Unga vuxna med en historia av uppförandestörning - En långtidsuppföljning med ett salutogent och ekologiskt perspektiv

Sammanfattning: This dissertation consists of a primary and a secondary study. The aim of the primary study is to follow-up a group of juveniles diagnosed with conduct disorder (n=351) into adulthood. The secondary study's aim is to question, clarify and attach the questionnaire SOC-29 to the salutogenic theory.In the dissertation different outcomes and outcome measurements are fomulated and discussed. Two perspectives on outcome were used, the salutogenic and the ecological. The salutogenic perspective could first be used after the secondary study. The secondary study confirmed the SOC-29 as a reliable and valid measurement. It also showed that the main concept of the salutogenic theory Sense of coherence must be seen as a holistic construct. The primary study followed-up 290 juveniles in their young adulthood (average age 21). According to the salutogenic perspective, SOC-29, about half of the males (43 %) and the females (56 %) had a negative outcome. The ecological perspective consisted of seven single variables: education, socioeconomic status, teenage parent, mental health, illicit drug use, criminality, and incareration. Adding these seven variables into two combinations resulted in showing that about two thirds of the males (68-70 %) and about half the females (54-58 %) had a negative outcome in young adulthood. These outcomes could not be substancially predicted by using medical case record variables. The primary study is one of few national and international long-term follow-up studies with a clinical sample of juveniles diagnosed with conduct disorder. The study shows that it is possible to conduct this type of studies with small attrition. Individuals diagnosed with conduct disorder in their teens have an enhanced risk of a problematic adulthood. The adulthood could be described in many ways. All in all, it has been concluded that the outcome is dependent of what outcome measurement is chosen. To be able to respond to the question of how many of the juveniles had a negative outcome in adulthood, the outcome must be specified. The specification must include the reference to which the outcome should be described. Then the question can be answered.