Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine,Hannover Medical School, Hannover,Germany.
J Behav Addict. 2019 Jun 1;8(2):213-222. doi: 10.1556/2006.8.2019.16. Epub 2019 May 23.
Despite the high prevalence of perceived problems relating to symptoms of hypersexual disorder (HD), important aspects remain underinvestigated. This study examines symptoms of depression, symptoms of problematic cybersex, and coercive sexual behavior in a large online sample from a German-speaking population.
In an online survey, = 1,194 ( = 564 women) participated in this study and completed measures including self-report questionnaires to assess depressive symptoms (PHQ-9), HD (HBI-19), symptoms of problematic cybersex (s-IATsex), as well as questions characterizing participants sexually, including fantasies and actual sexual coercive behaviors.
Men reported increased levels of HD symptom severity, pornography consumption, masturbation, and partnered sexual activity. Moreover, 59% of men and 18% of women reported fantasies of sexual coercion, whereas 21% of men and 4% of women reported acts of sexual coercion. Moderated regression analyses showed that symptoms of depression as well as sexual coercive fantasies and behaviors were associated with levels of HD symptom severity. Problematic cybersex, total sexual outlet (TSO), pornography consumption, and number of sexual partners were also associated with HD symptom severity. Interaction effects indicated that, in women, the connection of TSO as well as pornography was more strongly associated with levels of HD symptom severity than in men.
This survey indicated that levels of HD symptom severity are often associated with severe intra- and interpersonal difficulties. Furthermore, the amount of sexual activity seems to be more strongly connected to levels of HD symptom severity in women than in men.
尽管人们普遍认为与性欲障碍（HD）相关的症状存在问题，但仍有一些重要方面尚未得到充分研究。本研究在一个德语人群的大型在线样本中，考察了抑郁症状、网络色情问题、以及强制性性行为的问题。
在一项在线调查中，共有 1194 名（564 名女性）参与者参加了这项研究，他们完成了包括自评问卷在内的多项评估，以评估抑郁症状（PHQ-9）、HD（HBI-19）、网络色情问题症状（s-IATsex），以及描述参与者性特征的问题，包括性幻想和实际的性强迫行为。
男性报告了更高水平的 HD 症状严重程度、色情制品消费、自慰和伴侣性行为。此外，59%的男性和 18%的女性报告了性强迫的幻想，而 21%的男性和 4%的女性报告了性强迫的行为。调节回归分析显示，抑郁症状以及性强迫的幻想和行为与 HD 症状严重程度相关。网络色情问题、总性发泄（TSO）、色情制品消费和性伴侣数量也与 HD 症状严重程度相关。交互效应表明，在女性中，TSO 以及色情制品的关联比男性更强地与 HD 症状严重程度相关。
本调查表明，HD 症状严重程度通常与严重的内在和人际困难有关。此外，与男性相比，女性的性活动量与 HD 症状严重程度的关联更为密切。
