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Archives of Sexual Behavior

, Volume 41, Issue 6, pp 1379–1387 | Cite as

Sexual Assaulters in the United States: Prevalence and Psychiatric Correlates in a National Sample

  • Nicolas Hoertel
  • Yann Le Strat
  • Jean-Pierre Schuster
  • Frédéric Limosin
Original Paper

Abstract

This study presents sociodemographic characteristics and psychiatric correlates of a representative sample of sexual assaulters in the United States. Data were drawn from a nationally representative survey, the National Epidemiologic Survey on Alcohol and Related Conditions. Face-to-face interviews of more than 43,000 adults were conducted between the 2001–2002 period, based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. The prevalence of committing sexual assault in the U.S. was 0.15 %. Sexual assaulters had significantly lower education than their counterparts. Sexual assaulters were significantly more likely to report a wide range of antisocial behaviors. Multivariate logistic regression analyses indicated strong associations between sexual assault and lifetime psychiatric disorders often associated with impaired impulse control, such as antisocial personality disorder, conduct disorder, and cocaine use disorder. In addition, psychotic disorders were consistently associated with sexual assault. Our findings indicate that sexual assault could represent a behavioral manifestation of a broader spectrum, including impairment of impulse control and psychotic disorders.

Keywords

Sexual assaulters National Epidemiologic Survey on Alcohol and Related Conditions Antisocial personality disorder Psychotic disorders 

Notes

Acknowledgments

We thank the National Institute on Alcohol Abuse and Alcoholism for making their dataset publicly available.

References

  1. Abbey, A. (2005). Lessons learned and unanswered questions about sexual assault perpetration. Journal of Interpersonal Violence, 20, 39–42. doi: 10.1177/0886260504268117.PubMedCrossRefGoogle Scholar
  2. Abbey, A., & Jacques-Tiura, A. J. (2011). Sexual assault perpetrators’ tactics: Associations with their personal characteristics and aspects of the incident. Journal of Interpersonal Violence, 26, 2866–2889. doi: 10.1177/0886260510390955.PubMedCrossRefGoogle Scholar
  3. Alden, A., Brennan, P., Hodgins, S., & Mednick, S. (2007). Psychotic disorders and sex offending in a Danish birth cohort. Archives of General Psychiatry, 64, 1251–1258. doi: 10.1001/archpsyc.64.11.1251.PubMedCrossRefGoogle Scholar
  4. Becker, J. V., Kaplan, M. S., Tenke, C. E., & Tartaglini, A. (1991). The incidence of depressive symptomatology in juvenile sex offenders with a history of abuse. Child Abuse and Neglect, 15, 531–536.PubMedCrossRefGoogle Scholar
  5. Blanco, C., Grant, J., Petry, N. M., Simpson, H. B., Alegria, A., Liu, S. M., & Hasin, D. (2008). Prevalence and correlates of shoplifting in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). American Journal of Psychiatry, 165, 905–913. doi: 10.1176/appi.ajp.2008.07101660.PubMedCrossRefGoogle Scholar
  6. Canino, G., Bravo, M., Ramirez, R., Febo, V. E., Rubio-Stipec, M., Fernandez, R. L., & Hasin, D. (1999). The Spanish Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability and concordance with clinical diagnoses in a Hispanic population. Journal of Studies on Alcohol, 60, 790–799.PubMedGoogle Scholar
  7. Center for Sex Offender Management. (2008). Fact sheet: What you need to know about sex offenders. Retrieved January 2012 from www.csom.org.
  8. Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., … Zirakzadeh, A.(2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85, 618–629. doi: 10.4065/mcp.2009.0583.PubMedCrossRefGoogle Scholar
  9. Compton, W. M., Thomas, Y. F., Stinson, F. S., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 64, 566–576. doi: 10.1001/archpsyc.64.5.566.PubMedCrossRefGoogle Scholar
  10. Cottler, L. B., Grant, B. F., Blaine, J., Mavreas, V., Pull, C., Hasin, D., … Mager, D. (1997). Concordance of DSM-IV alcohol and drug use disorder criteria and diagnoses as measured by AUDADIS-ADR, CIDI and SCAN. Drug and Alcohol Dependence, 47, 195–205.PubMedCrossRefGoogle Scholar
  11. Denov, M. (2004). Perspectives on female sex offending: A culture of denial. Hampshire: Ashgate Publishing.Google Scholar
  12. Dietz, P. E., Hazelwood, R. R., & Warren, J. (1990). The sexually sadistic criminal and his offenses. Bulletin of the American Academy of Psychiatry and the Law, 18, 163–178.PubMedGoogle Scholar
  13. Dunsieth, N. W., Nelson, E. B., Brusman-Lovins, L. A., Holcomb, J. L., Beckman, D., Welge, J. A., … McElroy, S. L. (2004). Psychiatric and legal features of 113 men convicted of sexual offenses. Journal of Clinical Psychiatry, 65, 293–300.PubMedCrossRefGoogle Scholar
  14. Fazel, S., Sjostedt, G., Grann, M., & Langstrom, N. (2010). Sexual offending in women and psychiatric disorder: A national case–control study. Archives of Sexual Behavior, 39, 161–167. doi: 10.1007/s10508-008-9375-4.PubMedCrossRefGoogle Scholar
  15. Finkelhor, D. (1994). Current information on the scope and nature of child sexual abuse. Future of Children, 4, 31–53.PubMedCrossRefGoogle Scholar
  16. Grann, M., Danesh, J., & Fazel, S. (2008). The association between psychiatric diagnosis and violent re-offending in adult offenders in the community. BMC Psychiatry, 8, 92. doi: 10.1186/1471-244X-8-92.PubMedCrossRefGoogle Scholar
  17. Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71, 7–16.PubMedCrossRefGoogle Scholar
  18. Grant, B. F., Harford, T. C., Dawson, D. A., Chou, P. S., & Pickering, R. P. (1995). The Alcohol Use Disorder and Associated Disabilities Interview schedule (AUDADIS): Reliability of alcohol and drug modules in a general population sample. Drug and Alcohol Dependence, 39, 37–44.PubMedCrossRefGoogle Scholar
  19. Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., … Kaplan, K. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 807–816. doi: 10.1001/archpsyc.61.8.807.PubMedCrossRefGoogle Scholar
  20. Greenfeld, L. (1997). Sex offenses and offenders: An analysis of data on rape and sexual assault. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics. Retrieved January 2012 from http://bjs.ojp.usdoj.gov/content/pub/pdf/SOO.PDF.
  21. Grossman, L. S., & Cavanaugh, J. L. (1990). Psychopathology and denial in alleged sex offenders. Journal of Nervous and Mental Disease, 178, 739–744.PubMedCrossRefGoogle Scholar
  22. Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 64, 830–842. doi: 10.1001/archpsyc.64.7.830.PubMedCrossRefGoogle Scholar
  23. Hoertel, N., Le Strat, Y., Schuster, J. P., & Limosin, F. (2011). Gender differences in firesetting: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Psychiatry Research, 190, 352–358. doi: 10.1016/j.psychres.2011.05.045.PubMedCrossRefGoogle Scholar
  24. Jespersen, A. F., Lalumière, M. L., & Seto, M. C. (2009). Sexual abuse history among adult sex offenders and non-sex offenders: A meta-analysis. Child Abuse and Neglect, 33, 179–192. doi: 10.1016/j.chiabu.2008.07.004.PubMedCrossRefGoogle Scholar
  25. Jewkes, R., Dunkle, K., Koss, M. P., Levin, J. B., Nduna, M., Jama, N., & Sikweyiya, Y. (2006). Rape perpetration by young, rural South African men: Prevalence, patterns and risk factors. Social Science and Medicine, 63, 2949–2961. doi: 10.1016/j.socscimed.2006.07.027.PubMedCrossRefGoogle Scholar
  26. Kavoussi, R. J., Kaplan, M., & Becker, J. V. (1988). Psychiatric diagnoses in adolescent sex offenders. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 241–243. doi: 10.1097/00004583-198803000-00018.PubMedCrossRefGoogle Scholar
  27. Kessler, R. C., Berglund, P., Chiu, W. T., Demler, O., Heeringa, S., Hiripi, E., … Zheng, H. (2004). The US National Comorbidity Survey Replication (NCS-R): Design and field procedures. International Journal of Methods in Psychiatric Research, 13, 69–92.PubMedCrossRefGoogle Scholar
  28. Koss, M. P., Gidycz, C. A., & Wisniewski, N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55, 162–170.PubMedCrossRefGoogle Scholar
  29. Krueger, R. B., & Kaplan, M. S. (2001). The paraphilic and hypersexual disorders: An overview. Journal of Psychiatric Practice, 7, 391–403.PubMedCrossRefGoogle Scholar
  30. Malamuth, N. M., Sockloskie, R. J., Koss, M. P., & Tanaka, J. S. (1991). Characteristics of aggressors against women: Testing a model using a national sample of college students. Journal of Consulting and Clinical Psychology, 59, 670–681.PubMedCrossRefGoogle Scholar
  31. Merrill, L. L., Newell, C. E., Milner, J. S., Koss, M. P., Hervig, L. K., Gold, S. R., … Thornton, S. R. (1998). Prevalence of premilitary adult sexual victimization and aggression in a Navy recruit sample. Military Medicine, 163, 209–212.PubMedGoogle Scholar
  32. Packard, W. S., & Rosner, R. (1985). Psychiatric evaluations of sexual offenders. Journal of Forensic Sciences, 30, 715–720.PubMedGoogle Scholar
  33. Patrick, C. J., Hicks, B. M., Krueger, R. F., & Lang, A. R. (2005). Relations between psychopathy facets and externalizing in a criminal offender sample. Journal of Personality Disorders, 19, 339–356. doi: 10.1521/pedi.2005.19.4.339.PubMedCrossRefGoogle Scholar
  34. Seto, M. C., Kjellgren, C., Priebe, G., Mossige, S., Svedin, C. G., & Långström, N. (2010). Sexual coercion experience and sexually coercive behavior: A population study of Swedish and Norwegian male youth. Child Maltreatment, 15, 219–228. doi: 10.1177/1077559510367937.PubMedCrossRefGoogle Scholar
  35. Seto, M. C., & Lalumière, M. L. (2010). What is so special about male adolescent sexual offending? A review and test of explanations through meta-analysis. Psychological Bulletin, 136, 526–575. doi: 10.1037/a0019700.PubMedCrossRefGoogle Scholar
  36. Thompson, M. P., Koss, M. P., Kingree, J. B., Goree, J., & Rice, J. (2011). A prospective mediational model of sexual aggression among college men. Journal of Interpersonal Violence, 26, 2716–2734. doi: 10.1177/0886260510388285.PubMedCrossRefGoogle Scholar
  37. Tyler, K. A., Hoyt, D. R., & Whitbeck, L. B. (1998). Coercive sexual strategies. Violence and Victims, 13, 47–61.PubMedGoogle Scholar
  38. Warren, J. I., Hazelwood, R. R., & Dietz, P. E. (1996). The sexually sadistic serial killer. Journal of Forensic Sciences, 41, 970–974.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Nicolas Hoertel
    • 1
    • 2
  • Yann Le Strat
    • 3
    • 4
    • 5
  • Jean-Pierre Schuster
    • 1
    • 2
  • Frédéric Limosin
    • 1
    • 2
    • 3
  1. 1.Service de Psychiatrie, Hôpital Corentin-CeltonAssistance Publique-Hôpitaux de Paris (AP-HP)Issy-les-MoulineauxFrance
  2. 2.Université Paris Descartes, Sorbonne Paris CitéParisFrance
  3. 3.Centre de Psychiatrie et Neurosciences, Inserm, U894Université Paris Descartes, Sorbonne Paris CitéParisFrance
  4. 4.Service de Psychiatrie, Hôpital Louis MourierAssistance Publique-Hôpitaux de Paris (AP-HP)ColombesFrance
  5. 5.Université Paris Diderot, Sorbonne Paris CitéParisFrance

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