J Korean Med Sci.
2018 Sep;33(37):e231. 10.3346/jkms.2018.33.e231.
Therapeutic Effects of Leuprorelin (Leuprolide Acetate) in Sexual Offenders with Paraphilia
- Affiliations
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- 1Department of Psychiatry, National Forensic Hospital, Gongju, Korea.
- 2Department of Psychiatry, National Forensic Hospital, Bugok, Korea.
- 3Sex Offenders and Treatment Center, National Forensic Hospital, Gongju, Korea.
- 4National Institution of Probation and Parole Office, Chuncheon, Korea.
- 5National Institution of Probation and Parole Office, Cheonan, Korea.
- 6Department of Psychology and Psychotherapy, College of Health Science, Dankook University, Cheonan, Korea. paperose@dku.edu
- KMID: 2420199
- DOI: http://doi.org/10.3346/jkms.2018.33.e231
Abstract
- BACKGROUND
This study examined the clinical effects of leuprolide acetate in sexual offenders with paraphilic disorders evaluated by means of objective psychiatric assessment.
METHODS
The subjects of this study were seven sexual offenders who were being treated by means of an injection for sexual impulse control by a court order. They had been diagnosed with paraphilia by a psychiatrist based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) and had been put on probation by the Ministry of Justice between January 2016 and December 2016.
RESULTS
After twelve months, we observed significant improvement in symptoms, as decrease of abnormal sexual interest and activity, sexual fantasy, Clinical Global Impression-Severity (CGI-S), and Clinical Global Impression-Impulsivity (GCI-I). There were a mild feminization of the body shape, feelings of fatigue, and mild hot flushes. No other adverse effect was reported.
CONCLUSION
These results suggested that the clinical effects of leuprolide acetate in sexual offenders might be an effective treatment and safety strategy.
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