Briken P, Basdekis-Jozsa R
Institut für Sexualforschung und Forensische Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Apr;53(4):313-8. doi: 10.1007/s00103-010-1033-z.
The authors differentiates deviant (paraphilic) and non-deviant forms of a sexual addictive symptomatology. For the non-deviant forms, the diagnostic term paraphilia-related disorder is used. According to etiological factors, the authors discuss an interaction of a biological vulnerability, attachment and relationship problems, disorders of affect regulation as well as disinhibition of sexual excitation. Some individuals react to negative emotions, like depression or anxiety, with an increased sexual arousal. They may try to cope with negative emotions by being sexually active. However, the importance of the sexual stimulus itself should not be ignored. The authors describe specific psychotherapy, the attendance of self-help groups, and pharmacological treatment, especially with selective serotonin reuptake inhibitors.
作者区分了性成瘾症状学的异常（恋物癖）形式和非异常形式。对于非异常形式，使用与恋物癖相关的障碍这一诊断术语。根据病因因素，作者讨论了生物易感性、依恋和关系问题、情感调节障碍以及性兴奋抑制解除之间的相互作用。一些个体对诸如抑郁或焦虑等负面情绪的反应是性唤起增加。他们可能试图通过进行性活动来应对负面情绪。然而，性刺激本身的重要性也不应被忽视。作者描述了特定的心理治疗、参加自助小组以及药物治疗，尤其是使用选择性5-羟色胺再摄取抑制剂。
