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Factor regression weights were correlated to self-reported sex life satisfaction, sexual outlet, and psychiatric symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Participants rated the attractiveness of 50 unusual sexual activities, and reported on their sex life satisfaction (Arizona Sexual Experiences Scale), sexual outlet, and symptoms regarding ADHD (Adult ADHD Self-Report Screening Scale for DSM-5), depression, anxiety, and stress (Depression, Anxiety, and Stress Scale).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>We identified 5 factors of unusual sexual interests that were largely comparable for women and men: submission\/masochism, forbidden sexual activities, dominance\/sadism, mysophilia (attraction to dirtiness or soiled things), and fetishism. For women, unusual sexual interests related to more psychiatric symptoms and higher sexual outlet, whereas this relation was less explicit for men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Different factors of unusual sexual interests may serve different underlying functions or motivations, for instance related to sexual, and emotional regulation. A better understanding of the nature of unusual sexual interests is important to be able to influence sexual interests that are unwanted or cause damage to others.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>Strength of this study include its anonymity, the avoidance of sexual orientation effects, and the possibility to indicate only a slight endorsement toward sexual items. Limitations include the sample\u2019s generalizability and the truthfulness of online responding.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Unusual sexual interests could be clustered into 5 factors that were largely comparable for women and men: submission\/masochism, forbidden sexual activities, dominance\/sadism, mysophilia, and fetishism.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2021.07.002","type":"journal-article","created":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T11:18:47Z","timestamp":1628939927000},"page":"1615-1631","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exploratory Factor Analysis of Unusual Sexual Interests"],"prefix":"10.1093","volume":"18","author":[{"given":"Eveline E.","family":"Schippers","sequence":"first","affiliation":[{"name":"Forensic Care Specialists , Utrecht , the Netherlands"},{"name":"Department of Psychiatry, and GGZ inGeest, Amsterdam University Medical Centers, Free University Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wineke J.","family":"Smid","sequence":"additional","affiliation":[{"name":"Forensic Care Specialists , Utrecht , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Laura","family":"Huckelba","sequence":"additional","affiliation":[{"name":"Department of Experimental and Applied Psychology, Vrije Universiteit Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa M.","family":"Hoogsteder","sequence":"additional","affiliation":[{"name":"Forensic Care Specialists , Utrecht , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aartjan T.F.","family":"Beekman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, and GGZ inGeest, Amsterdam University Medical Centers, Free University Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan H.","family":"Smit","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, and GGZ inGeest, Amsterdam University Medical Centers, Free University Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,8,14]]},"reference":[{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"304","DOI":"10.3138\/cjhs.2018-0041","article-title":"Exploring the relationship between paraphilic interests, sex, and sexual and life satisfaction in non-clinical samples","volume":"28","author":"Mundy","year":"2019","journal-title":"Can J Hum Sex"},{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3138\/cjhs.2019-0024","article-title":"More than one flavour: University students\u2019 specific sexual fantasies, interests, and experiences","volume":"28","author":"Noorishad","year":"2019","journal-title":"Can J Hum Sex"},{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1177\/1079063214525645","article-title":"Paraphilic interests: An examination of sex differences in a nonclinical sample","volume":"28","author":"Dawson","year":"2016","journal-title":"Sex Abus J Res Treat"},{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1111\/jsm.12734","article-title":"What exactly is an unusual sexual fantasy?","volume":"12","author":"Joyal","year":"2015","journal-title":"J Sex Med"},{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"97","DOI":"10.3138\/cjhs.262-a8","article-title":"The effects of sex drive and paraphilic interests on paraphilic behaviours in a nonclinical sample of men and women","volume":"26","author":"Bouchard","year":"2017","journal-title":"Can J Hum Sex"},{"key":"2023041407052794100_","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00224499.2019.1707468","article-title":"The prevalence of paraphilic interests in the Czech population: Preference, arousal, the use of pornography, fantasy, and behavior","author":"B\u00e1rtov\u00e1","year":"2020","journal-title":"J Sex Res"},{"key":"2023041407052794100_","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1080\/00224499.2016.1139034","article-title":"The prevalence of paraphilic interests and behaviors in the general population: A provincial survey","volume":"54","author":"Joyal","year":"2017","journal-title":"J Sex Res"},{"key":"2023041407052794100_","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.1016\/j.jsxm.2018.07.015","article-title":"Deviance or normalcy? 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