Abstract

Compulsive sexual behaviors (CSB; i.e., a pattern of excessive and difficult to control sexual behaviors and fantasies) and risky sexual behaviors (e.g., unprotected sex, increased number of sexual partners, exchange of sex for drugs or money) are prevalent among those in treatment for substance misuse. CSB positively associated with risky sexual behaviors among high-risk populations such as men who have sex with men and persons living with sexually transmitted infections; however, this relationship has yet to be examined among men in treatment for substance misuse. Given the high prevalence of risky sexual behaviors among substance misusing populations, we examined if CSB were positively related to risky sexual behaviors among adult men in residential substance misuse treatment (N = 266), while statistically controlling for research supported correlates of risky sexual behavior including impulsivity, sensation seeking, affective instability, substance use, and age. CSB was positively associated with risky sexual behavior and accounted for a significant amount of the variance in the model predicting risky sexual behaviors. Our findings suggest that, among substance misuse patients, CSB may be a risk factor for risky sexual behaviors.

摘要

强迫性行为（CSB；即一种过度且难以控制的性行为和幻想的模式）和危险性行为（例如，无保护的性行为，性伴侣数量增加，用毒品或金钱换性）在这些人群中普遍存在。滥用药物的治疗。CSB与高风险人群中的危险性行为呈正相关，例如与男性发生性关系的男性和性传播感染者；但是，这种关系还没有在滥用药物治疗的男性之间进行检验。鉴于滥用药物人群中危险性行为的普遍性，我们研究了在居住滥用药物治疗中，成年男性CSB与危险性行为是否正相关（N = 266），而对研究的统计控制则支持了危险性行为的相关性，包括冲动性，寻求感觉，情感不稳定，物质使用和年龄。CSB与危险的性行为呈正相关，并且在预测危险的性行为的模型中占很大的差异。我们的发现表明，在滥用药物的患者中，CSB可能是发生危险性行为的危险因素。