Academic Journal
The moderating role of impulsivity in the association between sexual abuse and substance use frequency across countries, gender identities, and sexual orientations.
| Τίτλος: | The moderating role of impulsivity in the association between sexual abuse and substance use frequency across countries, gender identities, and sexual orientations. |
|---|---|
| Συγγραφείς: | Aksen DE; Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, United States of America., Potenza MN; Yale University School of Medicine, New Haven, Connecticut, United States of America.; Connecticut Council on Problem Gambling, Wethersfield, Connecticut, United States of America.; Connecticut Mental Health Center, New Haven, Connecticut, United States of America., Lichenstein SD; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America., Nagy L; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary., Kraus SW; Department of Psychology, University of Nevada, Las Vegas, Nevada, United States of America., Billieux J; Institute of Psychology, University of Lausanne, Lausanne, Switzerland.; Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland., Fournier L; Institute of Psychology, University of Lausanne, Lausanne, Switzerland., Demetrovics Z; Flinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Bedford Park, South Australia, Australia.; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar., Koós M; Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro-and Behavioral Science, University of Duisburg-Essen, Essen, Germany., Bőthe B; Département de Psychologie, Université de Montréal, Montréal, Canada.; Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles (CRIPCAS), Université de Montréal, Montréal, Canada. |
| Συλλογικό Έργο: | International Sex Survey Consortium |
| Πηγή: | PloS one [PLoS One] 2026 Sep 30; Vol. 21 (9), pp. e0355986. Date of Electronic Publication: 2026 Sep 30 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: San Francisco, CA : Public Library of Science |
| Ιατρικοί όροι (MeSH): | Substance-Related Disorders*/psychology , Substance-Related Disorders*/epidemiology , Child Abuse, Sexual*/psychology , Sexual Behavior*/psychology , Sex Offenses*/psychology , Impulsive Behavior* , Gender Identity*, Humans ; Female ; Male ; Adolescent ; Adult ; Young Adult |
| Περίληψη: | This study examined how impulsivity moderates the relationship between sexual abuse and substance use frequency in a large international sample. Participants (N = 64,472) completed the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST-11), the UPPS-P Impulsive Behavior Scale, and sexual abuse measures through the International Sex Survey. Structural equation models tested associations between childhood sexual abuse (CSA), adolescent/adult sexual abuse (AASA), and combined exposure with substance use frequency, and explored moderation by impulsivity across gender identity, sexual orientation, and country. AASA and CSA+AASA were consistently associated with higher substance use frequency, while CSA alone showed weaker or inconsistent associations across groups. Urgency and premeditation facets of impulsivity moderated these associations, particularly among sexual and gender minority individuals. Country-level differences indicated cultural and contextual variation in how impulsivity interacts with trauma to influence substance use. Findings underscore the need for targeted, culturally responsive interventions addressing impulsivity in the aftermath of sexual trauma. (Copyright: © 2026 Aksen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
| Competing Interests: | Conflict of Interest Marc Potenza MNP discloses that he has consulted for and advised Baria-Tek and Boehringer Ingelheim; been involved in a patent application with Yale University and Novartis; received research support from the Mohegan Sun Casino and the Connecticut Council on Problem Gambling; consulted for or advised legal, non-profit, healthcare and gambling entities on issues related to impulse control, internet use, and addictive behaviors; performed grant reviews; edited journals/journal sections; given academic lectures in grand rounds, CME events, and other clinical/scientific venues; and generated books or chapters for publishers of mental health texts. Shane Kraus SWK discloses that he has received funding from the International Center for Responsible Gaming, M.G.M Resorts International, Center for the Application of Substance Abuse Technologies, Taylor Francis, Springer Nature, The Nevada Problem Gambling Project, Sports Betting Alliance, and Kindbridge Research Institute. |
| References: | Assessment. 2025 Jul;32(5):635-653. (PMID: 39054862) J Clin Child Adolesc Psychol. 2020 May-Jun;49(3):365-377. (PMID: 30645150) Compr Psychiatry. 2023 Nov;127:152427. (PMID: 37782987) Dev Psychopathol. 2018 May;30(2):417-435. (PMID: 28606210) Addiction. 2019 Aug;114(8):1446-1459. (PMID: 30835879) Child Abuse Negl. 2013 Sep;37(9):664-74. (PMID: 23623446) Neuropharmacology. 2021 May 1;188:108518. (PMID: 33716076) Addict Behav. 2017 Jan;64:179-184. (PMID: 27619009) Neurosci Biobehav Rev. 2008;32(4):777-810. (PMID: 18295884) Addiction. 2002 Sep;97(9):1183-94. (PMID: 12199834) Int J Clin Health Psychol. 2025 Jan-Mar;25(1):100535. (PMID: 39877887) Sociol Methods Res. 2008 Jan 1;36(4):462-494. (PMID: 19756246) Psychol Addict Behav. 2010 Jun;24(2):198-208. (PMID: 20565146) Eur J Psychotraumatol. 2020 Aug 06;11(1):1796276. (PMID: 33029332) Psychol Assess. 2015 Dec;27(4):1129-46. (PMID: 25822833) Drug Alcohol Depend. 2016 Jun 01;163 Suppl 1:S3-S12. (PMID: 27306729) Drug Alcohol Rev. 2005 May;24(3):217-26. (PMID: 16096125) Psychol Bull. 2003 Sep;129(5):674-697. (PMID: 12956539) J Abnorm Psychol. 2012 Feb;121(1):160-72. (PMID: 21859164) Psychol Bull. 2008 Nov;134(6):807-28. (PMID: 18954158) Child Abuse Negl. 2013 Nov;37(11):944-54. (PMID: 23643388) Clin Psychol Rev. 2002 Feb;22(1):27-77. (PMID: 11793578) Addict Biol. 2009 Jan;14(1):22-31. (PMID: 18855805) J Consult Clin Psychol. 2011 Apr;79(2):159-70. (PMID: 21341888) Behav Med. 1995 Fall;21(3):141-50. (PMID: 8789650) J Psychiatr Res. 2023 Sep;165:16-27. (PMID: 37453212) Soc Sci Med. 2015 Dec;147:222-31. (PMID: 26599625) Compr Psychiatry. 2012 Jul;53(5):609-15. (PMID: 22036009) Addiction. 2008 Jun;103(6):1039-47. (PMID: 18373724) J Psychiatr Res. 2023 Dec;168:38-44. (PMID: 37883864) Psychol Sex Orientat Gend Divers. 2020 Mar;7(1):46-54. (PMID: 32596411) Addiction. 2008 Apr;103(4):546-56. (PMID: 18339100) J Pediatr Neuropsychol. 2023 Mar;9(1):30-41. (PMID: 38239412) Am J Drug Alcohol Abuse. 2011 Sep;37(5):324-32. (PMID: 21854274) JAMA Netw Open. 2021 Feb 1;4(2):e2036512. (PMID: 33538824) Br J Psychiatry. 2001 Nov;179:444-9. (PMID: 11689403) J Abnorm Psychol. 2017 Jan;126(1):125-136. (PMID: 27831708) Addict Behav. 2014 Sep;39(9):1372-6. (PMID: 24636739) Am J Psychiatry. 2001 Nov;158(11):1783-93. (PMID: 11691682) J Child Psychol Psychiatry. 2008 Dec;49(12):1270-8. (PMID: 18564066) |
| Entry Date(s): | Date Created: 20260930 Date Completed: 20260930 Latest Revision: 20261001 |
| Update Code: | 20261001 |
| DOI: | 10.1371/journal.pone.0355986 |
| PMID: | 42814680 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1932-6203 |
|---|---|
| DOI: | 10.1371/journal.pone.0355986 |