{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T17:44:14Z","timestamp":1769708654986,"version":"3.49.0"},"reference-count":70,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypersexuality is associated with significant psychological distress and health risks, yet few studies have examined the long-term effects of psychological interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the one-year follow-up outcomes of a brief, individual Acceptance and Commitment Therapy (ACT) intervention for patients with clinically significant hypersexuality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ten participants who completed an eight-session ACT protocol were assessed at pre-treatment, post-treatment, and at 3-month and 1-year follow-ups using standardized self-report measures. Statistical and clinical significance were analyzed using repeated measures ANOVA, Friedman tests, and the Jacobson and Truax method to evaluate individual-level change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Reductions in hypersexuality and craving interference, as well as increases in values-consistent behavior and perceived control over craving, were maintained at the one-year follow-up. Psychological inflexibility, which had not significantly changed immediately after treatment, showed significant improvement at 1-year follow-up. Clinically significant reductions in hypersexuality were observed in 9 out of 10 participants, while changes in psychological inflexibility were more limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings provide preliminary evidence for the sustained effectiveness, feasibility, and acceptability of a brief ACT-based intervention for hypersexuality, particularly among men with non-heterosexual orientations and individuals engaging in chemsex. Further controlled trials are warranted to confirm these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1706722","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T06:40:54Z","timestamp":1769668854000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["One-year follow-up effects of an acceptance-based treatment for hypersexuality"],"prefix":"10.3389","volume":"17","author":[{"given":"Marta","family":"Ortega-Otero","sequence":"first","affiliation":[{"name":"Department of Psychology, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Pol\u00edn","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lobato","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Montesinos","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"ref1","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1080\/0092623X.2018.1518886","article-title":"A validation study of the Spanish version of the hypersexual behavior inventory (HBI): paper-and-pencil versus online administration","volume":"45","author":"Ballester-Arnal","year":"2019","journal-title":"J. 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