Added: Nona Elton - Date: 05.01.2022 05:18 - Views: 17023 - Clicks: 7717
Background: Around 1 in adolescents aged 12 to 17 years old display problematic or harmful sexual behaviour HSB. Examples include behaviours occurring more frequently than would be considered developmentally appropriate; accompanied by coercion; involving children of different ages or stages of development; or associated with emotional distress. Some, but not all, young people engaging in HSB come to the attention of authorities for investigation, prosecution or treatment.
Depending on policy context, young people with HSB are those whose behaviour has resulted in a formal reprimand or warning, conviction for a sexual offence, or civil measures. Cognitive-behavioural therapy CBT interventions are based on the idea that by changing the way a person thinks, and helping them to develop new coping skills, it is possible to change behaviour. We also examined relevant websites, checked reference lists and contacted authors of relevant articles. Selection criteria: We included all relevant randomised controlled trials RCTs using parallel groups.
We evaluated CBT treatments compared with no treatment, waiting list or standard care, irrespective of mode of delivery or setting, given to young people aged 10 to 18 years, who had been convicted of a sexual offence or who exhibited HSB. Data collection and analysis: We used standard methodological procedures expected by Cochrane. Main : We found four eligible RCTs participants. Participants in two studies were adolescent males aged 12 to 18 years old. In two studies participants were males simply described as "adolescents.
The four studies were of short duration: one lasted two months; two lasted three months; and one lasted six months. No information was available on funding sources. Two studies compared group-based CBT respectively to no treatment 18 participants or treatment as usual 21 participants. The third compared CBT with sexual education 16 participants. The fourth compared CBT 19 participants with mode-deactivation therapy 21 participants and social skills training 20 participants. Three interventions delivered treatment in a residential setting by someone working there, and one in a community setting by d therapist undertaking a PhD.
CBT compared with no treatment or treatment as usual Primary outcomes No study in this comparison reported the impact of CBT on any measure of primary outcomes recidivism, and adverse events such as self-harm or suicidal behaviour. Secondary outcomes There was little to no difference between CBT and treatment as usual on cognitive distortions in general mean difference MD 1.
One study 18 male cbt reported very low-certainty evidence that CBT may result in greater improvements in victim empathy MD 5. One additional study also measured this, but provided no usable data. CBT compared with alternative interventions Primary outcomes One study male cbt participants found little to no difference between CBT and alternative treatments on post-treatment sexual aggression scores MD 0. No study in this comparison reported the impact of CBT on any measure of our remaining primary outcomes.
Secondary outcomes One study 16 participants provided very low-certainty evidence that, compared to sexual education, mean cognitive distortions pertaining to justification or taking responsibility for actions MD 3.
The same study indicated that mean cognitive distortions pertaining to social-sexual desirability may be lower in the CBT group, and there may be little to no difference between the groups for cognitive distortions pertaining to inappropriate sexual fantasies measured with the Multiphasic Sex Inventory.
All studies had insufficient detail male cbt what they reported to allow for full assessment of risk of bias. Sample sizes were very small, and the imprecision of was ificant. There is very low-certainty evidence that group-based CBT may improve victim empathy when compared to no treatment, and may improve cognitive distortions when compared to sexual education, but not treatment as usual.
Further research is likely to change the estimate. More robust evaluations of both individual and group-based CBT are required, particularly outside North America, and which look at the effects of CBT on diverse participants. Comparison 2: CBT versus alternative interventions, Outcome 3: Secondary outcome: sexual attitudes and…. Comparison 2: CBT versus alternative interventions, Outcome 4: Secondary outcome: sexual attitudes and…. Comparison 2: CBT versus alternative interventions, Outcome 5: Secondary outcome: sexual attitudes and….
Comparison 2: CBT versus alternative interventions, Outcome 6: Secondary outcome: sexual attitudes and…. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search.
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RSS Link Copy. Full text links Cite Display options Display options. Abstract Background: Around 1 in adolescents aged 12 to 17 years old display problematic or harmful sexual behaviour HSB. Figures 1 Prisma Study flow diagram. Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies. Risk of bias summary: review authors' judgements about each risk of bias item for each included study. Analysis Comparison 1: CBT versus no….
Analysis Comparison 2: CBT versus alternative…. All figures See this image and copyright information in PMC. Update of doi: Similar articles Psychological interventions for antisocial personality disorder. Gibbon S, et al. Cochrane Database Syst Rev. PMID: Pharmacological interventions for those who have sexually offended or are at risk of offending. Khan O, et al. Psychological interventions for adults who have sexually offended or are at risk of offending.
Dennis JA, et al. PMID: Review. Suicidal Ideation. Harmer B, et al. In: StatPearls [Internet].Male cbt
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