Pennine Care NHS Foundation Trust, Community Services Bury, Bury, UK.
J Appl Res Intellect Disabil. 2013 Sep;26(5):489-500. doi: 10.1111/jar.12038.
There have been a number of studies of treatment for men with intellectual disabilities and sexually abusive behaviour but few follow-up studies. Our aim was to follow up men with intellectual disabilities who had attended group cognitive behavioural treatment (CBT) for sexually abusive behaviour.
Thirty-four men (from seven treatment sites) were followed up. All had attended SOTSEC-ID groups. The mean length of follow-up, since the end of the treatment group, was 44 months (SD 28.7, range 15-106 months).
The statistically significant improvements in sexual knowledge, empathy and cognitive distortions that occurred during treatment were maintained at follow-up. In all, 11 of the 34 (32%) men showed further sexually abusive behaviour, but only two of these men received convictions. Analyses of the variables associated with further sexually abusive behaviour indicated that a diagnosis of autism was associated with a higher likelihood of further sexually abusive behaviour.
This study provides some evidence of the longer-term effectiveness of group CBT for men with intellectual disabilities and sexually abusive behaviour.
有许多针对智力障碍男性性行为异常的治疗研究，但随访研究较少。我们的目的是对接受团体认知行为治疗（CBT）的有性行为异常的智力障碍男性进行随访。
34 名男性（来自七个治疗点）接受了随访。所有患者均参加过 SOTSEC-ID 团体。从治疗结束到随访的平均时间为 44 个月（SD=28.7，范围 15-106 个月）。
在治疗过程中出现的性知识、同理心和认知扭曲的显著改善在随访中得以维持。在所有 34 名男性中，有 11 名（32%）出现了进一步的性行为异常，但只有 2 名男性被定罪。与进一步性行为异常相关的变量分析表明，自闭症诊断与进一步性行为异常的可能性更高相关。
本研究提供了一些关于团体认知行为治疗对智力障碍男性性行为异常的长期有效性的证据。
