provided in outpatient and inpatient modalities in public and private centres. PARTICIPANTS: A total of 70 854 individuals received their first SUT from 2010 to 2019. They were mainly males (76.3%), and their main substance used at admission was cocaine paste (39.2%). MEASUREMENTS: SUT completion status included completion, late dropout (≥ 3 months) and early dropout (< 3 months). Outcomes were (1) any CJS contact and (2) CJS contact leading to imprisonment after baseline treatment. We estimated the association between treatment completion and CJS contact through flexible parametric Royston-Parmar models while adjusting for several covariates. FINDINGS: Those who completed SUT (27.2%) were less likely to have any CJS contact at 5 years post-SUT compared with those who dropped out late [with a gap of -9.5%, 95% confidence interval (CI) = -8.7, -10.3] and early (-11.2%, 95% CI = -10.1, -12.3). Also, those who completed SUT were less likely to have CJS contact leading to imprisonment at 5 years post-SUT compared with those who dropped out late (-2.6%, 95% CI = -2.2, -3.1) and early (-4.0%, 95% CI = -3.3, -4.6). These differences were also observed at 1 and 3 years post-SUT for each outcome. CONCLUSIONS: In Chile, completion of substance use treatment appears to be associated with lower probabilities of both any criminal justice system contact and contact leading to imprisonment.


Assuntos
Direito Penal , Transtornos Relacionados ao Uso de Substâncias , Humanos , Masculino , Feminino , Estudos Retrospectivos , Chile/epidemiologia , Adulto , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Pessoa de Meia-Idade , Estudos de Coortes , Adulto Jovem , Pacientes Desistentes do Tratamento/estatística & dados numéricos
4.
J Crim Justice ; 46: 64-81, 2016 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-27134318

RESUMO

PURPOSE: To describe official adult-onset offenders, investigate their antisocial histories and test hypotheses about their origins. METHODS: We defined adult-onset offenders among 931 Dunedin Study members followed to age 38, using criminal-court conviction records. RESULTS: Official adult-onset offenders were 14% of men, and 32% of convicted men, but accounted for only 15% of convictions. As anticipated by developmental theories emphasizing early-life influences on crime, adult-onset offenders' histories of antisocial behavior spanned back to childhood. Relative to juvenile-offenders, during adolescence they had fewer delinquent peers and were more socially inhibited, which may have protected them from conviction. As anticipated by theories emphasizing the importance of situational influences on offending, adult-onset offenders, relative to non-offenders, during adulthood more often had schizophrenia, bipolar disorder, and alcohol-dependence, had weaker social bonds, anticipated fewer informal sanctions, and self-reported more offenses. Contrary to some expectations, adult-onset offenders did not have high IQ or high socioeconomic-status families protecting them from juvenile conviction. CONCLUSIONS: A tailored theory for adult-onset offenders is unwarranted because few people begin crime de novo as adults. Official adult-onset offenders fall on a continuum of crime and its correlates, between official non-offenders and official juvenile-onset offenders. Existing theories can accommodate adult-onset offenders.

5.
Aust N Z J Psychiatry ; 44(7): 648-57, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20560852

RESUMO

OBJECTIVE: Antisocial behaviour in young people is common and associated with adverse effects in adulthood. The question whether these effects are observed in both genders remains controversial. A typology of antisocial behaviour that captures childhood limited (CL), adolescent onset (AO) and life course persistent behaviour (LCP) through both developmental stages is utilized to examine young adult outcomes in both sexes. METHODS: The Mater-University of Queensland Study of Pregnancy (MUSP) data set is a longitudinal study following up a cohort of 7223 infants and mothers from antenatal care to the child's 21st year. Data on child antisocial behaviour was collected at ages 5 and 14 years. At the 21-year follow up, self-reported outcomes were collected on antisocial behaviour, use of alcohol, tobacco and cannabis, physical and mental health functioning. The relationship between the three antisocial sub-types and negative young adult outcomes was examined for both males and females using a series of logistic regressions. RESULTS: Complete data across 21 years was available for 3173 participants. Males experienced higher levels of antisocial behaviour. In both males and females, AO and LCP groups exhibited elevated risk of negative outcomes including continuing antisocial behaviour, cannabis use, general health problems and depression/anxiety symptoms. The CL group exhibited poorer outcomes in physical and mental health but not in other domains. CONCLUSION: Both males and females exhibiting AO and LCP antisocial behaviour are at increased risk of serious adverse outcomes in young adulthood. The significant loss to follow up of high-risk groups suggests the important relationship between early antisocial behaviour and problems in adulthood have been underestimated. Further research is required to understand antisocial behaviour in adolescence, identify factors that reinforce its continuity into adulthood, and identify interventions which are able to modify adult outcomes.


Assuntos
Comportamento do Adolescente/psicologia , Transtorno da Personalidade Antissocial/psicologia , Transtorno da Conduta/psicologia , Saúde Mental , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adolescente , Transtorno da Personalidade Antissocial/diagnóstico , Austrália , Pré-Escolar , Feminino , Nível de Saúde , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Fatores de Risco , Fatores Sexuais , Comportamento Social , Fatores Socioeconômicos , Adulto Jovem
6.
Aust N Z J Psychiatry ; 38(5): 365-72, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15144516

RESUMO

OBJECTIVE: This investigation utilizes data from an Australian longitudinal study to identify early risk factors for adolescent antisocial behaviour. METHOD: Analyses are based on data from the Mater University Study of Pregnancy, an on-going longitudinal investigation of women's and children's health and development involving over 8000 participants. Five types of risk factors (child characteristics, perinatal factors, maternal/familial characteristics, maternal pre- and post-natal substance use and parenting practices) were included in analyses and were based on maternal reports, child assessments and medical records. Adolescent antisocial behaviour was measured when children were 14 years old, using the delinquency subscale of the Child Behaviour Checklist. RESULTS: Based on a series of logistic regression models, significant risk factors for adolescent antisocial behaviour included children's prior problem behaviour (i.e. aggression and attention/restlessness problems at age 5 years) and marital instability, which doubled or tripled the odds of antisocial behaviour. Perinatal factors, maternal substance use, and parenting practices were relatively poor predictors of antisocial behaviour. CONCLUSIONS: Few studies have assessed early predictors of antisocial behaviour in Australia and the current results can be used to inform prevention programs that target risk factors likely to lead to problem outcomes for Australian youth.


Assuntos
Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/etiologia , Delinquência Juvenil/estatística & dados numéricos , Adolescente , Adulto , Transtorno da Personalidade Antissocial/diagnóstico , Austrália/epidemiologia , Feminino , Seguimentos , Humanos , Delinquência Juvenil/psicologia , Modelos Logísticos , Masculino , Casamento/psicologia , Comportamento Materno , Gravidez , Resultado da Gravidez , Fatores de Risco
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