1 University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
2 Ministry of Community Safety and Correctional Services, Toronto, Ontario, Canada.
Assessment. 2019 Apr;26(3):535-551. doi: 10.1177/1073191117706139. Epub 2017 Apr 28.
Valid assessment of pedohebephilic interests (i.e., sexual interest in children) is fundamental to forensic clinical practice. Phallometric testing-which measures changes in penile circumference or volume, while stimuli depicting different ages and sexual activities are presented-is widely used in clinical and research settings to detect such interests. This meta-analysis summarizes studies comparing sexual offenders against children and various types of controls on phallometric tests for pedohebephilic interests (37 samples; N = 6,785) and studies examining the relationship between phallometric test scores and sexual reoffending (16 samples; N = 2,709). The findings suggest that several phallometric testing procedures are valid indicators of pedohebephilic interest. Certain methodological features of phallometric tests were associated with greater validity, such as, slide or audio-plus-slide stimuli and z-score-based indices. In addition, phallometric tests for pedohebephilic, pedophilic, and hebephilic interests predicted sexual reoffending which provides further evidence that phallometric test scores are valid indicators of sexual interest in children. In general, the interpretation of phallometric test scores as indicators of pedohebephilic interests is supported.
对恋童癖（即对儿童的性兴趣）的有效评估是法医临床实践的基础。阴茎体积描记法测试——通过测量阴茎周长或体积的变化，同时呈现不同年龄和性活动的刺激物——被广泛用于临床和研究环境中，以检测此类兴趣。本荟萃分析总结了比较恋童癖（37 个样本；N = 6785）和研究检查阴茎体积描记测试分数与性再犯之间关系的性犯罪者与各种类型的对照者的研究（16 个样本；N = 2709）。研究结果表明，几种阴茎体积描记测试程序是恋童癖兴趣的有效指标。阴茎体积描记测试的某些方法特征与更大的有效性相关，例如幻灯片或音频加幻灯片刺激物和基于 z 分数的指数。此外，恋童癖、恋童癖和恋童癖兴趣的阴茎体积描记测试预测了性再犯，这进一步证明了阴茎体积描记测试分数是儿童性兴趣的有效指标。总的来说，阴茎体积描记测试分数作为恋童癖兴趣指标的解释得到了支持。
