Paraphilic Thoughts, Behaviors and Sex Addiction in a Sample of Persons Who Use Drugs: A Cross-Sectional Study

Paraphilic Thoughts, Behaviors and Sex Addiction in a Sample of Persons Who Use Drugs: A Cross-Sectional Study

Author Clemente, Jales Autor UNIFESP Google Scholar
Pillon, Sandra Cristina Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
da Silva, Claudio Jeronimo Autor UNIFESP Google Scholar
Henrique Santana, Paulo Roberto Google Scholar
Diehl, Alessandra Autor UNIFESP Google Scholar
Abstract Objective: The aim of this study was to evaluate the prevalence of paraphilic thoughts/behaviors (including paraphilic disorders) with and without sexual addiction and sexual-related conditions in a sample of substance disorder patients. Methods: This was a cross-sectional study of substance-dependent individuals who sought outpatient treatment in Sao Paulo, Brazil. Data included sociodemographic information, drug of choice, responses to questions about sexual behavior, and to the following standardized questionnaires: (a) Sexual Addiction Screening Test, and (b) Childhood Trauma Questionnaire. Results: The sample comprised 134 persons who use drug, predominantly men (76.1%), 39.6% were aged between 18 and 29 years, and 54.9% were single. Most were persons who use polydrug, 73.9% were alcohol and cocaine users, 63.4% marijuana users, 81.1% tobacco users, and 5.2% steroid users. Prevalence of paraphilic thoughts/behaviors (including paraphilic disorders) with and without sexual addiction was 47%. The HPV/herpes and hepatitis B rates were 7.9% (P = 0.021) and 6.3% (P = 0.046) respectively. Paraphilic and non-paraphilic thoughts/behaviors were associated to the presence of childhood physical neglect (odds ratios [OR] = 4.7, 95% confidence interval [CI] 1.0 to 21.9), low educational level (OR = 7.2, 95% CI 1.4 to 36), heterosexuality (OR = 3.8, 95% CI 1.1 to 12.8) and youth (age 18 to 20 years) (OR = 5.6, 95% CI 1.4 to 11.8). Conclusions: The high prevalence of paraphilic thoughts/behaviors with or without sex addiction in persons who use drugs may be related to the experience of physical and emotional neglect during childhood and this possibility should routinely be investigated in clinical practice.
Keywords paraphilia
sexual behaviors
sexual fantasies
substance-related disorders
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Date 2017
Published in Journal Of Addiction Medicine. Philadelphia, v. 11, n. 5, p. 377-385, 2017.
ISSN 1932-0620 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 377-385
Origin http://dx.doi.org/10.1097/ADM.0000000000000337
Access rights Closed access
Type Article
Web of Science ID WOS:000411792800007
URI http://repositorio.unifesp.br/handle/11600/51280

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