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2016 ; 13
(9
): 1323-1331
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Understanding the Personality and Behavioral Mechanisms Defining Hypersexuality
in Men Who Have Sex With Men
#MMPMID27486137
Miner MH
; Romine RS
; Raymond N
; Janssen E
; MacDonald A 3rd
; Coleman E
J Sex Med
2016[Sep]; 13
(9
): 1323-1331
PMID27486137
show ga
INTRODUCTION: Hypersexuality has been conceptualized as sexual addiction,
compulsivity, and impulsivity, among others, in the absence of strong empirical
data in support of any specific conceptualization. AIM: To investigate
personality factors and behavioral mechanisms that are relevant to hypersexuality
in men who have sex with men. METHODS: A sample of 242 men who have sex with men
was recruited from various sites in a moderate-size mid-western city.
Participants were assigned to a hypersexuality group or a control group using an
interview similar to the Structured Clinical Interview for the Diagnostic and
Statistical Manual for Mental Disorders, Fourth Edition. Self-report inventories
were administered that measured the broad personality constructs of positive
emotionality, negative emotionality, and constraint and more narrow constructs
related to sexual behavioral control, behavioral activation, behavioral
inhibition, sexual excitation, sexual inhibition, impulsivity,
attention-deficit/hyperactivity disorder, and sexual behavior. MAIN OUTCOME
MEASURES: Hierarchical logistic regression was used to determine the relation
between these personality and behavioral variables and group membership. RESULTS:
A hierarchical logistic regression controlling for age showed a significant
positive relation between hypersexuality and negative emotionality and a negative
relation with constraint. None of the behavioral mechanism variables entered this
equation. However, a hierarchical multiple regression analysis predicting sexual
behavioral control indicated that lack of such control was positively related to
sexual excitation and sexual inhibition owing to the threat of performance
failure and negatively related to sexual inhibition owing to the threat of
performance consequences and general behavioral inhibition CONCLUSION:
Hypersexuality was found to be related to two broad personality factors that are
characterized by emotional reactivity, risk taking, and impulsivity. The
associated lack of sexual behavior control is influenced by sexual excitatory and
inhibitory mechanisms, but not by general behavioral activation and inhibitory
mechanisms.