抑郁（非焦虑）症状在男性童年性虐待与强迫性性行为之间起中介作用。

Symptoms of depression (not anxiety) mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in men.

机构信息

Ambulatório de Impulso Sexual Excessivo e de Prevenção aos Desfechos Negativos Associados ao Comportamento Sexual, Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil. Departamento de Psiquiatria, Faculdade de Medicina, USP, São Paulo, SP, Brazil. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, São Paulo, SP, Brazil.

Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.

出版信息

Braz J Psychiatry. 2023 Mar 11;45(1):38-45. doi: 10.47626/1516-4446-2022-2584.

DOI:10.47626/1516-4446-2022-2584

PMID:36379052

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9976921/

Abstract

OBJECTIVE

Childhood sexual abuse is associated with compulsive sexual behavior, depression, and anxiety in men. Furthermore, both depression and anxiety have been linked to compulsive sexual behaviors. However, whether anxiety and depression mediate the relationship between childhood sexual abuse and compulsive sexual behaviors has yet to be tested. We investigated whether symptoms of depression and anxiety mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in 222 men seeking treatment for such behaviors.

METHODS

Participants completed the Sexual Compulsivity Scale, Childhood Trauma Questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory. A cross-sectional parallel mediation analysis was conducted.

RESULTS

The prevalence of childhood sexual abuse in our sample was 57%. Significant correlations were found between childhood sexual abuse and compulsive sexual behaviors, depression, and anxiety. The results of the mediation analyses suggested that depression (B = 0.07, standard error [SE] = 0.03, 95%CI 0.02 to 0.15), but not anxiety (B = 0.02, SE = 0.02, 95%CI -0.2 to 0.07), mediated the link between childhood sexual abuse and compulsive sexual behaviors. The pattern of our results remained the same when controlling for other types of childhood trauma.

CONCLUSIONS

Depression, not anxiety, appears to mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in men. Future research that tests our mediation analyses using a prospective longitudinal study would be highly informative.

摘要

目的

童年期性虐待与男性的强迫性行为、抑郁和焦虑有关。此外，抑郁和焦虑都与强迫性行为有关。然而，抑郁和焦虑是否在童年期性虐待与强迫性行为之间的关系中起中介作用尚未得到检验。我们调查了 222 名寻求治疗强迫性行为的男性中，抑郁和焦虑症状是否在童年期性虐待与强迫性行为之间起中介作用。

方法

参与者完成了性强迫量表、童年创伤问卷、贝克抑郁量表和贝克焦虑量表。进行了横断面平行中介分析。

结果

我们样本中的童年期性虐待发生率为 57%。童年期性虐待与强迫性行为、抑郁和焦虑之间存在显著相关性。中介分析的结果表明，抑郁（B = 0.07，标准误 [SE] = 0.03，95%CI 0.02 至 0.15），而不是焦虑（B = 0.02，SE = 0.02，95%CI -0.2 至 0.07），中介了童年期性虐待与强迫性行为之间的联系。当控制其他类型的童年创伤时，我们的结果模式保持不变。