{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T04:58:57Z","timestamp":1790485137903,"version":"4.1.0"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2021,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n            <jats:sec>\n               <jats:title>Background and aims<\/jats:title>\n               <jats:p>Impulsivity is regarded as a risk factor for sexual crime reoffending, and a suggested core feature in Compulsive Sexual Behavior Disorder. The aim of this study was to explore clinical (e.g. neurodevelopmental disorders), behavioral and neurocognitive dimensions of impulsivity in disorders of problematic sexuality, and the possible correlation between sexual compulsivity and impulsivity.<\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title>Methods<\/jats:title>\n               <jats:p>Men with Compulsive Sexual Behavior Disorder (n = 20), and Pedophilic Disorder (n = 55), enrolled in two separate drug trials in a specialized Swedish sexual medicine outpatient clinic, as well as healthy male controls (n = 57) were assessed with the Hypersexual Behavior Inventory (HBI) for sexual compulsivity, and with the Barratt Impulsiveness Scale (BIS) and Connors\u2019 Continuous Performance Test-II (CPT-II) for impulsivity. Psychiatric comorbidity information was extracted from interviews and patient case files.<\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title>Results<\/jats:title>\n               <jats:p>Approximately a quarter of the clinical groups had Attention-Deficit\/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder. Both clinical groups reported more compulsive sexuality (<jats:italic>r =<\/jats:italic> 0.73\u22120.75) and attentional impulsivity (<jats:italic>r<\/jats:italic> = 0.36\u22120.38) than controls (<jats:italic>P<\/jats:italic> &lt; 0.05). Based on results on univariate correlation analysis, BIS attentional score, ADHD, and Commissions T-score from CPT-II were entered in a multiple linear regression model, which accounted for 15% of the variance in HBI score (<jats:italic>P<\/jats:italic> &lt; 0.0001). BIS attentional score was the only independent positive predictor of HBI (<jats:italic>P<\/jats:italic> = 0.001).<\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title>Discussion<\/jats:title>\n               <jats:p>Self-rated attentional impulsivity is an important associated factor of compulsive sexuality, even after controlling for ADHD. Psychiatric comorbidity and compulsive sexuality are common in Pedophilic Disorder.<\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title>Conclusion<\/jats:title>\n               <jats:p>Neurodevelopmental disorders and attentional impulsivity \u2013 including suitable interventions \u2013 should be further investigated in both disorders.<\/jats:p>\n            <\/jats:sec>","DOI":"10.1556\/2006.2021.00044","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T13:39:11Z","timestamp":1626701951000},"page":"839-847","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":18,"title":["Impulsivity in Compulsive Sexual Behavior Disorder and Pedophilic Disorder"],"prefix":"10.1556","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-4109","authenticated-orcid":true,"given":"Josephine","family":"Savard","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences\/Psychiatry, Ume\u00e5 University, Ume\u00e5, Sweden"},{"name":"ANOVA, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatja","family":"Hirvikoski","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Pediatric Neuropsychiatry Unit, Centre for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden"},{"name":"Habilitation & Health, Stockholm Health Care Services, Region Stockholm, Sweden"},{"name":"Centre for Psychiatry Research, Region Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarina","family":"G\u00f6rts \u00d6berg","sequence":"additional","affiliation":[{"name":"ANOVA, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Department of Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Dhejne","sequence":"additional","affiliation":[{"name":"ANOVA, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Department of Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoffer","family":"Rahm","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jussi","family":"Jokinen","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences\/Psychiatry, Ume\u00e5 University, Ume\u00e5, Sweden"},{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref141","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1","article-title":"Factor structure of the Barratt impulsiveness scale","volume":"51","author":"Patton","year":"1995","journal-title":"Journal of Clinical Psychology"},{"key":"ref201","first-page":"22","article-title":"The mini-international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10","volume":"59","author":"Sheehan","year":"1998","journal-title":"Journal of Clinical Psychiatry"},{"key":"ref251","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1159\/000081413","article-title":"Evaluation of the drug use disorders identification test (DUDIT) in criminal justice and detoxification settings and in a Swedish population sample","volume":"11","author":"Berman","year":"2005","journal-title":"European Addiction Research"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.2147\/NDT.S155838","article-title":"Estimated prevalence and incidence of diagnosed ADHD and Health care utilization in adults in Sweden - 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