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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 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 ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [266]
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“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]
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“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]
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Segal, R. G., Talmon, A., Hasson, R., & Ginzburg, K. (2025) · Journal of Interpersonal Violence · doi:10.1177/08862605251368847
Compulsive Sexual Behavior with Non-consensual Urges and Sexual Performance Issues
Sabu, D., Pandey, M. K., Shukla, S., Mishra, P., & Shukla, P. N. (2025) · Journal of Psychosexual Health · doi:10.1177/26318318251405626
Metadata
- 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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