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Pedophilia, Substance-use Disorder, and Intellectual Disability

A Case Report

Cassiani-Miranda, Carlos A., MD*; Quintero-Gómez, Tito C., MD; Burbano, Adriana L., MD; Eduard, Arraut-Camargo, MD§

Addictive Disorders & Their Treatment: March 2019 - Volume 18 - Issue 1 - p 58–62
doi: 10.1097/ADT.0000000000000149
Case Report

Objective: To present a case of pedophilic disorder associated to intellectual disability and substance-use disorder (SUD).

Background: Pedophilic disorders often appear in comorbidity with other mental disorders.

Case description: A 21-year-old man is hospitalized in an addictive behavior unit, with a history of SUD, an exclusive sexual preference for boys aged 12 or under, associated to interpersonal problems with borderline Intelligence Quotient score, and failure in global functioning.

Discussion: The article analyses the criteria related to pedophilic disorder, the difficulties in its diagnosis, the clinical implications of the comorbidity with intellectual disability and SUD.

Conclusions: It is important to differentiate between pedophilic disorder, SUD, and intellectual disability. An active search for deviant sexual behavior is recommended in patients with dual diagnosis.

*Neurosciences Research Group

§Universidad de Santander

Universidad Industrial de Santander, Psychiatry Research Group (GIP), Psychiatrist Hospital San Camilo, Bucaramanga

Department of Psychiatry, Universidad de Cartagena, Cartagena, Colombia

The authors declare no conflict of interest.

Reprints: Carlos A. Cassiani-Miranda, MD, Universidad de Santander, Calle 70 North, Bucaramanga, Santander 55210, Colombia (e-mail:

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