Department of Psychological Medicine, University of Otago Medical School, Dunedin, New Zealand.
Arch Sex Behav. 2010 Aug;39(4):968-78. doi: 10.1007/s10508-009-9504-8. Epub 2009 May 7.
Out of control sexual behavior, also known as compulsive sexual behavior or sexual addiction, has not been studied in a representative sample of the general population. At age 32 years, 940 (93%) of 1,015 members of the birth cohort of the Dunedin Multidisciplinary Health and Development Study responded to a series of questions about sexual behavior, administered by computer. We enquired about sexual fantasies, urges or behavior that participants regarded as out of control during the previous year, and defined such experiences as out of control sexual experiences (OCSE). Nearly 13% of men and 7% of women reported OCSE in the past year. Women who reported such experiences were more likely than other women to have reported (elsewhere in the interview) having had high numbers of opposite sex partners, concurrent sexual relationships, or sex with a partner met on the internet, as well as a higher likelihood of same-sex attraction or behavior. Among men reporting OCSE, there was an association with having paid for heterosexual sex and with same-sex attraction and behavior. Few believed that OCSE had interfered with their lives (3.8% of all men and 1.7% of all women in the cohort). Only 0.8% of men and 0.6% of women reported that their actual sexual behavior had interfered with their lives. OCSE were also analyzed in relation to certain personality traits and to childhood sexual abuse (CSA). Some evidence of a link with impulsivity (women only) and negative affectivity was found. CSA was associated with OCSE among men. In conclusion, this population-based study has provided the first empirical estimations of the occurrence of OCSE and its relationship to a range of sexual behaviors in a representative sample.
失控的性行为，也称为强迫性行为或性成瘾，在一般人群的代表性样本中尚未得到研究。在 32 岁时，1015 名达尼丁多学科健康和发展研究出生队列的成员中有 940 名（93%）通过计算机回答了一系列关于性行为的问题。我们询问了参与者在前一年中认为失控的性幻想、冲动或行为，并将这些经历定义为失控的性经历（OCSE）。近 13%的男性和 7%的女性在过去一年中报告有 OCSE。报告有此类经历的女性比其他女性更有可能报告（在访谈的其他地方）有较多的异性伴侣、同时发生的性关系，或与在互联网上认识的伴侣发生性关系，以及同性吸引力或行为的可能性更高。在报告 OCSE 的男性中，与有偿异性性行为以及同性吸引力和行为有关。很少有人认为 OCSE 干扰了他们的生活（队列中所有男性的 3.8%和所有女性的 1.7%）。只有 0.8%的男性和 0.6%的女性报告说他们的实际性行为干扰了他们的生活。OCSE 也与某些人格特质和儿童期性虐待（CSA）有关。发现了与冲动性（仅女性）和负性情感有关的一些证据。CSA 与男性的 OCSE 有关。总之，这项基于人群的研究首次提供了 OCSE 的发生及其与代表性样本中一系列性行为之间关系的经验估计。
