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Bergner-Koether R, Peschka L, Pastukhov A, Carbon CC, Steins-Loeber S, Hajak G, Rettenberger M. The Relevance of Hypersexuality and Impulsivity in Different Groups of Treatment-Seekers With and Without (Exclusive) Pedophilia. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2024:10790632241271204. [PMID: 39104158 DOI: 10.1177/10790632241271204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/07/2024]
Abstract
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.
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Affiliation(s)
- Ralf Bergner-Koether
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
- Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany
| | - Lasse Peschka
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Alexander Pastukhov
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Claus-Christian Carbon
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Sabine Steins-Loeber
- Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany
| | - Göran Hajak
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
| | - Martin Rettenberger
- Centre for Criminology (Kriminologische Zentralstelle, - KrimZ), Wiesbaden, Germany
- Department of Psychology at the Johannes Gutenberg University Mainz (JGU), Germany
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de Graaf H, Mitchell K, Clifton S, Lara MF, Dewaele A, Dupont J, Klapilova K, Lazdāne G, Briken P, Træen B, Bajos N, Ljungcrantz D, Kontula O. Sex Surveys in Europe: Reflections on over Four Decades of Sexual Behavior and Sexual Health Surveillance. JOURNAL OF SEX RESEARCH 2023; 60:1020-1033. [PMID: 37339272 DOI: 10.1080/00224499.2023.2222403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2023]
Abstract
Sexual expression is fundamental to human existence and an important topic of enquiry in its own right. Understanding sexual behavior is also essential to establish effective sexual health prevention activities (e.g., education), services and policies, and to assess the progress of policies and action plans. Questions on sexual health are rarely included in general health surveys, and therefore dedicated population studies are required. Many countries lack both funding and sociopolitical support to conduct such surveys. A tradition of periodic population sexual health surveys exists in Europe but the methods used (e.g., in questionnaire construction, recruiting methods or interview format) vary from one survey to another. This is because the researchers within each country are confronted with conceptual, methodological, sociocultural and budgetary challenges, for which they find different solutions. These differences limit comparison across countries and pooling of estimates, but the variation in approaches provides a rich source of learning on population survey research. In this review, survey leads from 11 European countries discuss how their surveys evolved during the past four decades in response to sociohistorical and political context, and the challenges they encountered. The review discusses the solutions they identified and shows that it is possible to create well designed surveys which collect high quality data on a range of aspects of sexual health, despite the sensitivity of the topic. Herewith, we hope to support the research community in their perennial quest for political support and funding, and ongoing drive to advance methodology in future national sex surveys.
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Affiliation(s)
- Hanneke de Graaf
- National Programmes, Rutgers, Dutch Centre of Expertise on Sexual and Reproductive Health
| | | | - Soazig Clifton
- Centre for Health at NatCen, the Institute for Global Health at University College London
| | - Maria Fernanda Lara
- Departamento de Especialidades Quirúrgicas, Bioquímica, Ginecología y Obstetrician, Universidad de Málaga
| | - Alexis Dewaele
- Faculty of Psychology and Educational Sciences, Ghent University
| | - Joke Dupont
- Faculty of Psychology and Educational Sciences, Ghent University
| | - Katerina Klapilova
- National Institute of Mental Health, Klecany, and Faculty of Humanities, Charles University
| | - Gunta Lazdāne
- Institute of Public Health, Rīga Stradiņš University
| | - Peer Briken
- Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Centre Hamburg-Eppendorf
| | - Bente Træen
- Faculty of Social Sciences, Department of Psychology, University of Oslo
| | - Nathalie Bajos
- IRIS U997, Institut National de la Santé et de la Recherche Médicale (INSERM)
| | - Desiree Ljungcrantz
- Unit for Sexual Health and HIV prevention, The Public Health Agency of Sweden
| | - Osmo Kontula
- Population Research Institute, Family Federation of Finland
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Casademont F, Märker V, Bindt C, Briken P. The Hamburg Youth Prevention Project (HYPP) for adolescents with sexual interest in children. Int J Impot Res 2023:10.1038/s41443-023-00755-9. [PMID: 37634033 DOI: 10.1038/s41443-023-00755-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 08/15/2023] [Accepted: 08/16/2023] [Indexed: 08/28/2023]
Abstract
Paedophilic sexual interest is often linked to an emergence during adolescence, but concrete empirical knowledge on its development and early viable treatments remains scarce. The aim of this article is to provide an overview about the current state of research on juveniles with sexual interest in children as well as to introduce the Hamburg Youth Prevention Project (HYPP). The HYPP aims to better comprehend the development of sexual interests in adolescents and seeks to find a basis for improved treatment strategies during this critical developmental period. In this perspective, we outline the framework, goals, and treatment approach for this project. It addresses adolescents who are sexually attracted to younger children or engage in sexual acts with children and who have not yet been in contact with the justice system. The project offers a diagnostic process, anonymous counselling, and treatment. It is grounded in a biopsychosocial perspective on psychosexual development and an integrative family-centred approach. The project is based on the core assumption that in adolescent participants, there is still great flexibility for development, including their sexual interests.
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Affiliation(s)
- Fabiola Casademont
- Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Viktoria Märker
- Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Carola Bindt
- Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Peer Briken
- Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Briken P, Dekker A, Cerwenka S, Pietras L, Wiessner C, von Rüden U, Matthiesen S. [The German health and sexuality survey (GeSiD)-a brief introduction to the study]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:1334-1338. [PMID: 34636943 PMCID: PMC8507350 DOI: 10.1007/s00103-021-03433-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 09/20/2021] [Indexed: 11/30/2022]
Abstract
Until 2020, there was no representative sex survey for Germany with published data. The GeSiD study "Health and Sexuality in Germany" is the first nationwide, representative sex survey. The aim of this paper is to provide a brief introduction to the German health and sexuality (GeSiD) survey.A total of 4955 persons (2336 men, 2619 women) aged 18-75 years were interviewed between 2018 and 2019. The computer-assisted face-to-face interviews had an extensive self-completion section and asked about a wide range of sexual behaviour and sexual health topics. Data on sexual identity, relationships, sexual behaviour, and sexual health were assessed. Data show, among other things, that only a minority of respondents had ever talked to a healthcare provider about HIV/AIDS or other sexually transmitted infections (STIs).Data show a clear need for education, information dissemination, and training in the area of sexual health.
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Affiliation(s)
- Peer Briken
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
| | - Arne Dekker
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
| | - Susanne Cerwenka
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
| | - Laura Pietras
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
| | - Christian Wiessner
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
- Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Ursula von Rüden
- Referat Forschung, Qualitätssicherung, Bundeszentrale für gesundheitliche Aufklärung (BZgA), Köln, Deutschland
| | - Silja Matthiesen
- Institut für Sexualforschung, Sexualmedizin & Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland
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