{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T03:15:06Z","timestamp":1787627706071,"version":"build-2736575974"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T00:00:00Z","timestamp":1675468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T00:00:00Z","timestamp":1675468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006256","name":"Universit\u00e0 degli Studi dell\u2019Aquila","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006256","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Curr Psychiatry Rep"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>\n                           <jats:italic>Purpose of Review<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>This aim of the present systematic literature review is to critically analyze problematic sexuality and sexual dysfunctions in personality disorders (PDs) and pathological personality traits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>\n                           <jats:italic>Recent Findings<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>An initial pool of 123 studies was found, out of which 17 met the selection criteria and were therefore included. Traumatic experiences as childhood sexual abuse and adverse childhood experiences characterize the relationship between sexual behavior and PDs. From this point of view, sexual compulsivity and sexual risk behaviors, typical of BPD and ASPD, respectively, are among the pathognomonic aspects of PDs and of pathological personality traits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>\n                           <jats:italic>Summary<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>A maladaptive personality functioning may manifest through a problematic sexuality and a sexual impairment. In this regard, traumatic life experiences may structure personality together with sexual functioning. Therefore, it would be useful to consider the relationship between trauma, sexuality, and personality in research and in the clinical setting.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11920-023-01409-9","type":"journal-article","created":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T08:03:29Z","timestamp":1675497809000},"page":"93-103","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Sexual Dysfunctions and Problematic Sexuality in Personality Disorders and Pathological Personality Traits: A Systematic Review"],"prefix":"10.1007","volume":"25","author":[{"given":"Giacomo","family":"Ciocca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8737-7406","authenticated-orcid":false,"given":"Ramona","family":"Di Stefano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Collazzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso B.","family":"Jannini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Di Lorenzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuele A.","family":"Jannini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,2,4]]},"reference":[{"key":"1409_CR1","unstructured":"APA, Diagnostic and statistical manual of mental disorders, DSM-IV-TR, A.P. Press, Editor. Washington DC.\u00a02000.\u00a0"},{"key":"1409_CR2","unstructured":"APA, Diagnostic and statistical manual of mental disorders:DSM-5., A.P.P. Incorporated, Editor. Washington DC.\u00a02013."},{"issue":"2","key":"1409_CR3","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1002\/cpp.2640","volume":"29","author":"L Erkoreka","year":"2022","unstructured":"Erkoreka L, et al. Attachment anxiety as mediator of the relationship between childhood trauma and personality dysfunction in borderline personality disorder. Clin Psychol Psychother. 2022;29(2):501\u201311.","journal-title":"Clin Psychol Psychother"},{"key":"1409_CR4","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.721361","volume":"12","author":"P Bozzatello","year":"2021","unstructured":"Bozzatello P, et al. The role of trauma in early onset borderline personality disorder: a biopsychosocial perspective. Front Psychiatry. 2021;12: 721361.","journal-title":"Front Psychiatry"},{"key":"1409_CR5","unstructured":"Kernberg OF. Object relations theory and clinical psychoanalysis. Lanham Jason Aronson MD.\u00a01995"},{"issue":"6","key":"1409_CR6","doi-asserted-by":"publisher","first-page":"1501","DOI":"10.1111\/j.1745-8315.2011.00456.x","volume":"92","author":"OF Kernberg","year":"2011","unstructured":"Kernberg OF. Limitations to the capacity to love. Int J Psychoanal. 2011;92(6):1501\u201315.","journal-title":"Int J Psychoanal"},{"key":"1409_CR7","doi-asserted-by":"crossref","unstructured":"Lingiardi V, McWilliams N. The psychodynamic diagnostic manual - 2nd edition (PDM-2). World Psychiatry.\u00a02015;14(2):237\u20139.","DOI":"10.1002\/wps.20233"},{"key":"1409_CR8","unstructured":"Kinsey A, Pomeroy WR, Martin CE.\u00a0Sexual behavior in the human male. W. B. Saunders Company: Philadelphia, U.S.A.\u00a01948"},{"issue":"4","key":"1409_CR9","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1016\/j.sxmr.2017.03.009","volume":"5","author":"A Collazzoni","year":"2017","unstructured":"Collazzoni A, et al. Mating strategies and sexual functioning in personality disorders: a comprehensive review of literature. Sex Med Rev. 2017;5(4):414\u201328.","journal-title":"Sex Med Rev"},{"key":"1409_CR10","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.jad.2021.06.064","volume":"293","author":"G Ciocca","year":"2021","unstructured":"Ciocca G, et al. Hypersexual behavior and attachment styles in a non-clinical sample: the mediation role of depression and post-traumatic stress symptoms. J Affect Disord. 2021;293:399\u2013405.","journal-title":"J Affect Disord"},{"key":"1409_CR11","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jad.2020.11.100","volume":"281","author":"L Fontanesi","year":"2021","unstructured":"Fontanesi L, et al. Hypersexuality and trauma: a mediation and moderation model from psychopathology to problematic sexual behavior. J Affect Disord. 2021;281:631\u20137.","journal-title":"J Affect Disord"},{"issue":"3","key":"1409_CR12","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1038\/ijir.2014.33","volume":"27","author":"G Ciocca","year":"2015","unstructured":"Ciocca G, et al. Attachment styles and sexual dysfunctions: a case-control study of female and male sexuality. Int J Impot Res. 2015;27(3):81\u20135.","journal-title":"Int J Impot Res"},{"key":"1409_CR13","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.777046","volume":"12","author":"M B\u00e9gin","year":"2021","unstructured":"B\u00e9gin M, et al. Risky sexual behavior profiles in youth: associations with borderline personality features. Front Psychol. 2021;12: 777046.","journal-title":"Front Psychol"},{"issue":"7","key":"1409_CR14","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1007\/s10508-014-0282-6","volume":"43","author":"JK McNulty","year":"2014","unstructured":"McNulty JK, Widman L. Sexual narcissism and infidelity in early marriage. Arch Sex Behav. 2014;43(7):1315\u201325.","journal-title":"Arch Sex Behav"},{"issue":"5","key":"1409_CR15","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1016\/S0010-440X(03)00110-X","volume":"44","author":"NC Raymond","year":"2003","unstructured":"Raymond NC, Coleman E, Miner MH. Psychiatric comorbidity and compulsive\/impulsive traits in compulsive sexual behavior. Compr Psychiatry. 2003;44(5):370\u201380.","journal-title":"Compr Psychiatry"},{"key":"1409_CR16","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.1017\/sjp.2014.1","volume":"17","author":"C Corral","year":"2014","unstructured":"Corral C, Calvete E. Early maladaptive schemas and personality disorder traits in perpetrators of intimate partner violence. Span J Psychol. 2014;17:E1.","journal-title":"Span J Psychol"},{"key":"1409_CR17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","volume":"372","author":"MJ Page","year":"2021","unstructured":"Page MJ, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.","journal-title":"BMJ"},{"issue":"2","key":"1409_CR18","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1177\/0253717620928813","volume":"43","author":"A Hemmati","year":"2021","unstructured":"Hemmati A, et al. Personality pathology among adults with history of childhood sexual abuse: study of the relevance of DSM-5 proposed traits and psychobiological features of temperament and character. Indian J Psychol Med. 2021;43(2):135\u201343.","journal-title":"Indian J Psychol Med"},{"issue":"7","key":"1409_CR19","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1177\/1079063220970031","volume":"33","author":"RE Kahn","year":"2021","unstructured":"Kahn RE, et al. Adverse childhood experiences among sexual offenders: associations with sexual recidivism risk and psychopathology. Sex Abuse-J Res Tr. 2021;33(7):839\u201366.","journal-title":"Sex Abuse-J Res Tr"},{"issue":"3","key":"1409_CR20","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1038\/s41443-020-0294-9","volume":"33","author":"R Ajo","year":"2021","unstructured":"Ajo R, et al. Personality and psychiatric disorders in chronic pain male affected by erectile dysfunction: prospective and observational study. Int J Impot Res. 2021;33(3):339\u201347.","journal-title":"Int J Impot Res"},{"key":"1409_CR21","doi-asserted-by":"crossref","unstructured":"\u2022\u2022 Ballester-Arnal R, et al. Psychiatric comorbidity in compulsive sexual behavior disorder (CSBD). Addictive behaviors.\u00a02020;107:106384. This cross-sectional study examines the psychiatric comorbidity in a sample of individuals with and without CSBD. Particularly, it shows the prevalence of borderline personality disorder being significantly higher in CSBD participants.","DOI":"10.1016\/j.addbeh.2020.106384"},{"issue":"2","key":"1409_CR22","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1521\/pedi_2018_32_388","volume":"34","author":"A Miano","year":"2020","unstructured":"Miano A, Dziobek I, Roepke S. Characterizing couple dysfunction in borderline personality disorder. J Pers Disord. 2020;34(2):181\u201398.","journal-title":"J Pers Disord"},{"key":"1409_CR23","doi-asserted-by":"crossref","unstructured":"\u2022 Beauregard, E. and M. DeLisi, Unraveling the personality profile of the sexual murderer\u00a0J Interpers Violence.\u00a02021;36(7):3536\u20133556. This study by Beauregard and DeLisi examined the personality profile of the SHOs. The personality profile of SHOs was found to be comprised primarily of Schizoid and Borderline Personality Disorders.","DOI":"10.1177\/0886260518777012"},{"key":"1409_CR24","doi-asserted-by":"crossref","unstructured":"\u2022\u2022 B\u00e9gin M, et al. Risky sexual behavior profiles in youth: associations with borderline personality features.\u00a0Front\u00a0Psychol.\u00a02021;12:777046. The study is aimed at identifying distinct RSB profiles in youth and their association with BPD features. It finds Unprotected Sex in Relationships profile and Impulsive Sex Outside Relationships profile being manifested more frequently by youth with significantly higher BPD features.","DOI":"10.3389\/fpsyg.2021.777046"},{"issue":"6","key":"1409_CR25","doi-asserted-by":"publisher","first-page":"2621","DOI":"10.1007\/s10508-021-01932-x","volume":"50","author":"AP Natoli","year":"2021","unstructured":"Natoli AP, Schapiro-Halberstam S, Kolobukhova A. A Multimethod investigation of sex, romantic relationships, and interpersonal dependency. Arch Sex Behav. 2021;50(6):2621\u20139.","journal-title":"Arch Sex Behav"},{"issue":"2","key":"1409_CR26","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1080\/15298868.2019.1609573","volume":"20","author":"E Wetzel","year":"2021","unstructured":"Wetzel E, Atherton OE, Robins RW. Investigating the link between narcissism and problem behaviors in adolescence. Self and identity\u202f: the journal of the International Society for Self and Identity. 2021;20(2):268\u201381.","journal-title":"Self and identity : the journal of the International Society for Self and Identity"},{"issue":"12","key":"1409_CR27","doi-asserted-by":"publisher","first-page":"1649","DOI":"10.1007\/s10802-020-00699-4","volume":"48","author":"S Choukas-Bradley","year":"2020","unstructured":"Choukas-Bradley S, et al. Developmental trajectories of adolescent girls\u2019 borderline personality symptoms and sexual risk behaviors. J Abnorm Child Psychol. 2020;48(12):1649\u201358.","journal-title":"J Abnorm Child Psychol"},{"issue":"6","key":"1409_CR28","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1037\/per0000348","volume":"10","author":"F Penner","year":"2019","unstructured":"Penner F, et al. A study of risky sexual behavior, beliefs about sexual behavior, and sexual self-efficacy in adolescent inpatients with and without borderline personality disorder. Personality disorders. 2019;10(6):524\u201335.","journal-title":"Personality disorders"},{"key":"1409_CR29","doi-asserted-by":"crossref","unstructured":"\u2022\u2022DeLisi M, Drury AJ, Elbert MJ.\u00a0The etiology of antisocial personality disorder: the differential roles of adverse childhood experiences and childhood psychopathology. Compr Psychiatry\u00a02019;92:1\u20136. This longitudinal study finds that greater adverse childhood experiences were associated with ASPD diagnosis with physical abuse showing associations with ASPD symptoms and sexual abuse with lifetime diagnosis for ASPD.","DOI":"10.1016\/j.comppsych.2019.04.001"},{"key":"1409_CR30","doi-asserted-by":"crossref","unstructured":"Flynn TP, Parnes JE, Conner BT.\u00a0Personality disorders, risky behaviors, and adversity: the moderating role of resilience. Psychological reports.\u00a02021;332941211028998.","DOI":"10.1177\/00332941211028998"},{"issue":"4","key":"1409_CR31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249560","volume":"16","author":"K Nowosielski","year":"2021","unstructured":"Nowosielski K, Kurpisz J, Kowalczyk R. Sexual inhibition and sexual excitation in a sample of Polish women. PLoS ONE. 2021;16(4):e0249560.","journal-title":"PLoS ONE"},{"issue":"4","key":"1409_CR32","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1111\/eip.12688","volume":"13","author":"AY Adan Sanchez","year":"2019","unstructured":"Adan Sanchez AY, et al. High-risk sexual behaviour in young people with mental health disorders. Early Interv Psychiatry. 2019;13(4):867\u201373.","journal-title":"Early Interv Psychiatry"},{"issue":"11","key":"1409_CR33","doi-asserted-by":"publisher","first-page":"1891","DOI":"10.1016\/j.jsxm.2021.08.007","volume":"18","author":"S Pavanello Decaro","year":"2021","unstructured":"Pavanello Decaro S, et al. Narcissistic personality traits and sexual dysfunction in women: the role of body image self-consciousness. J Sex Med. 2021;18(11):1891\u20138.","journal-title":"J Sex Med"},{"key":"1409_CR34","doi-asserted-by":"crossref","unstructured":"\u2022 Lazarus SA, et al.\u00a0Too much too soon?: borderline personality disorder symptoms and romantic relationships in adolescent girls.\u00a0J\u00a0Abnorm\u00a0Child Psychol.\u00a02019;47(12):1995\u20132005. This longitudinal study sought to examine associations between BPD symptoms and romantic relationship involvement and relational insecurity during adolescence.","DOI":"10.1007\/s10802-019-00570-1"},{"key":"1409_CR35","doi-asserted-by":"crossref","unstructured":"Ciocca G, et al.\u00a0Sexuality in ultra-high risk for psychosis and first-episode psychosis. a systematic review of literature. Front Psychiatry.\u00a02021;12.","DOI":"10.3389\/fpsyt.2021.750033"},{"issue":"1","key":"1409_CR36","first-page":"18","volume":"57","author":"TB Jannini","year":"2022","unstructured":"Jannini TB, et al. Italian validation of Arizona Sexual Experience Scale (ASEX) on patients suffering from psychotic spectrum disorders. Riv Psichiatr. 2022;57(1):18\u201322.","journal-title":"Riv Psichiatr"},{"key":"1409_CR37","unstructured":"Jannini TB, et al.\u00a0Pharmacological strategies for sexual recovery in men undergoing antipsychotic treatment. Expert Opin Pharmacother.\u00a02022;1\u201316."},{"key":"1409_CR38","doi-asserted-by":"crossref","unstructured":"Ciocca G, et al. Sexuality in ultra-high risk for psychosis and first-episode psychosis. a systematic review of literature. Front Psychiatry.\u00a02021;12:750033.","DOI":"10.3389\/fpsyt.2021.750033"},{"issue":"6","key":"1409_CR39","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1007\/s00787-017-1070-3","volume":"27","author":"L Pelizza","year":"2018","unstructured":"Pelizza L, et al. Adolescents at ultra-high risk of psychosis in Italian neuropsychiatry services: prevalence, psychopathology and transition rate. Eur Child Adolesc Psychiatry. 2018;27(6):725\u201337.","journal-title":"Eur Child Adolesc Psychiatry"},{"issue":"4","key":"1409_CR40","first-page":"162","volume":"52","author":"G Ciocca","year":"2017","unstructured":"Ciocca G, et al. Defence mechanisms and attachment styles in paranoid ideation evaluated in a sample of non-clinical young adults. Riv Psichiatr. 2017;52(4):162\u20137.","journal-title":"Riv Psichiatr"},{"key":"1409_CR41","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.psychres.2018.01.043","volume":"262","author":"LF de Aquino Ferreira","year":"2018","unstructured":"de Aquino Ferreira LF, et al. Borderline personality disorder and sexual abuse: a systematic review. Psychiatry Res. 2018;262:70\u20137.","journal-title":"Psychiatry Res"},{"issue":"5","key":"1409_CR42","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1007\/BF01541497","volume":"23","author":"K Freund","year":"1994","unstructured":"Freund K, Kuban M. The basis of the abused abuser theory of pedophilia: a further elaboration on an earlier study. Arch Sex Behav. 1994;23(5):553\u201363.","journal-title":"Arch Sex Behav"},{"issue":"3","key":"1409_CR43","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1080\/10538712.2020.1869878","volume":"30","author":"AD M\u00e9nard","year":"2021","unstructured":"M\u00e9nard AD, MacIntosh HB. Childhood sexual abuse and adult sexual risk behavior: a review and critique. J Child Sex Abus. 2021;30(3):298\u2013331.","journal-title":"J Child Sex Abus"},{"key":"1409_CR44","doi-asserted-by":"crossref","unstructured":"Monteleone P, et al. Attitudes of Italian psychiatrists toward the evaluation of physical comorbidities and sexual dysfunction in patients with schizophrenia. implications for clinical practice. Front Psychiatry.\u00a02019;10:842.","DOI":"10.3389\/fpsyt.2019.00842"},{"issue":"3","key":"1409_CR45","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1080\/08964289.2017.1297291","volume":"43","author":"EG Benotsch","year":"2017","unstructured":"Benotsch EG, et al. Dependency traits, relationship power, and health risks in women receiving sexually-transmitted infection clinic services. Behav Med. 2017;43(3):176\u201383.","journal-title":"Behav Med"}],"container-title":["Current Psychiatry Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11920-023-01409-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11920-023-01409-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11920-023-01409-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T07:22:55Z","timestamp":1677309775000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11920-023-01409-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,4]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["1409"],"URL":"https:\/\/doi.org\/10.1007\/s11920-023-01409-9","relation":{},"ISSN":["1523-3812","1535-1645"],"issn-type":[{"value":"1523-3812","type":"print"},{"value":"1535-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,4]]},"assertion":[{"value":"15 December 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and Animal Rights and Informed Consent"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}