{"title":"Sexual, Romantic, and Community Experiences of Individuals at the Intersection of Autism and Asexuality","authors":"Randolph C. H. Chan, Fei Nga Hung","doi":"10.1007/s10508-025-03170-x","DOIUrl":"10.1007/s10508-025-03170-x","url":null,"abstract":"<div><p>The present study investigated the prevalence of autism among individuals identifying on the asexual spectrum and explored the potential differences in sexual, romantic, and community experiences between autistic and non-autistic individuals on the asexual spectrum. The study included a global sample of 10,419 individuals identifying on the asexual spectrum from the 2020 Ace Community Survey. They completed a questionnaire on asexual identification, romantic relationships, sexual behaviors, and community engagement. The results revealed an autism prevalence rate of 6.9% among individuals on the asexual spectrum, which is higher than the prevalence rate in general populations. Autistic individuals had a stronger identification with their sexual orientation than non-autistic counterparts. They were also more likely to disclose their asexual identity, be in a partnered relationship with others on the asexual or aromantic spectrum, and participate in online LGBTQ communities. The results emphasize the necessity for heightened awareness and understanding of the intersection between autism and asexuality among healthcare professionals, social service providers, and educators. The findings have significant implications for inclusive and affirming sexuality education for individuals on the autism spectrum. Such education is crucial in promoting self-acceptance and empowering them to have greater control over their (a)sexual journeys.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2199 - 2211"},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suicidal Risk in Patients with Sex Addiction: Frequency, Sociodemographic, and Clinical Characteristics","authors":"Benoît Schreck, Eduardo Valenciano-Mendoza, Marianne Balem, Susana Jimenez-Murcia, Elsa Thiabaud, Solène Tillet, Anais Saillard, Yann Donnio, Marie Grall-Bronnec, Gaelle Challet-Bouju","doi":"10.1007/s10508-025-03167-6","DOIUrl":"10.1007/s10508-025-03167-6","url":null,"abstract":"<div><p>Sex addiction is characterized by a persistent pattern of failure to control intense and repetitive sexual urges, thus causing marked distress or impairment in important areas of functioning. Sex addiction may co-occur with other psychiatric conditions, including suicide risk, but few studies have explored such co-occurrences in depth, and these studies were based on small samples. A total of 136 patients referred to the Nantes University Hospital for sex addiction between 2013 and 2022 were included. Sex addiction was diagnosed using Goodman’s scale for the diagnosis of behavioral addictions. Suicide risk was assessed using the suicidality module of the MINI 5.0. A multivariate logistic regression model was used to identify factors associated with the presence of suicide risk. Suicide risk was detected among 46% of patients. Four variables were found to be associated with suicide risk: a higher proportion of relatives aware of the sex addiction, a higher frequency of anxiety disorders, a higher frequency of mood disorders and a lower level of self-directedness. The frequency of suicide risk in patients with behavioral addictions is greater than that reported in previous studies. Mood and anxiety disorders are two factors that are often found to be associated with suicide risk among individuals with sex addiction, while awareness of sex addiction by relatives and a low level of self-directedness are two factors that have not been previously identified. In fact, it may be relevant to improve the self-directedness dimension through psychotherapies and to consider the inclusion of the patient’s partner in the treatment.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2349 - 2361"},"PeriodicalIF":2.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aleksandar Štulhofer, Nantje Fischer, Thomas Hansen, Cynthia A. Graham, Bente Træen
{"title":"Positive Sexual Aging: A Novel Concept and Bi-Country Development of a Brief Measure","authors":"Aleksandar Štulhofer, Nantje Fischer, Thomas Hansen, Cynthia A. Graham, Bente Træen","doi":"10.1007/s10508-025-03158-7","DOIUrl":"10.1007/s10508-025-03158-7","url":null,"abstract":"<div><p>Sexuality has been robustly linked to older adults’ well-being. Although several approaches to measuring sexual health and sexual well-being in this population have been recently proposed, their conceptual framework is unclear or missing. Following the gerontological successful aging paradigm that focuses on dynamic adaptive processes, we constructed and tested a new measure intended to assess positive sexual aging. Using two probability-based samples of partnered women and men aged 65+ years (<i>n</i> = 727) from Norway and Croatia, we tested dimensionality, measurement invariance, associations with other relevant constructs, and network-of-items topology of a brief 4-item measure. This new measure—the Brief Positive Sexual Aging Scale (BIPSAS)—was invariant across country and age, but not gender. Marked gender differences were also found in the measure’s network-of-items topology. Scores on the measure were significantly and meaningfully related to indicators of sexual communication and activity, relationship and life satisfaction, and psychological health. The opportunities for sexual expression facet had the highest overall centrality in the BIPSAS network, echoing its heightened importance for older people’s sexuality. With a caveat that positive sexual aging in older women and men may not be directly comparable, this psychometrically sound and brief measure is suitable for use in a wide range of studies focusing on health, well-being, and sexuality among older partnered adults.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2185 - 2198"},"PeriodicalIF":2.9,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Satveer Dhillon, Roger Antabe, Daniel Amoak, Yujiro Sano
{"title":"The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15–24: Evidence from Cameroon","authors":"Satveer Dhillon, Roger Antabe, Daniel Amoak, Yujiro Sano","doi":"10.1007/s10508-025-03168-5","DOIUrl":"10.1007/s10508-025-03168-5","url":null,"abstract":"<div><p>Transactional sex has been identified as a risk factor for HIV acquisition. While studies have investigated the various factors associated with transactional sex among women, its association with food security status in sub-Saharan African countries remains largely unexplored. To address this gap, we utilized data from the 2018 Cameroon Demographic and Health Survey and applied multivariate logit models to examine the relationship between food security status and engagement in transactional sex among unmarried adolescent girls and young women in Cameroon. Our results indicated that unmarried adolescent girls and young women (aged 15–24 years) experiencing moderate (OR = 3.00, <i>p</i> < 0.001, 95% CI = 1.66, 5.42) and severe (OR = 3.33, <i>p</i> < 0.001, 95% CI = 1.82, 6.11) food insecurity were more likely to engage in transactional sex in the previous 12 months before the DHS survey was conducted, compared to those without any experience of food insecurity. Based on these findings, we propose several implications for policymakers and offer directions for future research.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2085 - 2093"},"PeriodicalIF":2.9,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A COSMIN Systematic Review of Sexual Health Literacy Self-Report Measures for Adolescents","authors":"Marlene Muehlmann, Katja Nieradt, Samuel Tomczyk","doi":"10.1007/s10508-025-03142-1","DOIUrl":"10.1007/s10508-025-03142-1","url":null,"abstract":"<div><p>Sexual health literacy (SHL) is crucial for adolescent health. Measurement consistency aids in comparing studies and informing interventions. This systematic review identifies available self-report outcome measurement instruments (OMI) assessing SHL in adolescents, explores the aspects of SHL they cover, and assess their psychometric quality. Guided by the COSMIN guidelines, a systematic search of 9 databases was conducted, focusing on studies between 2002 and 18 April 2023. Inclusion criteria encompassed studies developing and validating OMIs assessing SHL in adolescents aged 10–19 years, with a focus on self-report OMIs developed since 2002—the year the World Health Organization (WHO, 2006) defined sexual health as it is defined today (WHO, 2006). A narrative synthesis assessed the conceptual fit of identified instruments with SHL dimensions. The quality of the development studies was evaluated using COSMIN criteria. The review was preregistered in PROSPERO (ID: CRD42022303682). Out of 18,637 records, 83 studies examining 68 different OMIs were included. OMIs varied in their coverage of SHL dimensions, with appraisal and application of sexual health information most frequently addressed. The quality of OMI development was generally inadequate or doubtful, with deficiencies noted in involvement of the target population and piloting processes. Findings underscore the need for standardized, well-developed OMIs to measure SHL in adolescents. Despite availability, OMIs’ quality and alignment with SHL are insufficient. There is a clear need for improvement in OMI development processes, including greater involvement of the target population and more rigorous piloting procedures. Additionally, developing a comprehensive SHL measure will enhance comparability and promote adolescent sexual health understanding and interventions.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 5","pages":"1737 - 1768"},"PeriodicalIF":2.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie-Pier Vaillancourt-Morel, Sophie Bergeron, Ateret Gewirtz-Meydan, Natasha Zippan, Léna Nagy, Mónika Koós, Shane W. Kraus, Zsolt Demetrovics, Marc N. Potenza, International Sex Survey (ISS) Consortium, Beáta Bőthe
{"title":"For Whom Is Sexual Abuse Related to Compulsive Sexual Behaviors? Timing of Abuse and Sociodemographic Characteristics as Potential Moderators Across 42 Countries","authors":"Marie-Pier Vaillancourt-Morel, Sophie Bergeron, Ateret Gewirtz-Meydan, Natasha Zippan, Léna Nagy, Mónika Koós, Shane W. Kraus, Zsolt Demetrovics, Marc N. Potenza, International Sex Survey (ISS) Consortium, Beáta Bőthe","doi":"10.1007/s10508-025-03162-x","DOIUrl":"10.1007/s10508-025-03162-x","url":null,"abstract":"<div><p>Sexual abuse, which includes child (CSA), adolescent, and adult unwanted sexual experiences (AASA), is related to compulsive sexual behaviors (CSB). However, we know little about who reports a stronger association between sexual abuse and CSB. We examined whether the association between sexual abuse and CSB varied across age-related sexual abuse categories, participants’ age, genders, sexual orientations, relationship status, and countries of residence across 42 countries. We used data from the International Sex Survey among 82,233 adults (<i>M</i><sub>age</sub> = 32.39; cisgender women: 55.8%) who completed online self-report measures. Results showed that even if all age-related categories of sexual abuse (i.e., CSA, AASA, and CSA + AASA) were significantly related to higher CSB with small effect sizes, CSA + AASA was more strongly related, followed by CSA, and then AASA. All forms of sexual abuse were more strongly related to CSB in younger participants, in cisgender men, and in single participants. Although CSA was related to higher CSB similarly across all sexual orientations, AASA and CSA + AASA were more strongly related to CSB among gay or lesbian, asexual, and queer or pansexual participants than among those reporting being heterosexual, homo- or heteroflexible, and another sexual orientation. Finally, the associations between sexual abuse and CSB were different across countries, with a complex pattern of findings. This large-scale, cross-cultural study supports the association between sexual abuse and CSB, providing a much-needed comprehensive depiction of the demographics linked to a stronger sexual abuse-CSB association.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2249 - 2268"},"PeriodicalIF":2.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erotic Capital: The Role of Attractiveness in Employment and Private Life","authors":"Katarzyna Wojtaszczyk, Marzena Syper-Jędrzejak","doi":"10.1007/s10508-025-03134-1","DOIUrl":"10.1007/s10508-025-03134-1","url":null,"abstract":"<div><p>Attractiveness is one of the basic sources of information about another person. For this reason, attractiveness is important in private and professional life. In employment, attractiveness is one of the criteria to assess job candidates or employees. This issue was drawn from the concept of erotic capital, according to which the erotic capital of a candidate or an employee is a five-dimensional construct consisting of beauty, social attractiveness, sexual attractiveness, liveliness, and presentation. Our research focused on the role of erotic capital in professional life, and considerations about private life were treated as a background for employment-related results. Erotic capital had been defined as a five-dimensional construct composed of 23 facets. A construct met the reliability and validity requirements, which had been confirmed by a previous confirmatory factor analysis. Our study aimed to determine the significance of the particular facets of erotic capital, the dimensions of erotic capital, and erotic capital as a construct in the assessment of the other person in employment and in private life. A total of 471 respondents participated in our study, comprising 344 women and 127 men. We used an online survey (computer-assisted web interview technique). We established that the most significant dimensions of erotic capital, pertinent to both professional and private life, were social attractiveness and liveliness. However, we did not determine the impact of erotic capital, understood as a five-dimensional construct, on human resource management decisions. Our findings suggested that the role of erotic capital in management needs to be further explored.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 5","pages":"1875 - 1893"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Henry S. G. Close, Lewis Nitschinsk, Brendan P. Zietsch, Fiona Kate Barlow
{"title":"Choosiness as a Predictor of Sexual (In)frequency in Single Heterosexual Adults","authors":"Henry S. G. Close, Lewis Nitschinsk, Brendan P. Zietsch, Fiona Kate Barlow","doi":"10.1007/s10508-025-03160-z","DOIUrl":"10.1007/s10508-025-03160-z","url":null,"abstract":"<div><p>Increasing numbers of young men and women report celibacy or infrequent sex. In the present work, we consider “choosiness” as a potential correlate of partnered sexual activity for single people. We examined the tendency to be “choosy” in selecting a partner (i.e., choosiness) in two ways: choosiness based in reported essential characteristics in a partner (stated choosiness) and revealed by ratings of dating profiles (revealed choosiness). Results from a survey of 340 single, heterosexual, American participants (aged 18–40 years, 170 female) showed that choosiness relates to sexual frequency, but it depended on how it was measured. Stated choosiness was associated with more partnered sexual activity, whereas revealed choosiness was associated with engaging in less partnered sexual activity. These relationships remained significant even when controlling for pre-established correlates of sexual frequency, such as gender and self-rated attractiveness. This research provides a starting point for understanding choosiness and its role in single heterosexual adults’ sexual experience.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2095 - 2106"},"PeriodicalIF":2.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefano Federici, Elia Mosconi, Maria Elena Rossler, Vittorio Mossuto
{"title":"Expressive Existential Psychoeducational Intervention Treatment for Maladaptive Sexual Behavior in a Boy with Trisomy 21 Syndrome","authors":"Stefano Federici, Elia Mosconi, Maria Elena Rossler, Vittorio Mossuto","doi":"10.1007/s10508-025-03186-3","DOIUrl":"10.1007/s10508-025-03186-3","url":null,"abstract":"<div><p>The objective of this research was to provide a case report on the efficacy of an expressive existential psychoeducational intervention (EEPI) to reduce maladaptive sexual behaviors in an adolescent with intellectual disability. The method was based on a prospective longitudinal single-case assessment, using a descriptive approach, to assess the effectiveness of the intervention through the analysis of qualitative data obtained during a structured interview. We report the case of G, a 17-year-old male high school student with Trisomy 21 syndrome and moderate intellectual disability. G’s parents requested an intervention to help their son acquire better adaptive sexual behavior skills—regarding appropriate management of masturbation, distinguishing between a public and a private place, managing aggression, and oppositional behavior—to avoid the risk of school exclusion and to improve his quality of sexual, emotional, and social life. Data on adaptive and maladaptive behaviors were collected using the Vineland-II and on sexual knowledge and behavior using the Sexual Knowledge and Behavior Assessment Tool. Both interviews were administered at the beginning (t1) and end (t2) of treatment. The Vineland-II was also administered 3 months after treatment (t3). The main outcomes of this case study concerned: (1) public/private management; (2) anger and aggression management; and (3) management of an autonomous masturbation path. Comparing the results of the pre- (t0) and post-treatment (t2) interviews and the Vineland-II administration at follow-up (t2), a significant reduction in G’s maladaptive sexual behavior was observed. The EEPI, when carried out from a preventive perspective, was effective in the case of an adolescent with intellectual disability. The advantages and disadvantages of the EEPI model are discussed by comparing it with other pharmacological and behavioral treatments.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2363 - 2372"},"PeriodicalIF":2.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual Orientation Disparity in Suicidality: The Indirect Effects of Perceived Pressure to Get Married, Perceived Burdensomeness, and Thwarted Belongingness among Unmarried Chinese Adults","authors":"Fangsong Liu, Eddie S. K. Chong, Qiyao Jiang","doi":"10.1007/s10508-025-03159-6","DOIUrl":"10.1007/s10508-025-03159-6","url":null,"abstract":"<div><p>The present study examined the indirect relationship between sexual orientation status and suicidality through perceived parental, social, and internalized pressure to get married, as well as perceived burdensomeness and thwarted belongingness. An online sample of 1420 Chinese unmarried adults (54.4% female, 41.8% male, and 3.9% non-binary; age: <i>M</i> = 25.4 years, <i>SD</i> = 4.8) completed self-report measures. The results showed that sexual minority individuals reported higher levels of perceived parental pressure to get married, social pressure to get married, perceived burdensomeness, thwarted belongingness, and suicidality, and lower levels of internalized parental pressure to get married compared to their heterosexual counterparts. Path analyses suggested that being a sexual minority was associated with increased suicidality through perceived burdensomeness and thwarted belongingness, as well as through social pressure to get married and then thwarted belongingness. Furthermore, being a sexual minority was indirectly associated with increased suicidality through internalized pressure to get married. These findings contribute to our understanding of how sexual orientation status contributes to suicidality among Chinese unmarried adults.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 6","pages":"2333 - 2347"},"PeriodicalIF":2.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}