“The present study compares community-based minor-attracted persons with and without histories of sexual activity with children.”
“Minor-attracted actors (N = 342) were significantly older than non-actors (N = 223), with longer duration of pedophilic attraction, more antisocial traits, greater attraction to boys, greater difficulty controlling their attraction, and more positive attitudes toward adult-child sexual activity.:

“Additionally, more minor-attracted actors reported prior mental health treatment, nonsexual offenses, and childhood sexual and nonsexual abuse.”

“Over a third of the whole sample reported chronic suicidal ideation.”

“These findings support the existence of minor-attracted persons who successfully refrain from sexually engaging with children, identifying multiple protective and risk factors.”
.
L Cohen, N.Ndukwe, Z.Yaseen, I.Galynker
Comparison of Self-Identified Minor-Attracted Persons Who Have and Have Not Successfully Refrained From Sexual Activity With Children
Journal Of Sex & Marital Therapy – Volume 44 #3 – page 217
.
.
“The recurrent use of child sexual abuse images for sexual arousal is considered a valid indicator for the existence of a pedophilic preference, which in turn represents a significant risk factor for committing contact offenses against children.”

“Treatment programs for (potentially) sexually delinquent men endeavor to reduce the risk to offend by addressing relevant risk factors and emphasizing functional and socially acceptable alternative behaviors. Users of child sexual abuse images are a particular target group for prevention services and it has been suggested that the primary treatment focus should be on sexual self-regulation deficits.”
.
A.Konrad, T.Amelung, K.M.Beier
Misuse of Child Sexual Abuse Images: Treatment Course of a Self-Identified Pedophilic Pastor
Journal Of Sex & Marital Therapy – Volume 44 #3 – page 281

.