{
  "abstract": "This study examined how impulsivity moderates the relationship between sexual abuse and substance use frequency in a large international sample. Participants (N = 64,472) completed the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST-11), 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 substance use frequency, and explored moderation by impulsivity across gender identity, sexual orientation, and country. AASA and CSA+AASA were consistently associated with higher substance use frequency, while CSA alone showed weaker or inconsistent associations across groups. Urgency and premeditation facets of impulsivity moderated these associations, particularly among sexual and gender minority individuals. Country-level differences indicated cultural and contextual variation in how impulsivity interacts with trauma to influence substance use. Findings underscore the need for targeted, culturally responsive interventions addressing impulsivity in the aftermath of sexual trauma.",
  "abstract_shown": true,
  "affiliations": [
    "Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, United States of America",
    "Yale University School of Medicine, New Haven, Connecticut, United States of America",
    "Connecticut Council on Problem Gambling, Wethersfield, Connecticut, United States of America",
    "Connecticut Mental Health Center, New Haven, Connecticut, United States of America",
    "Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America",
    "Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary",
    "Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary",
    "Department of Psychology, University of Nevada, Las Vegas, Nevada, United States of America",
    "Institute of Psychology, University of Lausanne, Lausanne, Switzerland",
    "Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland",
    "Flinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Bedford Park, South Australia, Australia"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Damla E. Aksen"
    },
    {
      "affs": [
        1
      ],
      "name": "Marc N. Potenza"
    },
    {
      "affs": [
        2
      ],
      "name": "Sarah D. Lichenstein"
    },
    {
      "affs": [
        3
      ],
      "name": "Léna Nagy"
    },
    {
      "affs": [
        4
      ],
      "name": "Shane W. Kraus"
    },
    {
      "affs": [
        5
      ],
      "name": "Joël Billieux"
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    {
      "affs": [
        6
      ],
      "name": "Loïs Fournier"
    },
    {
      "affs": [
        7
      ],
      "name": "Zsolt Demetrovics"
    },
    {
      "affs": [
        8
      ],
      "name": "Mónika Koós"
    },
    {
      "affs": [
        9
      ],
      "name": "International Sex Survey Consortium"
    },
    {
      "affs": [
        10
      ],
      "name": "Beáta Bőthe"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ek85j9zkmqwf9.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pone.0355986",
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    "1932-6203"
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  "licence_label": "CC BY 4.0",
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  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
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    ],
    [
      "plos",
      "/Biology and life sciences/Neuroscience/Cognitive science/Cognitive psychology/Perception/Sensory perception"
    ],
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      "/Biology and life sciences/Neuroscience/Sensory perception"
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    ],
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      "/Medicine and health sciences/Public and occupational health/Traumatic injury risk factors/Child abuse"
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    [
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    [
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      "/Social sciences/Psychology/Emotions"
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      "/Social sciences/Psychology/Gender identity"
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    [
      "plos",
      "/Social sciences/Psychology/Personality/Personality traits/Impulsivity"
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  "openalex": "W7214942602",
  "pdf_url": "https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0355986&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-30",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/ek85j9zkmqwf9.ris",
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  "subjects": [
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      "origin": "plos:epidemiology",
      "subfield": "epidemiology-public-health"
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  "title": "The moderating role of impulsivity in the association between sexual abuse and substance use frequency across countries, gender identities, and sexual orientations",
  "title_text": "The moderating role of impulsivity in the association between sexual abuse and substance use frequency across countries, gender identities, and sexual orientations",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:37Z",
  "url": "https://research.draconitic.com/paper/ek85j9zkmqwf9",
  "venue": "PLOS One",
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