The role of emotional problems in hypersexuality
Main Article Content
Abstract
Introduction: Hypersexuality is a common problem in clinical practice, especially due to the emotional distress generated by some of its manifestations, such as sex addiction. However, the relationship between discomfort and hypersexuality is unclear and many authors highlight that, in addition to a consequence, emotional distress could be the cause of the search for sex as an emotional regulation strategy. The aim of the present study is to check if there is a relationship between mood and hypersexual behavior in both men and women.
Method: 400 participants (69% male) between the ages of 18 and 40 (M = 26,65; DT = 6,30) completed an online survey that included measures of control of sexual impulses (the Hypersexuality Inventory [HI]) and emotional distress (the Scale Hospital Anxiety and Depression [HADS]). Sociodemographic information was also collected.
Results: We did not find gender differences in the anxiety means, while men presented higher scores on the depression subscale M =7,33) than women (M=6,11; t=3,89, p smaller than ,001) and higher level of hypersexuality (M=43,94 men, M=11,85 women; t=10,36, p smaller than ,001). For men, anxiety (p smaller than ,001) and age (p= ,024) explained 29,2% of the variance of Hypersexuality scores (IH) (F=37,48; p smaller than ,001). For the group of women, only anxiety explained 14% of the variance of the IH scores (F=6,52; p smaller than ,001).
Conclusions: As we can see, anxiety has an important weight in hypersexuality, while in men age also turned out to be relevant in this problem. Taking into account that the majority of preventive interventions are aimed at adolescents / young people, these results demonstrate the need to invest efforts in emotional regulation at all ages, both in prevention and in treatment programs.
Downloads
Article Details
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
References
Ballester-Arnal, R., Castro-Calvo, J., Giménez-García, C., Gil-Juliá, B., & Gil-Llario, M. D. (2020). Psychiatric comorbidity in Compulsive Sexual Behavior Disorder (CSBD). Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2020.106384
Ballester-Arnal, R., Castro-Calvo, J., Gil-Julia, B., Giménez-García, C., & Gil-Llario, M. D. (2019). A Validation Study of the Spanish Version of the Hypersexual Behavior Inventory (HBI): Paper-and-Pencil Versus Online Administration. Journal of Sex & Marital Therapy, 1–20. https://doi.org/10.1080/0092623X.2018.1518886
Ballester-Arnal, R., Giménez-García, C., Gil-Llario, M. D., & Castro-Calvo, J. (2016).Cybersex in the “Net generation”: Online sexual activities among Spanish adolescents. Computers in Human Behavior, 57, 261-266. https://doi.org/10.1016/j.chb.2015.12.036
Bancroft, J., & Vukadinovic, Z. (2004). Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model. The Journal of Sex Research, 41, 225–234.
https://doi.org/10.1080/00224490409552230
Berberovic, D. (2013). Sexual compulsivity comorbidity with depression, anxiety, and substance use in students from Serbia and Bosnia and Herzegovina. Europe’s Journal of Psychology, 9, 517–530. https://doi.org/10.5964/ejop.v9i3.595
B the, B., Bartók, R., Tóth-Király, I., Reid, R. C., Griiths, M. D., Demetrovics, Z., & Orosz, G. (2018). Hypersexuality, Gender, and Sexual Orientation: A Large-scale Psychometric Survey Study. Archives of Sexual Behavior. https://doi.org/10.1007/s10508-018-1201-z
Coleman, E. (1991). Compulsive sexual behavior: New concepts and treatments. Journal of Psychology & Human Sexuality, 4, 37-52. https://doi.org/10.1300/J056v04n02_04
Dhuffar, M., & Griffiths, M. (2014). Understanding the role of shame and its consequences in female hypersexual behaviours: A pilot study. Journal of Behavioral Addictions, 3(4), 231-237.
Dickenson, J. A., Gleason, N., Coleman, E., & Miner, M. H. (2018). Prevalence of distress associated with difficulty controlling sexual urges, feelings, and behaviors in the United States. JAMA network open, 1(7). doi:10.1001/jamanetworkopen.2018.4468
Garcia, F. D., & Thibaut, F. (2010). Sexual addictions. The American Journal of Drug and Alcohol Abuse, 36, 254–260. https://doi.org/10.3109/00952990.2010.503823
Garofalo, C., Velotti, P., & Zavattini, G. C. (2016). Emotion dysregulation and hypersexuality: Review and clinical implications. Sexual and Relationship Therapy, 31(1), 3-19. https://doi.org/10.1080/14681994.2015.1062855
Giordano, A. L., Prosek, E. A., Cecil, A. L., & Brown, J. (2015). Predictors of hypersexual behavior among college men and women: Exploring self conscious emotions. Journal of Addictions & Offender Counseling, 36(2), 113-125. https://doi.org/10.1002/jaoc.12007
Kafka, M. P. (2014). What happened to hypersexual disorder? Archives of Sexual Behavior, 43(7), 1259–1261. https://doi.org/10.1007/s10508-014-0326-y
Kafka, M. P. (2013). The Development and evolution of the criteria for a newly proposed diagnosis for DSM-5: Hypersexual disorder. Sexual Addiction & Compulsivity, 20(1–2), 19–26.
Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400. https://doi.org/10.1007/s10508-009-9574-7
Kafka, M. P., & Hennen, J. (2003). Hypersexual desire in males. Are males with paraphilias different from males with paraphilia-related disorders? Sexual Abuse: A Journal of Research and Treatment, 15, 307–321. https://doi.org/10.1023/A:1025000227956
Karila, L., Wéry, A., Weinstein, A., Cottencin, O., Petit, A., Reynaud, M., & Billieux, J. (2014). Sexual addiction or hypersexual disorder: Different termsfor thesame problem? A review of theliterature. Current pharmaceutical design, 20(25), 4012-4020.
Klein, V., Jurin, T., Briken, P., & Štulhofer, A. (2015). Erectile dysfunction, boredom, and hypersexuality among coupled men from two European countries. The journal of sexual medicine, 12(11), 2160-2167. https://doi.org/10.1111/jsm.13019
Kraus, S. W., Krueger, R. B., Briken, P., First, M. B., Stein, D. J., Kaplan, M. S., Voon, V., Abdo, C. H. N., Grant, J. E., Atalla, E. & Reed, G. M. (2018). Compulsive sexual behaviour disorder in the ICD 11. World Psychiatry, 17(1), 109-110. https://doi.org/10.1002/wps.20499
McKeague, E. L. (2014). Differentiating the female sex addict: A literature review focused on themes of gender difference used to inform recommendations for treating women with sex addiction. Sexual Addiction & Compulsivity, 21(3), 203-224. https://doi.org/10.1080/10720162.2014.931266
Moser, C. (2011). Hypersexual disorder: Just more muddled thinking [Letter to the Editor]. Archives of Sexual Behavior, 40, 227–229. doi:10.1007/s10508-010-9690-4.
Odlaug, B. L., Lust, K., Schrelber, L. R. N., Christenson, G., Derbyshire, K., Harvanko, A., Golden, D., & Grant, J. E. (2013). Compulsive sexual behavior in young adults. Annals of Clinical Psychiatry, 25, 193–200.
Parsons, J. T., Rendina, H. J., Ventuneac, A., Moody, R. L., & Grov, C. (2016). Hypersexual, sexually compulsive, or just highly sexually active? Investigating three distinct groups of gay and bisexual men and their profiles of HIV-related sexual risk. AIDS and Behavior, 20(2), 262-272. https://doi.org/10.1007/s10461-015-1029-7
Quintana, J.M., Padierna, A., Esteban, C., Arostegui, I., Bilbao, A., & Ruiz, I. (2003). Evaluation of the psychometric characteristics of the Spanish Version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 107, 216- 221. https://doi.org/10.1034/j.1600-0447.2003.00062.x
Reid, R. C., Bramen, J. E., Anderson, A., & Cohen, M. S. (2014). Mindfulness, emotional dysregulation, impulsivity, and stress proneness among hypersexual patients. Journal of clinical psychology, 70(4), 313-321. https://doi.org/10.1002/jclp.22027
Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., Cooper, E. B., McKittrick, H., Davtian, M., & Fong, T. (2012). Report of findings in a DSM-5 field trial for hypersexual disorder. The Journal of Sexual Medicine, 9(11), 2868–2877. https://doi.org/10.1111/j.1743-6109.2012.02936.x
Reid, R. C., Garos, S., & Carpenter, B. N. (2011). Reliability, validity, and psychometric development of the Hypersexual Behavior Inventory in an outpatient sample of men. Sexual Addiction & Compulsivity, 18, 30–51. https://doi.org/10.1080/10720162.2011.555709
Reid, R. C., & Kafka, M. P. (2014). Controversies about hypersexual disorder and the DSM-5. Current Sexual Health Reports, 6, 259–264. https://doi.org/10.1007/s11930-014-0031-9
Rosenberg, K. P., Carnes, P., & O’Connor, S. (2014). Evaluation and treatment of sex addiction. Journal of Sex & Marital Therapy, 40(2), 77-91. https://doi.org/10.1080/0092623X.2012.701268
Šev íková, A., Blinka, L., Ška upová, K., & Vašek, D. (2020). Online Sex Addiction After 50: an Exploratory Study of Age-Related Vulnerability. International Journal of Mental Health and Addiction, 1-15. https://doi.org/10.1007/s11469-019-00200-3
Short, M. B., Wetterneck, C. T., Bistricky, S. L., Shutter, T., & Chase, T. E. (2016). Clinicians’ beliefs, observations, and treatment effectiveness regarding clients’ sexual addiction and internet pornography use. Community mental health journal, 52(8), 1070-1081. https://doi.org/10.1007/s10597-016-0034-2
Skegg, K., Nada-Raja, S., Dickson, N., & Paul, C. (2010). Perceived “out of control” sexual behavior in a cohort of young adults from the Dunedin Multidisciplinary Health and Development Study. Archives of Sexual Behavior, 39, 968–978. https://doi.org/10.1007/s10508-009-9504-8
Tejero, A., Guimerá, E.M., Farré, J.M., & Peri, J.M. (1986). Uso clínico del HADS (Hospital Anxiety and Depression Scale) en población psiquiátrica: un estudio de su sensibilidad, fiabilidad y validez. Revista Departamento Psiquiatría Facultad de Medicina de Barcelona, 13, 233-238.
Terol, M.C., López-Roig, S., Rodríguez-Marín, J., Martín-Aragón, M., Pastor, M.A., & Reig, M.T. (2007). Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Estrés (HAD) en población española. Ansiedad y Estrés, 13, 163-176.
Wéry, A., Vogelaere, K., Challet-Bouju, G., Poudat, F. X., Caillon, J., Lever, D., Billeux, J., & Grall-Bronnec, M. (2016). Characteristics of self-identified sexual addicts in a behavioral addiction outpatient clinic. Journal of behavioral addictions, 5(4), 623-630. https://doi.org/10.1556/2006.5.2016.071
Womack, S. D., Hook, J. N., Ramos, M., Davis, D. E., & Penberthy, J. K. (2013). Measuring hypersexual behavior. Sexual Addiction & Compulsivity, 20(1-2), 65-78.
Yeagley, E., Hickok, A., & Bauermeister, J. A. (2014). Hypersexual behavior and HIV sex risk among young gay and bisexual men. The Journal of Sex Research, 51(8), 882-892. https://doi.org/10.1080/00224499.2013.818615
Yoon, I. S., Houang, S. T., Hirshfield, S., & Downing, M. J. (2016). Compulsive sexual behavior and HIV/STI risk: A review of current literature. Current Addiction Reports, 3(4), 387–399. https://doi.org/10.1007/s40429-016-0121-z
Zigmond, A.S., & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.