Cohen Lisa J, Grebchenko Yuli F, Steinfeld Matthew, Frenda Steven J, Galynker Igor I
Department of Psychiatry, Beth Israel Medical Center, New York, New York 10003, USA.
J Nerv Ment Dis. 2008 Nov;196(11):829-37. doi: 10.1097/NMD.0b013e31818b4e3d.
To investigate the model of pedophilia as a disorder of addictive behavior, pedophiles and chemically addicted individuals were compared on personality traits potentially associated with impaired behavioral inhibition. Twenty-nine pedophiles, 25 opiate addicts (OA's), and 27 healthy controls were administered the Barratt Impulsivity Scale, Hare Psychopathy Checklist-Revised (PCL-R), and Structured Clinical Interview for DSM-V for Axis-II. OA's scored higher than either pedophiles or controls on the Barratt. Pedophiles and OA's scored higher than controls on all 3 Psychopathy Checklist-Revised scores but OA's scored marginally higher than pedophiles on factor 2 (behavioral) and total scores. On Structured Clinical Interview for DSM-V for Axis-II, pedophiles scored higher than controls on paranoid and schizoid scores whereas OA's did so on paranoid scores. Thus, both pedophiles and OA's may have elevated psychopathic traits and propensity toward cognitive distortions, as reflected in cluster A traits. Such similarities support the conceptualization of pedophilia as a behavioral addiction. Pedophiles may be less impulsive than OA's, however, and more prone toward cognitive distortions.
为了研究恋童癖作为一种成瘾行为障碍的模型，对恋童癖者和化学物质成瘾者在可能与行为抑制受损相关的人格特质方面进行了比较。对29名恋童癖者、25名阿片类成瘾者（OA）和27名健康对照者进行了巴拉特冲动性量表、《哈雷精神病态量表修订版》（PCL-R）以及《精神疾病诊断与统计手册》第五版轴II的结构化临床访谈。OA在巴拉特量表上的得分高于恋童癖者和对照者。恋童癖者和OA在《精神病态量表修订版》的所有三项得分上均高于对照者，但OA在因子2（行为）和总分上略高于恋童癖者。在《精神疾病诊断与统计手册》第五版轴II的结构化临床访谈中，恋童癖者在偏执和分裂样得分上高于对照者，而OA仅在偏执得分上高于对照者。因此，恋童癖者和OA可能都具有较高的精神病态特质以及认知扭曲倾向，这在A类特质中有所体现。这些相似之处支持了将恋童癖概念化为一种行为成瘾的观点。然而，恋童癖者可能比OA的冲动性更低，且更倾向于认知扭曲。
