Cited by 292Psychopathy, Forensic Psychiatry, Sexual OffendingSexuality, Behavior, and TechnologyCrime Patterns and Interventions

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Psychiatric Comorbidity in Pedophilic Sex Offenders

Raymond, Nancy C., Coleman, Eli, Ohlerking, Fred, Christenson, Gary A., Miner, Michael·1999·American Journal of Psychiatry

DOI 10.1176/ajp.156.5.786

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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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Authors: Raymond, N. C., Coleman, E., Ohlerking, F., Christenson, G. A., & Miner, M.
Affiliations: University of Minnesota (US)
ORCID: Coleman, Eli
Miner, Michael
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 1999-05-01
Volume: 156
Issue: 5
Pages: 786-788
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.156.5.786
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

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Psychiatric Comorbidity in Pedophilic Sex Offenders

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