Medroxy-pregesterone acetate in the treatment of paraphilic sexual disorders: Rate of relapse in paraphilic men treated in long-term group psychotherapy with or without medroxy-progesterone acetate

J. Paul Fedoroff, Robert Wisner-Carlson, Sharon Dean, Fred S. Berlin

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)109-124
Number of pages16
JournalJournal of Offender Rehabilitation
Volume18
Issue number3-4
DOIs
StatePublished - Nov 12 1992

ASJC Scopus subject areas

  • Rehabilitation
  • Law

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