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Exploring Risk for Sexual Recidivism and Treatment Responsivity Through the Lens of Early Trauma
Sexual Abuse ( IF 2.1 ) Pub Date : 2021-10-18 , DOI: 10.1177/10790632211051681
Gwenda M Willis 1 , Jill S Levenson 2
Affiliation  

Adverse childhood experiences (ACE) are common in the histories of individuals who have sexually offended. Many risk factors for sexual recidivism resemble symptoms of early trauma, and early trauma may present a responsivity barrier to engagement in offense-focused treatment. Using the ACE scale, the current study aimed to (i) examine relationships between ACE scores and static and dynamic risk assessment scores, (ii) examine whether ACE scores differ between treatment completers versus noncompleters, and finally (iii) examine whether ACE scores predict treatment noncompletion. ACE scores were retrospectively coded from files of adult men receiving community-based assessment and/or treatment in New Zealand for sexual offenses against children (N = 491; n = 185–411 for individual analyses). Although effect sizes were generally small, static risk and general self-regulation dynamic risk factors correlated positively with ACE scores, ACE scores were higher for treatment noncompleters versus completers, and higher dynamic risk assessment scores and ACE scores increased the odds of treatment noncompletion. Implications for future research and enhancing treatment responsivity are discussed.



中文翻译:

通过早期创伤的视角探索性累犯和治疗反应的风险

不良童年经历 (ACE) 在遭受性侵犯的个人的历史中很常见。性累犯的许多风险因素类似于早期创伤的症状,早期创伤可能会对参与以进攻为中心的治疗产生反应障碍。使用 ACE 量表,目前的研究旨在 (i) 检查 ACE 评分与静态和动态风险评估评分之间的关​​系,(ii) 检查治疗完成者与未完成者之间的 ACE 评分是否不同,最后 (iii) 检查 ACE 评分是否预测治疗未完成。ACE 分数是从在新西兰接受基于社区的评估和/或治疗针对儿童的性犯罪的成年男性的档案中回顾性编码的(N = 491;n= 185–411 用于个别分析)。尽管效应量通常较小,但静态风险和一般自我调节动态风险因素与 ACE 评分呈正相关,治疗未完成者的 ACE 评分高于完成者,而动态风险评估评分和 ACE 评分较高会增加治疗未完成的几率。讨论了对未来研究和提高治疗响应性的影响。

更新日期:2021-10-19
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