Sexual abuse, desired frequency of sexual activities and poor relationship with father is associated with prevalence of paraphilic preference: a study on representative sample of Czech citizens
1: National Institute of Mental Health/ Faculty of Humanities. Charles University, Czech Republic
Objectives: Despite the number of theoretical explanations, the etiology of unusual sexual preferences in people still calls for empirical testing. Neurodevelopmental research have shown higher proportion of left handedness in paraphilic patients. Physiological models focus on the relationship between hormones and behavior. Behavioral learning models suggest that an abused child may imitate inappropriate sexual behaviors in the later life. Psychoanalysts highlight the role of early sexual habits and relationship with parental figures. Using national representative sample of Czech citizens, we aimed to test empirically the associations of available key factors (experience with sexual abuse, relationship with parents, sexual desire and left-handedness) with prevalence of any paraphilic preferences.
Methods: The representative sample of Czech men (5023) and women (5021) was collected, quota sampling was used. In standardized on-line interview participants answered questions on preference within 14 paraphilic patterns (1 not at all – 5 surely yes). They assessed their experience with sexual abuse (in childhood and in adulthood; 1 never - 9 twenty times and more), relationship with father/mother (scale: 1 very negative – 5 very positive), desired frequency of any sexual activities (1 never – 6 every day). Those scored 4 and 5 on preference scale of the listed paraphilic contents were treated as having paraphilic preference. Binary logistic regression (dep. variable: prevalence of any paraphilic preference) was used.
Results: The total prevalence of any paraphilic preference was 31.1 % of Czech men and 13.3 % in women. In men, prevalence of any paraphilic preference was predicted by age (B = - 0.295; p < 0.001), sexual abuse in childhood (B = 0.248; p < 0.001), sexual abuse in adulthood (B = 0.205; p < 0.001), higher desired frequency of sexual arousal (B = 0.150; p < 0.001) and poor relationship with father (B = 0.05; p = 0.02). In women, significant predictors were age (B = - 0.367; p < 0.001), sexual abuse in childhood (B = 0.143; p < 0.001), sexual abuse in adulthood (B = 0.165; p < 0.001), higher desired frequency of sexual arousal (B = 0.438; p < 0.001), and poor relationship with father (B = -0.072; p = 0.004).
Conclusions: In accordance with behavioral learning models, we have confirmed the association with sexual abuse and paraphilic preference. In both sexes, poor relationship with paternal figure (but not maternal) increased the chance of having paraphilic preference. We did not confirmed higher proportion of left-handedness in people with paraphilic preference.
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