Sexual Abuse: A Journal of Research and Treatment最新文献

{"title":"Supporting Change: An Exploration Into the Impact of Circles of Support and Accountability on STABLE-2007 Risk Factors.","authors":"Joshua T Hurd, Allen Azizian","doi":"10.1177/10790632261494627","DOIUrl":"https://doi.org/10.1177/10790632261494627","url":null,"abstract":"<p><p>Circles of Support and Accountability (COSA) enhance community safety by supporting individuals convicted of sexual offenses as they transition back into society. We conducted exploratory interviews with COSA participants (<i>N</i> = 19), using the STABLE-2007 to assess their views of how specific risk factors contributed to their offending and how COSA helped mitigate these factors. The risk factors most reported as contributing to the offense were Sexual Preoccupation (<i>n</i> = 19), Capacity for Relationship (<i>n</i> = 18), and Poor Problem Solving (<i>n</i> = 18). Across all items, participants overwhelmingly perceived COSA as helpful, even for risk factors that participants did not consider having contributed to their offense. Thematic analysis revealed themes across risk factors, including opportunities to address them in a supportive, shame-free environment, as well as the development of genuine relationships. We recommend greater recognition of COSA as an adjunctive support for treatment progress and completion, especially in jurisdictions with mandated sexual offending programs.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"10790632261494627"},"PeriodicalIF":1.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observed Change in STABLE-2007 Scores Among Adult Males on Parole Participating in Treatment for Sexual Offending.","authors":"Allen Azizian, Deirdre D'Orazio, Ryan Ditchfield, Lea Chankin","doi":"10.1177/10790632261491359","DOIUrl":"https://doi.org/10.1177/10790632261491359","url":null,"abstract":"<p><p>The STABLE-2007 is a risk assessment tool used in sexual offending treatment programs to identify and monitor changes in criminogenic needs. We conducted multilevel growth curve analyses to examine changes in STABLE-2007 scores over a four-year period among 873 parolees participating in treatment programs for sexual offending in California. We observed a small yet significant decline in STABLE-2007 scores over the course of treatment, though the magnitude of this decline did not result in changes in the combined Static-99R/STABLE-2007 risk levels. Higher Static-99R scores at the start of treatment were associated with a weaker decline in STABLE-2007 scores over time, whereas higher STABLE-2007 scores were associated with a stronger decline in STABLE-2007 scores over time. We contextualize our findings by considering treatment program factors that may affect the extent of change in criminogenic needs, as well as the limitations of the STABLE-2007 in detecting meaningful clinical change. These findings suggest that STABLE-2007 scores may change gradually in routine treatment settings, while highlighting the importance of distinguishing score change from meaningful changes in overall risk.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"10790632261491359"},"PeriodicalIF":1.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Childhood to Adulthood: A Systematic Review of Factors in Developmental Pathways of Sexual Aggression in Adult Males and Females.","authors":"Alexandre Gauthier, Etienne Garant, Tamsin Higgs, Frédéric Ouellet, Jonathan James, Jean Proulx","doi":"10.1177/10790632261491362","DOIUrl":"https://doi.org/10.1177/10790632261491362","url":null,"abstract":"<p><p>Over the past 40 years, several studies have explored the developmental pathways leading to sexual aggression. However, the variability of the factors of these pathways across studies have never been examined. Therefore, the aim of this systematic review was to investigate the factors these pathways encompass across groups defined by the sex of the perpetrator (male/female) and the age of the victim (adult/minor). A search through 21 online databases identified 29,218 candidate studies; of these, 18 specifically examined developmental pathways to sexual aggression, and were retained. These pathways span characteristics (factors) across three developmental stages: (1) childhood; (2) adolescence; and (3) adulthood. Within these 18 studies-16 quantitative and 2 qualitative- we identified 46 developmental pathways, encompassing nearly 400 different risk factors across the three developmental stages. These risk factors were grouped into 80 categories. Only 10 of these 80 categories were present in all the studies of male perpetrators. These 10 categories were classified into three groups: (1) dysfunctional childhood environment (e.g., direct and indirect victimization); (2) antisocial orientation during adolescence and adulthood (e.g., antisocial attitudes and behaviors, criminality); and (3) deviant sexuality in adulthood (e.g., deviant sexual fantasies). The existence of many specific factors, in addition to shared factors, argues for the existence of equifinality in these pathways, suggesting that there are multiple routes or paths leading to the same maladaptive behavior, namely, the commission of sexual aggression. The theoretical and clinical implications of these results are discussed.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"10790632261491362"},"PeriodicalIF":1.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Feasibility Study of a Canadian Child Sexual Abuse Perpetration Prevention Program.","authors":"Skye Stephens, Ian V McPhail, Ainslie Heasman, Cory Gerritsen, Sarah Moss, Stéphanie Chouinard-Thivierge","doi":"10.1177/10790632261460836","DOIUrl":"10.1177/10790632261460836","url":null,"abstract":"<p><p>Online or other child sexual exploitation or abuse (OCSEA) perpetration prevention programs are designed to provide services to individuals <i>prior to offending</i>. There is limited research on OCSEA perpetration prevention programs in jurisdictions with mandatory reporting. The present study is a mixed-method feasibility evaluation of the OCSEA perpetration prevention therapy program, <i>Talking for Change</i> (TFC). The feasibility study broadly addressed whether adult clients could be recruited to the program, the clinical profile of clients, and their satisfaction with the program. In total, there were 162 distinct individuals referred with the number of referrals increasing on an annual basis. Clients in the evaluation (<i>n</i> = 40) presented with risk relevant factors related to paraphilic interests and sexual self regulation problems with interpersonal challenges as well as several protective factors (e.g., empathy). The population had a high level of comorbid mental health problems, and many had engaged in prior CSEM use. Program satisfaction interviews resulted in five themes that highlighted the value of the group (e.g., promoting acceptance and accountability) and challenges (e.g., problems with a one size fits all approach). The results indicated that OCSEA perpetration prevention programs are feasible in mandatory reporting jurisdictions. Implications for program delivery are discussed.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"849-883"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Base Rate Information Improves Risk Estimation of Laypeople and Experts.","authors":"Robert J B Lehmann, Thomas Schäfer, Joscha Hausam","doi":"10.1177/10790632261470830","DOIUrl":"10.1177/10790632261470830","url":null,"abstract":"<p><p>Interpretation of psychological assessments using actuarial risk tools varies according to risk level and communication format. However, previous research in this area has widely neglected the fact that decision makers' probability judgments often exceed empirically observed recidivism rates derived from follow-up studies. Thus, the current studies investigated the additional effect of base rate information on the estimation of risk including laypeople (<i>n</i> = 283, 68% female, <i>M</i> = 24 years old) and expert witnesses (<i>n</i> = 62, 76% female, <i>M</i> = 42 years old). Results largely replicate findings of previous research regarding the effects of risk level and communication format. Both groups provided estimates substantially higher than expected official recidivism rates (laypeople: <i>M</i> = 56.7%, experts: <i>M</i> = 28.1% vs. empirical base rate of 10%). Providing base rates reduced this discrepancy by 12% points (Cohen's <i>d</i> = 0.43) for laypeople and 7% points (<i>d</i> = 0.42) for experts. Additional analyses indicated that experts specializing in risk assessment produced estimates closer to follow-up benchmarks than those focusing on other forensic tasks. Years of professional experience among expert witnesses were positively associated with larger discrepancies between estimates and follow-up rates. These findings underscore the importance of incorporating base rate information to anchor risk judgments in empirically established benchmarks. Communication format had, at most, a minimal impact on risk estimates, whereas providing base rate information meaningfully reduced discrepancies between estimates and follow-up benchmarks in both lay and expert samples. We recommend reporting empirically grounded base rates alongside any chosen communication format.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"822-848"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways to Effective Treatment for Individuals Convicted of Sexual Offences Who Are Taking Medication to Manage Problematic Sexual Arousal.","authors":"Rebecca Lievesley, Kerensa Hocken, Belinda Winder, Christine Norman, Adarsh Kaul","doi":"10.1177/10790632261460849","DOIUrl":"10.1177/10790632261460849","url":null,"abstract":"<p><p>The use of medication to manage problematic sexual arousal among individuals convicted of sexual offences is still an understudied treatment option in the U.K. Because of this, our knowledge of the medication service is limited to nomothetic analyses of pre- and post-treatment effectiveness, and qualitative analyses of the lived experiences of people taking the medication. This paper contributes a novel perspective on the service by using service-level data to chart the treatment pathways of all service users (<i>N</i> = 139) who have received this medication at the first evaluation site. Using a rigorous process of data triangulation and inter-rater reliability checking, we identified six distinct treatment pathways based on initial drug classes, changes in dosage or drug class, and the (dis)continuation of medication. Each pathway is associated with positive changes in indices of problematic sexual arousal, while highlighting the nuance within service user journeys. In conducting this exercise, we have also produced a framework for ethical client centered prescribing that considers both clinical effectiveness and service user experiences to help clinicians make decisions that are likely to yield both positive clinical outcomes and long-term medication adherence among service users.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"798-821"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development of the Paraphilic Disorders Short Screen (PDSS) and Its Examination in Diverse Populations: A Large, Multi-Nation Study.","authors":"Mónika Koós, Léna Nagy, Shane W Kraus, Marc N Potenza, Zsolt Demetrovics, Johannes Fuss, Verena Klein, Yen-Ling Chen, Rafael Ballester-Arnal, Dominik Batthyány, Sophie Bergeron, Joël Billieux, Peer Briken, Julius Burkauskas, Georgina Cárdenas-López, Joana Carvalho, Jesús Castro-Calvo, Lijun Chen, Giacomo Ciocca, Ornella Corazza, Rita I Csako, David P Fernandez, Elaine F Fernandez, Hironobu Fujiwara, Roman Gabrhelík, Ateret Gewirtz-Meydan, Biljana Gjoneska, Mateusz Gola, Joshua B Grubbs, Hashim T Hashim, Md Saiful Islam, Mustafa Ismail, Martha C Jiménez-Martínez, Tanja Jurin, Ondrej Kalina, András Költő, Chih-Ting Lee, Sang-Kyu Lee, Karol Lewczuk, Chung-Ying Lin, Christine Lochner, Silvia López-Alvarado, Kateřina Lukavská, Percy Mayta-Tristán, Dan J Miller, Oľga Orosová, Gábor Orosz, Fernando P Ponce, Gonzalo R Quintana, Gabriel C Quintero Garzola, Jano Ramos-Diaz, Kévin Rigaud, Ann Rousseau, Marco De Tubino Scanavino, Marion K Schulmeyer, Pratap Sharan, Mami Shibata, Sheikh Shoib, Vera Sigre-Leirós, Luke Sniewski, Ognen Spasovski, Vesta Steibliene, Dan J Stein, Julian Strizek, Banu C Ünsal, Marie-Pier Vaillancourt-Morel, Marie Claire Van Hout, Beáta Bőthe","doi":"10.1177/10790632261438676","DOIUrl":"10.1177/10790632261438676","url":null,"abstract":"<p><p>To date, there is no reliable and valid screening tool for paraphilic disorders (PDs) based on the diagnostic criteria of the International Classification of Diseases (ICD-11). The present study aimed to develop and cross-culturally examine the cross-cultural applicability of a new screening tool for PDs following the ICD-11 guidelines.</p><p><strong>Methods: </strong>Top-down item development was conducted with expert practitioners in the field. Data were collected in 26 languages across 42 countries (<i>N</i> = 82,243; 39.5% men; 57.0% women; 3.4% gender-diverse; <i>M</i>_age = 32.39 years, <i>SD</i> = 12.52). Cut-off scores were established per ICD-11 guidelines, and at-risk groups were compared with low-risk groups along theoretically relevant correlates (e.g., depression, anxiety).</p><p><strong>Outcomes: </strong>The Paraphilic Disorders Short Screen (PDSS) assesses seven paraphilias via 21 items.</p><p><strong>Results: </strong>Voyeurism was most common paraphilic interest (PI) (19.42% of the total sample; <i>n</i> = 15,970), which also had the highest number of participants meeting the ICD-11 diagnostic cut-off (3.24%; <i>n</i> = 2,662). PI and PD groups consistently demonstrated more severe depression and anxiety symptoms than others.</p><p><strong>Conclusion: </strong>The PDSS is a reliable and valid screening tool that follows the latest ICD-11 guidelines; therefore, it has the capacity to enhance clinical practice and research by identifying individuals at risk.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"763-797"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development and Validation of a Preliminary Model for Classifying Technology Facilitated Child Sexual Exploitation and Abuse by Men in the General Population.","authors":"Tyson Whitten, Jesse Cale, Michael Salter, Delanie Woodlock","doi":"10.1177/10790632261491365","DOIUrl":"https://doi.org/10.1177/10790632261491365","url":null,"abstract":"<p><p>The current study aimed to develop and validate a preliminary model for classifying self-reported TF-CSEA perpetration in general population samples. Data were based on census-weighted samples of adult men from Australia (<i>n</i> = 1,939), the U.K. (n = 1,506), and the U.S.A. (<i>n</i> = 1,473). Penalised regression with repeated 10-fold cross-validation were used to identify predictors in the Australian sample. The final model included thirteen items related to attitudes towards TF-CSEA, use of encrypted messaging apps, online behaviours, and mental health. The model demonstrated good discrimination (AUROC = 0.91), calibration (O:E = 1.10), and accuracy (Brier score = 0.04) in the Australian sample, with strong external validity in the U.S.A. (AUROC = 0.90; O:E = 0.99; Brier score = 0.05) and U.K. (AUROC = 0.85; O:E = 1.07; Brier score = 0.03) datasets. The model was translated into a nomogram, and net benefit decision curve analysis indicated that flagging men exceeding a probability threshold of 0.24 produced a net gain of 42, 17, and 43 true positives per 1,000 men assessed in Australia, the U.K., and U.S.A. Subgroup analyses demonstrated higher net benefits when applied to men who work with children. This model provides proof-of-concept evidence that TF-CSEA related behaviours can be classified within anonymous survey data using non-incriminating self-report indicators in general population samples.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"10790632261491365"},"PeriodicalIF":1.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Substance Abuse and Child Sexual Exploitation in Pakistan's Urban Slums: Mediating Role of Caregiver Neglect.","authors":"Tauqeer Abdullah","doi":"10.1177/10790632261442949","DOIUrl":"10.1177/10790632261442949","url":null,"abstract":"<p><p>This study examined the associations between paternal substance abuse (PSA), child sexual exploitation (CSE), and child emotional dysregulation (CED), with caregiver neglect (CN) as a mediator and child gender included as a control variable. Guided by Ecological Systems Theory, Attachment Theory, and Trauma Theory, the research was conducted in urban slums of Lahore, Pakistan. Data were collected from 738 male and female children aged 10-18 years who were directly exposed to paternal substance abuse. Structural equation modelling (SEM) indicated that PSA was significantly associated with both CSE and CED and was strongly linked to CN. CN significantly predicted both forms of child vulnerability and mediated the relationships between PSA and these outcomes. Additionally, when gender was statistically controlled, only negligible changes were observed in the magnitude of the relationships, while all paths remained significant and consistent in direction, indicating the robustness of the model. These findings highlight the need for integrated interventions addressing paternal substance abuse, parenting support, and child protection systems, particularly in high-risk urban slum communities.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"732-757"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Recidivism Norms by CPORT Score: Developing Absolute and Relative Rate Estimates.","authors":"Seung C Lee, Kelly M Babchishin, Angela W Eke, Michael C Seto","doi":"10.1177/10790632261446632","DOIUrl":"10.1177/10790632261446632","url":null,"abstract":"<p><p>The present study provides normative data for the Child Pornography Offender Risk Tool (CPORT) by aggregating individual-level data from six routine samples (<i>N</i> = 956) across Canada, Europe, and the United Kingdom. All cases were men adjudicated for child sexual abuse and exploitation material (CSAEM) offenses. Meta-analyses revealed stable predictive accuracy for the CPORT across studies (AUCs = .728 and .713, respectively, for any sexual recidivism and for CSAEM-specific recidivism). Estimated recidivism rates increased with CPORT scores, ranging from 3% to 41% for any sexual reoffending and from 2% to 32% for CSAEM-specific reoffending. Risk ratios indicated that individuals with a CPORT score of 5 reoffended at approximately five times the rate of those with the median score (CPORT = 2), with even higher rates observed among those scoring 6. Percentile norms were also derived, with a median CPORT score of 2 corresponding to the 64th percentile in terms of risk for sexual recidivism. These CPORT norms can help facilitate improved risk communication and align practice with the Risk-Need-Responsivity (RNR) model.</p>","PeriodicalId":21828,"journal":{"name":"Sexual Abuse: A Journal of Research and Treatment","volume":" ","pages":"631-653"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147780639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}