Bergner-Koether Ralf, Peschka Lasse, Pastukhov Alexander, Carbon Claus-Christian, Steins-Loeber Sabine, Hajak Göran, Rettenberger Martin
Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany.
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
Sex Abuse. 2025 Jun;37(4):371-398. doi: 10.1177/10790632241271204. Epub 2024 Aug 5.
Hypersexuality and impulsivity are regarded as risk factors for sexual offending against children. Studies exploring these factors in undetected men who offended or are at risk of offending are rare. This study aims to investigate hypersexuality and impulsivity in treatment-seeking men with and without a diagnosis of (exclusive) pedophilia who committed child sexual abuse (CSA), consumed child sexual abuse images (CSAI), or feel at risk of offending sexually. Data were obtained from three child abuse prevention projects in Bamberg, Germany. We employed self-report (BIS-11, HBI), objective measures (TSO), and risk assessment tools (STABLE-2007). We computed Bayesian ordinal logit and binomial generalized linear models to explore differences between groups and to predict lifetime CSA and CSAI. Hypersexuality scores were particularly pronounced in patients with exclusive and non-exclusive pedophilia. Patients without pedophilia scored similarly to nonclinical samples. Impulsivity measures did not consistently differ between groups. We could not predict lifetime CSA and CSAI using impulsivity and hypersexuality measures. Sexual rather than general impulsivity seems to be an issue in men with pedophilia. The motivation to offend in patients without pedophilia is discussed.
性欲亢进和冲动被视为针对儿童性犯罪的风险因素。在未被发现的有过性犯罪或有性犯罪风险的男性中探索这些因素的研究很少。本研究旨在调查有或没有（单纯）恋童癖诊断的、实施过儿童性虐待（CSA）、浏览过儿童性虐待图片（CSAI）或感到有性犯罪风险的寻求治疗的男性的性欲亢进和冲动情况。数据来自德国班贝格的三个预防儿童虐待项目。我们采用了自我报告（BIS-11、HBI）、客观测量（TSO）和风险评估工具（STABLE-2007）。我们计算了贝叶斯有序逻辑回归和二项广义线性模型，以探索组间差异并预测终生CSA和CSAI情况。性欲亢进得分在单纯恋童癖和非单纯恋童癖患者中尤为明显。没有恋童癖的患者得分与非临床样本相似。冲动测量在各组之间没有一致的差异。我们无法使用冲动和性欲亢进测量来预测终生CSA和CSAI情况。对于有恋童癖的男性来说，性冲动而非一般冲动似乎是一个问题。文中还讨论了没有恋童癖的患者的犯罪动机。
