BACKGROUND:There have been a number of studies of treatment for men with intellectual disabilities and sexually abusive behaviour but few follow-up studies. Our aim was to follow up men with intellectual disabilities who had attended group cognitive behavioural treatment (CBT) for sexually abusive behaviour. METHOD:Thirty-four men (from seven treatment sites) were followed up. All had attended SOTSEC-ID groups. The mean length of follow-up, since the end of the treatment group, was 44 months (SD 28.7, range 15-106 months). RESULTS:The statistically significant improvements in sexual knowledge, empathy and cognitive distortions that occurred during treatment were maintained at follow-up. In all, 11 of the 34 (32%) men showed further sexually abusive behaviour, but only two of these men received convictions. Analyses of the variables associated with further sexually abusive behaviour indicated that a diagnosis of autism was associated with a higher likelihood of further sexually abusive behaviour. CONCLUSIONS:This study provides some evidence of the longer-term effectiveness of group CBT for men with intellectual disabilities and sexually abusive behaviour.

译文

背景:已有许多针对智障和性虐待行为的男性的治疗研究,但随访研究很少。我们的目的是跟进曾参加过针对性虐待行为的集体认知行为治疗(CBT)的智障男性。
方法:对34名男性(来自7个治疗部位)进行了随访。所有人都参加了SOTSEC-ID组。自治疗组结束以来,平均随访时间为44个月(SD 28.7,范围15-106个月)。
结果:随访期间,在治疗过程中发生的性知识,同理心和认知失真方面的统计学显着改善得以维持。在这34名男性中,有11名(32%)表现出进一步的性虐待行为,但其中只有2名被定罪。对与进一步的性虐待行为有关的变量的分析表明,自闭症的诊断与更高的进一步性虐待行为的可能性有关。
结论:这项研究提供了一些证据,表明集体CBT对智力残疾和性虐待行为的长期效果。

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