The Relevance of Hypersexuality and Impulsivity in Different Groups of Treatment-Seekers With and Without (Exclusive) Pedophilia

Author:

Bergner-Koether Ralf12ORCID,Peschka Lasse13ORCID,Pastukhov Alexander3,Carbon Claus-Christian3,Steins-Loeber Sabine2ORCID,Hajak Göran1,Rettenberger Martin45ORCID

Affiliation:

1. Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany

2. Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany

3. Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany

4. Centre for Criminology (Kriminologische Zentralstelle, – KrimZ), Wiesbaden, Germany

5. Department of Psychology at the Johannes Gutenberg University Mainz (JGU), Germany

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.

Funder

German national health insurance

Bavarian Ministry of Justice

Publisher

SAGE Publications

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