Hebephilia, Paedophilia
Conditions
Keywords
Paedophilia, Hebephilia, Child Abuse Images, Sexual Offending
Brief summary
The main goal of this clinical trial is to learn if psychotherapy works to reduce consumption of child abuse imagages.
Interventions
BEHAVIORALPsychotherapy
Psychotherapy according to the Berlin Dissexuality Therapy (BEDIT)
Sponsors
Hannover Medical School
Heinrich-Heine University, Duesseldorf
Klinikum Bamberg
Universitätsklinikum Kiel
University Medical Center Mainz
Uniklinikum Giessen und Marburg
University Hospital Ulm
Universitätsklinikum Leipzig
University Hospital Regensburg
Universitätsklinikum Hamburg-Eppendorf
Charite University, Berlin, Germany
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age at first presentation minimum 18 years * Voluntary consent to participation on the part of the participant * At the time of inclusion, no contact with the justice system (ongoing investigation, ongoing criminal proceedings, ongoing prison sentence) due to sexually abusive behavior towards children * Sexually conspicuous behavior and/or fantasies or impulses that indicate the presence of a pedophilic and/or hebephilic preference disorder. * An offer of treatment is made when a suspected diagnosis is confirmed or the diagnosis is confirmed * Feared or recent use of abusive images * Sufficient knowledge of German * Voluntary participation in the study and checking the checkbox in the informed consent form before starting participation
Exclusion criteria
* Age under 18 years * Lack of consent on the part of the patient * Exclusion of the presence of a pedophilic and/or hebephilic preference disorder * Current legal status in the sense of an ongoing investigation or criminal proceedings due to sexually assaultive behavior towards children * Severe comorbidities: unstable psychotic disorder, organic brain damage, reduced intellectual capacity (IQ below 70), untreated drug or alcohol addiction or persistent harmful use * Current risk of child sexual abuse and or child sexual abuse that occurred less than 15 years before the start of the study * An antiandrogenic medication or an opiate antagonist, during therapy start taking a serotonin reuptake inhibitor.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Abstinence | From enrollment to the end of treatment 12 - 18 weeks | Abstinence rates for the consumption of abusive images |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sexual preoccupation | From enrollment to the end of treatment 12 - 18 weeks | Hypersexual Behavior Inventory - 19, Total Sexual Outcomes * 19 Items, rated on a scale from 1 (never) bis 5 (very often) * No reverse-coded items * Unweighted summation * minimum = 19, maximum = 95 * Higher scores indicate more frequent or intense hypersexual behavior (negative outcome) |
| Cognitive distortions about child sexual abuse | From enrollment to the end of treatment 12 - 18 weeks | Attitudes conducive to child sexual abuse measured by Bumby Molest Scale * 38 items, rated on a scale from 1 (strongly disagree) to 4 (strongly agree) * No reverse-coded items * Unweighted summation * minimum = 38, maximum = 152 * Higher scores indicate a greater extent of cognitive distortions (negative outcome) |
| Frequency of abstinence rates | From enrollment to the end of treatment 12 - 18 weeks | Frequency of abstinence rates for the use of child abuse images |
| Mental Health | From enrollment to the end of treatment 12 - 18 weeks | Mental health measured by Hospital Anxiety and Depression Scale * Two subscales (Anxiety and Depression), each with 7 items, rated from 0 (no symptoms) to 3 (severe symptoms) * Unweighted summation * minimum = 0, maximum = 21 per subscale; cutoff score = 11 * Even-numbered items pertain to the Depression subscale, odd-numbered items to the Anxiety subscale * Items 1, 3, 5, 6, 8, 10, 11, 13 are reverse-coded |
| General well-being | From enrollment to the end of treatment 12 - 18 weeks | General well-being measured by European Health Interview Survey - Quality of Life * 8 items, rated on a scale from 1 (not at all) to 5 (completely) * No reverse-coded items * Unweighted summation * minimum = 8, maximum = 40 * Higher scores represent better quality of life |
| Emotion regulation | From enrollment to the end of treatment 12 - 18 weeks | Emotion regulation measured by Coping Inventory for Stressful Situations - Short Form * 24 items, rated on a scale from 1 (not at all typical) to 5 (very typical) * No reverse-coded items * Unweighted summation * 3 subscales (task-oriented, emotion-oriented, avoidance): minimum = 8, maximum = 40 for each |
Contacts
Primary ContactKlaus Michael Beier, Prof. Dr. med. Dr. phil.
Backup ContactTillmann Krüger, Prof. Dr. med.
Outcome results
None listed