TY - JOUR
T1 - Medroxy-pregesterone acetate in the treatment of paraphilic sexual disorders
T2 - Rate of relapse in paraphilic men treated in long-term group psychotherapy with or without medroxy-progesterone acetate
AU - Fedoroff, J. Paul
AU - Wisner-Carlson, Robert
AU - Dean, Sharon
AU - Berlin, Fred S.
PY - 1992/11/12
Y1 - 1992/11/12
N2 - Results are presented of an open retrospective study in which 46malepatients withparaphilic sexual disorders were followed for 5 or more years in the Johns Hopkins Sexual Disorders Unit. All patients received equivalent amounts of group psychotherapy. Of these, 17/46 (37%) relapsed. The rate of relapse among subjects receiving treatment with medroxy-progesterone acetate (MPA) was 4 out of 27 subjects (15%) whereas the rate of relapse among subjects not receiving MPA was 13/19 (68%) (Chi-square = 13.80; df = 1; p = 0.0002). The lower rate of relapse among subjects who were receiving MPAcontinued to be demonstrated when other variables were accounted for including age, race, marital status, employment, socioeconomic status, diagnosis, and sexual orientation. It is concluded that among paraphilic male outpatients treated with weekly psychotherapy for 5 or more years, the addition of MPA is associated with a decrease in the rate of relapse. Limitations of this study and suggestions for future research are discussed.
AB - Results are presented of an open retrospective study in which 46malepatients withparaphilic sexual disorders were followed for 5 or more years in the Johns Hopkins Sexual Disorders Unit. All patients received equivalent amounts of group psychotherapy. Of these, 17/46 (37%) relapsed. The rate of relapse among subjects receiving treatment with medroxy-progesterone acetate (MPA) was 4 out of 27 subjects (15%) whereas the rate of relapse among subjects not receiving MPA was 13/19 (68%) (Chi-square = 13.80; df = 1; p = 0.0002). The lower rate of relapse among subjects who were receiving MPAcontinued to be demonstrated when other variables were accounted for including age, race, marital status, employment, socioeconomic status, diagnosis, and sexual orientation. It is concluded that among paraphilic male outpatients treated with weekly psychotherapy for 5 or more years, the addition of MPA is associated with a decrease in the rate of relapse. Limitations of this study and suggestions for future research are discussed.
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U2 - 10.1300/J076v18n03_10
DO - 10.1300/J076v18n03_10
M3 - Article
AN - SCOPUS:0000230308
SN - 1050-9674
VL - 18
SP - 109
EP - 124
JO - Journal of Offender Rehabilitation
JF - Journal of Offender Rehabilitation
IS - 3-4
ER -