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Neurocognitive and personality factors in homo- and heterosexual pedophiles and controls.

机译:同性和异性恋童癖者和对照中的神经认知和人格因素。

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INTRODUCTION: Several neuropsychological studies have suggested an association between pedophilia, neurocognitive disturbances, and specific personality profiles. However, inconsistencies in the findings have not been explained sufficiently, because many studies did not control for possible confounding factors, such as age, education level, or gender orientation. AIM: Therefore, the present investigation examined neurocognitive performance and personality profiles in pedophiles in dependence of sexual gender preferences and sexual deviance, as well as with regard to age and education level. MAIN OUTCOME MEASURES: Scores on the different neurocognitive tests, personality questionnaires, and Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV (SCID) interviews. METHODS: An extensive neurocognitive test battery (including a reduced version of the German Wechsler Adult Intelligence Scale, the Wisconsin card-sorting test, d2 Attention-Deficit Test, and the Corsi block-tapping test) as well as two personality questionnaires (Minnessota Multiphasic Personality Inventory [MMPI-2] and the Multiphasic Sex Inventory [MSI]) were used to examine a consecutive sample of 20 psychiatrically assessed (SCID I and II) pedophile inpatients (nine exclusively attracted to females and 11 to males) from two high security forensic hospitals and 28 healthy controls (14 heterosexual, 14 homosexual). RESULTS: Compared with controls, pedophiles showed neurocognitive impairments and personality specifics in the majority of tests and questionnaires, such as reduced values on the intelligence scale and weaker performances in information processing, together with high scores for psychopathy and paranoia, and signs of sexual obsessiveness and sexual dysfunction. In contrast to previous reports, some of these alterations were at least partly explained by factors other than pedophilia, such as education level or age. CONCLUSION: These alterations may be seen to be in line with the hypothesis of a perturbation of neurodevelopment in early life. These results enhance our knowledge about pedophilia-associated impairment in neurocognitive functioning and personality structure insofar as they allow a more detailed description of, and insight into, modulatory factors.
机译:简介:多项神经心理学研究表明,恋童癖,神经认知障碍和特定人格特征之间存在关联。然而,由于许多研究并未控制可能的混淆因素,例如年龄,受教育程度或性别取向,因此未充分解释研究结果中的不一致之处。目的:因此,本研究调查了恋童癖者的神经认知能力和性格特征,这取决于性别的性别偏好和性偏差以及年龄和受教育程度。主要观察指标:针对精神障碍诊断和统计手册(DSM)-IV(SCID)的访谈,对不同的神经认知测试,性格问卷和结构化临床访谈进行评分。方法:广泛的神经认知测试电池(包括简化版的德国韦氏成人智力量表,威斯康星州卡片分类测试,d2注意缺陷测试和Corsi敲击测试)以及两份人格问卷(Minnessota Multiphasic)使用人格调查表[MMPI-2]和多相性调查表[MSI],从两名高度安全的患者中连续检查了20名经过精神病学评估(SCID I和II)的恋童癖患者(其中9名女性,11名男性)。法医医院和28名健康对照者(14名异性恋者,14名同性恋者)。结果:与对照组相比,恋童癖者在大多数测试和问卷中显示出神经认知障碍和人格特质,例如智力测验值降低,信息处理能力下降,精神病和偏执狂得分高,性强迫症迹象和性功能障碍。与以前的报告相比,其中的一些改变至少部分地由恋童癖以外的因素(例如受教育程度或年龄)解释。结论:这些改变可能被认为与生命早期神经发育紊乱的假设相符。这些结果增强了我们对恋童癖相关的神经认知功能和人格结构障碍的认识,因为它们可以对调节因子进行更详细的描述和深入了解。

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