Study on the Effectiveness of Berlin Dissexuality Therapy as Part of the Model Project in Accordance With §65d SBG V
- Conditions
- PaedophiliaHebephilia
- Interventions
- Behavioral: Psychotherapy
- Registration Number
- NCT06607042
- Lead Sponsor
- Charite University, Berlin, Germany
- Brief Summary
The main goal of this clinical trial is to learn if psychotherapy works to reduce consumption of child abuse imagages.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 60
- 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
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Group Psychotherapy This group receives treatment
- Primary Outcome Measures
Name Time Method Abstinence From enrollment to the end of treatment 12 - 18 weeks Abstinence rates for the consumption of abusive images
- Secondary Outcome Measures
Name Time Method 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
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)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 eachMental 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-codedGeneral 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