About this trial
The overall aim of this feasibility study is to investigate the clinical characteristics of female partners of male child sexual abuse material (CSAM) offenders and to evaluate the feasibility of a novel psychoeducational group intervention designed to address their specific needs.
The main questions it aims to answer are:
1. What are the clinical characteristics of female partners of male CSAM offenders? 2. Is a psychoeducational group intervention for female partners of male CSAM offenders feasible? 3. Does a psychoeducational group intervention for female partners of male CSAM offenders provide any indication of effectiveness?
Feasibility will be assessed in terms of 1) recruitment, time from recruitment to offered intervention and completed sessions 2) expectancy of treatment improvement, credibility, and satisfaction 3) acceptability and relevance 4) occurrence of negative effects 5) changes in depression- and anxiety symptoms and psychological well-being 6) changes in daily functioning.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female partners of male CSAM offenders
A score of ≥ 3 points on the General Health Questionnaire 12 (GHQ-12) at screening and an affirmative response to the follow-up question: Do you feel that your reduced psychological well-being is primarily related to your partner's CSAM offenses?
Ability to understand spoken and written Swedish
Willingness to participate in the intervention
Disqualifiers
The partner has committed hands-on sexual offenses against children
Presence of a severe mental disorder (e.g., psychosis or major depression) requiring immediate treatment 8) Psychological or cognitive conditions that could compromise participant safety or study integrity (e.g., intellectual disability).
Trial design
Single group
Treatments tested in this trial
A Group Based Psychoeducational Intervention
BehavioralThe purpose of the intervention is to increase the partners' ability to identify, understand, and manage the emotional, social, and practical stresses associated with being a partner of a CSAM offender; reduce the experience of isolation and shame through sharing experiences with people with similar experiences; and provide increased knowledge about sexual problems and treatment. Each session has a clear agenda with a defined theme and includes opportunities for reflection and the sharing of experiences. The session themes are: 1) Crisis and emotional impact, 2) Emotional responses over time, 3) Relationships and social impact, 4) Practical impact and sexual issues, 5) Summary and future perspectives.
Treatment groups
Trial outcomes
Primary outcomes
Recruitment feasibility
Study process log will assess recruitment pathway (number of screened individuals, number of individuals who decline, number of individuals excluded and on what grounds) Criteria for success: \- 15-20 participants recruited within 12 moths.
Recruitment and study procedures feasibility
Study process log will assess time taken to recruit and time from recruitment to offered intervention Criteria for success: Recruited participants may be offered the group intervention within 4 months.
Study procedures feasibility
Study process log will assess number of completed sessions Criteria for success: \- At least 80% of participants complete a minimum of 3 sessions.
Secondary outcomes
Posttraumatic Stress Disorder Checklist (version 5) (PCL-5)
revised from the original PCL, is a self-report measure developed to assess PTSD symptoms in accordance with the diagnostic criteria outlined in the DSM-V. It consists of 20 items to measure symptom severity, with options "Not at all," "A little bit," Moderately," "Quite a bit," and "Extremely," that correspond to scores of 1-5. A total symptom severity score (range - 0-80) can be obtained by summing the scores of all 20 items. It is suggested that cutoff score between 31-33 is indicative of probable PTSD across samples
psychiatric symptoms according to DSM-5 criteria
a structured evaluation of psychiatric symptoms according to DSM-5 criteria. The interview is conducted by a psychiatrist.
Credibility/Expectancy Questionnaire (CEQ)
A scale for measuring treatment expectancy and rationale credibility to use in clinical outcome studies. Expectancy is measured with a range of 0-100% and credibility are measured with a range of 1-9. Higher scores indicate greater treatment credibility.
Client Satisfaction Questionnaire (CSQ-8)
a scale for measuring of patient satisfaction with the service received. It consists of 8 questions and satisfaction is measured with a range of 8-32. Higher scores indicate greater satisfaction. Criteria for success: At least 80% of participants score 26 points or higher
Sponsors and contacts
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Region Stockholm
Lead sponsor
Karolinska Institutet
Collaborator