View in EDS

Sexual Dysfunction in Individuals with Paraphilic Interests: Findings from a Large Matched Cross-Sectional Study.

Saved in:
Bibliographic Details
Title: Sexual Dysfunction in Individuals with Paraphilic Interests: Findings from a Large Matched Cross-Sectional Study.
Authors: Pócs, Dávid (AUTHOR), Erdős, Csaba (AUTHOR), Tőtös, Ádám (AUTHOR), Watti, Jezdancher (AUTHOR), Tari, Gergely (AUTHOR), Kelemem, Oguz (AUTHOR)
Source: Journal of Sex & Marital Therapy. 2026, Vol. 52 Issue 4, p439-454. 16p.
Subjects: Sexual dysfunction, Premature ejaculation, Sexual orientation, Comorbidity, Female orgasm, Sexual health, Impotence, Diagnostic & Statistical Manual of Mental Disorders (Book)
Abstract: Background: Paraphilic interests are common in nonclinical populations, yet their relationship with sexual dysfunction remains underresearched. Understanding this association may support clinical assessment and treatment planning in sexual health settings. Aim: To examine the associations between paraphilic interests/disorders and DSM-5 sexual dysfunctions in a large nonclinical adult sample, using sociodemographic matching. Methods: An online survey of 8,282 participants (aged 18–35) classified individuals into paraphilic disorder, paraphilic interest, and control groups based on DSM-5 criteria. A 1:1 manual sociodemographic matching procedure was applied. Sexual dysfunctions were assessed according to DSM-5 criteria A–C. Results: Compared with matched controls, paraphilic interests were associated with higher rates of erectile dysfunction (OR = 3.10), premature ejaculation (OR = 1.60), and female orgasmic disorder (OR = 1.59) (all p <.05). Paraphilic disorders showed even higher likelihoods of erectile dysfunction (OR = 4.47), premature ejaculation (OR = 4.47), male hypoactive sexual desire disorder, and female sexual interest/arousal disorder (all p <.05). These associations were independent of sociodemographic factors. Clinical Implications: Screening for sexual dysfunction may be warranted when paraphilic interests or related distress are disclosed in clinical contexts. Awareness of potential comorbidities may support earlier recognition. Conclusion: Paraphilic interests and disorders were significantly associated with multiple sexual dysfunctions in a nonclinical population. These findings highlight clinically relevant comorbid patterns. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex & Marital Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Background: Paraphilic interests are common in nonclinical populations, yet their relationship with sexual dysfunction remains underresearched. Understanding this association may support clinical assessment and treatment planning in sexual health settings. Aim: To examine the associations between paraphilic interests/disorders and DSM-5 sexual dysfunctions in a large nonclinical adult sample, using sociodemographic matching. Methods: An online survey of 8,282 participants (aged 18–35) classified individuals into paraphilic disorder, paraphilic interest, and control groups based on DSM-5 criteria. A 1:1 manual sociodemographic matching procedure was applied. Sexual dysfunctions were assessed according to DSM-5 criteria A–C. Results: Compared with matched controls, paraphilic interests were associated with higher rates of erectile dysfunction (OR = 3.10), premature ejaculation (OR = 1.60), and female orgasmic disorder (OR = 1.59) (all p <.05). Paraphilic disorders showed even higher likelihoods of erectile dysfunction (OR = 4.47), premature ejaculation (OR = 4.47), male hypoactive sexual desire disorder, and female sexual interest/arousal disorder (all p <.05). These associations were independent of sociodemographic factors. Clinical Implications: Screening for sexual dysfunction may be warranted when paraphilic interests or related distress are disclosed in clinical contexts. Awareness of potential comorbidities may support earlier recognition. Conclusion: Paraphilic interests and disorders were significantly associated with multiple sexual dysfunctions in a nonclinical population. These findings highlight clinically relevant comorbid patterns. [ABSTRACT FROM AUTHOR]
ISSN:0092623X
DOI:10.1080/0092623X.2026.2648621