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Mental disorders in a forensic sample of sexual offenders

Published online by Cambridge University Press:  16 April 2020

Anja Leue ,
Bernd Borchard  and
Jürgen Hoyer
Anja Leue*
Affiliation:
Central Institute of Mental Health, Mannheim, J5, 68159 Mannheim, Germany
Bernd Borchard
Affiliation:
State Forensic Hospital of Moringen, Moringen, Germany
Jürgen Hoyer
Affiliation:
Dresden University of Technology, Dresden, Germany
*
*Corresponding author. E-mail address: aleue@as200.zi-mannheim.de (A. Leue).
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Abstract

Objective

The present study examined the prevalence of DSM IV axis I disorders and DSM IV personality disorders among sexual offenders in Forensic State Hospitals in Germany.

Method

Current and lifetime prevalence rates of mental disorders were investigated based on clinical structured interviews among sexual offenders (n = 55). Additionally, subgroups were analyzed on the basis of diagnostic research criteria, with 30 sexual offenders classified as paraphiliacs and 25 sexual offenders as having an impulse control disorder (without paraphilia).

Results

Anxiety disorders, mood disorders, and substance use disorders were common among sexual offenders, as were cluster B and cluster C personality disorders. While social phobia was most common among paraphilic sexual offenders, major depression was most prevalent in impulse control disordered sexual offenders.

Conclusion

The results replicate recent findings of high psychiatric morbidity in sexual offenders placed in forensic facilities. Furthermore, differential patterns of co-morbid mental disorders were found in paraphiliacs and impulse control disordered sexual offenders. With regard to an effective therapy and relapse prevention co-morbid mental disorders should be a greater focus in the assessment of subgroups of sexual offenders.

Keywords

Sexual offendersParaphiliaImpulse control disorderAxis I disorderPersonality disorder
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 3 , May 2004 , pp. 123 - 130
Copyright
Copyright © 2004 European Psychiatric Association

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References

Allnutt, SHBradford, JMWGreenberg, DMCurry, S.Co-morbidity of alcoholism and the paraphilias. J Forensic Sci 1996;41:234–9.CrossRefGoogle ScholarPubMed
Berger, PBerner, WBolterauer, JGuitierrez, KBerger, K.Sadistic personality disorder in sexual offenders: relationship to antisocial personality disorder and sexual sadism. J Pers Disord 1999;13:175–86.CrossRefGoogle ScholarPubMed
Berner, WBerger, PGuitierrez, KJordan, BBerger, K.The role of personality disorders in the treatment of sexual offenders. J Offender Rehabil 1992;18:25–37.CrossRefGoogle Scholar
Brink, JHDoherty, DBoer, A.Mental disorder in federal offenders: a Canadian prevalence study. Int Law Psychiatr 2001;24:339–56.CrossRefGoogle ScholarPubMed
Chantry, KCraig, RJ.Psychological screening of sexually violent offenders with the MCMI. J Clin Psychol 1994;50:430–5.3.0.CO;2-W>CrossRefGoogle ScholarPubMed
First, MBGibbon, MSpitzer, RLWilliams, JBWBenjamin, L.Structured clinical interview for DSM-IV axis II personality disorders. Washington, DC: American Psychiatric Press; 1997.Google Scholar
Fydrich, TSchmitz, BHennch, CBodem, M.Zuverlässigkeit und Gültigkeit diagnostischer Verfahren zur Erfassung von Persönlichkeitsstörungen. [Reliability and validity of instruments for the diagnostics of personality disorders]. In: Fydrich, TLimbacher, K editors. Persönlichkeitsstörungen: Diagnostik und Psychotherapie [Personality disorders: diagnostics and psychotherapy]. Weinheim: Beltz/PVU; 1996. p. 91–113.Google Scholar
Gigerenzer, G.The superego, the ego, and the id in statistical reasoning. In: Keren, GLewis, C editors. A handbook for data analysis in the behavioral sciences: methodological issues. New Jersey: LEA; 1993. p. 311–39.Google Scholar
Hanson, RKBussière, M.Predicting relapse: a meta-analysis of sexual offender recidivism studies. J Consult Clin Psychol 1998;66:348–62.Google ScholarPubMed
Hayashino, DSWurtele, SKKlebe, KJ.Child molester—an examination of cognitive factors. J Interpersonal Violence 1995;10:106–16.CrossRefGoogle Scholar
Hoffrage, ULindsey, SHertwig, RGigerenzer, G.Communicating statistical information. Science 2000;290:2261–2.CrossRefGoogle ScholarPubMed
Hoyer, JBorchard, BKunst, H.Diagnostik und störungsspezifische Therapie bei Sexualdelinquenten mit psychischen Störungen. [Diagnostics and disorder-related therapy in mentally disordered sexual offenders]. Verhaltenstherapie 2000;10:7–15.CrossRefGoogle Scholar
Hoyer, JKunst, HBorchard, BStangier, U.Paraphile versus Impulskontrollgestörte Sexualstraftäter: Eine psychologisch valide Differenzierung? [Paraphilic versus impulse control disordered sexual delinquents]. Z Klin Psychol 1999;28:37–44.CrossRefGoogle Scholar
Hoyer, JKunst, HSchmidt, A.Social phobia in sexual offenders. J Nerv Ment Dis 2001;189:463–70.CrossRefGoogle Scholar
Kafka, MPHennen, J.A DSM-IV axis I comorbidity study of males (n = 120) with paraphilias and paraphilia-related disorders. Sexual Abuse 2002;14:349–66.CrossRefGoogle ScholarPubMed
Kleinbaum, DGKupper, LMorgenstern, H.Epidemiologic research—principles and quantitative methods. New York: VNR; 1982.Google Scholar
Knight, RAPrentky, RA.Classifying sexual offenders—the development and corroboration of taxonomic models. In: Marshall, WLLaws, DRBarbaree, HE editors. Handbook of sexual assault. New York: Plenum Press; 1990. p. 23–52.CrossRefGoogle Scholar
Kröber, HL.Strafrechtliche Begutachtung von Persönlichkeitsstörungen. [Juridical appraisal of personality disorders]. Persönlichkeitsstörungen 1997;4:161–1117.Google Scholar
Kunst, HHoyer, JBorchard, B.Alkoholeinfluss bei Sexualdelikten unter differential-diagnostischer Perspektive. [Alcohol intoxication in sex offenders from differential-diagnostic perspective]. Sucht 2000;46:137–41.CrossRefGoogle Scholar
Lanyon, RI.Theory and treatment in child molestation. J Consult Clin Psychol 1986;54:176–82.CrossRefGoogle ScholarPubMed
Leygraf, N.Psychisch kranke Straftäter. [Mentally disordered offenders]. Berlin: Springer Verlag; 1988.Google Scholar
Linehan, MM.Trainingsmanual zur Dialektisch-Behavioralen Therapie der Borderline-Persönlichkeitsstörung. [Manual for dialectic-behavioral therapy of the borderline personality disorder]. München: CIP-Medien; 1996.Google Scholar
Margraf, JSchneider, SSoeder, UNeumer, SBecker, ES.Mini-DIPS, Diagnostisches Interview bei Psychischen Störungen (Forschungsversion), Interviewleitfaden, Version 1.1, 7/96. [Diagnostic interview for psychological disorders, research version, user manual, version 1.1 7/96]. Dresden: Technische Universität; 1996.Google Scholar
Margraf, JSchneider, SEhlers, A.DIPS. Diagnostisches Interview bei Psychischen Störungen [DIPS. Diagnostic interview for psychological disorders]. Berlin: Springer; 1991.Google Scholar
Margraf, J.Diagnostisches Kurz-Interview bei psychischen Störungen—Mini-DIPS, Handbuch und Interviewleitfaden. [Mini-DIPS user manual]. Berlin: Springer; 1994.CrossRefGoogle Scholar
McElroy, SLSoutullo, CATaylor, P et al. Psychiatric features of 36 men convicted of sexual offenses. J Clin Psychol 1999;60:414–20.Google ScholarPubMed
Moran, P.The epidemiology of antisocial personality disorder. Soc Psychiatry Psychiatr Epidemiol 1999;34:231–42.CrossRefGoogle ScholarPubMed
Norman, GRStreiner, DL.Biostatistics: the bare essentials. 2nd ed. London: BC Becker; 2000.Google Scholar
Nuhn-Naber, CRehder, UWischka, B.Behandlung von Sexualstraftätern mit kognitiv-behavioralen Methoden: Möglichkeiten und Grenzen. [Treatment of sexual offenders with cognitive-behavioral methods]. Mschrkrim 2002;4:271–80.Google Scholar
Overholser, JCBeck, S.Multimethod assessment of rapists, child molesters, and three control groups on behavioral and psychological measures. J Consult Clin Psychol 1986;54:682–7.CrossRefGoogle ScholarPubMed
Pithers, WD.Process evaluation of a group therapy component designed to enhance sex offenders empathy for sexual abuse survivors. Behav Res Ther 1994;32:565–70.CrossRefGoogle ScholarPubMed
Rader, CM.MMPI profile types of exposer, rapists, and assaulters in a court services population. J Consult Clin Psychol 1977;45:61–9.Google Scholar
Raymond, NCColeman, EOhlerking, FChristenson, GAMiner, M.Psychiatric comorbidity in pedophilic sexual offenders. Am J Psychiatry 1999;156:786–8.Google Scholar
Saß, HWittchen, HUZaudig, M.Diagnostisches und Statistisches Manual Psychischer Störungen DSM IV. [Diagnostic and statistical manual of psychiatric disorders DSM IV]. Göttingen: Hogrefe; 1996.Google Scholar
Schneider, SMargraf, JSpörkel, HFranzen, U.Therapiebezogene Diagnostik: Reliabilität des Diagnostischen Interviews bei psychischen Störungen (DIPS) [Therapy-related diagnostics: reliability of the Diagnostic Interview for Psychiatric Disorders (DIPS)]. Diagnostica 1992;38:209–27.Google Scholar
Schüler-Springorum, HBerner, WCirullies, B et al. Sexualstraftäter im Maßregel-vollzug. [Sexual offenders in state forensic hospitals]. Mschr Krim Strafrechtsreform 1996;79:147–209.Google Scholar
Segal, ZVMarshall, WL.Heterosexual skills in a population of rapists and child molesters. J Consult Clin Psychol 1985;53:55–63.CrossRefGoogle Scholar
SPSS, Inc. SPSS for Windows. Chicago: Author; 1999 Release 9.0.Google Scholar
Stermac, LESegal, ZVGillis, R. Social and cultural factors in sexual assault In: Marshall, WLLaws, DRBarbaree, HE editors. Handbook of Sexual Assault. New York: Plenum Press; 1990. p. 143–59.CrossRefGoogle Scholar
Wittchen, HUZaudig, MFydrich, T.Strukturiertes klinisches Interview für DSM IV Achse-I und Achse-II, Handanweisung. [Structured Clinical Interview for DSM IV axis I and axis II, Manual]. Göttingen: Hogrefe; 1997.Google Scholar
Wulfert, EGreenway, DEDougher, MJ.A logical functional analysis of reinforcement-based disorders: alcoholism and pedophilia. J Consult Clin Psychol 1996;64:1140–51.CrossRefGoogle ScholarPubMed
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