{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:04:23Z","timestamp":1784174663198,"version":"3.55.0"},"reference-count":34,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Compulsive sexual behaviour disorder is recognised as a mental health disorder, characterised by the inability to control impulses and repetitive sexual behaviours, and is often associated with reduced sexual functioning and satisfaction. However, few studies have examined the associations between sexual compulsivity, sexual functioning and sexual satisfaction in non-Western populations, particularly with a gender perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study aimed to examine gender-specific patterns of these relationships in a community-based Iranian sample. Data were collected from 705 participants (81.6% male, 18.4% female) via snowball sampling and an online questionnaire. The Sexual Compulsivity Scale, the International Index of Erectile Function for men, the Female Sexual Function Index for women and the New Sexual Satisfaction Scale were used. Analyses were conducted using path analysis with observed total scores, estimated separately for each gender.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings showed that in men, sexual functioning fully mediated the association between sexual compulsivity and sexual satisfaction. In women, sexual compulsivity had a direct negative association with sexual satisfaction without mediation by sexual functioning. These gender-specific patterns emphasise the importance of gender-sensitive approaches in understanding compulsive sexual behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides the first gender-specific structural evidence in the Iranian context, and suggests that clinical interventions should be performance-oriented for men and affective-relational for women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh26057","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:31:29Z","timestamp":1784172689000},"source":"Crossref","is-referenced-by-count":0,"title":["Gender-specific associations between sexual compulsivity, sexual functioning and sexual satisfaction: a mediation analysis in an Iranian community sample"],"prefix":"10.1071","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0158-5764","authenticated-orcid":true,"given":"Rezvan","family":"Shekarchi","sequence":"first","affiliation":[{"name":"ADepartment of Psychology, Bicocca University, Milan 20126, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Eleuteri","sequence":"additional","affiliation":[{"name":"BDepartment of Human and Social Sciences, University of Mercatorum, Rome 00186, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Saladino","sequence":"additional","affiliation":[{"name":"CDepartment of Health Sciences, \u2018Magna Graecia\u2019 University, Catanzaro 88100, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"2026071523312170400_R1","first-page":"63","article-title":"Delving into the ICD-11: a review of the chapter on mental, behavioural or neurodevelopmental disorders.","author":"Attard-Mallia","year":"2023","journal-title":"Minima Media"},{"issue":"2","key":"2026071523312170400_R2","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1037\/mil0000147","article-title":"Examining compulsive sexual behavior and psychopathology among a sample of postdeployment U.S. male and female military veterans.","volume":"29","author":"Kraus","year":"2017","journal-title":"Mil Psychol"},{"issue":"7","key":"2026071523312170400_R3","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1038\/s41585-020-0343-7","article-title":"An integrated model to assess and treat compulsive sexual behaviour disorder.","volume":"17","author":"Briken","year":"2020","journal-title":"Nat Rev Urol"},{"issue":"2","key":"2026071523312170400_R4","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1556\/2006.4.2015.003","article-title":"Compulsive sexual behavior: a review of the literature.","volume":"4","author":"Derbyshire","year":"2015","journal-title":"J Behav Addict"},{"issue":"15","key":"2026071523312170400_R5","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10153205","article-title":"Is compulsive sexual behavior different in women compared to men?","volume":"10","author":"K\u00fcrbitz","year":"2021","journal-title":"J Clin Med"},{"issue":"1","key":"2026071523312170400_R6","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/19585969.2022.2134739","article-title":"The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder.","volume":"24","author":"Turner","year":"2022","journal-title":"Dialogues Clin Neurosci"},{"issue":"2","key":"2026071523312170400_R7","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1556\/2006.2023.00028","article-title":"Compulsive sexual behavior disorder in 42 countries: insights from the International Sex Survey and introduction of standardized assessment tools.","volume":"12","author":"B\u0151the","year":"2023","journal-title":"J Behav Addict"},{"key":"2026071523312170400_R8","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/s11930-018-0176-z","article-title":"Neurocognitive mechanisms in compulsive sexual behavior disorder.","volume":"10","author":"Kowalewska","year":"2018","journal-title":"Curr Sex Health Rep"},{"issue":"3","key":"2026071523312170400_R9","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1080\/00224499.2017.1291798","article-title":"The development of the problematic pornography consumption scale (PPCS).","volume":"55","author":"B\u0151the","year":"2018","journal-title":"J Sex Res"},{"issue":"4","key":"2026071523312170400_R10","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1556\/2006.5.2016.072","article-title":"Barriers to female sex addiction treatment in the UK.","volume":"5","author":"Dhuffar","year":"2016","journal-title":"J Behav Addict"},{"issue":"2","key":"2026071523312170400_R11","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1556\/2006.8.2019.16","article-title":"Hypersexual behavior in a large online sample: individual characteristics and signs of coercive sexual behavior.","volume":"8","author":"Engel","year":"2019","journal-title":"J Behav Addict"},{"key":"2026071523312170400_R12","doi-asserted-by":"publisher","first-page":"2231","DOI":"10.1007\/s10508-017-0991-8","article-title":"Hypersexuality: a critical review and introduction to the \u201cSexhavior Cycle\u201d.","volume":"46","author":"Walton","year":"2017","journal-title":"Arch Sex Behav"},{"key":"2026071523312170400_R13","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101925","article-title":"Sexual addiction 25 years on: a systematic and methodological review of empirical literature and an agenda for future research.","volume":"82","author":"Grubbs","year":"2020","journal-title":"Clin Psychol Rev"},{"issue":"3","key":"2026071523312170400_R14","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1080\/00224490409552230","article-title":"Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model.","volume":"41","author":"Bancroft","year":"2004","journal-title":"J Sex Res"},{"issue":"2-3","key":"2026071523312170400_R15","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1080\/10720162.2018.1515050","article-title":"An integrative biopsychosocial and sex positive model of understanding and treatment of impulsive\/compulsive sexual behavior.","volume":"25","author":"Coleman","year":"2018","journal-title":"Sex Addict Compuls"},{"key":"2026071523312170400_R16","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1177\/104012371302500305","article-title":"Compulsive sexual behavior in young adults.","volume":"25","author":"Odlaug","year":"2013","journal-title":"Ann Clin Psychiatry"},{"issue":"1","key":"2026071523312170400_R17","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1080\/10720162.2011.555709","article-title":"Reliability, validity, and psychometric development of the Hypersexual Behavior Inventory in an outpatient sample of men.","volume":"18","author":"Reid","year":"2011","journal-title":"Sex Addict Compuls"},{"issue":"2","key":"2026071523312170400_R18","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1556\/2006.2020.00034","article-title":"The development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): an ICD-11 based screening measure across three languages.","volume":"9","author":"B\u0151the","year":"2020","journal-title":"J Behav Addict"},{"issue":"8","key":"2026071523312170400_R19","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1016\/j.jsxm.2019.05.006","article-title":"Which dimensions of human sexuality are related to Compulsive Sexual Behavior Disorder (CSBD)? Study using a multidimensional sexuality questionnaire on a sample of Polish males.","volume":"16","author":"Kowalewska","year":"2019","journal-title":"J Sex Med"},{"issue":"2","key":"2026071523312170400_R20","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1556\/2006.2024.00009","article-title":"Compulsive sexual behaviour in Iranian married women: prevalence, sociodemographic, sexual, and psychological predictors across-country.","volume":"13","author":"Khayer","year":"2024","journal-title":"J Behav Addict"},{"issue":"3","key":"2026071523312170400_R21","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1111\/ppc.12160","article-title":"A study on sexual function in Obsessive\u2013Compulsive Disorder (OCD) patients with and without depressive symptoms.","volume":"53","author":"Ghassemzadeh","year":"2017","journal-title":"Perspect Psychiatr Care"},{"issue":"4","key":"2026071523312170400_R22","first-page":"11","article-title":"Sexual function and marital satisfaction in female with obsessive-compulsive disorder.","volume":"19","author":"Raeisi","year":"2016","journal-title":"J Arak Uni Med Sci"},{"key":"2026071523312170400_R23","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-024-02160-3","article-title":"Examination of the relationship between dimensions of sexual perfectionism and female sexual function and sexual performance anxiety among Iranian married women of reproductive age: a cross-sectional study.","volume":"12","author":"Hosseini","year":"2024","journal-title":"BMC Psychol"},{"key":"2026071523312170400_R24","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-025-08697-9","article-title":"From habit to compulsion: the mediating role of sexual compulsivity between pornography consumption and problematic use.","volume":"45","author":"Shekarchi","year":"2026","journal-title":"Curr Psychol"},{"issue":"3","key":"2026071523312170400_R25","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1207\/s15327752jpa6503_16","article-title":"Sexual sensation seeking and sexual compulsivity scales: validity, and predicting HIV risk behavior.","volume":"65","author":"Kalichman","year":"1995","journal-title":"J Pers Assess"},{"issue":"2","key":"2026071523312170400_R26","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"issue":"2","key":"2026071523312170400_R27","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1111\/j.1743-6109.2011.02553.x","article-title":"The Female Sexual Function Index: translation and validation of an Iranian version.","volume":"9","author":"Fakhri","year":"2012","journal-title":"J Sex Med"},{"issue":"6","key":"2026071523312170400_R28","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction.","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"issue":"6","key":"2026071523312170400_R29","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1080\/0092623X.2013.788110","article-title":"Validation of a translated and culturally adapted Iranian version of the international index of erectile function.","volume":"40","author":"Pakpour","year":"2014","journal-title":"J Sex Marital Ther"},{"key":"2026071523312170400_R30"},{"key":"2026071523312170400_R31","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.","volume":"39","author":"Faul","year":"2007","journal-title":"Behav Res Methods"},{"key":"2026071523312170400_R32","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1111\/j.1467-9280.2007.01882.x","article-title":"Required sample size to detect the mediated effect.","volume":"18","author":"Fritz","year":"2007","journal-title":"Psychol Sci"},{"issue":"5","key":"2026071523312170400_R33","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1002\/cpp.2300","article-title":"Does experiential avoidance explain the relationships between shame, PTSD symptoms, and compulsive sexual behaviour among women in substance use treatment?","volume":"25","author":"Brem","year":"2018","journal-title":"Clin Psychol Psychother"},{"issue":"2","key":"2026071523312170400_R34","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1556\/2006.2022.00026","article-title":"What does \u201csexual\u201d mean in compulsive sexual behavior disorder? Commentary to the debate: \u201cBehavioral addictions in the ICD-11\u201d.","volume":"11","author":"Briken","year":"2022","journal-title":"J Behav Addict"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH26057\/1946518\/sh26057.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH26057\/1946518\/sh26057.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:31:30Z","timestamp":1784172690000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/23\/4\/SH26057\/274749\/Gender-specific-associations-between-sexual"}},"subtitle":[],"editor":[{"given":"Megan","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,7,16]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8,17]]}},"URL":"https:\/\/doi.org\/10.1071\/sh26057","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,16]]},"article-number":"SH26057"}}