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<p>This study examined how impulsivity moderates the relationship between sexual abuse and alcohol misuse in a large international sample. Participants (<i>N</i> = 64,472) completed the Alcohol Use Disorders Identification Test (AUDIT), the UPPS-P Impulsive Behavior Scale, and sexual abuse measures through the International Sex Survey. Structural equation models tested associations between childhood sexual abuse (CSA), adolescent/adult sexual abuse (AASA), and combined exposure with alcohol misuse, and explored moderation by impulsivity across gender identity, sexual orientation, and country. AASA and CSA + AASA were positively associated with alcohol misuse, while CSA alone showed mixed associations across groups. Urgency and premeditation facets of impulsivity moderated these associations, particularly among sexual and gender minority individuals. Country-level differences suggested cultural and contextual variation in how impulsivity interacts with trauma to influence alcohol use. Findings underscore the need for targeted, culturally responsive interventions addressing impulsivity in the aftermath of sexual trauma.&#xa0;</p>

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Investigating Impulsivity as a Moderator of the Association Between Sexual Abuse and Alcohol Misuse Across Individuals from Different Countries, Gender Identities, and Sexual Orientations

  • 期刊论文

  • 发表日期：

    2026年7月2日

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  • Damla E. Aksen,
  • Marc N. Potenza,
  • Sarah D. Lichenstein,
  • Léna Nagy,
  • Shane W. Kraus,
  • Joël Billieux,
  • Loïs Fournier,
  • Zsolt Demetrovics,
  • Mónika Koós,
  • Rafael Ballester-Arnal,
  • Dominik Batthyány,
  • Sophie Bergeron,
  • Peer Briken,
  • Julius Burkauskas,
  • Georgina Cárdenas-López,
  • Joana Carvalho,
  • Jesús Castro-Calvo,
  • Lijun Chen,
  • Giacomo Ciocca,
  • Ornella Corazza,
  • Rita I. Csako,
  • David P. Fernandez,
  • Elaine F. Fernandez,
  • Hironobu Fujiwara,
  • Johannes Fuss,
  • Roman Gabrhelík,
  • Ateret Gewirtz-Meydan,
  • Biljana Gjoneska,
  • Mateusz Gola,
  • Joshua B. Grubbs,
  • Hashim T. Hashim,
  • Md Saiful Islam,
  • Tommaso B. Jannini,
  • Martha C. Jiménez-Martínez,
  • Tanja Jurin,
  • Ondrej Kalina,
  • Verena Klein,
  • András Költő,
  • Chih-Ting Lee,
  • Sang-Kyu Lee,
  • Karol Lewczuk,
  • Chung-Ying Lin,
  • Christine Lochner,
  • Silvia López-Alvarado,
  • Kateřina Lukavská,
  • Percy Mayta-Tristán,
  • Dan J. Miller,
  • Oľga Orosová,
  • Gábor Orosz,
  • Fernando P. Ponce,
  • Gonzalo R. Quintana,
  • Gabriel C. Quintero Garzola,
  • Jano Ramos-Diaz,
  • Kévin Rigaud,
  • Ann Rousseau,
  • Marco De Tubino Scanavino,
  • Marion K. Schulmeyer,
  • Pratap Sharan,
  • Mami Shibata,
  • Sheikh Shoib,
  • Vera Sigre-Leirós,
  • Luke Sniewski,
  • Ognen Spasovski,
  • Vesta Steibliene,
  • Dan J. Stein,
  • Julian Strizek,
  • Banu C. Ünsal,
  • Marie-Pier Vaillancourt-Morel,
  • Marie Claire Van Hout,
  • Beáta Bőthe

摘要

This study examined how impulsivity moderates the relationship between sexual abuse and alcohol misuse in a large international sample. Participants (N = 64,472) completed the Alcohol Use Disorders Identification Test (AUDIT), the UPPS-P Impulsive Behavior Scale, and sexual abuse measures through the International Sex Survey. Structural equation models tested associations between childhood sexual abuse (CSA), adolescent/adult sexual abuse (AASA), and combined exposure with alcohol misuse, and explored moderation by impulsivity across gender identity, sexual orientation, and country. AASA and CSA + AASA were positively associated with alcohol misuse, while CSA alone showed mixed associations across groups. Urgency and premeditation facets of impulsivity moderated these associations, particularly among sexual and gender minority individuals. Country-level differences suggested cultural and contextual variation in how impulsivity interacts with trauma to influence alcohol use. Findings underscore the need for targeted, culturally responsive interventions addressing impulsivity in the aftermath of sexual trauma.