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The Long-Term Changes in Dynamic Risk and Protective Factors Over Time in a Nationwide Sample of Dutch Forensic Psychiatric Patients

Bibliographic Data

ID15530245
AuthorsMarija Janković (0000-0002-7385-8169, Tilburg University, corresponding author), G J M van Boxtel (0000-0002-9105-7963, Tilburg University), Geert Van Boxtel, Erik Masthoff, Elien De Caluwé (0000-0001-6639-6739, Tilburg University), Stefan Bogaert (0000-0003-3776-3792, Tilburg University), Stefan Bogaerts
Year2021
Volume12
Pages737846-737846
Publication date2021-09-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.737846
PMID34603110
OpenAlexW3200727202
LanguageEN
Citations received6
References cited55

The long-term changes of dynamic risk and protective factors have rarely been studied in forensic psychiatric patients. We utilized a latent growth curve analysis to investigate trajectories of risk and protective factors over time in all 722 male forensic psychiatric patients who were unconditionally released between 2004 and 2014 from any of 12 Dutch forensic psychiatric centers (FPCs). The study covered the period from juridical observation until unconditional release. Moreover, we investigated whether these trajectories differ between patients depending on their psychiatric diagnosis namely substance use disorders (SUD), psychotic disorders, and cluster B personality disorders (PDs). In addition, we also investigated whether SUD may influence changes in risk and protective factors in a group of psychotic and cluster B PDs patients, respectively. Overall, findings suggest that all changes in dynamic risk and protective factors could be depicted by two phases of patients' stay in the FPCs. Specifically, most changes on dynamic risk and protective factors occurred at the beginning of treatment, that is, from the time of juridical assessment up to the time of unguided leave. Moreover, the moment of unguided leave could be considered the 'turning point' in the treatment of offenders. We also found that SUD and psychotic patients changed the most in the first phase of their stay, while cluster B PDs patients changed the most in the second phase. However, SUD did not modify changes in risk and protective factors in psychotic and cluster B PDs patients. These findings may help improve offender treatment and crime prevention strategies

Cluster (spacecraft · Forensic psychiatry · Personality · Personality disorders · Psychiatry · Schizophrenia (object-oriented programming · Clinical Psychology · Medicine · Personality Disorders and Psychopathology · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Schizophrenia research and treatment

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Unique citing works6
Citations per year2
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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