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首页> 外文期刊>Journal of Behavioral and Brain Science >Traumatic Brain Injury in Prisoners: Relation to Risky Decision-Making, Aggression and Criminal Behavior
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Traumatic Brain Injury in Prisoners: Relation to Risky Decision-Making, Aggression and Criminal Behavior

机译：囚犯脑外伤：与风险决策，侵略和犯罪行为的关系

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The objective of this cross-sectional study was to investigate if Traumatic Brain Injury (TBI) is related to decision-making deficits as well as to heightened levels of (reactive) aggression and criminal behavior in a group of Dutch male prisoners. Characteristics of aggression were assessed using three self-report questionnaires as well as systematic staff observations, complemented with data from criminal records. A semi-structured interview was conducted to rate lifetime prevalence of TBI and the Iowa Gambling Task (IGT) was completed to assess risky decision-making. Out of the total of 133 participants, 74 (55.6%) reported having sustained one or more incidents with potential TBI. Statistical comparisons between offenders with and without TBI indicated that the offenders with TBI reported significantly higher levels of (reactive) aggression on two out of three questionnaires than offenders without TBI (p -values ranging from 0.003 to 0.008), but no significant differences were found on staff observations of aggression and on the IGT. The higher conviction rates in offenders with TBI compared to the non-TBI group showed a trend. The confirmed relationship between TBI and higher aggressive tendencies is especially relevant for forensic populations due to the high prevalence rates of TBI in offenders. How this relates to specific cognitive processes remains unclear. The lack of a statistical difference between offenders with and without TBI on the IGT is in contrast with literature in non-offender samples, but seems to be in line with other studies in forensic populations.
机译：这项横断面研究的目的是调查创伤性脑损伤（TBI）是否与决策缺陷以及一组荷兰男性囚犯的（反应性）侵略和犯罪行为的升高有关。使用三份自我报告调查表以及系统的工作人员观察以及犯罪记录的数据来评估侵略的特征。进行了半结构化访谈，以评估TBI的终生患病率，并完成了爱荷华州赌博任务（IGT）以评估风险决策。在133名参与者中，有74名（55.6％）报告说曾发生过一次或多次潜在的TBI事件。有和没有TBI的罪犯之间的统计比较表明，有TBI的罪犯在三分之二的问卷中报告的（反应性）攻击水平明显高于没有TBI的罪犯（p值为0.003至0.008），但无显着性在工作人员的侵略性观察和IGT上发现差异。与非TBI组相比，TBI罪犯的定罪率更高。由于罪犯的TBI患病率很高，因此TBI与较高的攻击倾向之间的已确定关系尤其适用于法医人群。这与具体的认知过程之间的关系尚不清楚。与未犯罪者样本中的文献相反，IGT上有或没有TBI的犯罪者之间缺乏统计差异，但似乎与法医人群中的其他研究一致。

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