Sexual offender recidivism revisited: A meta-analysis of recent treatment studies
Abstract
Meta-analyses were performed on 12 studies of treatment with sexual offenders (N = 1,313). A small, but robust, overall effect size was found for treatment versus comparison conditions (r = .12). The overall recidivism rate for treated sexual offenders was .19 versus .27 for untreated sexual offenders. Treatment effect sizes across studies, however, were heterogeneous. Effect sizes were larger in studies that had higher base rates of recidivism, had follow-up periods longer than 5 years, included outpatients, and involved cognitive-behavioral or hormonal treatments. Cognitive-behavioral (p < .0005) and hormonal treatments (p < .00005) were significantly more effective than behavioral treatments but were not significantly different from each other.
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Psychological treatment was considered acceptable by two-thirds of offenders, but pharmacological treatment only by one-third.
“Nagayama-Hall 1995 pointed out that psychological treatment was considered acceptable by two-thirds of offenders, but pharmacological treatment only by one-third).”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Nagayama-Hall 1995
Prior major reviews into the treatment of sexual offending have arrived at mixed conclusions; some claim interventions are effective in reducing recidivism and others the reverse.
“These have arrived at mixed conclusions; some claiming that interventions are effective in reducing recidivism and others the reverse.”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Nagayama-Hall 1995
Castrated patients had the lowest recidivism rate (0.3) and the largest effect sizes (r = 0.53).
“Castrated patients had the lowest recidivism rate (0.3) and the largest effect sizes ( r = 0.53).”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Nagayama-Hall 1995
Overall, treatment was found to be modest in its effect, reducing recidivism by 8%.
“Overall, treatment was found to be modest in its effect, reducing recidivism by 8%.”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Nagayama-Hall 1995
Nagayama-Hall updated the Furby et al review by conducting a meta-analysis of 12 new studies that contradicted its predecessor by finding equivalent positive effects for hormonal treatment and cognitive behavioural therapy, both of which were assessed as superior to behavioural interventions.
“NagayamaHall updated the Furby et al review by conducting a metaanalysis of 12 new studies that contradicted its predecessor by finding equivalent positive effects for hormonal treatment and cognitive behavioural therapy (CBT), both of which were assessed as superior to behavioural interventions (Nagayama-Hall 1995).”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Nagayama-Hall 1995
Nagayama Hall (1995) found an effect size of 0.35 for recidivism (mean follow-up interval=4.5 years) for sexual offending compared with no treatment.
“Nagayama Hall (1995) | 5 | Recidivism (mean follow-up interval=4.5 years) | No treatment | 0.35 | 64 |”
From The empirical status of cognitive-behavioral therapy: A review of meta-analyses (2006) · cites this paper as Nagayama Hall (1995)
The mean effect size of CBT for sexual offender recidivism was superior to that of behavioral therapy.
“and superior to behavioral therapy.”
From The empirical status of cognitive-behavioral therapy: A review of meta-analyses (2006) · cites this paper as Nagayama Hall (1995)
CBT showed lower refusal and drop out rates than hormonal treatments in sexual offenders.
“Moreover, CBT showed lower refusal and drop out rates than hormonal treatments.”
From The empirical status of cognitive-behavioral therapy: A review of meta-analyses (2006) · cites this paper as Nagayama Hall (1995)
The mean effect size of CBT compared to no treatment for sexual offender recidivism was 0.35.
“The mean effect size of CBT compared to no treatment was 0.35”
From The empirical status of cognitive-behavioral therapy: A review of meta-analyses (2006) · cites this paper as Nagayama Hall (1995)
The mean effect size of CBT for sexual offender recidivism was equal to that of hormonal therapy.
“equal to that of hormonal therapy”
From The empirical status of cognitive-behavioral therapy: A review of meta-analyses (2006) · cites this paper as Nagayama Hall (1995)
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- Authors
- Hall, G. C. N.
- Affiliations
- Kent State University (US)
- Corresponding author
- Hall, Gordon C. Nagayama
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1995-10
- Volume
- 63
- Issue
- 5
- Pages
- 802-809
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1981630108
- Cited by
- 532
- References
- 30
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 8 · 2020: 11 · 2019: 7 · 2018: 13 · 2017: 10 · 2016: 13 · 2015: 21 · 2014: 15 · 2013: 26 · 2012: 22
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- sexual offenders, recidivism, offender treatment, cognitive behavioral therapy, hormone therapy, behavior therapy, treatment effectiveness, follow-up duration
- MeSH terms
- Androgen Antagonists, Combined Modality Therapy, Follow-Up Studies, Humans, Male, Recurrence, Sex Offenses, Cognitive Behavioral Therapy, Treatment Outcome
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