{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:46Z","timestamp":1786649626683,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sexual desires are one of the natural needs of each person being, which, if not used in the right direction, may become problematic and lead to various sexual disorders, including hypersexuality. This study aimed to compare the effects of dialectical behavior therapy (DBT) and aripiprazole on emotional divorce in hypersexual patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This study was quasi-experimental, with two experimental groups, a control group, a pretest, a posttest, and a follow-up phase. For this purpose, 54 men and women with hypersexuality were purposely selected from four hospitals and psychiatric centers in Isfahan, Iran. After matching in terms of age and gender, they were randomly assigned to two experimental groups (18 patients in each group) and a control group (18 patients). The three groups were pretested by the Emotional Divorce Questionnaire. The first experimental group underwent DBT intervention for eight 2-hour sessions (once a week), and the second was prescribed aripiprazole for 2 months. Afterward, the three groups were posttested and followed up, and the data were analyzed by multivariate analysis of covariance (MANCOVA) using Statistical Package for the Social Sciences (SPSS) version 24.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The findings demonstrated that DBT and aripiprazole significantly affected and reduced emotional divorce (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Also, there was a difference between DBT and aripiprazole interventions, with the more significant effect of DBT on emotional divorce (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It can be concluded that DBT and aripiprazole interventions influenced emotional divorce and these methods can be used in a complementary way; however, DBT was more influential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_343_23","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T14:00:44Z","timestamp":1767103244000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparing the Effect of Dialectical Behavior Therapy and Aripiprazole on Emotional Divorce in Patients with Hypersexuality"],"prefix":"10.4103","volume":"14","author":[{"given":"Zahra","family":"Tavakoli","sequence":"first","affiliation":[{"name":"Department of Health Psychology, Faculty of Medicine, Najafabad Branch, Islamic Azad University, Najafabad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Rezaei-Jamalouei","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, Faculty of Medicine, Najafabad Branch, Islamic Azad University, Najafabad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Kazemi-Zahrani","sequence":"additional","affiliation":[{"name":"Department of Psychology, Payame Noor University, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Hatef","family":"Khorrami","sequence":"additional","affiliation":[{"name":"Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iman","family":"Ghanaat","sequence":"additional","affiliation":[{"name":"Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12]]},"reference":[{"key":"R1-20251230","doi-asserted-by":"crossref","first-page":"2230","DOI":"10.1210\/en.2019-00428","article-title":"Neuroendocrine impairments of polycystic ovary syndrome","volume":"160","author":"Ruddenklau","year":"2019","journal-title":"Endocrinology"},{"key":"R2-20251230","doi-asserted-by":"crossref","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":"R5-20251230","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.paid.2017.09.028","article-title":"Types of intelligence predict likelihood to get married and stay married: Large-scale empirical evidence for evolutionary theory","volume":"122","author":"Aspara","year":"2018","journal-title":"Pers Individ Differ"},{"key":"R6-20251230","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/10502556.2019.1699372","article-title":"The intergenerational effects of parental divorce on young adult relationships","volume":"61","author":"Roper","year":"2020","journal-title":"J Divorce Remarriage"},{"key":"R7-20251230","first-page":"43","article-title":"A comparison of the effectiveness of dialectical behavior therapy and self-regulated couple therapy on reducing emotional divorce in couples","volume":"11","author":"Habibalahzadeh","year":"2020","journal-title":"Women Stud"},{"key":"R9-20251230","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1159\/000441470","article-title":"Sexual dysfunction in men receiving methadone maintenance treatment: Clinical history and psychobiological correlates","volume":"22","author":"Gerra","year":"2016","journal-title":"Eur Addict Res"},{"key":"R10-20251230","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1002\/pnp.556","article-title":"Hypersexuality and new sexual orientation following aripiprazole use","volume":"24","author":"Mousailidis","year":"2020","journal-title":"Prog Neurol Psychiatry"},{"key":"R11-20251230","first-page":"153","article-title":"Clinical indicators of sexual dysfunction in pregnant women: Integrative literature review","volume":"69","author":"Carteiro","year":"2016","journal-title":"Rev Bras Enferm"},{"key":"R12-20251230","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/13803395.2015.1085495","article-title":"Affective differences in Iowa Gambling Task performance associated with sexual risk taking and substance use among HIV-positive and HIV-negative men who have sex with men","volume":"38","author":"Golub","year":"2016","journal-title":"J Clin Exp Neuropsychol"},{"key":"R13-20251230","first-page":"281","article-title":"The effectiveness of dialectical behavior therapy on adherence to treatment and self-caring behavior in patients with coronary heart disease","volume":"15","author":"Tavakoli","year":"2019","journal-title":"ARYA Atheroscler"},{"key":"R14-20251230","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.beth.2018.03.009","article-title":"Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis","volume":"50","author":"DeCou","year":"2019","journal-title":"Behav Ther"},{"key":"R17-20251230","first-page":"83","article-title":"Construction, factor analysis and standardization of Emotional Divorce Questionnaire","volume":"12","author":"Jokar","year":"2017","journal-title":"Women Fam J"},{"key":"R18-20251230","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1037\/0893-3200.7.1.57","article-title":"A theory of marital dissolution and stability","volume":"7","author":"Gottman","year":"1993","journal-title":"J Fam Psychol"},{"key":"R19-20251230","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1080\/10502556.2016.1160483","article-title":"Emotional divorce: Child\u2019s well-being","volume":"58","author":"Hashemi","year":"2017","journal-title":"J Divorce Remarriage"},{"key":"R20-20251230","doi-asserted-by":"crossref","first-page":"294","DOI":"10.4103\/jnrp.jnrp_359_16","article-title":"Aripiprazole in tardive dyskinesia: Is it a safe choice?","volume":"8","author":"Doval","year":"2017","journal-title":"J Neurosci Rural Pract"},{"key":"R21-20251230","doi-asserted-by":"crossref","first-page":"525","DOI":"10.2515\/therapie\/2014064","article-title":"Hypersexuality associated with Aripiprazole: A new case and review of the literature","volume":"69","author":"Vrignaud","year":"2014","journal-title":"Therapie"},{"key":"R22-20251230","doi-asserted-by":"crossref","first-page":"85","DOI":"10.5152\/npa.2015.9896","article-title":"Spontaneous ejaculations associated with Aripiprazole","volume":"53","author":"E\u011filmez","year":"2016","journal-title":"Noro Psikiyatr Ars"},{"key":"R23-20251230","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.encep.2016.01.003","article-title":"Aripiprazole, gambling disorder and compulsive sexuality","volume":"42","author":"M\u00e9t\u00e9","year":"2016","journal-title":"Encephale"},{"key":"R25-20251230","first-page":"31","article-title":"Effectiveness of quality of life therapy and dialectical behavioral therapy on loneliness among female undergraduate students with smartphones addiction","volume":"16","author":"Najarpour","year":"2021","journal-title":"J Mod Psychol Res"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_343_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:15Z","timestamp":1786647375000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_343_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_343_23","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2023-09-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}