Psychiatric Comorbidity in Pedophilic Sex Offenders
Abstract
OBJECTIVE: The primary purpose of this research was to assess the rates of axis I and axis II psychiatric disorders, as defined in DSM-IV, in a group of pedophilic sex offenders. METHOD: Forty-five male subjects with pedophilia who were participating in residential or outpatient sex offender treatment programs were recruited to participate. Subjects were interviewed by using the Structured Clinical Interview for DSM-IV. RESULTS: Ninety-three percent of the subjects (N = 42) met the criteria for an axis I disorder other than pedophilia. The lifetime prevalence of mood disorder in this group was 67%. Sixty-four percent of the subjects met the criteria for an anxiety disorder, 60% for psychoactive substance use disorder, 53% for another paraphilia diagnosis, and 24% for a sexual dysfunction diagnosis. CONCLUSIONS: Axis I and II comorbidity rates are high in this population. Untreated comorbid psychiatric disorders may play a role in treatment failure and recidivism.
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Leue, Borchard and Hoyer (2004) replicated Raymond et al.'s findings of anxiety, mood disorder and substance misuse, alongside high rates of depression.
“Including Leue, Borchard and Hoyer (2004) who replicated Raymond et al's. (1999) findings of anxiety, mood disorder and substance misuse, alongside high rates of depression.”
From "I Despise Myself for Thinking about Them." A Thematic Analysis of the Mental Health Implications and Employed Coping Mechanisms of Self-Reported Non-Offending Minor Attracted Persons. (2019) · cites this paper as Raymond et al's. (1999)
Raymond et al. (1999) found two-thirds of convicted minor attracted child molesters suffered a comorbid mood disorder, anxiety disorder and/or substance misuse.
“Raymond, Coleman, Ohlerking, Christianson and Minor (1999) found twothirds of convicted minor attracted child molesters suffered a comorbid mood disorder, anxiety disorder and/or substance misuse.”
From "I Despise Myself for Thinking about Them." A Thematic Analysis of the Mental Health Implications and Employed Coping Mechanisms of Self-Reported Non-Offending Minor Attracted Persons. (2019) · cites this paper as Raymond, Coleman, Ohlerking, Christianson and Minor (1999)
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- Authors
- Raymond, N. C., Coleman, E., Ohlerking, F., Christenson, G. A., & Miner, M.
- Affiliations
- University of Minnesota (US)
- Venue
- American Journal of Psychiatry
- Published
- 1999-05-01
- Volume
- 156
- Issue
- 5
- Pages
- 786-788
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2122569269
- Cited by
- 292
- References
- 3
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 13 · 2023: 4 · 2021: 14 · 2020: 14 · 2019: 9 · 2018: 11 · 2017: 6 · 2016: 10 · 2015: 20 · 2014: 14 · 2013: 15 · 2012: 13
- FWCI
- 11.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- pedophilic disorder, sexual offenders, psychiatric comorbidity, mood disorders, anxiety disorders, substance use disorders, paraphilias, sexual dysfunction, DSM-IV, sex offender treatment, recidivism, treatment failure
- MeSH terms
- Adult, Ambulatory Care, Mental Disorders, Humans, Male, Minnesota, Pedophilia, Psychotherapy, Recurrence, Residential Treatment, Sex Offenses, Comorbidity, Prevalence, Treatment Failure, Age of Onset, Diagnosis, Dual (Psychiatry), Mood Disorders, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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