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Acceptance and Commitment Therapy for Hypersexuality: A Pilot Study.

Francisco Montesinos1, Marta Ortega-Otero1, Eduardo Polín1

  • 1Department of Psychology, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain.

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Acceptance and Commitment Therapy (ACT) shows promise for treating hypersexuality. This pilot study found ACT feasible and effective in improving control over sexual desire and reducing related issues.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Hypersexuality, characterized by an inability to control sexual desire, has significant negative impacts on physical, psychological, and social well-being.
  • Existing psychological interventions for hypersexuality lack robust evidence, highlighting a need for effective therapeutic options.

Purpose of the Study:

  • To examine the feasibility and usefulness of an online Acceptance and Commitment Therapy (ACT) intervention for adults with clinically significant hypersexuality.
  • To assess the impact of ACT on hypersexual behaviors, psychological flexibility, cognitive fusion, and mindfulness.

Main Methods:

  • An open-label pilot study involving twelve participants with hypersexuality.
  • Eight weekly online individual ACT sessions with self-monitoring of sexual practices.
  • Outcome measures assessed at baseline, post-intervention, and 3-month follow-up.

Main Results:

  • The ACT intervention was found to be feasible, with high participant satisfaction and completion rates.
  • Significant improvements were observed in hypersexuality, psychological flexibility, cognitive fusion, and mindfulness scores, with large effect sizes.
  • The majority of participants showed clinically significant reductions in hypersexuality, time spent on sexual activities, and sexualized drug use.

Conclusions:

  • Online Acceptance and Commitment Therapy (ACT) appears to be a feasible and potentially effective intervention for individuals experiencing hypersexuality.
  • ACT may offer a viable therapeutic alternative for managing hypersexuality and improving overall psychological well-being.