Large population-based study of Czech adults finds that 9% report at least one nonconsensual paraphilic interest. However, most had not engaged in sexual offending and did not experience distress or impairment. Most paraphilic interests were unrelated to sexual satisfaction.
Of those with nonconsensual paraphilic interests, 30% reported being distressed by their sexual fantasies or desires, with pedophilic interests being linked to the highest rates of distress.
Among those who were distressed, help-seeking behaviors were rare, with only 7% reporting that they sought help in the past 5 years.