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Review: evidence does not support a reduction in sexual reoffending with psychological interventions, but further high-quality trials are needed

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Question

Question: Do psychological interventions reduce sexual offences in adults who have offended before or are at risk of offending?

Outcomes: Primary outcome: reoffending, as measured by further charge, caution or self-report of sexual offence. Secondary outcomes: cognitive distortions, sexual obsessions or sexually anomalous urges, anxiety, anger, treatment withdrawal and adverse events.

Methods

Design: Systematic review and meta-analysis.

Data sources: CENTRAL, MEDLINE, Allied and Complementary Medicine (AMED), Applied Social Sciences Index and Abstracts (ASSIA), Biosis Previews, CINAHL, COPAC, Dissertation Abstracts, EMBASE, International Bibliography of the Social Sciences (IBSS), ISI Proceedings, Science Citation Index Expanded (SCI), Social Sciences Citation Index (SSCI), National Criminal Justice Reference Service Abstracts Database, PsycINFO, OpenSIGLE, Social Care Online, Sociological Abstracts, UK Clinical Research Network Portfolio Database and ZETOC were searched up to October 2010. Authors and experts in the field were contacted for unpublished data and ongoing studies, and reference lists of identified studies were hand searched.

Study selection and analysis: Randomised controlled trials (RCTs) in adults convicted, cautioned or seeking help for sexual offences that compared psychological interventions with each other or controls …

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