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Links between sexuality, impulsivity, compulsivity, and addiction in a large sample of university students

Published online by Cambridge University Press:  15 April 2019

Austin W. Blum*
Affiliation:
Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA
Katherine Lust
Affiliation:
Boynton Health, University of Minnesota, Minneapolis, Minnesota, USA
Gary Christenson
Affiliation:
Boynton Health, University of Minnesota, Minneapolis, Minnesota, USA
Jon E. Grant
Affiliation:
Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA
*
*Address correspondence to: Austin W. Blum, MD, JD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USA. (Email: [email protected])

Abstract

Objective.

Non-heterosexual populations experience poorer mental health outcomes than their heterosexual counterparts. Few studies, however, have examined how mental health varies across the continuum of sexual orientation. Nor has any study examined possible links between sexual orientation and traits of impulsivity and compulsivity, which contribute to functional impairment across a broad spectrum of psychiatric disorders. To address these limitations, the present study sought to identify addictive and impulsive/compulsive problems associated with sexuality in a university sample.

Methods.

A 156-item anonymous survey was distributed via email to 9449 students at a public university in the United States. Sexual orientation was assessed using the Klein Sexual Orientation Grid, a modification of the Kinsey scale. Current use of alcohol and drugs, mental health status, and academic performance were also assessed, along with valid trait measures of impulsivity and compulsivity.

Results.

Same-sex attractions were significantly correlated with a range of mental health problems and substance use. Additionally, same-sex attraction was significantly correlated with certain behavioral addictions (compulsive sexual behavior and binge eating disorder) as well as impulsive/compulsive traits. There was no relationship between academic performance and sexual attraction.

Conclusion.

Same-sex sexuality is associated with impulsive/compulsive behavior and addiction. These health disparities may be related to stable individual differences in self-control.

Type
Original Research
Copyright
© Cambridge University Press 2019

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References

References:

Institute of Medicine (US) Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington, DC: National Academies Press (US); 2011. http://www.ncbi.nlm.nih.gov/books/NBK64806/.Google Scholar
Savin-Williams, RC.Sexual orientation: Categories or continuum? Commentary on Bailey et al. (2016). Psychol Sci Public Interest. 2016; 17(2): 3744. doi: 10.1177/1529100616637618Google Scholar
Vrangalova, Z, Savin-Williams, RC.Psychological and physical health of mostly heterosexuals: a systematic review. J Sex Res. 2014; 51(4): 410445. doi: 10.1080/00224499.2014.883589Google Scholar
Whitlock, J, Muehlenkamp, J, Purington, A, Eckenrode, J, Barreira, J, Abrams, GB, et al.Nonsuicidal self-injury in a college population: general trends and sex differences. J Am Coll Health. 2011; 59(8): 691698. doi: 10.1080/07448481.2010.529626Google Scholar
Bostwick, WB, Boyd, CJ, Hughes, TL, McCabe, SE.Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. Am J Public Health. 2010; 100(3): 468475. doi: 10.2105/AJPH.2008.152942Google Scholar
Hughes, T, Szalacha, LA, McNair, R.Substance abuse and mental health disparities: comparisons across sexual identity groups in a national sample of young Australian women. Soc Sci Med. 2010; 71(4): 824831. doi: 10.1016/j.socscimed.2010.05.009Google Scholar
Loosier, PS, Dittus, PJ.Group differences in risk across three domains using an expanded measure of sexual orientation. J Prim Prev. 2010; 31(5-6): 261272. doi: 10.1007/s10935-010-0228-2Google Scholar
McCabe, SE, Hughes, TL, Bostwick, W, Boyd, CJ.Assessment of difference in dimensions of sexual orientation: implications for substance use research in a college-age population. J Stud Alcohol. 2005; 66(5): 620629. doi: 10.15288/jsa.2005.66.620Google Scholar
Grant, JE, Potenza, MN, Weinstein, A, Gorelick, DA.Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010; 36(5): 233241. doi: 10.3109/00952990.2010.491884Google Scholar
Klein, F, Sepekoff, B, Wolf, TJ.Sexual orientation: a multi-variable dynamic process. J Homosex. 1985; 11(1–2): 3549. doi: 10.1300/J082v11n01_04Google Scholar
Weinrich, JD, Klein, F.Bi-gay, bi-straight, and bi-bi: three bisexual subgroups identified using cluster analysis of the Klein Sexual Orientation Grid. J Bisexuality. 2002; 2(4): 109139. doi: 10.1300/J159v02n04_07Google Scholar
Weinrich, JD, Klein, F, McCutchan, JA, Grant, I.Cluster analysis of the Klein Sexual Orientation Grid in clinical and nonclinical samples: when bisexuality is not bisexuality. J Bisexuality. 2014; 14(3-4): 349372. doi: 10.1080/15299716.2014.938398Google Scholar
Savin-Williams, RC.A critique of research on sexual-minority youths. J Adolesc. 2001; 24(1): 513. doi: 10.1006/jado.2000.0369Google Scholar
Savin-Williams, RC, Joyner, K, Rieger, G.Prevalence and stability of self-reported sexual orientation identity during young adulthood. Arch Sex Behav. 2012; 41(1): 103110. doi: 10.1007/s10508-012-9913-yGoogle Scholar
Saunders, JB, Aasland, OG, Babor, TF, de la Fuente, JR, Grant, M.Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption—II. Addiction. 1993; 88(6): 791804. doi: 10.1111/j.1360-0443.1993.tb02093.xGoogle Scholar
Skinner, HA.The Drug Abuse Screening Test. Addict Behav. 1982; 7(4): 363371. doi: 10.1016/0306-4603(82)90005-3Google Scholar
Yudko, E, Lozhkina, O, Fouts, A.A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. J Subst Abuse Treat. 2007; 32(2): 189198. doi: 10.1016/j.jsat.2006.08.002Google Scholar
Kroenke, K, Spitzer, RL, Williams, JB.The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9): 606613. doi: 10.1046/j.1525-1497.2001.016009606.xGoogle Scholar
Prins, A, Ouimette, P, Kimerling, R, et al.The Primary Care PTSD screen (PC-PTSD): development and operating characteristics. Prim Care Psychiatry. 2003; 9: 914. doi: 10.1185/135525703125002360Google Scholar
Spitzer, RL, Kroenke, K, Williams, JBW, Löwe, B.A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10): 10921097. doi: 10.1001/archinte.166.10.1092Google Scholar
Phillips, KA.Understanding Body Dysmorphic Disorder: An Essential Guide. New York, NY: Oxford University Press; 2009.Google Scholar
Grant, JE.Impulse Control Disorders: A Clinician’s Guide to Understanding and Treating Behavioral Addictions. New York, NY: W.W. Norton; 2008.Google Scholar
Kessler, RC, Adler, L, Ames, M, et al.The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005; 35(2): 245256. doi: 10.1017/S0033291704002892Google Scholar
Rosenberg, M.Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.Google Scholar
Patton, JH, Stanford, MS, Barratt, ES.Factor structure of the Barratt Impulsiveness Scale. J Clin Psychol. 1995; 51(6): 768774. doi: 10.1002/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-13.0.CO;2-1>Google Scholar
Stanford, MS, Mathias, CW, Dougherty, DM, Lake, SL, Anderson, NE, Patton, JH.Fifty years of the Barratt Impulsiveness Scale: an update and review. Personal Individ Differ. 2009; 47(5): 385395. doi: 10.1016/j.paid.2009.04.008Google Scholar
Chamberlain, SR, Grant, JE.Initial validation of a transdiagnostic compulsivity questionnaire: the Cambridge-Chicago Compulsivity Trait Scale. CNS Spectr. 2018; 23(5): 340346. doi: 10.1017/S1092852918000810Google Scholar
Wolff, M, Wells, B, Ventura-DiPersia C, Renson A, Grov C. Measuring sexual orientation: a review and critique of U. S. data collection efforts and implications for health policy. J Sex Res. 2017; 54(4-5): 507531. doi: 10.1080/00224499.2016.1255872Google Scholar
Oswalt, SB, Wyatt, TJ.Sexual orientation and differences in mental health, stress, and academic performance in a national sample of U.S. college students. J Homosex. 2011; 58(9): 12551280. doi: 10.1080/00918369.2011.605738Google Scholar
Grant, JE, Odlaug, BL, Derbyshire, K, Schreiber, LRN, Lust, K, Christenson, G.Mental health and clinical correlates in lesbian, gay, bisexual, and queer young adults. J Am Coll Health. 2014; 62(1): 7578. doi: 10.1080/07448481.2013.844697Google Scholar
Meyer, IH.Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5): 674697. doi: 10.1037/0033-2909.129.5.674Google Scholar
Meyer, IH.Prejudice and discrimination as social stressors. In: Meyer, IH, Northridge, ME, eds. The Health of Sexual Minorities: Public Health Perspectives on Lesbian, Gay, Bisexual, and Transgender Populations. New York, NY: Springer Science + Business Media; 2007: 242267. doi: 10.1007/978-0-387-31334-4_10Google Scholar
Congdon, E, Canli, T.The endophenotype of impulsivity: reaching consilience through behavioral, genetic, and neuroimaging approaches. Behav Cogn Neurosci Rev. 2005; 4(4): 262281. doi: 10.1177/1534582305285980Google Scholar
Sharma, L, Markon, KE, Clark, LA.Toward a theory of distinct types of “impulsive” behaviors: a meta-analysis of self-report and behavioral measures. Psychol Bull. 2014; 140(2): 374408. doi: 10.1037/a0034418Google Scholar
Charnigo, R, Noar, SM, Garnett, C, Crosby, R, Palmgreen, P, Zimmerman, RS.Sensation seeking and impulsivity: combined associations with risky sexual behavior in a large sample of young adults. J Sex Res. 2013; 50(5): 480488. doi: 10.1080/00224499.2011.652264Google Scholar
Deckman, T, DeWall, CN.Negative urgency and risky sexual behaviors: a clarification of the relationship between impulsivity and risky sexual behavior. Personal Individ Differ. 2011; 51(5): 674678. doi: 10.1016/j.paid.2011.06.004Google Scholar
Sanders, AR, Martin, ER, Beecham, GW, et al.Genome-wide scan demonstrates significant linkage for male sexual orientation. Psychol Med. 2015; 45(7): 13791388. doi: 10.1017/S0033291714002451Google Scholar
Balthazart, J.Fraternal birth order effect on sexual orientation explained. Proc Natl Acad Sci. 2018; 115(2): 234236. doi: 10.1073/pnas.1719534115Google Scholar
Sell, RL.Defining and measuring sexual orientation: a review. Arch Sex Behav. 1997; 26(6): 643658. doi: 10.1023/A:1024528427013Google Scholar
Galupo, MP, Mitchell, RC, Grynkiewicz, AL, Davis, KS.Sexual minority reflections on the Kinsey Scale and the Klein Sexual Orientation Grid: conceptualization and measurement. J Bisexuality. 2014; 14(3-4): 404432. doi: 10.1080/15299716.2014.929553Google Scholar