{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T14:01:32Z","timestamp":1780236092604,"version":"3.54.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":150,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Psychiatry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Testosterone\u2010lowering medication (TLM) is used in severe cases of paraphilic disorders and problematic sexual behaviour, but its use in patients with intellectual disability is not well characterised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A nationwide survey identified five male patients with intellectual disability who had received TLM in specialised outpatient clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four patients showed reduced problematic sexual behaviour during treatment; three relapsed after discontinuation. Adverse effects included osteoporosis, hypertension, depression and suppressed sexual development. Monitoring and access varied regionally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TLM may be effective in selected patients with intellectual disability but requires careful monitoring and ethical oversight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crps\/6191292","type":"journal-article","created":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T13:31:41Z","timestamp":1780234301000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of Testosterone\u2010Lowering Medication in Patients With Intellectual Disabilities and Problematic Sexual Behaviour: A Case Series"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4647-2534","authenticated-orcid":false,"given":"Jacob Rong","family":"Bentsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torbj\u00f8rn Lien","family":"Kj\u00e6r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1031-9494","authenticated-orcid":false,"given":"Magnus Roland","family":"Balleby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9868-7028","authenticated-orcid":false,"given":"Jimmi","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13061524"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11292-015-9241-z"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/15622975.2020.1744723"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.11.013"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.45.1.391"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2013.07.018"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/002580248902900209"},{"key":"e_1_2_8_8_2","doi-asserted-by":"crossref","DOI":"10.1002\/9780470665510","volume-title":"Assessment and Treatment of Sexual Offenders With Intellectual Disabilities","author":"Craig L. 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