“…Studies seeking to understand this phenomenon have linked hypersexual behavior to anxiety, depression (Raviv, 1993;Raymond, Coleman, & Miner, 2003), attention-deficit disorders (Kafka & Prentky, 1998), social phobia, substance abuse (Kafka & Hennen, 2002), obsessive tendencies (Schwartz & Abramowitz, 2003), sexual dysfunction (Butts, 1992), and post-traumatic stress disorders (Howard, 2007). Studies investigating personality note that boredom proneness (Chaney & Blalock, 2006), interpersonal sensitivity, alexithymia, loneliness, shame, and low self-esteem have also been observed in association with hypersexual behavior (Guigliamo, 2006;Reid, Carpenter, Spackman, & Willes, 2008;Reid, Harper, & Anderson, 2009;Wilson, 2000;Yoder, Virden, & Amin, 2005). Some evidence suggests that hypersexuality also disrupts healthy attachments in romantic interpersonal relationships (Reid, Carpenter, Draper, & Manning, in press;Reid & Woolley, 2006;Zapf, Greiner, & Carroll, 2008).…”