{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:57:30Z","timestamp":1792799850740,"version":"4.5.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"World Childhood Foundation, Sweden"},{"name":"The Swedish Society of Medicine","award":["SLS-886481"],"award-info":[{"award-number":["SLS-886481"]}],"id":[{"id":"https:\/\/ror.org\/016ks4x90","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sex Abuse"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    Individuals engaging in child sexual abuse often present pedophilic interest, but the other psychiatric morbidities among undetected users of child sexual abuse material (CSAM) are largely unknown. We mapped the psychiatric profile of 160 mainly male and primarily non-convicted anonymous Darknet-recruited adult CSAM users. The participants\u2019 psychiatric morbidities were analyzed descriptively, and correlations between sexual pathologies known as risk factors for committing child sexual abuse (paraphilias, hypersexuality) and CSAM offense behavior (viewing time, content) were examined in a series of exploratory linear regression models. Pedophilic interests, hypersexuality, autism traits, ADHD, and depression were commonly reported. Further, hypersexuality was associated with CSAM viewing time (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    = .295,\n                    <jats:italic toggle=\"yes\">b<\/jats:italic>\n                    = 0.07,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .001), zoophilic interest was associated with CSAM severity (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    = .195,\n                    <jats:italic toggle=\"yes\">b<\/jats:italic>\n                    = 0.46,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .003) and both zoophilic and pedophilic sexual interest were associated with the age of the youngest child in CSAM viewed (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    = \u2212.218,\n                    <jats:italic toggle=\"yes\">b<\/jats:italic>\n                    = \u22120.56,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .01 and\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    = \u2212.273,\n                    <jats:italic toggle=\"yes\">b<\/jats:italic>\n                    = \u22121.01,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001). We conclude that CSAM users presented sexual pathologies, some related to their CSAM-use behavior, as well as multiple other mental health needs.\n                  <\/jats:p>","DOI":"10.1177\/10790632251347562","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T17:49:46Z","timestamp":1748540986000},"page":"3-22","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Child Sexual Abuse Material Users on the Darknet: Psychiatric Morbidities Related to Offence Behavior"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6108-4314","authenticated-orcid":false,"given":"Johanna","family":"L\u00e4tth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6155-1947","authenticated-orcid":false,"given":"Malin","family":"Joleby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4120-0610","authenticated-orcid":false,"given":"Allison","family":"McMahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5513-6605","authenticated-orcid":false,"given":"Timothy J.","family":"Luke","sequence":"additional","affiliation":[{"name":"Department of Psychology, Gothenburg University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8934-5130","authenticated-orcid":false,"given":"Christoffer","family":"Rahm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13273"},{"issue":"2","key":"e_1_3_5_3_1","first-page":"153","article-title":"Multiple paraphilic diagnoses among sex offenders","volume":"16","author":"Abel G. 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