Service de Psychiatrie, Hôpital Corentin-Celton, Assistance Publique-Hôpitaux de Paris (AP-HP), 92130, Issy-les-Moulineaux, France.
Arch Sex Behav. 2012 Dec;41(6):1379-87. doi: 10.1007/s10508-012-9943-5. Epub 2012 Apr 18.
This study presents sociodemographic characteristics and psychiatric correlates of a representative sample of sexual assaulters in the United States. Data were drawn from a nationally representative survey, the National Epidemiologic Survey on Alcohol and Related Conditions. Face-to-face interviews of more than 43,000 adults were conducted between the 2001-2002 period, based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. The prevalence of committing sexual assault in the U.S. was 0.15 %. Sexual assaulters had significantly lower education than their counterparts. Sexual assaulters were significantly more likely to report a wide range of antisocial behaviors. Multivariate logistic regression analyses indicated strong associations between sexual assault and lifetime psychiatric disorders often associated with impaired impulse control, such as antisocial personality disorder, conduct disorder, and cocaine use disorder. In addition, psychotic disorders were consistently associated with sexual assault. Our findings indicate that sexual assault could represent a behavioral manifestation of a broader spectrum, including impairment of impulse control and psychotic disorders.
本研究呈现了美国代表性性侵者样本的社会人口统计学特征和精神相关因素。数据来自全国代表性调查，即国家酒精与相关状况流行病学调查。2001-2002 年间，根据酒精使用障碍及相关障碍访谈调查 -DSM-IV 版本，对超过 43000 名成年人进行了面对面访谈。在美国，性侵的患病率为 0.15%。性侵者的受教育程度明显低于同龄人。性侵者更有可能报告广泛的反社会行为。多变量逻辑回归分析表明，性侵与终生精神障碍之间存在强烈关联，这些障碍通常与冲动控制受损有关，如反社会人格障碍、品行障碍和可卡因使用障碍。此外，精神病障碍也与性侵始终相关。我们的研究结果表明，性侵可能代表了一种更广泛的行为表现，包括冲动控制和精神病障碍受损。
