Cited by 66Sexuality, Behavior, and TechnologyGambling Behavior and TreatmentsSexual function and dysfunction studies

Compulsive sexual behavior among male military veterans: Prevalence and associated clinical factors

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Smith, Philip, Potenza, Marc, Mazure, Carolyn, McKee, Sherry, Park, Crystal, Hoff, Rani·2014·Journal of Behavioral Addictions

Abstract

BACKGROUND AND AIMS: Compulsive sexual behavior (CSB) is highly prevalent among men, often co-occurring with psychiatric disorders and traumatic experiences. Psychiatric disorders and trauma are highly prevalent among military veterans, yet there is a paucity of research on CSB among military samples. The aim of this study was to examine the prevalence of and factors associated with CSB among male military veterans. METHODS: Surveys were administered to veterans of Operations Iraqi Freedom, Enduring Freedom, or New Dawn at baseline (n = 258), 3 months(n = 194), and 6 months (n = 136). Bivariate analyses and Generalized Estimating Equations were utilized to estimate associations between CSB and the following variables: psychiatric co-morbidity, childhood physical or sexual trauma, pre- and post-deployment experiences, TV/ Internet usage, and sociodemographics. Associations between CSB and specific PTSD symptom clusters were also examined. RESULTS: CSB was reported by 16.7% of the sample at baseline. Several variables were associated with CSB in bivariate analyses; however, only PTSD severity, childhood sexual trauma, and age remained significant in multivariable GEE models. The PTSD symptom cluster re-experiencing was most strongly associated with CSB. DISCUSSION: This exploratory study suggests that CSB is prevalent amongst veterans returning from combat and is associated with childhood trauma and PTSD, particularly re-experiencing. CONCLUSIONS: Further study is needed to identify the mechanisms linking PTSD and CSB, define the context and severity of CSB in veterans, and examine the best ways to assess and treat CSB in VA clinical settings.

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  • The chances of showing any of a number of addictive activities in adults, including drug use, sex and problematic eating are increased with childhood abuse.

    “The chances of showing any of a number of addictive activities in adults, including drug use, sex and problematic eating are increased with childhood abuse (Carnes and Delmonico, 1996;Smith et al., 2014;Timms and Connors, 1992).”

    From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Smith et al., 2014

    The Results report that male military veterans with childhood sexual trauma had greater odds of compulsive sexual behavior (OR 3.17, 95% CI 1.27–7.93). The paper does not establish that childhood abuse increases the chances of drug use or problematic eating, or extend its finding to adults generally. (LLM, conf=0.88)

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Authors
Smith, P., Potenza, M., Mazure, C., McKee, S., Park, C., & Hoff, R.
Affiliations
  • Yale University (US)
  • University of Connecticut (US)
  • United States Department of Veterans Affairs (US)
Corresponding author
Hoff, Rani
Venue
Journal of Behavioral Addictions
Published
2014-12
Volume
3
Issue
4
Pages
214-222
ISSN
  • 2062-5871 (ISSN-L)
  • 2063-5303
OpenAlex
W2034772988
Cited by
66
References
44
Citations by year
2026: 4 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 10 · 2020: 11 · 2019: 10 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 2
FWCI
4.72
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavioral Addictions (publishedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (RL1AA017539)
  • National Institute of Mental Health (T32-MH014235-39, T32MH014235)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords
compulsive sexual behavior, military veterans, post-traumatic stress disorder, childhood sexual trauma, re-experiencing symptoms, psychiatric comorbidity, combat deployment, prevalence, male veterans, Iraq War
MeSH terms
Adult, Age Factors, Child, Child Abuse, Compulsive Behavior, Follow-Up Studies, Humans, Male, Sexual Behavior, Stress Disorders, Post-Traumatic, United States, Veterans, Prevalence, Iraq War, 2003-2011, Afghan Campaign 2001-

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