Persons with traumatic brain injuries (TBI) who have engaged in problematic or illegal sexual behavior present with complex assessment and intervention needs yet remain understudied within the empirical literature. In the current exploratory analysis, important differences in adaptive and clinical functioning, adverse childhood experiences, and criminal offense history are examined in 25 persons with previous brain injury, 118 persons with intellectual disability but no known TBI, and 103 persons with no history of brain injury or intellectual disability, all of whom have engaged in problematic sexual behavior and who were residing in secure forensic inpatient care. Group differences were examined using comparisons of means and chi-squares. Results highlight important differences in education and employment experiences, diagnostic presentation, exposure to childhood maltreatment, and justice system involvement and characteristics of their sexual offense victims. Associations with prior literature and future research directions are discussed.

从事有问题或非法性行为的创伤性脑损伤 (TBI) 患者存在复杂的评估和干预需求，但在实证文献中仍未得到充分研究。在目前的探索性分析中，对 25 名既往有脑损伤的人、118 名有智力障碍但没有已知 TBI 的人和 103 名无脑病史的人进行了适应性和临床功能、不良童年经历和刑事犯罪史的重要差异检查受伤或智力残疾，所有这些人都从事有问题的性行为，并且住在安全的法医住院护理中。使用均值和卡方比较来检查组差异。结果突出了教育和就业经验、诊断表现、遭受童年虐待，司法系统参与和性犯罪受害者的特征。讨论了与先前文献和未来研究方向的关联。