OBJECTIVE Posttraumatic stress disorder (PTSD) is positively associated with involvement in the criminal justice system among veterans. Research that examines whether this association is confounded by risk factors ("criminogenic needs") from the risk-need-responsivity model of correctional rehabilitation can inform risk management with this population. HYPOTHESES We hypothesized that (a) veterans with probable PTSD would score higher on all criminogenic needs than veterans without PTSD and (b) probable PTSD would be associated with criminal history but not after accounting for criminogenic needs. METHOD We conducted secondary analyses of data from 341 veterans (95.3% male; 57.8% White/non-Hispanic/Latinx; Mage = 46.2 years) with a history of criminal justice system involvement who were admitted to mental health residential treatment. At treatment entry, participants completed interviews to assess criminal history, risk-need-responsivity-based criminogenic needs, and PTSD symptom severity. Cross-sectional analyses tested for differences between participants with and without probable PTSD on criminogenic needs and criminal history, and a multiple regression model examined the unique contributions of probable PTSD and criminogenic needs on criminal history. RESULTS The majority of the sample (74%, n = 251) met probable criteria for PTSD. Compared with veterans without PTSD, those with probable PTSD scored significantly higher on criminogenic needs of antisocial personality patterns, antisocial cognitions, antisocial associates, substance use, and family/marital dysfunction but did not differ on multiple indices of criminal history (Cohen's ds = 0.60-0.86). In the regression model, higher age (β = 0.52, p < .001) and higher scores on measures of antisocial personality patterns (β = 0.19, p = .04) and antisocial cognitions (β = 0.22, p = .02) were significantly associated with higher scores on a criminal history index. CONCLUSIONS The findings suggest that veterans with probable PTSD may score higher on a number of criminogenic needs that are known to be drivers of recidivism. An approach that integrates trauma-informed and risk-need-responsivity principles to address veterans' dynamic criminogenic and clinical needs may be critical to risk management in this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

---

解开退伍军人创伤后应激障碍、犯罪风险和犯罪历史之间的关系。


目的 创伤后应激障碍 （PTSD） 与退伍军人参与刑事司法系统呈正相关。研究检查这种关联是否与惩教改造风险-需求-响应模型中的风险因素（“犯罪需求”）混淆，可以为该人群的风险管理提供信息。假设 我们假设 （a） 可能患有 PTSD 的退伍军人在所有犯罪需求上的得分高于没有 PTSD 的退伍军人，以及 （b） 可能的 PTSD 将与犯罪历史相关，但在考虑犯罪需求后不会。方法 我们对 341 名退伍军人（95.3% 男性;57.8% 白人/非西班牙裔/拉丁裔;法师 = 46.2 岁），有刑事司法系统参与史，被送入心理健康住院治疗。在治疗开始时，参与者完成了访谈，以评估犯罪历史、基于风险需求响应度的犯罪需求和 PTSD 症状的严重程度。横断面分析测试了患有和不患有疑似 PTSD 的参与者在犯罪需求和犯罪历史方面的差异，多元回归模型检查了可能的 PTSD 和犯罪需求对犯罪历史的独特贡献。结果 大多数样本 （74%，n = 251） 符合 PTSD 的可能标准。与没有 PTSD 的退伍军人相比，疑似 PTSD 的人在反社会人格模式、反社会认知、反社会交往、物质使用和家庭/婚姻功能障碍的犯罪需求上得分显著更高，但在犯罪历史的多个指标上没有差异 （Cohen's ds = 0.60-0.86）。在回归模型中，较高的年龄 （β = 0.52，p < 。001） 和反社会人格模式测量 （β = 0.19， p = .04） 和反社会认知 （β = 0.22， p = .02） 的较高得分与犯罪历史指数的较高得分显着相关。结论 研究结果表明，可能患有 PTSD 的退伍军人在许多已知是累犯驱动因素的犯罪需求上得分更高。一种整合创伤知情和风险需求响应原则来解决退伍军人动态犯罪和临床需求的方法可能对这一人群的风险管理至关重要。（PsycInfo 数据库记录 （c） 2023 APA，保留所有权利）。