{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:31:26Z","timestamp":1790821886534,"version":"4.1.0"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T00:00:00Z","timestamp":1606348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003748","name":"Svenska S\u00e4llskapet f\u00f6r Medicinsk Forskning","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003748","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005689","name":"G\u00f6teborgs L\u00e4kares\u00e4llskap","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005689","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007687","name":"Svenska L\u00e4kares\u00e4llskapet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007687","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009802","name":"Stiftelsen S\u00f6derstr\u00f6m K\u00f6nigska Sjukhemmet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009802","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003186","name":"Fredrik och Ingrid Thurings Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003186","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The risk of child sexual abuse among non-forensic, non-correctional patients with Pedophilic Disorder (PD) is largely unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We recruited a consecutive sample of 55 help-seeking, non-correctional adult men diagnosed with DSM-5 PD at a university-affiliated sexual medicine outpatient unit in Sweden. PD participants were compared with 57 age-matched, non-clinical control men on four literature-based dynamic risk domains and self-rated child sexual abuse risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PD participants scored higher than controls on all tested domains (0\u20133 points); expectedly so for pedophilic attraction (2.5 vs. 0.0, Cohen\u2019s <jats:italic>d<\/jats:italic> = 2.40, 95% confidence interval (CI): [1.91\u20132.89]), but also for sexual preoccupation (1.6 vs. 1.0, <jats:italic>d<\/jats:italic> = 1.11, 95% CI: [0.71\u20131.51]), impaired self-regulation (1.4 vs. 1.0, <jats:italic>d<\/jats:italic> = 0.44, 95% CI: [0.06 to 0.81]), impaired cognitive empathy and antisocial traits (0.9 vs. 0.1, <jats:italic>d<\/jats:italic> = 1.18, 95% CI: [0.78\u20131.59]), and self-rated child sexual abuse risk (1.0 vs. 0.0, <jats:italic>d<\/jats:italic> = 1.56, 95% CI: [1.13\u20131.98]). When summarizing all five domains into a pre-specified composite score (0\u201315 points), PD subjects scored substantially higher than matched control men (7.5 vs. 2.1, <jats:italic>d<\/jats:italic> = 2.12, 95% CI: [1.65\u20132.59]). Five (9%) PD participants self-reported any previous conviction for a contact child sexual offense and eight (15%) for possession of child sexual abuse material or non-contact sexual offending (adult or child victim). Eighteen subjects (34%) acknowledged past week, child-related sexual behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Self-referred, help-seeking men with PD scored higher (small to very large effect sizes) than non-clinical control men on psychiatric measures of dynamic risk of child sexual abuse suggested in prior research with correctional samples diagnosed with PD. Our findings, including the composite risk measure, might inform clinical practice, but needs validation against actual sexual offending behavior.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2020.571775","type":"journal-article","created":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T06:28:29Z","timestamp":1606372109000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":19,"title":["Risk Factors for Sexual Offending in Self-Referred Men With Pedophilic Disorder: A Swedish Case-Control Study"],"prefix":"10.3389","volume":"11","author":[{"given":"Felix","family":"Wittstr\u00f6m","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"L\u00e5ngstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valdemar","family":"Landgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoffer","family":"Rahm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2020,11,26]]},"reference":[{"key":"B1","year":"2013","journal-title":"Diagnostic and Statistical Manual of Mental Disorders"},{"key":"B2","year":"2014","journal-title":"Practice Guidelines for the Assessment, Treatment, and Management of Male Adult Sexual Abusers."},{"key":"B3","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.eurpsy.2017.04.009","article-title":"Measurement properties of screening and diagnostic tools for autism spectrum adults of mean normal intelligence: a systematic review.","volume":"44","author":"Baghdadli","year":"2017","journal-title":"Eur. 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