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重新审视冲动性和强迫性在问题性性行为中的作用。

Revisiting the Role of Impulsivity and Compulsivity in Problematic Sexual Behaviors.

机构信息

a Doctoral School of Psychology , ELTE Eötvös Loránd University and Institute of Psychology, ELTE Eötvös Loránd University.

b Institute of Psychology , ELTE Eötvös Loránd University.

出版信息

J Sex Res. 2019 Feb;56(2):166-179. doi: 10.1080/00224499.2018.1480744. Epub 2018 Jun 18.

DOI:10.1080/00224499.2018.1480744
PMID:29913087
Abstract

Impulsivity and compulsivity are transdiagnostic features associated with clinically relevant aspects of psychiatric disorders, including addictions. However, little research has investigated how impulsivity and compulsivity relate to hypersexuality and problematic pornography use. Thus, the aims of the present study were to investigate (a) self-reported impulsivity and compulsivity with respect to hypersexuality and problematic pornography use and (b) the similarities and possible differences between hypersexuality and problematic pornography use in these domains. Utilizing structural equation modeling (SEM) in a large community sample (N = 13,778 participants; female = 4,151, 30.1%), results indicated that impulsivity (β = .28, β = .26) and compulsivity (β = .23, β = .14) were weakly related to problematic pornography use among men and women, respectively. Impulsivity had a stronger relationship (β = .41, β = .42) with hypersexuality than did compulsivity (β = .21, β = .16) among men and women, respectively. Consequently, impulsivity and compulsivity may not contribute as substantially to problematic pornography use as some scholars have proposed. On the other hand, impulsivity might have a more prominent role in hypersexuality than in problematic pornography use. Future research should examine further social and situational factors associated with problematic pornography use.

摘要

冲动性和强迫性是与精神障碍的临床相关方面相关的跨诊断特征,包括成瘾。然而,很少有研究调查冲动性和强迫性与性欲过强和有问题的色情制品使用之间的关系。因此,本研究的目的是调查 (a) 性欲过强和有问题的色情制品使用与冲动性和强迫性之间的关系,以及 (b) 在这些领域中,性欲过强和有问题的色情制品使用之间的相似之处和可能的差异。本研究在一个大型社区样本(N=13778 名参与者;女性=4151,占 30.1%)中利用结构方程模型(SEM)进行,结果表明,冲动性(β=.28,β=.26)和强迫性(β=.23,β=.14)与男性和女性的有问题的色情制品使用分别呈弱相关。冲动性与性欲过强之间的关系更强(β=.41,β=.42),而强迫性与性欲过强之间的关系较弱(β=.21,β=.16)。因此,冲动性和强迫性对有问题的色情制品使用的贡献可能不如一些学者所提出的那么大。另一方面,冲动性在性欲过强中可能比在有问题的色情制品使用中发挥更突出的作用。未来的研究应该进一步研究与有问题的色情制品使用相关的社会和情境因素。

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