Olver Mark E, Kingston Drew A, Nicholaichuk Terry P, Wong Stephen C P
Department of Psychology, University of Saskatchewan.
Royal Ottawa Health Care Group.
Law Hum Behav. 2014 Dec;38(6):544-59. doi: 10.1037/lhb0000086. Epub 2014 Jun 16.
In the present study, we examined the degree of change and predictive accuracy of a number of well-known psychological self-report measures intended to identify treatment targets for sexual offenders. Participants included 392 federally incarcerated sexual offenders who participated in low, moderate, or high intensity sexual offender programs offered within penitentiaries under the jurisdiction of the Correctional Service of Canada. These men were followed in the community for an average of 5.42 years postrelease. Very small to moderate pretreatment and posttreatment changes were found on measures of cognitive distortions, aggression/hostility, empathy, loneliness, social intimacy, and sex offender acceptance of responsibility. However, pretreatment and posttreatment scores on these measures frequently demonstrated weak and inconsistent relationships to sexual, violent, and general recidivism. In addition, within-treatment change on these measures bore little relationship to outcome. However, when statistically corrected for pretreatment score the relationship of treatment change to outcome frequently improved, particularly on measures of physical aggression and anger, even after controlling for Static-99R score. Clinical and research implications are discussed regarding the assessment and evaluation of change on psychological risk factors in treated sexual offenders.
在本研究中，我们考察了一些旨在识别性犯罪者治疗目标的著名心理自陈量表的变化程度和预测准确性。参与者包括392名联邦监狱关押的性犯罪者，他们参加了加拿大惩教署管辖的监狱内提供的低强度、中等强度或高强度性犯罪者项目。这些男性在出狱后平均在社区接受了5.42年的跟踪。在认知扭曲、攻击性/敌意、同理心、孤独感、社会亲密感以及性犯罪者对责任的接受程度等量表上，发现了从极小到中等程度的治疗前和治疗后的变化。然而，这些量表上的治疗前和治疗后得分与性犯罪、暴力犯罪和一般累犯之间的关系常常表现出微弱且不一致。此外，这些量表上的治疗期间变化与结果几乎没有关系。然而，在对治疗前得分进行统计校正后，治疗变化与结果之间的关系常常会得到改善，特别是在身体攻击和愤怒的量表上，即使在控制了Static-99R得分之后也是如此。文中讨论了关于已接受治疗的性犯罪者心理风险因素变化的评估和评价的临床及研究意义。
