{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:28:44Z","timestamp":1790630924987,"version":"4.1.0"},"reference-count":101,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In spite of a growing interest in research on hypersexuality, consensus about its etiology and best treatment strategy has not been achieved.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To further the empirical and clinical understanding of hypersexuality by exploring the structure of its symptoms using a network analytic approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In 2014, an online survey advertised as focusing on Internet pornography, sexual health, and relationships was carried out among Croatian men and women aged 18\u201360 years (Mage\u00a0= 31.1 years, SD\u00a0=\u00a09.67). In a sample of 3,028 participants, we applied a network analytic approach to explore the structure of hypersexuality symptoms. In the network, nodes represented hypersexuality symptoms and associated sexual behaviors, while their connections were operationalized as partial correlations. 4 Research questions were addressed: (1) does the hypersexuality network differ between genders; (2) which symptoms are centrally positioned; (3) what is the topological location of pornography use; and (4) are there distinct clusters (\u201ccommunities\u201d) of symptoms in the network?<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>We estimated and plotted hypersexuality networks by gender using items from the Hypersexual Disorder Screening Inventory and the Hypersexual Behavioral Consequences Scale, as well as indicators of sexual desire, pornography use, sexual intercourse, and masturbation frequency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The structure of the hypersexuality network was surprisingly similar in women and men, both in terms of symptom centrality and the clustering of symptoms. Psychological distress and negative emotions triggered by sexual fantasies and\/or behaviors, together with a loss of control over sexual feelings, occupied central positions in the networks. Pornography use was located peripherally in both the men\u2019s and women\u2019s hypersexuality networks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Translation<\/jats:title>\n                  <jats:p>Psychological distress and negative emotions triggered by sexual fantasies and\/or behaviors constituted the core of the hypersexuality network, which makes them potential prime targets for clinical intervention and calls for normalization of (presumably self-stigmatized) sexual expression through affirmative therapy and interventions that enhance self-care, self-compassion, and adaptive coping mechanisms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths &amp; Limitations<\/jats:title>\n                  <jats:p>This is the first network analytic approach to hypersexuality. Apart from its novel insights about the structure of hypersexuality, the study employed several methods to assure reliability and robustness of findings. Considering that networks were estimated in a convenience-based community sample, the findings might not generalize to clinically distressed individuals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our results demonstrate the usefulness of network analytics to hypersexuality in a non-clinical sample and we encourage future clinical and longitudinal explorations of hypersexuality using this novel approach.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.01.009","type":"journal-article","created":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T12:15:21Z","timestamp":1520252121000},"page":"373-386","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":44,"title":["A Network Approach to Hypersexuality: Insights and Clinical Implications"],"prefix":"10.1093","volume":"15","author":[{"given":"Marlene","family":"Werner","sequence":"first","affiliation":[{"name":"Department of Psychology , Amsterdam \u00a0 The Netherlands"},{"name":"Faculty of Social and Behavioral Sciences , Amsterdam \u00a0 The Netherlands"},{"name":"University of Amsterdam , Amsterdam \u00a0 The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandar","family":"\u0160tulhofer","sequence":"additional","affiliation":[{"name":"Department of Sociology , University of Zagreb \u00a0 Croatia"},{"name":"Faculty of Humanities and Social Sciences , University of Zagreb \u00a0 Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourens","family":"Waldorp","sequence":"additional","affiliation":[{"name":"Department of Psychology , Amsterdam \u00a0 The Netherlands"},{"name":"Faculty of Social and Behavioral Sciences , Amsterdam \u00a0 The Netherlands"},{"name":"University of Amsterdam , Amsterdam \u00a0 The Netherlands"},{"name":"Program Group: Psychological Methods , Amsterdam \u00a0 The Netherlands"},{"name":"University of Amsterdam , Amsterdam \u00a0 The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Jurin","sequence":"additional","affiliation":[{"name":"Department of Psychology , University of Zagreb \u00a0 Croatia"},{"name":"Faculty of Humanities and Social Sciences , University of Zagreb \u00a0 Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,3,1]]},"reference":[{"key":"2023012309213075700_bib1","first-page":"181","article-title":"Diagnosis, assessment, and treatment of hypersexuality","volume":"47","author":"Kaplan","year":"2010","journal-title":"J\u00a0Sex Res"},{"key":"2023012309213075700_bib2","first-page":"4","article-title":"Personal perspectives on hypersexual disorder","volume":"20","author":"Reid","year":"2013","journal-title":"Sex Addict 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