title: The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the treatment of adolescent sexual offenders with paraphilic disorders.
abstract: The primary aim of these guidelines was to evaluate the role of pharmacological agents in the treatment of adolescents with paraphilic disorders who are also sexual offenders or at-risk of sexual offending. Psychotherapeutic and psychosocial treatments were also reviewed. Adolescents with paraphilic disorders specifically present a different therapeutic challenge as compared to adults. In part, the challenge relates to adolescents being in various stages of puberty and development, which may limit the use of certain pharmacological agents due to their potential side effects. In addition, most of the published treatment programmes have used cognitive behavioural interventions, family therapies and psychoeducational interventions. Psychological treatment is predicated in adolescents on the notion that sexually deviant behaviour can be controlled by the offender, and that more adaptive behaviours can be learned. The main purposes of these guidelines are to improve the quality of care and to aid physicians in their clinical decisions. These guidelines brought together different expert views and involved an extensive literature research. Each treatment recommendation was evaluated and discussed with respect to the strength of evidence for efficacy, safety, tolerability and feasibility. An algorithm is proposed for the treatment of paraphilic disorders in adolescent sexual offenders or those who are at risk.
authors.affiliation: a University Hospital Cochin, Faculty of Medicine Paris Descartes, INSERM U 894 CPN , Paris , France .
authors.forename: Florence
authors.initials: F
authors.lastname: Thibaut
authors.affiliation: b University of Ottawa, Institute of Mental Health Research, Division of Forensic Psychiatry, Queen's University, Clinical Director, Forensic Treatment Unit, Brockville Mental Health Centre, Royal Ottawa Health Care Group , Brockville , Ontario , Canada .
authors.forename: John M W
authors.initials: JM
authors.lastname: Bradford
authors.affiliation: c Institute for Sex Research and Forensic Psychiatry, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf , Hamburg , Germany .
authors.forename: Peer
authors.initials: P
authors.lastname: Briken
authors.affiliation: d East Psychiatry and Mental Health Department , University of Chile , Clinica Las Condes , Chile .
authors.forename: Flora
authors.initials: F
authors.lastname: De La Barra
authors.affiliation: e Clinic for Child and Adolescent Psychiatry, University of Medicine of Rostock , Rostock , Germany , and.
authors.forename: Frank
authors.initials: F
authors.lastname: Häßler
authors.affiliation: f University Forensic Centre (University Hospital of Antwerp) , Belgium.
authors.forename: Paul
authors.initials: P
authors.lastname: Cosyns
mesh_terms: D000293:Adolescent; D001689:Biological Psychiatry; D015928:Cognitive Behavioral Therapy; D006801:Humans; D057466:Nonsteroidal Anti-Androgens / Q000627:therapeutic use*; D010262:Paraphilic Disorders / Q000175:diagnosis* / Q000628:therapy*; D018570:Risk Assessment; D012307:Risk Factors; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use*; D012742:Sex Offenses / Q000523:psychology*; D012955:Societies, Medical
chemical_list: D057466:Nonsteroidal Anti-Androgens; D017367:Selective Serotonin Reuptake Inhibitors
keywords: Juvenile sexual offender; SSRI; antiandrogens; paraphilic disorder; psychological treatment