An international randomized waitlist-controlled trial of internet-delivered cognitive behavioral therapy for sexual urges toward children.

IF 6 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2026-07-01 DOI:10.1037/ccp0001019

Allison McMahan, Malin Joleby, Gerhard Andersson, Elizabeth J Letourneau, Michael C Seto, Timothy J Luke, Christoffer Rahm

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引用次数: 0

Abstract

Objective: Test whether Prevent It 2.0, a 9-week, anonymous internet-delivered cognitive behavioral therapy (iCBT) program, reduces the severity of sexual urges and behaviors toward children to prevent acts of child sexual exploitation and abuse.

Method: In a randomized 1:1 waitlist-controlled trial with crossover at Karolinska Institutet, Sweden, N = 203 adults (≥18 years; 92.1% men, 0.5% women, 7.4% other; age 18-70, 66.6% aged 21-40; 49.8% Europe, 38.9% North America) were allocated to iCBT (n = 100) or waitlist (n = 103). The preregistered primary outcome was severity of sexual urges toward children (adapted Sexual Symptoms Assessment Scale). Secondary outcomes included weekly time spent observing children for sexual purposes, including use of child sexual abuse material, and severity of accessed material. The study was preregistered on https://ClinicalTrials.gov (ID: NCT05663047; Karolinska Institutet, 2022) and the Open Science Framework (DOI: https://doi.org/10.17605/OSF.IO/Y2DC4; Rahm et al., 2022).

Results: iCBT participants reported a significantly greater reduction in sexual urges toward children (-6.41 scale points, 95% confidence interval, CI [-8.26, -4.56]; d = -1.01, 95% CI [-1.30, -0.72]), as well as a significant decrease in time spent observing children for sexual purposes (including use of child sexual abuse material; -1.87 hr weekly, 95% CI [-2.91, -0.82], d = -0.517, 95% CI [-0.806, -0.228]) after 9 weeks compared to the attention-controlled waitlist.

Conclusions: Prevent It 2.0 demonstrated efficacy in reducing sexual urges and offending related behaviors toward children, producing clinically significant reductions over 9 weeks, in an anonymous online sample. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

查看原文本刊更多论文

一项针对儿童性冲动的网络认知行为疗法的国际随机候补对照试验。

目的：测试为期9周的匿名互联网认知行为治疗（iCBT）项目“预防2.0”（Prevent It 2.0）是否能降低儿童性冲动和性行为的严重程度，从而预防儿童性剥削和性虐待行为。方法：在瑞典卡罗林斯卡医学院进行的一项随机1:1的候补对照交叉试验中，N = 203名成年人（≥18岁，92.1%男性，0.5%女性，7.4%其他；18-70岁，66.6% 21-40岁；欧洲49.8%，北美38.9%）被分配到iCBT （N = 100）或候补名单（N = 103）。预登记的主要结果是对儿童的性冲动的严重程度（适应性性症状评估量表）。次要结果包括每周观察儿童性目的的时间，包括儿童性虐待材料的使用和访问材料的严重程度。该研究已在https://ClinicalTrials.gov （ID: NCT05663047; Karolinska Institutet, 2022）和开放科学框架（DOI: https://doi.org/10.17605/OSF.IO/Y2DC4; Rahm et al., 2022）上预注册。结果：iCBT参与者报告了对儿童的性冲动显著减少（-6.41量表点，95%置信区间，CI [-8.26, -4.56]; d = -1.01, 95% CI[-1.30, -0.72]），以及9周后观察儿童性目的（包括使用儿童性虐待材料；-1.87小时，95% CI [-2.91, -0.82], d = -0.517, 95% CI[-0.806, -0.228]）的时间显著减少。结论：在一个匿名的在线样本中，prevention It 2.0证明了在减少对儿童的性冲动和冒犯相关行为方面的有效性，在9周内产生了临床显著的减少。（PsycInfo数据库记录(c) 2026 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.