Columbia University, School of Social Work, New York, NY, USA.
College of Nursing, University of Rhode Island, Kingston, RI, USA; HäIsosam Therapy, Jamestown, RI, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
J Sex Med. 2020 Oct;17(10):2029-2038. doi: 10.1016/j.jsxm.2020.07.008. Epub 2020 Aug 10.
Individuals with histories of sexual abuse may be more likely to experience sexual-related problems including hypersexuality, but gender-related differences remain unclear.
This online study examined sexual abuse history and hypersexuality by gender among 16,823 Hungarian adults, adjusting for age, sexual orientation, relationship status, education, employment status, and residence.
An online questionnaire on one of the largest Hungarian news portals advertised this study examining sexual activities in January 2017. 3 categorizations of age-related sexual abuse were examined: child sexual abuse (CSA) occurring at age 13 and earlier (compared to no abuse), adolescent/adult sexual abuse (AASA; compared to no abuse), and CSA and AASA (CSA/AASA; compared to one age-related category of abuse or the other).
The outcome variable, hypersexuality, was examined as a continuous variable due to the low prevalence of clinical hypersexuality in this sample. 3 multivariate linear regression analyses adjusting for covariates aimed to predict hypersexuality from each category of abuse, along with gender and its interaction with each category.
In all models, younger age, non-heterosexual sexual orientation, male gender, single relationship status, less than full-time work, and living in a capital city were associated with hypersexuality, and education was not a significant predictor. CSA, AASA, and CSA/AASA predicted hypersexuality in both men and women. There was a significant interaction between CSA/AASA and gender, such that the relationship between CSA/AASA and hypersexuality was stronger in men than in women.
Sexual abuse at each developmental time-point may influence hypersexuality among men and women, although the cumulative impact of CSA and AASA on hypersexuality may be particularly relevant among men.
STRENGTHS & LIMITATIONS: This is one of the largest studies to examine gender-related differences in the relationship between sexual abuse and hypersexuality. Nevertheless, our study is cross-sectional, and longitudinal work is needed to determine how sexual abuse affects children, adolescents, and adults throughout their lives.
Developmental impacts of sexual abuse may be considered in a gender-informed fashion in order to develop and optimize effective prevention and treatment strategies for hypersexuality. Slavin MN, Blycker GR, Potenza MN, et al. Gender-Related Differences in Associations Between Sexual Abuse and Hypersexuality. J Sex Med 2020;17:2029-2038.
有性虐待史的个体更有可能经历与性相关的问题，包括性欲亢进，但性别相关的差异仍不清楚。
本项在线研究调查了 16823 名匈牙利成年人的性虐待史和性欲亢进，同时考虑了年龄、性取向、关系状况、教育程度、就业状况和居住地等因素。
2017 年 1 月，在匈牙利最大的新闻门户网站之一上发布了一份在线问卷，调查性活动。研究调查了 3 种与年龄相关的性虐待分类：13 岁及以前发生的儿童性虐待（CSA）（与无虐待相比）、青少年/成人性虐待（AASA；与无虐待相比）以及 CSA 和 AASA（CSA/AASA；与一种或另一种年龄相关的虐待类别相比）。
在所有模型中，年轻的年龄、非异性恋性取向、男性性别、单身关系状况、非全日制工作以及居住在首都城市与性欲亢进相关，而教育程度不是一个显著的预测因素。CSA、AASA 和 CSA/AASA 均预测了男性和女性的性欲亢进。CSA/AASA 与性别之间存在显著的交互作用，即 CSA/AASA 与性欲亢进的关系在男性中比在女性中更强。
每个发展阶段的性虐待都可能影响男性和女性的性欲亢进，尽管 CSA 和 AASA 对性欲亢进的累积影响可能在男性中更为相关。
这是研究性虐待与性欲亢进之间关系的性别差异的最大研究之一。尽管如此，我们的研究是横断面的，需要进行纵向研究，以确定性虐待如何影响儿童、青少年和成年人的一生。
性虐待的发展影响可以以性别为导向的方式考虑，以便为性欲亢进制定和优化有效的预防和治疗策略。
