Hannover Medical School, Hannover, Germany.
Hannover Medical School, Hannover, Germany.
J Sex Med. 2018 Nov;15(11):1629-1637. doi: 10.1016/j.jsxm.2018.09.001. Epub 2018 Oct 5.
Exploratory analysis of characteristics and reduction of risk factors for child sexual abuse (CSA) in a sample treated in the Prevention Projects Dunkelfeld Hannover and Regensburg.
To evaluate a treatment program aimed at reducing dynamic risk factors (DRF) for CSA.
Using a psychometric test battery based on self-report questionnaires, intergroup analysis between treatment group (TG, n = 35), treatment refusers (TR, n = 51), and drop-out group (DO, n = 14) was conducted with pretreatment data. Intragroup analysis compared data of TG from pre- and posttreatment. The test battery included sociodemographic and sociosexual data, as well as questionnaires measuring DRF.
This study investigated effects of treatment on pedophilic men who are at risk for offending and observed reductions in important risk factors for CSA.
TG, TR (consisting of persons who were offered but refused therapy), and DO did not differ regarding sociodemographic and sociosexual variables before therapy. There were no significant differences in education, relationship status, living solitarily, and being a father/stepfather. TR and DO lived farther away from treatment site than TG. In the TG, a reduction in offense-supportive attitudes, coping self-efficacy deficits, and child identification were revealed at second assessment. In TG no participants started the consumption of child abuse content during the course of the study.
Future treatment concepts should focus on the reduction of empirically relevant risk factors for child sexual offending.
STRENGTH & LIMITATIONS: The present article is the first that compares TG to TR and DO before assessment regarding DRF and sociosexual variables. Moreover, it is only the second study that investigated treatment effects on a population of pedophilic men who are at risk for offending. These preliminary findings are limited by moderate group size and a missing control group.
A reduction in some but not all assessed risk factors for sexual offending against minors could be seen within the time frame of therapy. Findings are in line with results from a previous evaluation study. Engel J, Körner M, Schuhman P. Reduction of risk factors for pedophilic sexual offending. J Sex Med 2018;15:1629-1637.
对在汉诺威 Dunkelfeld 和雷根斯堡预防项目中接受治疗的样本中儿童性虐待（CSA）的特征和危险因素的探索性分析。
评估旨在减少 CSA 的动态风险因素（DRF）的治疗方案。
使用基于自我报告问卷的心理计量测试组合，对治疗组（TG，n=35）、治疗拒绝者（TR，n=51）和脱落组（DO，n=14）进行治疗前的组间分析。TG 组进行了治疗前后的组内分析。测试组合包括社会人口统计学和社会性行为数据，以及测量 DRF 的问卷。
本研究调查了治疗对有犯罪风险的恋童癖男性的影响，并观察到 CSA 的重要危险因素有所减少。
TG、TR（包括接受但拒绝治疗的人）和 DO 在治疗前的社会人口统计学和社会性行为变量方面没有差异。教育、关系状况、独居和作为父亲/继父方面没有显著差异。TR 和 DO 居住的地点比 TG 治疗地点更远。在 TG 中，第二次评估时发现支持犯罪的态度、应对自我效能缺陷和儿童认同减少。在 TG 中，没有参与者在研究过程中开始使用虐待儿童内容。
未来的治疗概念应侧重于减少 CSA 的实证相关危险因素。
本文是第一篇在评估 DRF 和社会性行为变量之前将 TG 与 TR 和 DO 进行比较的文章。此外，它是唯一一项调查治疗对有犯罪风险的恋童癖男性的影响的研究。这些初步发现受到中等规模的小组和缺乏对照组的限制。
在治疗时间范围内，一些但不是所有评估的未成年人性犯罪风险因素都有所减少。这些发现与之前的评估研究结果一致。
