{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:41:25Z","timestamp":1782168085529,"version":"3.54.5"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T00:00:00Z","timestamp":1749340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"MUR, National Recovery and Resilience Plan","award":["PE0000006"],"award-info":[{"award-number":["PE0000006"]}]},{"name":"Sapienza 2022 Research Call - type 1","award":["AR1221816 C4746C4"],"award-info":[{"award-number":["AR1221816 C4746C4"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Obesity is a challenging disease due to its multifactorial pathogenesis. However, sexual health is a poorly explored aspect in these patients, and the interaction between eating behavior, psychological factors, and sexual function remains insufficiently characterized, although it may represent a key aspect in clinical management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To provide a characterization of psychological, eating, and sexual function characteristics of patients with obesity through an exploratory analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional, single-center study was carried out at Umberto I Hospital of Sapienza University of Rome (Italy), where patients with obesity (body mass index \u226530\u00a0kg\/m2) were recruited. Additionally, a control group of age-matched, normal-weight (body mass index\u2009=\u200918-25\u00a0kg\/m2) subjects was enrolled online. All subjects compiled a series of validated psychometric questionnaires that evaluated psychological distress, disordered eating behaviors, attachment styles, and sexual dysfunction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>To evaluate the psychological distress, attachment style, disordered eating behavior, and sexual dysfunction in patients with obesity and to explore the correlations between these aspects.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Seventy-two patients (45 women, mean age 51.4\u2009\u00b1\u20094.3\u00a0years and 27 men, mean age 39.6\u2009\u00b1\u200916.6\u00a0years) and 76 controls (51 women, mean age 36.8\u2009\u00b1\u200914.3\u00a0years and 25 men, mean age 39.2\u2009\u00b1\u200916.6\u00a0years) were recruited. Subjects with obesity reported significantly higher scores in somatization and paranoid ideation symptoms, higher scores in food addiction and binge eating domains, and a more fearful attachment style. Women also reported lower sexual desire, arousal, and lubrication, while men showed significantly lower erectile function, orgasmic intensity, and sexual satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical implications<\/jats:title>\n                  <jats:p>Subjects with obesity are characterized by higher somatization, maladaptive eating behaviors, insecure attachment style, and worse sexual function compared to controls, which highlights the necessity of a multidimensional treatment approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and limitations<\/jats:title>\n                  <jats:p>A large and comprehensive battery of questionnaires was employed to examine both the clinical and the control population. However, the absence of stratification by age and the small sample size prevent the generalizability of the results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our results highlight the intricate interplay between psychological, behavioral, and sexual factors in individuals affected by obesity. Further studies should focus on larger and more diverse samples and examine longitudinal trajectories of psychological and sexual health changes in response to weight-loss interventions, to assess how such interconnection may help to improve the personalization of care programs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf133","type":"journal-article","created":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T22:59:33Z","timestamp":1749337173000},"page":"1465-1474","source":"Crossref","is-referenced-by-count":2,"title":["Obesity may be more associated with disordered eating behaviors, somatization, insecure attachment styles, and sexual dysfunction: an exploratory study"],"prefix":"10.1093","volume":"22","author":[{"given":"Elena","family":"Colonnello","sequence":"first","affiliation":[{"name":"Section of Medical Pathophysiology, Food Science and Endocrinology, Department of Experimental Medicine, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]},{"name":"Chair of Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata , 00133 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Guidi","sequence":"additional","affiliation":[{"name":"Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Di Lazzaro","sequence":"additional","affiliation":[{"name":"Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Massetti","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Specialities, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso B","family":"Jannini","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, University of Rome Tor Vergata , 00133 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucio","family":"Gnessi","sequence":"additional","affiliation":[{"name":"Section of Medical Pathophysiology, Food Science and Endocrinology, Department of Experimental Medicine, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Lubrano","sequence":"additional","affiliation":[{"name":"Section of Medical Pathophysiology, Food Science and Endocrinology, Department of Experimental Medicine, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Limoncin","sequence":"additional","affiliation":[{"name":"Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Sansone","sequence":"additional","affiliation":[{"name":"Chair of Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata , 00133 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Ciocca","sequence":"additional","affiliation":[{"name":"Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome , 00185 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,8]]},"reference":[{"key":"2025080406264115200_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuae144","article-title":"Demystifying obesity: understanding, prevention, treatment, and stigmas","volume":"nuae144","author":"Minari","year":"2024","journal-title":"Nutr Rev"},{"issue":"7","key":"2025080406264115200_ref2","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1111\/obr.12551","article-title":"Obesity: a chronic relapsing progressive disease process. A position statement of the world obesity federation","volume":"18","author":"Bray","year":"2017","journal-title":"Obes Rev Off J Int Assoc Study Obes"},{"key":"2025080406264115200_ref3","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S2468-1253(21)00143-6","article-title":"Obesity: another ongoing pandemic","volume":"6","author":"Hepatology","year":"2021","journal-title":"Lancet Gastroenterol Hepatol"},{"issue":"Suppl 1","key":"2025080406264115200_ref4","first-page":"3","article-title":"Obesity\u2014a modern pandemic: the burden of disease","volume":"60","author":"James","year":"2013","journal-title":"Endocrinol Nutr Organo Soc Espanola Endocrinol Nutr"},{"key":"2025080406264115200_ref5","volume-title":"World Obesity Atlas 2024: No Area of the World Is Unaffected by the Consequences of Obesity"},{"key":"2025080406264115200_ref6","volume-title":"Health at a Glance: Asia\/Pacific 2020: Measuring Progress Towards Universal Health Coverage","author":"OECD & World Health Organization","year":"2020"},{"issue":"102s58","key":"2025080406264115200_ref7","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1016\/S0140-6736(20)30752-2","article-title":"Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019","volume":"396","author":"GBD 2019 Risk Factors Collaborators","year":"2020","journal-title":"Lancet Lond Engl"},{"key":"2025080406264115200_ref8","volume-title":"Institute for Health Metrics and ssEvaluation","author":"Global burden of disease results tool","year":"2023"},{"key":"2025080406264115200_ref9","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(23)02750-2","article-title":"Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults","volume":"403","author":"Phelps","year":"2024","journal-title":"Lancet"},{"issue":"1","key":"2025080406264115200_ref10","first-page":"A24","article-title":"Features and initial assessment of the Italian Behavioral risk factor surveillance system (PASSI), 2007-2008","volume":"8","author":"Baldissera","year":"2010","journal-title":"Prev Chronic Dis"},{"key":"2025080406264115200_ref11","doi-asserted-by":"publisher","first-page":"1332076","DOI":"10.3389\/fpubh.2024.1332076","article-title":"First national analysis of severe obesity hospitalizations in Italy: insights from discharge card database","volume":"12","author":"Manno","year":"2024","journal-title":"Front Public Health"},{"issue":"10","key":"2025080406264115200_ref12","doi-asserted-by":"publisher","first-page":"e47059","DOI":"10.1371\/journal.pone.0047059","article-title":"Relationships between body fat distribution, epicardial fat and obstructive sleep apnea in obese patients with and without metabolic syndrome","volume":"7","author":"Lubrano","year":"2012","journal-title":"PLoS One"},{"issue":"2","key":"2025080406264115200_ref13","doi-asserted-by":"publisher","first-page":"488","DOI":"10.3390\/v15020488","article-title":"Obesity-associated hepatic steatosis, Somatotropic Axis impairment, and ferritin levels are strong predictors of COVID-19 Severity","volume":"15","author":"Masi","year":"2023","journal-title":"Viruses"},{"issue":"7","key":"2025080406264115200_ref14","doi-asserted-by":"publisher","first-page":"2097","DOI":"10.1007\/s40519-020-01060-w","article-title":"Liver disease in obesity and underweight: the two sides of the coin. A narrative review","volume":"26","author":"Risi","year":"2021","journal-title":"Eat Weight Disord"},{"issue":"2","key":"2025080406264115200_ref15","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1037\/amp0000538","article-title":"Weight stigma as a psychosocial contributor to obesity","volume":"75","author":"Puhl","year":"2020","journal-title":"Am Psychol"},{"issue":"4","key":"2025080406264115200_ref16","doi-asserted-by":"publisher","first-page":"282","DOI":"10.3109\/17477160903473697","article-title":"Self-esteem and quality of life in obese children and adolescents: A systematic review","volume":"5","author":"Griffiths","year":"2010","journal-title":"Int J Pediatr Obes"},{"issue":"2","key":"2025080406264115200_ref17","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1159\/000362257","article-title":"Psychological correlates to dysfunctional eating patterns among morbidly obese patients accepted for bariatric surgery","volume":"7","author":"Gade","year":"2014","journal-title":"Obes Facts"},{"issue":"2","key":"2025080406264115200_ref18","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1176\/ajp.2007.164.2.328","article-title":"Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status","volume":"164","author":"Kalarchian","year":"2007","journal-title":"Am J Psychiatry"},{"key":"2025080406264115200_ref19","doi-asserted-by":"publisher","first-page":"105797","DOI":"10.1016\/j.appet.2021.105797","article-title":"Patterns of eating behavior in people with severe obesity seeking weight loss treatment: an exploratory study","volume":"169","author":"Romain","year":"2022","journal-title":"Appetite"},{"issue":"4","key":"2025080406264115200_ref20","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1002\/oby.23120","article-title":"Selection of Antiobesity medications based on phenotypes enhances weight loss: A pragmatic trial in an obesity clinic","volume":"29","author":"Acosta","year":"2021","journal-title":"Obes Silver Spring Md"},{"issue":"6","key":"2025080406264115200_ref21","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.1007\/s40519-022-01363-0","article-title":"Development, validation and clinical use of the eating Behaviors assessment for obesity (EBA-O)","volume":"27","author":"Segura-Garcia","year":"2022","journal-title":"Eat Weight Disord"},{"key":"2025080406264115200_ref22","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.cpr.2017.09.004","article-title":"Grazing in adults with obesity and eating disorders: A systematic review of associated clinical features and meta-analysis of prevalence","volume":"58","author":"Heriseanu","year":"2017","journal-title":"Clin Psychol Rev"},{"issue":"6","key":"2025080406264115200_ref23","doi-asserted-by":"publisher","first-page":"528","DOI":"10.1111\/j.1467-789X.2011.00975.x","article-title":"The night-eating syndrome and obesity","volume":"13","author":"Gallant","year":"2012","journal-title":"Obes Rev Off J Int Assoc Study Obes"},{"key":"2025080406264115200_ref24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41398-023-02447-w","article-title":"Obesity as pleiotropic risk state for metabolic and mental health throughout life","volume":"13","author":"Leutner","year":"2023","journal-title":"Transl Psychiatry"},{"issue":"1","key":"2025080406264115200_ref25","doi-asserted-by":"publisher","first-page":"2055102915590692","DOI":"10.1177\/2055102915590692","article-title":"Homeostatic theory of obesity","volume":"2","author":"Marks","year":"2015","journal-title":"Health Psychol Open"},{"issue":"44","key":"2025080406264115200_ref26","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1038\/s41366-019-0378-0","article-title":"Disorganized attachment predicts body mass index via uncontrolled eating","volume":"2005","author":"Wilkinson","year":"2020","journal-title":"Int J Obes"},{"issue":"1","key":"2025080406264115200_ref27","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s40519-024-01638-8","article-title":"Childhood traumatic experiences in people with obesity with and without eating disorders who are seeking bariatric surgery: the role of attachment relationships and family functioning","volume":"29","author":"Paone","year":"2024","journal-title":"Eat Weight Disord"},{"issue":"8","key":"2025080406264115200_ref28","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1002\/eat.23762","article-title":"Attachment insecurity predicts worse outcome in patients with eating disorders treated with enhanced cognitive behavior therapy: A one-year follow-up study","volume":"55","author":"Rossi","year":"2022","journal-title":"Int J Eat Disord"},{"issue":"2","key":"2025080406264115200_ref29","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1007\/s11695-017-2796-1","article-title":"The role of attachment in body weight and weight loss in bariatric patients","volume":"28","author":"Nancarrow","year":"2018","journal-title":"Obes Surg"},{"key":"2025080406264115200_ref30","doi-asserted-by":"publisher","first-page":"e70439","DOI":"10.7759\/cureus.70439","article-title":"Association of Obesity, inflammation, and hypogonadism: A cross-sectional study in males under 60 years of age","volume":"16","author":"Shende","year":"2024","journal-title":"Cureus"},{"issue":"6","key":"2025080406264115200_ref31","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1111\/j.1365-2605.2008.00951.x","article-title":"Hypogonadism, ED, metabolic syndrome and obesity: a pathological link supporting cardiovascular diseases","volume":"32","author":"Corona","year":"2009","journal-title":"Int J Androl"},{"issue":"3","key":"2025080406264115200_ref32","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1016\/j.sxmr.2017.03.006","article-title":"Sexual function, obesity, and weight loss in men and women","volume":"5","author":"Rowland","year":"2017","journal-title":"Sex Med Rev"},{"issue":"2","key":"2025080406264115200_ref33","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1093\/sxmrev\/qead047","article-title":"Association between obesity and female sexual dysfunction: a review","volume":"12","author":"Saadedine","year":"2024","journal-title":"Sex Med Rev"},{"key":"2025080406264115200_ref34","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1210\/endrev\/bnad027","article-title":"Obesity-related hypogonadism in women","volume":"45","author":"Eng","year":"2023","journal-title":"Endocr Rev"},{"issue":"1","key":"2025080406264115200_ref35","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3390\/sexes3010002","article-title":"Obesity, body image dissatisfaction, and sexual dysfunction: A narrative review","volume":"3","author":"McNabney","year":"2022","journal-title":"Theol Sex"},{"issue":"5","key":"2025080406264115200_ref36","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1038\/sj.ijir.3901333","article-title":"Obesity, the metabolic syndrome, and sexual dysfunction","volume":"17","author":"Esposito","year":"2005","journal-title":"Int J Impot Res"},{"issue":"5","key":"2025080406264115200_ref37","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1002\/osp4.670","article-title":"The forgotten patient: A psychological perspective on the implementation of bariatric surgery guidelines","volume":"9","author":"Johnston","year":"2023","journal-title":"Obes Sci Pract"},{"key":"2025080406264115200_ref38","volume-title":"Rethinking Causality, Complexity and Evidence for the Unique Patient: A CauseHealth Resource for Healthcare Professionals and the Clinical Encounter","year":"2020"},{"issue":"6","key":"2025080406264115200_ref39","doi-asserted-by":"publisher","first-page":"e12339","DOI":"10.1111\/cob.12339","article-title":"British obesity metabolic surgery society endorsed guidelines for psychological support pre- and post-bariatric surgery","volume":"9","author":"Ogden","year":"2019","journal-title":"Clin Obes"},{"issue":"4","key":"2025080406264115200_ref40","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1002\/1097-4679(197710)33:4&lt;981::AID-JCLP2270330412&gt;3.0.CO;2-0","article-title":"Confirmation of the dimensional structure of the scl-90: A study in construct validation","volume":"33","author":"Derogatis","year":"1977","journal-title":"J Clin Psychol"},{"issue":"2","key":"2025080406264115200_ref41","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1037\/0022-3514.61.2.226","article-title":"Attachment styles among young adults: A test of a four-category model","volume":"61","author":"Bartholomew","year":"1991","journal-title":"J Pers Soc Psychol"},{"issue":"2","key":"2025080406264115200_ref42","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":"6","key":"2025080406264115200_ref43","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":"5","key":"2025080406264115200_ref44","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1111\/andr.12220","article-title":"The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the \u2018Orgasmometer\u2019","volume":"4","author":"Limoncin","year":"2016","journal-title":"Andrology"},{"issue":"8","key":"2025080406264115200_ref45","doi-asserted-by":"publisher","first-page":"e0202076","DOI":"10.1371\/journal.pone.0202076","article-title":"Validation of a visual analogue scale to measure the subjective perception of orgasmic intensity in females: the Orgasmometer-F","volume":"13","author":"Mollaioli","year":"2018","journal-title":"PLoS One"},{"key":"2025080406264115200_ref46","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jad.2020.11.100","article-title":"Hypersexuality and trauma: a mediation and moderation model from psychopathology to problematic sexual behavior","volume":"281","author":"Fontanesi","year":"2021","journal-title":"J Affect Disord"},{"key":"2025080406264115200_ref47","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.jad.2021.06.064","article-title":"Hypersexual behavior and attachment styles in a non-clinical sample: the mediation role of depression and post-traumatic stress symptoms","volume":"293","author":"Ciocca","year":"2021","journal-title":"J Affect Disord"},{"key":"2025080406264115200_ref48","article-title":"Italian validation of the hypersexual behavior inventory (HBI): psychometric characteristics of a self-report tool evaluating a psychopathological facet of sexual behavior","volume":"26","author":"Ciocca","year":"2020","journal-title":"Off J Ital Soc Psychopathol"},{"issue":"5","key":"2025080406264115200_ref49","doi-asserted-by":"publisher","first-page":"431","DOI":"10.3390\/nu9050431","article-title":"An exploratory study on the influence of psychopathological risk and impulsivity on BMI and perceived quality of life in obese patients","volume":"9","author":"Tambelli","year":"2017","journal-title":"Nutrients"},{"issue":"32","key":"2025080406264115200_ref50","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1590\/S1516-44462010000100009","article-title":"Impact of body mass index on the psychopathological profile of obese women","volume":"1999","author":"Papelbaum","year":"2010","journal-title":"Rev Bras Psiquiatr Sao Paulo Braz"},{"key":"2025080406264115200_ref51","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1016\/j.appet.2018.11.014","article-title":"A serial mediation model of the relationship between alexithymia and BMI: the role of negative affect, negative urgency and emotional eating","volume":"133","year":"2019","journal-title":"Appetite"},{"issue":"6","key":"2025080406264115200_ref52","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/s11892-018-1000-x","article-title":"Causes of emotional eating and matched treatment of obesity","volume":"18","author":"van Strien","year":"2018","journal-title":"Curr Diab Rep"},{"issue":"5","key":"2025080406264115200_ref53","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s40519-019-00767-9","article-title":"Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity","volume":"25","author":"Casagrande","year":"2020","journal-title":"Eat Weight Disord"},{"issue":"5","key":"2025080406264115200_ref54","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1111\/andr.12770","article-title":"European academy of andrology (EAA) guidelines on investigation, treatment and monitoring of functional hypogonadism in males: endorsing organization: European Society of Endocrinology","volume":"8","author":"Corona","year":"2020","journal-title":"Andrology"},{"issue":"4","key":"2025080406264115200_ref55","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1038\/ijir.2008.9","article-title":"Obesity and sexual dysfunction, male and female","volume":"20","author":"Esposito","year":"2008","journal-title":"Int J Impot Res"},{"issue":"3","key":"2025080406264115200_ref56","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/j.eururo.2006.02.053","article-title":"Psychobiologic correlates of the metabolic syndrome and associated sexual dysfunction","volume":"50","author":"Corona","year":"2006","journal-title":"Eur Urol"},{"issue":"4","key":"2025080406264115200_ref57","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1038\/sj.ijir.3901548","article-title":"Association of body weight with sexual function in women","volume":"19","author":"Esposito","year":"2007","journal-title":"Int J Impot Res"},{"issue":"5","key":"2025080406264115200_ref58","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1038\/sj.ijir.3901555","article-title":"Mediterranean diet improves sexual function in women with the metabolic syndrome","volume":"19","author":"Esposito","year":"2007","journal-title":"Int J Impot Res"},{"issue":"5","key":"2025080406264115200_ref59","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1111\/obr.12670","article-title":"Mast cells participate in chronic low-grade inflammation within adipose tissue","volume":"19","author":"\u017belechowska","year":"2018","journal-title":"Obes Rev"},{"issue":"4","key":"2025080406264115200_ref60","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1016\/j.sxmr.2019.05.005","article-title":"Impact of immune system activation and vascular impairment on male and female sexual dysfunction","volume":"7","author":"Calmasini","year":"2019","journal-title":"Sex Med Rev"},{"issue":"11","key":"2025080406264115200_ref61","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1007\/s40618-018-0872-6","article-title":"From inflammation to sexual dysfunctions: a journey through diabetes, obesity, and metabolic syndrome","volume":"41","author":"Maiorino","year":"2018","journal-title":"J Endocrinol Investig"},{"issue":"2","key":"2025080406264115200_ref62","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1159\/000489420","article-title":"The impact of metabolic syndrome and its components on female sexual dysfunction: A narrative mini-review","volume":"12","author":"Di Francesco","year":"2019","journal-title":"Curr Urol"},{"issue":"4","key":"2025080406264115200_ref63","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1016\/j.esxm.2020.06.008","article-title":"Body image, orgasmic response, and sexual relationship satisfaction: understanding relationships and establishing typologies based on body image satisfaction","volume":"8","author":"Horvath","year":"2020","journal-title":"Sex Med"},{"issue":"9","key":"2025080406264115200_ref64","doi-asserted-by":"publisher","first-page":"1787","DOI":"10.1007\/s40618-022-01798-3","article-title":"Hypersexuality as a tip of the iceberg of a primary psychopathology: a joined position statement of the Italian Society of Andrology and Sexual Medicine (SIAMS) and of the Italian Society of Psychopathology (SOPSI)","volume":"45","author":"Limoncin","year":"2022","journal-title":"J Endocrinol Investig"},{"issue":"2","key":"2025080406264115200_ref65","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/j.sxmr.2018.02.002","article-title":"Response regarding existential issues in sexual medicine: the relation between death anxiety and Hypersexuality","volume":"6","author":"Ciocca","year":"2018","journal-title":"Sex Med Rev"},{"key":"2025080406264115200_ref66","doi-asserted-by":"publisher","first-page":"101709","DOI":"10.1016\/j.eatbeh.2023.101709","article-title":"The role of stress in the association among food insecurity, eating disorder pathology, and binge eating-related appetitive traits","volume":"49","author":"Kosmas","year":"2023","journal-title":"Eat Behav"},{"issue":"3","key":"2025080406264115200_ref67","doi-asserted-by":"publisher","first-page":"2504","DOI":"10.3390\/ijerph20032504","article-title":"Coping as a mediator and moderator between psychological distress and disordered eating Behaviors and weight changes during the COVID-19 pandemic","volume":"20","author":"Machado","year":"2023","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"2025080406264115200_ref68","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1080\/00926230701636197","article-title":"Alexithymia, emotional instability, and vulnerability to stress proneness in patients seeking help for hypersexual behavior","volume":"34","author":"Reid","year":"2008","journal-title":"J Sex Marital Ther"},{"issue":"6","key":"2025080406264115200_ref69","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1038\/oby.2007.162","article-title":"Preventing excessive weight gain in adolescents: interpersonal psychotherapy for binge eating","volume":"15","author":"Tanofsky-Kraff","year":"2007","journal-title":"Obes Silver Spring Md"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/8\/1465\/63450621\/qdaf133.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/8\/1465\/63450621\/qdaf133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T10:27:03Z","timestamp":1754303223000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/22\/8\/1465\/8158342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,8]]},"references-count":69,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,6,8]]},"published-print":{"date-parts":[[2025,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdaf133","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,6,8]]}}}