Ballester-Arnal Rafael, Castro-Calvo Jesús, García-Barba Marta, Nebot-García Juan Enrique, Gil-Llario María Dolores
1Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castellón, Spain.
2Department of Personality, Assessment, and Psychological Treatments, University of Valencia-Estudi General, Valencia, Spain.
J Behav Addict. 2023 Aug 18;12(3):847-854. doi: 10.1556/2006.2023.00047. Print 2023 Oct 5.
Despite the inclusion of Compulsive Sexual Behavior (CSB) as a diagnostic entity in the ICD-11 and the increasing number of studies addressing psychological factors leading to its onset and maintenance, little is known about the role of hormonal factors when accounting for this clinical condition (especially in women). This study aimed to provide insights into the association between testosterone levels (i.e., the androgen more intimately linked to sexual desire and arousability) and CSB in both men and women.
A total of 80 participants (40 men [Mage = 22.31; SD = 2.93] and 40 women [Mage = 21.79; SD = 2.06]) provided a saliva sample for the estimation of the level of free testosterone and completed a battery of measures assessing CSB and other related sexual domains (sexual sensation seeking and online/offline sexual behavior).
In men, salivary testosterone had a positive and significant correlation with three scales assessing CSB (r between 0.316 and 0.334). In women, these correlations were small and non-significant (r between 0.011 and 0.079). In both men and women, the level of salivary testosterone had small non-significant correlations with the other domains of sexual behavior assessed.
Individuals' level of testosterone may contribute to the etiopathogenesis of CSB, but only in men. In women, alternative psychological -i.e., motivational, behavioral, or cognitive- processes may be playing a more central role in the expression of this condition.
尽管《国际疾病分类第11版》将强迫性行为（CSB）列为一种诊断实体，且越来越多的研究探讨了导致其发生和维持的心理因素，但对于激素因素在这种临床状况（尤其是在女性中）中的作用知之甚少。本研究旨在深入了解睾酮水平（即与性欲和性唤起联系最为紧密的雄激素）与男性和女性CSB之间的关联。
共有80名参与者（40名男性[年龄中位数=22.31；标准差=2.93]和40名女性[年龄中位数=21.79；标准差=2.06]）提供唾液样本以估计游离睾酮水平，并完成了一系列评估CSB及其他相关性领域（性感觉寻求以及线上/线下性行为）的测量。
在男性中，唾液睾酮与评估CSB的三个量表呈显著正相关（r在0.316至0.334之间）。在女性中，这些相关性较小且不显著（r在0.011至0.079之间）。在男性和女性中，唾液睾酮水平与所评估的其他性行为领域的相关性均较小且不显著。
个体的睾酮水平可能对CSB的发病机制有影响，但仅在男性中如此。在女性中，替代性的心理过程——即动机、行为或认知过程——可能在这种状况的表现中发挥更核心的作用。
