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Related Experiment Video

Updated: Dec 8, 2025

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Three Diagnoses for Problematic Hypersexuality; Which Criteria Predict Help-Seeking Behavior?

Piet van Tuijl1, Aerjen Tamminga2, Gert-Jan Meerkerk3

  • 1Department of Psychology, Open Universiteit, 6419 AT Heerlen, The Netherlands.

International Journal of Environmental Research and Public Health
|September 24, 2020
PubMed
Summary

This study found that negative effects and extreme behaviors best predict the need for help with problematic hypersexuality (PH). A comprehensive assessment combining various indicators is crucial for understanding and addressing PH.

Keywords:
compulsive sexualitycopinghypersexualitysex addictionsexual frequencytolerancewithdrawal

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Problematic hypersexuality (PH) is conceptualized through various theoretical models.
  • Assessing the most effective indicators for identifying PH remains a challenge.
  • Existing models may not fully capture the complexity of PH.

Purpose of the Study:

  • To identify the optimal combination of indicators for problematic hypersexuality (PH).
  • To test criteria from three theoretical models of PH using a large-scale survey.
  • To determine predictors for seeking help for PH.

Main Methods:

  • A large online survey (n=58,158) targeted individuals questioning sex addiction.
  • Factor analyses were conducted separately for men and women to group indicators.
  • Logistic regressions assessed the predictive power of identified factors on the need for help.

Main Results:

  • Four interpretable factors emerged from the analyses for both genders.
  • Negative Effects and Extreme factors positively predicted the need for help.
  • Negative Effects, including withdrawal and anhedonia, was the strongest predictor; Sexual Desire negatively predicted the need for help.

Conclusions:

  • A combination of indicators from diverse theoretical models best identifies problematic hypersexuality.
  • A new measurement instrument incorporating these combined indicators is recommended for assessing PH.
  • A more comprehensive theoretical model is needed to advance the understanding of PH.