Staffordshire University, Stoke-On-Trent, UK.
J Appl Res Intellect Disabil. 2021 Nov;34(6):1373-1392. doi: 10.1111/jar.12883. Epub 2021 Mar 22.
Sexual offending has been attributed to empathy deficits, implicating interventions targeting empathy as a potential mechanism for reducing sexually harmful behaviour. However, there is less known about how appropriate and effective interventions are for individuals with intellectual disabilities. This review aims to provide a comprehensive synthesis of research findings in this area.
Four databases were searched, yielding 13 studies meeting the inclusion criteria which were appraised using the CCAT.
CBT group treatments adapted from mainstream treatment programmes for people with intellectual disabilities were widely used, demonstrating improvements in empathy and reductions in sexually abusive behaviour overall.
Studies are limited by sample sizes, lack of control groups and inconsistent definitions of intellectual disabilities and sexually abusive behaviour. Future research should include evaluation of models other than CBT, further assessment of empathy-specific interventions and understanding of the mechanism underpinning empathy change.
性犯罪归因于同理心缺陷，这意味着针对同理心的干预措施可能是减少性伤害行为的一种潜在机制。然而，对于智力障碍者，人们对适当和有效的干预措施知之甚少。本综述旨在全面综合该领域的研究结果。
四个数据库进行了搜索，共获得了 13 项符合纳入标准的研究，使用 CCAT 进行了评估。
从针对智力障碍者的主流治疗方案改编而来的 CBT 团体治疗被广泛使用，总体上显示出同理心的提高和性虐待行为的减少。
研究受到样本量、缺乏对照组以及智力障碍和性虐待行为定义不一致的限制。未来的研究应包括对 CBT 以外的模型进行评估，进一步评估针对同理心的干预措施，并了解同理心变化的潜在机制。
