title: Two clusters of child molesters based on impulsiveness.
abstract: OBJECTIVE
  High impulsiveness is a general problem that affects most criminal offenders and is associated with greater recidivism risk. A cluster analysis of impulsiveness measured by the Barratt Impulsiveness Scale - Version 11 (BIS-11) was performed on a sample of hands-on child molesters.
  
  
  METHODS
  The sample consisted of 208 child molesters enrolled in two different sectional studies carried out in São Paulo, Brazil. Using three factors from the BIS-11, a k-means cluster analysis was performed using the average silhouette width to determine cluster number. Direct logistic regression was performed to analyze the association of criminological and clinical features with the resulting clusters.
  
  
  RESULTS
  Two clusters were delineated. The cluster characterized by higher impulsiveness showed higher scores on the Sexual Screening for Pedophilic Interests (SSPI), Static-99, and Sexual Addiction Screening Test.
  
  
  CONCLUSIONS
  Given that child molesters are an extremely heterogeneous population, the "number of victims" item of the SSPI should call attention to those offenders with the highest motor, attentional, and non-planning impulsiveness. Our findings could have implications in terms of differences in therapeutic management for these two groups, with the most impulsive cluster benefitting from psychosocial strategies combined with pharmacological interventions.
authors.affiliation: Sexual Disorders Outpatient Clinic, Department of Neurosciences, Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Danilo A
authors.initials: DA
authors.lastname: Baltieri
authors.affiliation: Centre for Applied Psychology, University of Canberra, Australia.
authors.forename: Douglas P
authors.initials: DP
authors.lastname: Boer
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D016000:Cluster Analysis; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D010378:Pedophilia / Q000453:epidemiology / Q000523:psychology*; D011329:Prisoners / Q000523:psychology*; D012008:Recurrence; D012959:Socioeconomic Factors