Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Department of Psychology, Bowling Green State University, Bowling Green, OH, USA.
Department of Psychological Science, Texas Tech University, Lubbock, TX, USA.
J Sex Med. 2022 Dec;19(12):1813-1823. doi: 10.1016/j.jsxm.2022.09.003. Epub 2022 Oct 8.
Exposure to traumatic experiences represent one factor that may contribute to the development of hypersexual behaviors.
We investigated the associations between posttraumatic stress symptoms and hypersexual behaviors by analyzing survey data from 2 samples.
The first sample consisted of n = 585 college students, and the second consisted of n = 786 adults recruited via Amazon's Mechanical Turk (MTurk), n = 337 of whom completed a 6-month follow-up survey. We conducted 3 hierarchical regression analyses adjusting for age, gender, sexual orientation, impulsivity, drug use, alcohol use, and gambling.
The primary outcomes for this investigation were associations between posttraumatic stress symptoms, measured using the PTSD Checklist for DSM-IV and DSM-5 (PCL-C and PCL-5), and hypersexual behaviors, measured using the Hypersexual Behavior Inventory (HBI).
A significant regression, R = 0.230, R = 0.211, F (14,570) = 12.17, P < .001, revealed posttraumatic stress symptoms were associated with hypersexual behaviors in the university student sample (β = 0.154). A significant regression using the MTurk sample, R = 0.403, R = 0.392, F (14,771) = 37.13, P < .001, confirmed this finding (β = 0.259). In addition, a significant regression, R = 0.562, R = 0.541, F (15,321) = 27.42, P < .001, indicated that posttraumatic stress symptoms were longitudinally associated with increased hypersexual behaviors (β = .190) after adjusting for all variables, including baseline hypersexuality.
Results suggest that individuals experiencing posttraumatic stress symptoms are at increased risk for current and future hypersexual behaviors.
STRENGTHS & LIMITATIONS: This investigation involved secondary analyses of adults who had gambled at least once in their lives and findings may not generalize to those who have never gambled. Furthermore, longitudinal findings may be impacted by selection bias (42% completion rate) and may not generalize to follow up periods longer than 6-months.
This study provides support for the hypothesis that posttraumatic stress symptoms are associated with increased hypersexual behavior, and further research is indicated to explore the etiology and directionality of this relationship. Rosansky JA, Borgogna NC, Kraus SW, et al. Cross-Sectional and Longitudinal Associations Between Posttraumatic Stress Symptoms and Hypersexual Behaviors Among Individuals Who have Gambled in Their Lifetimes. J Sex Med 2022;19:1813-1823.
创伤经历的暴露是导致性行为异常的一个因素。
通过分析来自两个样本的调查数据，我们研究了创伤后应激症状与性行为异常之间的关系。
第一个样本包括 n=585 名大学生，第二个样本包括 n=786 名通过亚马逊 Mechanical Turk (MTurk)招募的成年人，其中 n=337 人完成了 6 个月的随访调查。我们进行了 3 次分层回归分析，调整了年龄、性别、性取向、冲动性、药物使用、酒精使用和赌博。
主要结果是使用 DSM-IV 和 DSM-5 创伤后应激障碍检查表（PCL-C 和 PCL-5）测量的创伤后应激症状与性行为异常之间的关系，使用性行为异常量表（HBI）测量。结果显示，在大学生样本中，创伤后应激症状与性行为异常呈显著相关，R=0.230，R=0.211，F（14,570）=12.17，P<0.001（β=0.154）。使用 MTurk 样本的显著回归，R=0.403，R=0.392，F（14,771）=37.13，P<0.001，证实了这一发现（β=0.259）。此外，调整所有变量（包括基线性行为异常）后，R=0.562，R=0.541，F（15,321）=27.42，P<0.001 的回归表明，创伤后应激症状与当前和未来的性行为异常呈纵向相关（β=0.190）。
结果表明，经历创伤后应激症状的个体发生性行为异常的风险增加。
本研究涉及至少有过一次赌博经历的成年人的二次分析，研究结果可能不适用于从未赌博过的人。此外，纵向研究结果可能受到选择偏差（42%的完成率）的影响，并且可能不适用于超过 6 个月的随访期。
本研究支持创伤后应激症状与性行为异常增加相关的假设，进一步的研究表明需要探索这种关系的病因和方向性。
