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

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dc.contributor.authorClemente, Jales [UNIFESP]
dc.contributor.authorPillon, Sandra Cristina
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorda Silva, Claudio Jeronimo [UNIFESP]
dc.contributor.authorHenrique Santana, Paulo Roberto
dc.contributor.authorDiehl, Alessandra [UNIFESP]
dc.date.accessioned2019-08-19T11:48:33Z
dc.date.available2019-08-19T11:48:33Z
dc.date.issued2017
dc.description.abstractObjective: 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.en
dc.description.affiliationFed Univ São Paulo UNIFESP, Psychiat Dept, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Nursing, Psychiat Nursing & Human Sci Dept, Ribeirao Preto, Brazil
dc.description.affiliationPAHO WHO Collaborating Ctr Nursing Res Dev, São Paulo, Brazil
dc.description.affiliationAmer Bairral Inst, Itapira, SP, Brazil
dc.description.affiliationUnifespFed Univ São Paulo UNIFESP, Psychiat Dept, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent377-385
dc.identifierhttp://dx.doi.org/10.1097/ADM.0000000000000337
dc.identifier.citationJournal Of Addiction Medicine. Philadelphia, v. 11, n. 5, p. 377-385, 2017.
dc.identifier.doi10.1097/ADM.0000000000000337
dc.identifier.issn1932-0620
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51280
dc.identifier.wosWOS:000411792800007
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectparaphiliaen
dc.subjectsexual behaviorsen
dc.subjectsexual fantasiesen
dc.subjectsubstance-related disordersen
dc.titleParaphilic Thoughts, Behaviors and Sex Addiction in a Sample of Persons Who Use Drugs: A Cross-Sectional Studyen
dc.typeinfo:eu-repo/semantics/article
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