Gender-related differences in associations between sexual abuse and hypersexuality
Open accessAbstract
Background: Individuals with histories of sexual abuse may be more likely to experience sexual-related problems including hypersexuality, but gender-related differences remain unclear. Aim: This online study examined sexual abuse history and hypersexuality by gender among 16,823 Hungarian adults, adjusting for age, sexual orientation, relationship status, education, employment status, and residence. Methods: An online questionnaire on one of the largest Hungarian news portals advertised this study examining sexual activities in January 2017. 3 categorizations of age-related sexual abuse were examined: child sexual abuse (CSA) occurring at age 13 and earlier (compared to no abuse), adolescent/adult sexual abuse (AASA; compared to no abuse), and CSA and AASA (CSA/AASA; compared to one age-related category of abuse or the other). Outcomes: The outcome variable, hypersexuality, was examined as a continuous variable due to the low prevalence of clinical hypersexuality in this sample. 3 multivariate linear regression analyses adjusting for covariates aimed to predict hypersexuality from each category of abuse, along with gender and its interaction with each category. Results: In all models, younger age, non-heterosexual sexual orientation, male gender, single relationship status, less than full-time work, and living in a capital city were associated with hypersexuality, and education was not a significant predictor. CSA, AASA, and CSA/AASA predicted hypersexuality in both men and women. There was a significant interaction between CSA/AASA and gender, such that the relationship between CSA/AASA and hypersexuality was stronger in men than in women. Clinical Translation: Sexual abuse at each developmental time-point may influence hypersexuality among men and women, although the cumulative impact of CSA and AASA on hypersexuality may be particularly relevant among men. Strengths & Limitations: This is one of the largest studies to examine gender-related differences in the relationship between sexual abuse and hypersexuality. Nevertheless, our study is cross-sectional, and longitudinal work is needed to determine how sexual abuse affects children, adolescents, and adults throughout their lives. Conclusion: Developmental impacts of sexual abuse may be considered in a gender-informed fashion in order to develop and optimize effective prevention and treatment strategies for hypersexuality.
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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 [267]
The Results (Multivariate Linear Regressions; page unavailable) report that the interaction between childhood sexual abuse and gender was not significant, with childhood sexual abuse predicting hypersexuality in both men and women. The stronger association in men reported in the Discussion concerns cumulative childhood and adolescent/adult sexual abuse, not childhood sexual abuse alone. Citation 267 is attached to the latter claim about the relationship being stronger in men. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
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 [13]
The Introduction (page not provided) describes distress as a feature of hypersexuality, which it also calls compulsive sexual behavior. It mentions shame and guilt among sexual abuse survivors, but does not say these are often associated with CSBD or that negative attitudes and guilt interfere with pleasure and satisfaction. (LLM, conf=0.84)
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Exploring Hypersexuality Pathways From Eye Movements: The Role of (Sexual) Impulsivity
Carvalho, J., Rosa, P. J., & Štulhofer, A. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.06.018 · Cited by 9 · see citing works
Nolin, M.-C., Bőthe, B., Bergeron, S., Godbout, N., Daspe, M., & Vaillancourt‐Morel, M. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2099495 · Cited by 8 · see citing works
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“According to Keffer (2019) and Slavin et al. (2020b), heightened transient hypersexuality is a trauma response and an attempt to maintain the relationship with the male partner.”
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Slavin, M. N., Hewage, S., Roy, S., & Kraus, S. W. (2025) · Current Addiction Reports · doi:10.1007/s40429-025-00658-3 · Cited by 4 · see citing works
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Sexual shame: a narrative review
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Sex differences in compulsive sexual behavior disorder
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Childhood Sexual Abuse: A Narrative Review
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- Authors
- Slavin, M. N., Blycker, G. R., Potenza, M. N., Bőthe, B., Demetrovics, Z., & Kraus, S. W.
- Affiliations
- New York University (US)
- University of Rhode Island (US)
- Yale University (US)
- Eötvös Loránd University (HU)
- University of Nevada, Las Vegas (US)
- Corresponding author
- Slavin, Melissa N.
- ORCID
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-08-10
- Volume
- 17
- Issue
- 10
- Pages
- 2029-2038
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- PMC
- PMC7875089
- OpenAlex
- W3048855660
- Cited by
- 47
- References
- 73
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 6 · 2023: 9 · 2022: 9 · 2021: 6 · 2020: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- 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 › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- sexual abuse, hypersexuality, child sexual abuse, gender differences, sexual orientation, relationship status, employment status, urban residence, Hungarian adults
- MeSH terms
- Adolescent, Adult, Child, Child Abuse, Sexual, Compulsive Behavior, Cross-Sectional Studies, Female, Humans, Male, Paraphilic Disorders, Sexual Behavior
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