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Paraphilias and paraphilic disorders in Attention-Deficit/Hyperactivity Disorder: an observational study

Lorenzo Soldati¹, Marie-Pierre Deiber², Roland Hasler³

¹Division of Psychiatric Specialties, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland; Department of Psychiatry, University of Geneva, Geneva, Switzerland.

Journal of Psychiatric Research

|March 29, 2026

Summary

Individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) may have higher rates of paraphilic disorders. This suggests increased psychological distress and potential risks requiring clinical evaluation and intervention.

Area of Science:

Psychiatry
Neurodevelopmental Disorders
Sexual Health

Background:

Attention-Deficit/Hyperactivity Disorder (ADHD) is linked to increased sexual desire and risky behaviors.
A potential association between ADHD and sexual offending risk warrants further investigation.
The prevalence of paraphilias and paraphilic disorders in ADHD populations is not well-established.

Purpose of the Study:

To investigate the prevalence of paraphilias and paraphilic disorders in adults with ADHD compared to controls.
To explore potential links between ADHD and specific paraphilic disorders.
To inform clinical assessment and management strategies for individuals with ADHD and paraphilic interests.

Main Methods:

A preliminary study comparing 50 adults with ADHD to 136 control subjects.
Assessment of the prevalence of various paraphilias and paraphilic disorders within both groups.
Statistical analysis to identify significant differences in prevalence rates.

Main Results:

Paraphilic disorders showed a trend towards higher prevalence in the ADHD group.
Voyeurism, exhibitionism, sadism, and pedophilic disorder were more frequently observed in individuals with ADHD.
These findings suggest greater psychological distress related to paraphilic interests in the ADHD group, particularly in men.

Conclusions:

Increased prevalence of paraphilic disorders in ADHD populations raises concerns about potential sexual offending risks.
Clinical distinction between individuals with ADHD and paraphilic interests who pose no risk versus those who may pose a risk is crucial.
Tailored psychotherapeutic and/or psychopharmacological interventions are recommended for individuals with ADHD and identified risks of sexual offending.

Keywords:

ADHD Paraphilias Paraphilic disorders Sexual offending

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