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The current research examined the hypothesis that sexual activity functions as a coping strategy for sexual offenders. A 16-item scale, the Coping Using Sex Inventory (CUSI), was developed to assess the presence of and the degree to which sex was used to deal with problematic situations. Sexual offenders consistently reported using sexual activities, both consenting and nonconsenting, as a coping strategy to deal with stressful and problematic situations. In the first study, when compared to nonsexual violent offenders, sexual offenders showed evidence of sexual preoccupation during adolescence, and this preoccupation was related to the latter use of sex as a coping strategy. In the second study, intimacy deficits and loneliness were related to greater use of sexual activity as a coping mechanism. The third study examined the psychometric properties of the CUSI. A factor analysis revealed 3 factors in the CUSI corresponding to consenting sexual themes, rape themes, and child sexual abuse themes. Sexual offenders reported higher use of each type of sexual activity to cope with stressful and difficult situations as compared to nonsexual offenders. Theoretical and clinical implications are discussed here.
Cortoni et al. (Mon,) studied this question.