Cohen Lisa J, Ndukwe Nwayieze, Siegfried Rachel, Kopeykina Irina, Yaseen Zimri S, Galynker Igor
COHEN, YASEEN, and GALYNKER: Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, NY NDUKWE, KOPEYKINA: Mount Sinai Beth Israel, New York, NY SIEGFRIED: Long Island University Brooklyn, New York, NY.
J Psychiatr Pract. 2018 Nov;24(6):374-387. doi: 10.1097/PRA.0000000000000348.
Comparison of pedophilic individuals who do and do not refrain from sexually engaging with children may offer critically important information regarding the differential contributors to pedophilic attraction versus behavior. This study compared 5 traits that are potentially contributory to pedophilic attraction or behavior in both minor-attracted persons (MAPs) who refrain from sexually engaging with minors (nonacting MAPs) and those who have acted on pedophilic attractions and subsequently entered the criminal justice system (forensic MAPs).
Subjects included 195 nonacting MAPs, 50 forensic MAPs, and 60 healthy controls. Data on nonacting MAPs were drawn from an online survey, and data on the other 2 groups were based on prior in-person evaluations. Measures included the Millon Clinical Multiaxial Inventory-II (MCMI-II), Barratt Impulsiveness Scale (BIS-11), the MAP Questionnaire, and the Sexual History Questionnaire (SHQ).
Both MAP groups scored higher than healthy controls on the domains of socially inhibited personality traits, propensity toward cognitive distortions, and subjects' own childhood sexual abuse (CSA). Forensic MAPs scored higher than nonacting MAPs on the CSA domain, but the 2 MAP groups differed little on the other 2 domains. Forensic MAPs also scored higher than the other 2 groups on the antisocial domain, whereas nonacting MAPs did not differ from controls on this measure. Nonacting MAPs scored higher than controls on impulsivity.
Antisocial personality traits may be a primary driver of pedophilic behavior that is unrelated to pedophilic attraction. Socially inhibited personality traits and propensity toward cognitive distortions are associated with pedophilic attraction, although the direction of causation is not clear. CSA seems to increase the risk of both attraction and behavior.
比较那些克制与儿童发生性接触的恋童癖者和不克制的恋童癖者，可能会提供有关恋童癖吸引力与行为的不同促成因素的极其重要的信息。本研究比较了5种可能促成恋童癖吸引力或行为的特质，这些特质存在于克制与未成年人发生性接触的未成年人吸引者（MAPs，即未实施行为的MAPs）以及那些有恋童癖吸引力且随后进入刑事司法系统的人（法医鉴定的MAPs）中。
研究对象包括195名未实施行为的MAPs、50名法医鉴定的MAPs和60名健康对照者。未实施行为的MAPs的数据来自一项在线调查，其他两组的数据基于之前的面对面评估。测量工具包括米隆临床多轴问卷第二版（MCMI-II）、巴拉特冲动性量表（BIS-11）、MAP问卷和性史问卷（SHQ）。
在社交抑制性人格特质、认知扭曲倾向以及受试者自身童年性虐待（CSA）等方面，两个MAP组的得分均高于健康对照者。在CSA方面，法医鉴定的MAPs得分高于未实施行为的MAPs，但在其他两个方面，这两组MAPs差异不大。在反社会方面，法医鉴定的MAPs得分也高于其他两组，而未实施行为的MAPs在这一指标上与对照组没有差异。未实施行为的MAPs在冲动性方面得分高于对照组。
反社会人格特质可能是与恋童癖吸引力无关的恋童癖行为的主要驱动因素。社交抑制性人格特质和认知扭曲倾向与恋童癖吸引力有关，尽管因果关系的方向尚不清楚。童年性虐待似乎会增加恋童癖吸引力和行为的风险。
