Introduction . Hypersexuality is a clinical condition regarding the psychopathology of sexual behavior. In this study, we aimed to investigate the role of trauma, through the post-traumatic stress-disorder (PTSD), depression, shame and guilt on the hypersexual behavior. Methods . Through an online platform, a convenience sample of 1025 subjects was recruited (females: n=731; 71.3%; males: 294; 28.7%; age: 29.62±10.90). Recruited subjects compiled a psychometric protocol composed by the Hypersexual Behavior Inventory (HBI) to assess hypersexuality, the International Trauma Questionnaire (ITQ) for PTSD, the Patient Health Questionnaire (PHQ-9) to evaluate depression and the State Shame and Guilt Scale (SSGS) for shame and guilt. Then a mediation/moderation model was performed for the data analysis. Results . There was a statistically significant direct effect of post-traumatic symptoms (ITQTotal) on hypersexual behavior (HBTotal). Furthermore, indirect effects were also statistically significant, providing support to the hypothesis that depression and guilt would be serial mediators of trauma-hypersexual behavior relations. The paths through depression and guilt have been found to be the most significant with moderate and high indirect effects on hypersexuality. Moreover, male gender, as covariate variable, is a relevant risk factor for hypersexual behavior. Conclusion . We found the relationship between hypersexuality and trauma describing a possible etiological pathway mainly involving depression, shame and guilt. Hypersexuality can be considered as a reactive form of a major affective psychopathology representing a tip of the iceberg hiding the real issues of a suffering personality. Clinicians and researchers should therefore consider hypersexual behavior in the light of a symptomatic manifestation of a major psychopathology involving the affective aspects of personality.

Hypersexuality and Trauma: a mediation and moderation model from psychopathology to problematic sexual behavior / Fontanesi, Lilybeth; Marchetti, Daniela; Limoncin, Erika; Rossi, Rodolfo; Nimbi, F. M.; Mollaioli, Daniele; Sansone, Andrea; Colonnello, Elena; Simonelli, Chiara; Di Lorenzo, Giorgio; Jannini, Emmanuele A.; Ciocca, Giacomo. - In: JOURNAL OF AFFECTIVE DISORDERS. - ISSN 0165-0327. - (2020). [10.1016/j.jad.2020.11.100]

Hypersexuality and Trauma: a mediation and moderation model from psychopathology to problematic sexual behavior

Fontanesi, Lilybeth;Marchetti, Daniela;Limoncin, Erika;Nimbi, F. M.;Sansone, Andrea;Simonelli, Chiara;Jannini, Emmanuele A.;Ciocca, Giacomo
2020

Abstract

Introduction . Hypersexuality is a clinical condition regarding the psychopathology of sexual behavior. In this study, we aimed to investigate the role of trauma, through the post-traumatic stress-disorder (PTSD), depression, shame and guilt on the hypersexual behavior. Methods . Through an online platform, a convenience sample of 1025 subjects was recruited (females: n=731; 71.3%; males: 294; 28.7%; age: 29.62±10.90). Recruited subjects compiled a psychometric protocol composed by the Hypersexual Behavior Inventory (HBI) to assess hypersexuality, the International Trauma Questionnaire (ITQ) for PTSD, the Patient Health Questionnaire (PHQ-9) to evaluate depression and the State Shame and Guilt Scale (SSGS) for shame and guilt. Then a mediation/moderation model was performed for the data analysis. Results . There was a statistically significant direct effect of post-traumatic symptoms (ITQTotal) on hypersexual behavior (HBTotal). Furthermore, indirect effects were also statistically significant, providing support to the hypothesis that depression and guilt would be serial mediators of trauma-hypersexual behavior relations. The paths through depression and guilt have been found to be the most significant with moderate and high indirect effects on hypersexuality. Moreover, male gender, as covariate variable, is a relevant risk factor for hypersexual behavior. Conclusion . We found the relationship between hypersexuality and trauma describing a possible etiological pathway mainly involving depression, shame and guilt. Hypersexuality can be considered as a reactive form of a major affective psychopathology representing a tip of the iceberg hiding the real issues of a suffering personality. Clinicians and researchers should therefore consider hypersexual behavior in the light of a symptomatic manifestation of a major psychopathology involving the affective aspects of personality.
2020
HypersexualityTraumaDepressionShameGuilt
01 Pubblicazione su rivista::01a Articolo in rivista
Hypersexuality and Trauma: a mediation and moderation model from psychopathology to problematic sexual behavior / Fontanesi, Lilybeth; Marchetti, Daniela; Limoncin, Erika; Rossi, Rodolfo; Nimbi, F. M.; Mollaioli, Daniele; Sansone, Andrea; Colonnello, Elena; Simonelli, Chiara; Di Lorenzo, Giorgio; Jannini, Emmanuele A.; Ciocca, Giacomo. - In: JOURNAL OF AFFECTIVE DISORDERS. - ISSN 0165-0327. - (2020). [10.1016/j.jad.2020.11.100]
File allegati a questo prodotto
File Dimensione Formato  
Fontanesi_Hypersexuality and Trauma_2020.pdf

solo gestori archivio

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 812.58 kB
Formato Adobe PDF
812.58 kB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1468564
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 20
  • ???jsp.display-item.citation.isi??? 22
social impact