School of Psychology, University College Dublin, Dublin, Ireland.
Sex Abuse. 2010 Mar;22(1):95-111. doi: 10.1177/1079063209358107.
The effectiveness of a prison-based cognitive behavioral program designed to modify psychological risk factors associated with sexual offending was evaluated. The Irish Prison Service Sexual Offender Intervention Programme, is a manualized 10-month Cognitive Behaviour Therapy [CBT] program involving three 2-hour group sessions per week, which are facilitated by a team of clinical psychologists and probation officers. Improvements in 38 consecutive referrals to the program were compared with the status of 38 untreated offenders who were similar in marital status, age when they left school, occupational status prior to imprisonment, offence type, presence of previous convictions, and current sentence length. All research participants completed the same assessment protocol, which evaluated psychological factors associated with sexual offending at times equivalent to pre- and postintervention. Compared with the untreated control group, program participants showed statistically significant improvement on some but not all self-report measures of cognitive distortions, empathy, interpersonal skills, self-regulation, and relapse prevention. Motivation to change among the untreated control group was not associated with change in psychological functioning in the absence of the assistance of the treatment program. Implications for sexual offender intervention delivery are considered.
评估了一项旨在改变与性犯罪相关心理风险因素的基于监狱的认知行为方案的有效性。爱尔兰监狱服务性罪犯干预方案是一个为期 10 个月的认知行为疗法（CBT）方案，包括每周三次每次 2 小时的小组会议，由一组临床心理学家和缓刑官协助进行。将 38 名连续转介到该方案的人员的改善情况与 38 名未接受治疗的罪犯的情况进行了比较，这些罪犯在婚姻状况、离开学校的年龄、入狱前的职业状况、犯罪类型、是否有前科以及目前的刑期长度方面相似。所有研究参与者都完成了相同的评估方案，该方案在干预前后的等效时间评估了与性犯罪相关的心理因素。与未接受治疗的对照组相比，方案参与者在一些但不是所有自我报告的认知扭曲、同理心、人际交往技能、自我调节和复发预防方面的测量指标上显示出统计学上的显著改善。在没有治疗方案帮助的情况下，未接受治疗的对照组的改变动机与心理功能的改变无关。考虑了对性罪犯干预措施的实施的影响。
