Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
J Sex Med. 2020 May;17(5):985-993. doi: 10.1016/j.jsxm.2020.01.019. Epub 2020 Feb 20.
Adverse childhood events have a lasting impact on mental health. Studies on patients with pedophilia focus on traumatic events as sexual abuse in their childhood, in which further childhood maltreatment is rarely described.
In addition to previous studies on patients with pedophilia that focus on traumatic events as sexual abuse, we further investigate different types of childhood maltreatment.
We compared 3 samples using the Childhood Trauma Questionnaire: patients with pedophilia, psychotherapy outpatients, and general population (GP). Descriptive analyses were conducted for prevalence rates. To assess statistical differences between the samples concerning retrospective childhood trauma, we conducted t-tests and a multivariate analysis of variance. Binary logistic regression analyses were conducted to identify predictors of childhood maltreatment.
Emotional and sexual abuse was associated with pedophilic sexual preference.
Significant differences of experienced childhood maltreatment were found between the samples with the patients with pedophilia reporting the highest rates. Psychotherapy outpatients reported more childhood maltreatment than the GP except for sexual abuse.
Our results speak to a burdened and stressful childhood of patients with pedophilia; a fantasized, sexualized world in an abusive and neglecting childhood may function as a refuge and lead to "psychic withdrawal."
STRENGTHS & LIMITATIONS: This is the first study comparing a small sample of patients with pedophilia with psychotherapy outpatients and a representative sample of the GP. The use of an established and standardized questionnaire of childhood maltreatment represents a strength. However, the questionnaire's exclusive focus on abuse and neglect represents a limitation as it fails to examine other sources of adverse childhood experiences (eg, intrafamily relationships or loss of a parent).
A better understanding can help establish more effective treatment and prevention programs for patients with pedophilia. Marx CM, Tibubos AN, Brähler E, et al. Experienced Childhood Maltreatment in a Sample of Pedophiles: Comparisons With Patients of a Psychosomatic Outpatient Clinic and the General Population. J Sex Med 2020;17:985-993.
不良的童年经历会对心理健康产生持久的影响。关于恋童癖患者的研究主要集中在他们童年时期的创伤性事件，如性虐待，而很少描述进一步的儿童期虐待。
除了之前关于恋童癖患者的研究主要集中在性虐待等创伤性事件之外，我们还进一步研究了不同类型的儿童期虐待。
我们使用童年创伤问卷比较了 3 个样本：恋童癖患者、心理治疗门诊患者和一般人群（GP）。对患病率进行描述性分析。为了评估样本之间关于回顾性儿童创伤的统计差异，我们进行了 t 检验和多元方差分析。进行二元逻辑回归分析，以确定儿童期虐待的预测因素。
情感和性虐待与恋童癖的性偏好有关。
在有恋童癖的患者中发现了样本之间经历过的儿童期虐待的显著差异，他们报告的发生率最高。除了性虐待外，心理治疗门诊患者比一般人群报告了更多的儿童期虐待。
我们的结果表明，恋童癖患者的童年时期充满了负担和压力；在一个受虐待和忽视的童年时期，一个幻想的、性化的世界可能会成为一个避难所，并导致“精神退缩”。
这是第一项将小样本的恋童癖患者与心理治疗门诊患者和一般人群的代表性样本进行比较的研究。使用已建立和标准化的儿童期虐待问卷是一个优势。然而，该问卷仅关注虐待和忽视，这是一个局限性，因为它没有检查其他不良童年经历的来源（例如，家庭内部关系或失去父母）。
更好地理解可以帮助为恋童癖患者建立更有效的治疗和预防计划。Marx CM, Tibubos AN, Brähler E, 等人。恋童癖患者的童年期受虐经历：与心理治疗门诊患者和一般人群的比较。J 性医学 2020;17:985-993。
