Hypersexual behavior in a large online sample: individual characteristics and signs of coercive sexual behavior
Open accessAbstract
BACKGROUND AND AIMS: 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. METHODS: = 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. RESULTS: 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. CONCLUSIONS: 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.
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Both men and women entertain coercive fantasies but men more frequently than women.
“Both men and women entertain coercive fantasies but men more frequently than women (Engel et al., 2019).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Engel et al., 2019
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- Authors
- Engel, J., Kessler, A., Veit, M., Sinke, C., Heitland, I., Kneer, J., Hartmann, U., & Kruger, T. H. C.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- 1 Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine, Hannover Medical School, Hannover, Germany
- Corresponding author
- Engel, Jannis
- ORCID
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2019-05-23
- Volume
- 8
- Issue
- 2
- Pages
- 213-222
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC7044561
- OpenAlex
- W2945877456
- Cited by
- 52
- References
- 46
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 4 · 2022: 11 · 2021: 11 · 2020: 6 · 2019: 1
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- hypersexual disorder, hypersexuality, sexual coercion, depression, pornography use, masturbation, sexual partners, gender differences, online sample
- MeSH terms
- Coercion, Erotica, Female, Germany, Humans, Male, Middle Aged, Paraphilic Disorders, Surveys and Questionnaires, Severity of Illness Index, Sexual Behavior, Sex Factors, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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