Department of Health Promotion and Development, University of Bergen, Årstadveien 17, 5009, Bergen, Norway.
School for Law and Social Sciences, University of Derby, Derby, UK.
Arch Sex Behav. 2024 Oct;53(9):3329-3346. doi: 10.1007/s10508-024-02943-0. Epub 2024 Jul 15.
People with a sexual interest in children face significant barriers to seeking and receiving mental health treatment. This review aims to bridge the gap between the treatment needs and experiences of pedohebephiles, and the services aiming to support them. Reviewers screened 1705 database hits and extracted findings from 22 qualitative, 15 quantitative, and 3 mixed-method studies on the treatment needs and experiences of pedohebephiles. Research suggests that this population experiences significant levels of distress, depression, and anxiety related to their sexual interest. Many individuals belonging to this population would seek (median = 42.3%), or have sought (median = 46.5%), treatment to cope with their sexual interest or with potential related mental health repercussions. Their experiences in treatment have been mixed, with some reporting positive experiences with empathic therapists and others reporting rejection. Most frequently, pedohebephiles report fear of exposure and rejection as barriers to seeking treatment, in addition to fear of the legal repercussions. The current study is the first to summarize and discuss previous findings on the treatment needs and experiences of pedohebephiles. The findings indicate that the treatment needs of pedohebephiles often remain unaddressed. Suggestions to increase the fit between treatment services and the needs of pedohebephiles are put forward.
对儿童有性兴趣的人在寻求和接受心理健康治疗方面面临重大障碍。本综述旨在弥合恋童癖和恋童癖者的治疗需求和体验与旨在支持他们的服务之间的差距。审查员筛选了 1705 个数据库命中，并从 22 项定性研究、15 项定量研究和 3 项混合方法研究中提取了关于恋童癖和恋童癖者的治疗需求和体验的发现。研究表明，该人群经历了与性兴趣相关的显著程度的痛苦、抑郁和焦虑。属于这一人群的许多人会寻求（中位数=42.3%），或已经寻求（中位数=46.5%）治疗，以应对他们的性兴趣或潜在的相关心理健康影响。他们在治疗中的经历喜忧参半，一些人报告说与富有同情心的治疗师有积极的体验，而另一些人则报告说遭到拒绝。恋童癖者最常报告说，担心被曝光和被拒绝，以及担心法律后果，这是寻求治疗的障碍。本研究首次总结和讨论了以前关于恋童癖和恋童癖者的治疗需求和体验的研究结果。研究结果表明，恋童癖者的治疗需求往往得不到满足。提出了一些建议，以增加治疗服务与恋童癖者需求的契合度。
