Relationships among impulsive, addictive and sexual tendencies and behaviours: a systematic review of experimental and prospective studies in humans
Open accessAbstract
Impulsivity's relationships to addictive and sexual behaviours raise questions regarding the extent impulsivity may constitute a vulnerability factor for subsequent addictive and sexual behaviours and/or results from each of these. Here, we systematically reviewed empirical support for impulsivity as a precipitating factor or a consequence of addictive or sexual behaviours. We restricted ourselves to recent, human studies with assessments over time, including at least one measure of impulsivity, addictive and sexual behaviours, yielding a review including 29 published reports from 28 studies. Findings point to generalized, self-reported impulsivity as a predictor of addictive and sexual behaviours at a wide range of severity, with elements of both impulsivity and compulsivity to these acts. Alcohol consumption often increases impulsive behaviour, including inclinations towards impulsive and potentially compulsive sexual acts. Research using the Sexual Delay Discounting Task has yielded findings linking impulsivity, addictive and sexual behaviour and as such is a valuable research tool that should be used more extensively. The present review identified gaps to be addressed in further research that concurrently examines facets of impulsivity, addictive and sexual behaviours, especially because criteria for compulsive sexual behaviour disorder have been included in the eleventh edition of the International Classification of Diseases . This article is part of the theme issue ‘Risk taking and impulsive behaviour: fundamental discoveries, theoretical perspectives and clinical implications’.
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CSBD is a repetitive, typically initially rewarding behaviour pattern that the person feels unable to control, which appears to have both impulsive and compulsive elements.
“Rather, CSBD is a repetitive, typically initially rewarding behaviour pattern that the person feels unable to control, which appears to have both impulsive and compulsive elements [106].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [106]
Research has investigated disorder constructs related to CSBD and validation of instruments as well as aetiological and therapeutic approaches.
“Research has investigated disorder constructs related to CSBD [114] and validation of instruments [115] as well as aetiological [106, 114] and therapeutic approaches [116–118].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [106]
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Self-citation
- Authors
- Leeman, R. F., Rowland, B. H. P., Gebru, N. M., & Potenza, M. N.
- Affiliations
- University of Florida Health (US)
- Yale University (US)
- Corresponding author
- Potenza, Marc N.
- Venue
- Philosophical Transactions of the Royal Society B: Biological Sciences
- Publisher
- The Royal Society
- Published
- 2018-12-31
- Volume
- 374
- Issue
- 1766
- Pages
- 20180129
- ISSN
- 0962-8436 (ISSN-L)
- 1471-2970
- PMC
- PMC6335457
- OpenAlex
- W2908304373
- Cited by
- 35
- References
- 62
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Philosophical Transactions of the Royal Society B Biological Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIH (R01 DA035508, P50 DA09241, R01 DA026437, R01 DA039)
- Connecticut Council on Problem Gambling (None)
- State of Connecticut Department of Mental Health and Addiction Services (None)
- National Center for Responsible Gaming (Center of Excellence)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- impulsivity, addictive behavior, sexual behavior, alcohol consumption, risk-taking
- MeSH terms
- Humans, Impulsive Behavior, Sexual Behavior, Behavior, Addictive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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