Demoralization, Hypomanic Activation, and Disconstraint Scores on MMPI-2 Scales as Significant Predictors of Hypersexual Behavior

Reid, Rory C.; Carpenter, Bruce N.

doi:10.1080/10720160903202448

Cited by 12 publications

(4 citation statements)

References 58 publications

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“…The core features associated with problems of self-concept reflect a lack of self-confidence, being unsure of oneself or a belief that one has diminished abilities interfering with goal attainment. This finding is similar to other research among hypersexual patients without ADHD who exhibited greater levels of shame, low self-esteem and feelings of demoralization [23]. However, questions remain about why hypersexual patients with ADHD might be particularly vulnerable to deficits of self-concept, and how this may play a role in the onset or maintenance of hypersexual behavior.…”

Section: Understanding Adult Adhd In Hypersexual Mensupporting

confidence: 87%

Perspectives on the assessment and treatment of adult ADHD in hypersexual men

Reid¹,

Davtian²,

Lenartowicz³

et al. 2013

Neuropsychiatry

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This article reviews the current body of research on adult ADHD and hypersexual behavior. Drawing on perspectives from the fields of psychology and neuroscience, several suggestions are offered to explain why individuals with ADHD may be vulnerable to engaging in hypersexual behavior. Assessment guidelines are provided to help clinicians differentiate characteristics of hypersexuality from adult ADHD. Finally, recommendations are made for the treatment of adult ADHD in hypersexual patients.

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Section: Understanding Adult Adhd In Hypersexual Mensupporting

confidence: 87%

Perspectives on the assessment and treatment of adult ADHD in hypersexual men

Reid¹,

Davtian²,

Lenartowicz³

et al. 2013

Neuropsychiatry

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“…A possible exception is that the concentration and memory aspects of executive functions captured by the Working Memory subscale might also contribute to hypersexuality. For example, a paucity of working memory can diminish an individual's ability to perform tasks, predisposing the individual to feel demoralized or easily stressed, which in turn can precipitate hypersexual behavior (Reid et al, 2008;Reid & Carpenter, 2009b).…”

Section: Clinically Meaningful Elevationsmentioning

confidence: 99%

Self-Reported Differences on Measures of Executive Function and Hypersexual Behavior in a Patient and Community Sample of Men

Reid

Karim

McCrory

et al. 2010

International Journal of Neuroscience

Self Cite

107

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Patients seeking help for hypersexual behavior often exhibit features of impulsivity, cognitive rigidity, poor judgment, deficits in emotion regulation, and excessive preoccupation with sex. Some of these characteristics are also common among patients presenting with neurological pathology associated with executive dysfunction. These observations led to the current investigation of differences between a group of hypersexual patients (n = 87) and a non-hypersexual community sample (n = 92) of men using the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) and the Hypersexual Behavior Inventory (HBI). Significant differences between the groups emerged on eight subscales and all of the general indices of executive functioning with the most dramatic differences on BRIEF-A's Shift, Emotional Control, Initiate, and Plan/Organize subscales. Hypersexual behavior was positively correlated (r = .37, p < .01) with global indices of executive dysfunction and several subscales of the BRIEF-A. These findings provide preliminary evidence supporting the hypothesis that executive dysfunction may be implicated in hypersexual behavior.

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“…While debates continue as to what constitutes normative vs. “excessive” sexual behavior, there is empirical evidence to suggest that individuals who score “high” on measures of hypersexuality are more likely to engage in other high‐risk behaviors such as drug use and cigarette smoking [65] and suffer higher rates of depression and anxiety [66–68]. Other consequences of high‐risk sexual behavior include the transmission and contraction of STDs [69,70], unplanned pregnancies [71], decreased sexual satisfaction, and relationship distress [72–75].…”

Section: Conclusion and Directions For Future Researchmentioning

confidence: 99%

A Surprising Finding Related to Executive Control in a Patient Sample of Hypersexual Men

Reid

Garos

Carpenter

et al. 2011

The Journal of Sexual Medicine

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105

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Introduction Patients seeking help for hypersexual behavior often exhibit features of impulsivity, cognitive rigidity, and poor judgment as well as deficits in emotion regulation and excessive preoccupation with sex. Some of these characteristics are also common among patients presenting with neurological pathology associated with executive dysfunction. Exploring relationships between dysregulated sexual behavior and executive deficits will enhance our understanding of hypersexuality. Aim This study sought to assess whether patients seeking help for hypersexual behavior exhibit executive deficits as measured by standardized neuropsychological tests of executive functioning when compared with healthy controls. Methods Executive deficits were assessed in a sample of male patients (N = 30) seeking help for hypersexual behavior compared with a nonhypersexual community sample of men (N = 30) using neuropsychological tests of executive functioning. Using multivariate statistics, differences between the groups were examined. Main Outcome Measures Sexual activity measured by the Hypersexual Behavior Inventory and the Compulsive Sexual Behavior Inventory. Executive functions measured through neuropsychological testing using several subtests of Delis–Kaplan Executive Function System: Color–Word Interference Test, the Tower Test, the Trail Making Test, the Verbal Fluency Test, as well as the Wisconsin Card Sorting Test. Psychopathology was assessed using the Mini International Neuropsychiatric Interview, and cognitive ability was assessed using the Wechsler Adult Intelligence Scale. Results Significant differences on measures of hypersexuality were observed. However, the groups failed to exhibit significant differences across neuropsychological tests of executive functioning even after controlling for cognitive ability. Conclusions These results contradict a previous finding of executive deficits among hypersexual men measured by self-report. The lack of executive deficits suggests that this population may exhibit domain-specific aspects of impulsivity, poor judgment, and risky behavior that are not generalizable to other domains of life. Furthermore, our findings fail to support a conceptualization of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, proposed hypersexual disorder based on models of executive dysfunction.

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Demoralization, Hypomanic Activation, and Disconstraint Scores on MMPI-2 Scales as Significant Predictors of Hypersexual Behavior

Cited by 12 publications

References 58 publications

Perspectives on the assessment and treatment of adult ADHD in hypersexual men

Perspectives on the assessment and treatment of adult ADHD in hypersexual men

Self-Reported Differences on Measures of Executive Function and Hypersexual Behavior in a Patient and Community Sample of Men

A Surprising Finding Related to Executive Control in a Patient Sample of Hypersexual Men

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