biological treatment - hormone therapy Flashcards

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1
Q

why may people be put on hormone therapy

A
  • to treat anger
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2
Q

how can hormone levels explain paedophilia

A
  • higher levels of LH and FSH but lower levels of testosterone
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3
Q

how were offenders treated before hormone therapy

A
  • surgical castration
    removal of testicles or stop them from producing sperm, removal of ovaries
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4
Q

what is anti-androgenic pharmacotherapy

A
  • the use of medication to lower testosterone levels which to leads to a decrease
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5
Q

are the effects of anti-androgenic pharmacotherapy capable of being reversed

A
  • yes
  • this can be simply through withdrawing from the drugs involved
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6
Q

what does the hormone CPA stand for

A
  • cyproterone acetate
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7
Q

how does CPA work

A
  • inhibits the influence of androgens on organs
  • influences sexual desire
  • lowers testosterone levels (by preventing interaction with receptors)
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8
Q

where is CPA available

A
  • doctors prescription
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9
Q

what are the side effects of CPA

A
  • breast tenderness and swelling
  • fatigue
  • depression or mood swings
  • weight change
  • hotflushes or sweats
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10
Q

is CPA effective

A
  • reduces sexual desire within the first week of treatment
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11
Q

what does the hormone MPA stand for

A
  • medroxyprogesterone acetate
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12
Q

how does MPA work

A
  • interferes with the hormone balance in the body
  • reduces amounts of hormones
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13
Q

what are the side effects of MPA

A
  • headaches
  • feeling sick
  • put on weight
  • high body temp
    -feeling depressed
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14
Q

what is the dose for MPA

A
  • 150 mg every 12 calendar weeks
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15
Q

what did Federoff et al (1992) find in terms of MPA

A
  • found that 15% of those using MPA reoffended compared with 68% who were not taking MPA
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16
Q

what did Turner et al (2013) find in terms of effectiveness of hormone therapy

A
  • sex offenders treated with hormone therapy showed a 26 - 75.4% reduction in sexual thoughts
17
Q

what was the aim of Maletzky (2006)

A
  • see the outcomes of being on MPA compared to not being on the treatment
18
Q

how was Maletzky a retrospective study

A

looks back over 2.75 inmates and compare recidivism rates

19
Q

how many participants took part in Maletzky’s study in total

A

134

20
Q

how many participants received the medication of MPA

A

79 or 59%

21
Q

how many participants didn’t receive the medication of MPA

A

55 ot 41%

22
Q

how was the data collected in Maletzky

A
  • supervising officers were given questionnaires
23
Q

what were 2 results of Maletzky

A
  • only 4 people who were given MPA reoffended where as 17 people who were not given MPA
  • 0 people given MPA were sexual in nature whereas 9 people who didn’t have MPA were sexual in nature
24
Q

what is the expense of hormone therapy

A
  • £255 for one injection
  • are avalible on the NHS
25
Q

does hormone therapy mask symptoms or tackle the root cause of criminal behaviour

A
  • only masks symptoms
  • symptoms stop immediately after treatment is stopped
26
Q

how often do you have to take MPA

A
  • 1 injection every 7-10 days
27
Q

how long does CPA take to start working

A
  • 1-3 weeks