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Jorge Andrés Toledo Sisalima
Johanna Luzuriaga Mera

La adicción sexual (AdS) se refiere a conductas caracterizadas por la incapacidad para controlar impulsos sexuales durante un periodo prolongado, causando malestar significativo y problemas en diversas áreas de la vida del individuo. Su origen está asociado a diversos factores, entre ellos el trauma psicológico (TP). El objetivo de este estudio fue describir la relación entre el TP y la AdS, así como proporcionar orientaciones para su abordaje psicoterapéutico. Se realizó una revisión sistemática siguiendo la declaración PRISMA, y se efectuó una búsqueda de artículos científicos en las bases de datos Scopus y Web of Science, abarcando publicaciones desde 2017 hasta 2022. Las palabras clave utilizadas fueron: “adicciones conductuales”, “adicción sexual”, “trauma psicológico” y “psicoterapia”. Se seleccionaron 12 artículos que cumplían con los criterios de inclusión: adicción sexual, trauma psicológico y abordaje psicoterapéutico. Se concluyó que el tipo de trauma psicológico más relacionado con el desarrollo de AdS es el abuso sexual infantil (ASI). Las terapias cognitivo-conductual (TCC) y cognitivo-analítica (TCA) demostraron ser efectivas en el tratamiento de la AdS según la evidencia disponible.

Sexual addiction (SDA) refers to behaviors characterized by the inability to control sexual impulses for a prolonged period of time, causing significant discomfort and problems in various areas of the individual's life. Its origin is associated with various factors, including psychological trauma (PT). The aim of this study was to describe the relationship between PT and SA, as well as to provide guidelines for its psychotherapeutic approach. A systematic review was conducted following the PRISMA statement, and a search for scientific articles was performed in the Scopus and Web of Science databases, covering publications from 2017 to 2022. The keywords used were "behavioral addictions", "sexual addiction", "psychological trauma" and "psychotherapy". Twelve articles were selected that met the inclusion criteria: sexual addiction, psychological trauma, and psychotherapeutic approach. It was concluded that the type of psychological trauma most related to the development of SSA is child sexual abuse (CSA). Cognitive-behavioral (CBT) and cognitive-analytic (CAT) therapies proved to be effective in the treatment of SA according to the available evidence.

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Toledo Sisalima, J. A., & Luzuriaga Mera, J. (2024). Adicción sexual y trauma psicológico: Orientaciones para el abordaje psicoterapéutico. Revista Ecuatoriana De Psicología, 7(18), 220–237. https://doi.org/10.33996/repsi.v7i18.120
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