Slavin Melissa N, Scoglio Arielle A J, Blycker Gretchen R, Potenza Marc N, Kraus Shane W
Columbia University, School of Social Work, New York, NY.
Northeastern University, Institute of Health Equity & Social Justice Research, Boston, MA.
Curr Addict Rep. 2020 Mar;7(1):76-88. doi: 10.1007/s40429-020-00298-9. Epub 2020 Jan 28.
Information on potential risk factors and clinical correlates of compulsive sexual behavior (CSB) may help inform more effective prevention and treatment measures. Sexual victimization, specifically, child sexual abuse (CSA), has been associated with CSB.
This systematic review describes 21 studies on the relationship between CSA and CSB. Most studies identified a significant association between CSA and CSB. However, variability in measurements, potential differences in links among community versus clinical samples, relevance of research among college samples, lack of support for gender-related differences, and the need for more longitudinal designs were identified.
Research would benefit from more formalized assessments of CSB across different populations. Prevention efforts should be aimed toward individuals who experienced CSA and/or other abuse, particularly if they report engaging in risky sexual behavior. Individuals with CSB who have experienced sexual abuse may benefit from trauma-focused treatment.
关于强迫性行为（CSB）潜在风险因素及临床关联的信息，可能有助于制定更有效的预防和治疗措施。特别是性侵害，尤其是儿童性虐待（CSA），已被认为与CSB有关。
本系统综述描述了21项关于CSA与CSB关系的研究。大多数研究发现CSA与CSB之间存在显著关联。然而，研究发现测量方法存在差异、社区样本与临床样本之间联系的潜在差异、大学样本研究的相关性、缺乏对性别差异的支持以及需要更多纵向研究设计。
跨不同人群对CSB进行更规范化评估将使研究受益。预防工作应针对经历过CSA和/或其他虐待的个体，特别是那些报告有危险性性行为的个体。经历过性虐待的CSB个体可能从以创伤为重点的治疗中受益。
