{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T05:13:37Z","timestamp":1770527617434,"version":"3.49.0"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The concept of hypersexuality has been accompanied by fierce debates and conflicting conclusions about its nature. One of the central questions under the discussion is a potential overlap between hypersexuality and high sexual desire. With the relevant research in its early phase, the structure of hypersexuality remains largely unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the present study was to systematically explore the overlap between problematic sexuality and high sexual desire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A community online survey was carried out in Croatia in 2014. The data were first cluster analyzed (by gender) based on sexual desire, sexual activity, perceived lack of control over one's sexuality, and negative behavioral consequences. Participants in the meaningful clusters were then compared for psychosocial characteristics. To complement cluster analysis (CA), multigroup confirmatory factor analysis (CFA) of the same four constructs was carried out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Indicators representing the proposed structure of hypersexuality were included: sexual desire, frequency of sexual activity, lack of control over one's sexuality, and negative behavioral outcomes. Psychosocial characteristics such as religiosity, attitudes toward pornography, and general psychopathology were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CA pointed to the existence of two meaningful clusters, one representing problematic sexuality, that is, lack of control over one's sexuality and negative outcomes (control\/consequences cluster), and the other reflecting high sexual desire and frequent sexual activity (desire\/activity cluster). Compared with the desire\/activity cluster, individuals from the control\/consequences cluster reported more psychopathology and were characterized by more traditional attitudes. Complementing the CA findings, CFA pointed to two distinct latent dimensions\u2014problematic sexuality and high sexual desire\/activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study supports the distinctiveness of hypersexuality and high sexual desire\/activity, suggesting that problematic sexuality might be more associated with the perceived lack of personal control over sexuality and moralistic attitudes than with high levels of sexual desire and activity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jsm.12865","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T19:59:00Z","timestamp":1427227140000},"page":"1356-1367","source":"Crossref","is-referenced-by-count":64,"title":["Hypersexuality and High Sexual Desire: Exploring the Structure of Problematic Sexuality"],"prefix":"10.1093","volume":"12","author":[{"given":"Joana","family":"Carvalho","sequence":"first","affiliation":[{"name":"Center for Psychology , Porto, \u00a0 Portugal"},{"name":"Faculty of Psychology and Educational Sciences , Porto, \u00a0 Portugal"},{"name":"University of Porto , Porto, \u00a0 Portugal"}]},{"given":"Aleksandar","family":"\u0160tulhofer","sequence":"additional","affiliation":[{"name":"Department of Sociology , Zagreb, \u00a0 Croatia"},{"name":"Faculty of Humanities and Social Sciences , Zagreb, \u00a0 Croatia"},{"name":"University of Zagreb , Zagreb, \u00a0 Croatia"}]},{"given":"Armando L.","family":"Vieira","sequence":"additional","affiliation":[{"name":"DEGEI\/GOVCOPP , Aveiro, \u00a0 Portugal"},{"name":"University of Aveiro , Aveiro, \u00a0 Portugal"}]},{"given":"Tanja","family":"Jurin","sequence":"additional","affiliation":[{"name":"Department of Psychology , Zagreb, \u00a0 Croatia"},{"name":"Faculty of Humanities and Social Sciences , Zagreb, \u00a0 Croatia"},{"name":"University of Zagreb , Zagreb, \u00a0 Croatia"}]}],"member":"286","published-online":{"date-parts":[[2015,6,1]]},"reference":[{"key":"2023012309054331000_bb0010","article-title":"The psychoanalytic theory of neurosis","author":"Fenichel","year":"1945"},{"key":"2023012309054331000_bb0015","article-title":"Psychopathia sexualis","author":"Von Krafft-Ebing","year":"1939"},{"key":"2023012309054331000_bb0020","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1007\/s10508-014-0326-y","article-title":"What happened to hypersexual disorder?","volume":"43","author":"Kafka","year":"2014","journal-title":"Arch Sex Behav"},{"key":"2023012309054331000_bb0025","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1080\/00224490409552241","article-title":"Sexual compulsivity among heterosexual college students","volume":"41","author":"Dodge","year":"2004","journal-title":"J Sex Res"},{"key":"2023012309054331000_bb0030","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1007\/s10508-009-9591-6","article-title":"Dysregulated sexuality and high sexual desire: Distinct constructs?","volume":"39","author":"Winters","year":"2010","journal-title":"Arch Sex Behav"},{"key":"2023012309054331000_bb0035","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/00224498809551467","article-title":"The myth of sexual compulsivity","volume":"25","author":"Levine","year":"1988","journal-title":"J Sex Res"},{"key":"2023012309054331000_bb0040","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1080\/10720162.2011.596762","article-title":"What you should know about hypersexual disorder","volume":"18","author":"Samenow","year":"2011","journal-title":"Sex Addict Compulsivity"},{"key":"2023012309054331000_bb0045","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s10508-009-9574-7","article-title":"Hypersexual disorder: A proposed diagnosis for DSM-V","volume":"39","author":"Kafka","year":"2010","journal-title":"Arch Sex Behav"},{"key":"2023012309054331000_bb0050","doi-asserted-by":"crossref","first-page":"2868","DOI":"10.1111\/j.1743-6109.2012.02936.x","article-title":"Report of findings in a DSM-5 field trial for hypersexual disorder","volume":"9","author":"Reid","year":"2012","journal-title":"J Sex Med"},{"key":"2023012309054331000_bb0055","doi-asserted-by":"crossref","first-page":"3088","DOI":"10.1111\/jsm.12117","article-title":"A psychometric investigation of the Hypersexual Disorder Screening Inventory among highly sexually active gay and bisexual men: An item response theory analysis","volume":"10","author":"Parsons","year":"2013","journal-title":"J Sex Med"},{"key":"2023012309054331000_bb0060","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s11930-014-0031-9","article-title":"Controversies about hypersexual disorder and the DSM-5","volume":"6","author":"Reid","year":"2014","journal-title":"Curr Sex Heal Reports"},{"key":"2023012309054331000_bb0065","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1007\/s10508-010-9719-8","article-title":"Is hypersexuality dimensional? 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