Child sexual abuse and compulsive sexual behavior: a systematic literature review
Open accessAbstract
Purpose of review 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.Recent findings 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.Summary 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.
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Many individuals with compulsive sexual behaviour report a history of sexual abuse as a child, and the relationship between child sexual abuse and the behaviour appears to be stronger in men.
“Many individuals with compulsive sexual behaviour also report a history of sexual abuse as a child 266 , and the relationship between child sexual abuse and the behaviour appears to be stronger in men 267 .”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [266]
The citation is attached to the claim that the association is stronger in men. The Discussion (page unavailable) says the review found a lack of support for gender-related differences: of the two studies reporting a difference, one found an association only in women and the other only in men. (LLM, conf=0.91)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredCSBD can be associated with coercive sexual behavior involving experiences of being a victim of sexual violence.
“CSBD can also be associated with coercive sexual behavior involving experiences of being a victim of sexual violence.12”
From Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective (2024) · cites this paper as [12]
The Conclusions and Future Directions section reports that most reviewed studies found an association between child sexual abuse and compulsive sexual behavior (CSB). However, the Limitations section says it is unclear how many participants met diagnostic criteria for CSBD and calls for distinguishing coercive from noncoercive behavior; it does not establish the claimed association specifically for coercive sexual behavior in CSBD. (LLM, conf=0.86)
Experimental — accuracy not yet measuredCSBD is often associated with negative attitudes about sexuality and excessive guilt about one's sexual behavior that can interfere with feelings of pleasure and satisfaction and create distress.
“CSBD is often associated with negative attitudes about sexuality and excessive guilt about one’s sexual behavior that can interfere with feelings of pleasure and satisfaction and create distress.”
From Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective (2024) · cites this paper as [12]
The Introduction describes CSBD as involving marked distress or impairment, and the Discussion says some people with a history of childhood sexual abuse may have a negative sexual self-concept that affects how they perceive their behavior. The paper links guilt to childhood sexual abuse, not to CSBD generally, and does not say that these attitudes interfere with pleasure or satisfaction. Page numbers were not available in our copy. (LLM, conf=0.82)
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- Authors
- Slavin, M. N., Scoglio, A. A. J., Blycker, G. R., Potenza, M. N., & Kraus, S. W.
- Affiliations
- Columbia University (US)
- Northeastern University (US)
- University of Rhode Island (US)
- Yale University (US)
- University of Nevada, Las Vegas (US)
- Corresponding author
- Slavin, Melissa N.
- Venue
- Current Addiction Reports
- Published
- 2020-01-28
- Volume
- 7
- Issue
- 1
- Pages
- 76-88
- ISSN
- 2196-2952 (ISSN-L)
- PMC
- PMC7787260
- OpenAlex
- W3004325348
- Cited by
- 111
- References
- 97
- Citations by year
- 2026: 13 · 2025: 23 · 2024: 20 · 2023: 20 · 2022: 23 · 2021: 7 · 2020: 5
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Addiction Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001863)
- National Institute on Drug Abuse (R01DA041063, T32DA037801)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- child sexual abuse, compulsive sexual behavior, sexual victimization, risk factors, trauma-focused psychotherapy, sexual risk behavior, university students, gender differences, prevention
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