Department of Psychology, Brandeis University, MS 062, Waltham, MA, 02454-9110, USA.
Curr Psychiatry Rep. 2021 Jul 1;23(8):50. doi: 10.1007/s11920-021-01260-w.
A substantial increase in research on the structure, covariates, and etiology of hypersexuality has emerged during the last decade. It is the goal of this review to summarize and integrate this research and to indicate some practical implications for clinical and forensic practice, especially as applied to those who have sexually offended.
Studies from the last half-decade converge on the conclusion that hypersexuality has both problematic and high sexual drive components. Both aspects have consistently been found to be distributed dimensionally and not categorically. Each subdimension covaries differentially with specific types of impulsivity. In addition to sexual abuse, psychological or emotional abuse has emerged to be a potent developmental antecedent of hypersexuality. Current research has focused on the problematic dimension of hypersexuality and has neglected to specify the criteria for high sexual drive. Lacking are large-scale representative and clinical samples that provide determination of optimal cutoffs for treatment and dispositional decisions for both dimensions of hypersexuality. Research on the etiology of both aspects of hypersexuality is in its infancy, and more differentiated assessments of developmental abuse histories are required.
在过去十年中，关于性欲亢进的结构、协变量和病因的研究大量增加。本综述的目的是总结和整合这些研究，并指出一些对临床和法医实践的实际意义，特别是对那些有过性犯罪的人。
过去五年的研究得出的结论是，性欲亢进既有问题性又有高性驱力成分。这两个方面一直被发现是维度分布的，而不是分类的。每个亚维度与特定类型的冲动性不同程度地相关。除了性虐待，心理或情感虐待也被认为是性欲亢进的一个强有力的发展前因。目前的研究集中在性欲亢进的问题性方面，而忽略了高性驱力的标准。缺乏大规模的代表性和临床样本，无法确定这两个方面的最佳治疗和处置决策的临界点。对性欲亢进两个方面的病因学研究还处于起步阶段，需要对发育性虐待史进行更细致的评估。
