Preliminary findings of problematic sexual behavior-cognitive-behavioral therapy for adolescents in an outpatient treatment setting.

BACKGROUND: The lack of empirical support for interventions commonly used to treat adolescents with problematic sexual behaviors (PSB) has led to restrictive policies and interventions largely based on perceptions of these youth as younger versions of adult sex offenders, without consideration for developmental and etiological differences between populations. OBJECTIVE: This study's aim is to evaluate a low-intensity outpatient treatment regarding the reduction of internalizing symptoms and externalizing behaviors to include, PSB. PARTICIPANTS & SETTING: The study examined outcomes for 31 adolescents who completed Problematic Sexual Behavior - Cognitive Behavioral Therapy for Adolescents (PSB-CBT-A) at a Children's Advocacy Center between 2013 and 2016. METHODS: Evaluation of PSB and other symptomology was conducted through pre- and post-treatment administration of standardized instruments. RESULTS: Adolescent PSB-CBT-A treatment completers demonstrated a trend towards statistical significance in reduction of PSB on the YSBPI from 5.33 (SD = 6.86) at pre-treatment to 0.17 (SD = 0.41) at completion. Additionally, significant reductions in caregiver-reported youth internalizing and externalizing problems were associated outcomes of completing PSB-CBT-A (t(13) = 5.00, p < .001 and t(13) = 2.34, p = .036, respectively). CONCLUSIONS: The promising results achieved in this study support further exploration of low-intensity outpatient treatment interventions for adolescents with PSB.

Child Pornography and Online Sexual Solicitation.

PURPOSE OF REVIEW: This review highlights recent literature regarding online sexual offending, including the prevalence, characteristics, a brief review of recent typology literature, victimization risk factors, risk factors of being a "crossover" offender, rates and risk factors for recidivism, and a discussion of prevention efforts. RECENT FINDINGS: Online sexual offenders are overwhelmingly White men with relationship problems who were rarely previously arrested for felonies. They score lower on measures of antisocial behavior, compared to offenders who commit contact sexual offenses against children. Individuals who commit pornography offenses are at lower risk to commit contact offenses and their risk factors include having sexual interest in children and antisocial attitudes. Online offenders are different from contact sexual offenders and from offenders who commit both types of offenses. Recidivism in online noncontact offenders is difficult to assess due to the lack of empirically supported tools and the inappropriateness of using popular actuarial tools that lack norms on these offenders, but a new measure (CPORT) is being studied for use with this population.