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A Randomized Clinical Trial in Patients With a Pedophilic Disorder

A Randomized Clinical Trial in Patients With a Pedophilic Disorder Opinion EDITORIAL A Milestone Peer Briken, MD Nowadays, experts distinguish very clearly between pedo- terone (MPA) acetate is an option. For the high-risk groups, philic disorder as a psychiatric disorder (characterized by gonadotropin-releasing hormone (GnRH) agonists, such as leu- prolide, have been in use for more than 20 years. However, for intense sexual interest in children accompanied by distress, interpersonal difficulty, and/or a risk of sexual offenses against SSRIs as well as CPA, MPA, and GnRH agonists, it takes weeks, 4,5 children) on the one side and sometimes months, before an effect is seen. Nevertheless, the criminal offense of child the use of SSRIs, with their relatively low adverse effect pro- Related article page 897 sexual abuse on the other. file, and the results on GnRH agonists were important ear- Most child sexual abuse offenses are not committed in rela- lier milestones, but without RCTs. tion to a pedophilic disorder. However, for people who have The author of this Editorial, together with an interdisci- already committed a child abuse offense, pedophilic interest plinary team and the support of the pharmaceutical industry 1 7 is a significant risk factor for reoffending. over some years, had very carefully prepared an RCT http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Psychiatry American Medical Association

A Randomized Clinical Trial in Patients With a Pedophilic Disorder

JAMA Psychiatry , Volume 77 (9) – Sep 29, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-622X
eISSN
2168-6238
DOI
10.1001/jamapsychiatry.2020.0430
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL A Milestone Peer Briken, MD Nowadays, experts distinguish very clearly between pedo- terone (MPA) acetate is an option. For the high-risk groups, philic disorder as a psychiatric disorder (characterized by gonadotropin-releasing hormone (GnRH) agonists, such as leu- prolide, have been in use for more than 20 years. However, for intense sexual interest in children accompanied by distress, interpersonal difficulty, and/or a risk of sexual offenses against SSRIs as well as CPA, MPA, and GnRH agonists, it takes weeks, 4,5 children) on the one side and sometimes months, before an effect is seen. Nevertheless, the criminal offense of child the use of SSRIs, with their relatively low adverse effect pro- Related article page 897 sexual abuse on the other. file, and the results on GnRH agonists were important ear- Most child sexual abuse offenses are not committed in rela- lier milestones, but without RCTs. tion to a pedophilic disorder. However, for people who have The author of this Editorial, together with an interdisci- already committed a child abuse offense, pedophilic interest plinary team and the support of the pharmaceutical industry 1 7 is a significant risk factor for reoffending. over some years, had very carefully prepared an RCT

Journal

JAMA PsychiatryAmerican Medical Association

Published: Sep 29, 2020

References