Comparison of the efficacy of the combined treatment package with cognitive behavioral therapy on the sexual self-concept of men with a pedophilia disorder

Child abuse is a sexual deviation and a mental disorder that is widespread in Afghanistan. The used treatment methods only focus on one of the causes of this disorder, and the need for more integrated treatments is felt.

The purpose of the present study was to compare the efficacy of the combined treatment package of child-desiring disorder with cognitive-behavioral therapy on the sexual self-concept of Afghan men.

The current research design is included in the semi-experimental designs of pre-test-post-test-follow-up with a control group and two experimental groups. The statistical population included all Afghan men with child-desiring disorder, 30 of whom were randomly selected into the integrated treatment group (10 people), the cognitive-behavioral therapy group (10 people), and the control group (10 people). 10 people were placed. The measurement tool in this research was Snell's (1995) multifaceted sexual self-concept questionnaire. The participants in the combined therapy group developed by the researcher (therapy based on acceptance and commitment, therapy based on mindfulness, and schema therapy), received the content of the treatment package for pedantic disorder individually during 20 sessions. Also, the participants in the cognitive-behavioral group received training in this treatment during 8 sessions and individually.

The results of the repeated measure analysis showed that both combined therapy and cognitive-behavioral therapy were effective in increasing the positive sexual self-concept scores of the subjects, but the combined therapy of pedantic disorder was more effective (0.05 >P). In addition, only the combined treatment of pedantic disorder was effective in reducing the subjects' negative sexual self-concept scores (P<0.05).

The most important distinguishing feature of the integrated treatment of child-loving disorder compared to cognitive-behavioral therapy was that in the integrated treatment, at the same time as freeing thinking from the constraints of automatic negative habits and accepting these thoughts, the individual's strengths, abilities, and He focused on the real values of the person and examined and treated the root problems of communication and sexual skills. Therefore, the integrated treatment of pedophile disorder should be used to help change incompatible schemas and reduce the symptoms of criminals with pedophile disorder.