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Joshua N. Hook - One of the best experts on this subject based on the ideXlab platform.
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Hypersexuality and religion spirituality a qualitative review
Sexual Addiction & Compulsivity, 2016Co-Authors: Sara Karaga, Don E. Davis, Elise Choe, Joshua N. HookAbstract:ABSTRACTPrior research has linked Hypersexuality to negative mental health outcomes, and this relationship is partially explained by one's appraisals of sexual behavior. Religious/spiritual beliefs can strongly influence appraisals of sexual behavior, especially to the degree that individuals view themselves as failing to act in line with their sexual values. The purpose of the present article was to review empirical studies on the intersection of religion/spiritualty and Hypersexuality. Most studies were based on convenience samples and used measures of Hypersexuality that only partially align with proposed diagnostic criteria. Studies consistently demonstrated a negative relationship between religiosity and hypersexual behavior. In addition, Hypersexuality was negatively related to measures of spiritual adjustment. Implications for future research as well as treatment of Hypersexuality are discussed.
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Hypersexuality and Religion/Spirituality: A Qualitative Review
Sexual Addiction & Compulsivity, 2016Co-Authors: Sara Karaga, Don E. Davis, Elise Choe, Joshua N. HookAbstract:ABSTRACTPrior research has linked Hypersexuality to negative mental health outcomes, and this relationship is partially explained by one's appraisals of sexual behavior. Religious/spiritual beliefs can strongly influence appraisals of sexual behavior, especially to the degree that individuals view themselves as failing to act in line with their sexual values. The purpose of the present article was to review empirical studies on the intersection of religion/spiritualty and Hypersexuality. Most studies were based on convenience samples and used measures of Hypersexuality that only partially align with proposed diagnostic criteria. Studies consistently demonstrated a negative relationship between religiosity and hypersexual behavior. In addition, Hypersexuality was negatively related to measures of spiritual adjustment. Implications for future research as well as treatment of Hypersexuality are discussed.
Shane W. Kraus - One of the best experts on this subject based on the ideXlab platform.
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Gender-Related Differences in Associations Between Sexual Abuse and Hypersexuality.
The Journal of Sexual Medicine, 2020Co-Authors: Melissa N. Slavin, Gretchen R. Blycker, Marc N. Potenza, Beata Bőthe, Zsolt Demetrovics, Shane W. KrausAbstract:Abstract Background Individuals with histories of sexual abuse may be more likely to experience sexual-related problems including Hypersexuality, but gender-related differences remain unclear. Aim This online study examined sexual abuse history and Hypersexuality by gender among 16,823 Hungarian adults, adjusting for age, sexual orientation, relationship status, education, employment status, and residence. Methods An online questionnaire on one of the largest Hungarian news portals advertised this study examining sexual activities in January 2017. 3 categorizations of age-related sexual abuse were examined: child sexual abuse (CSA) occurring at age 13 and earlier (compared to no abuse), adolescent/adult sexual abuse (AASA; compared to no abuse), and CSA and AASA (CSA/AASA; compared to one age-related category of abuse or the other). Outcomes The outcome variable, Hypersexuality, was examined as a continuous variable due to the low prevalence of clinical Hypersexuality in this sample. 3 multivariate linear regression analyses adjusting for covariates aimed to predict Hypersexuality from each category of abuse, along with gender and its interaction with each category. Results In all models, younger age, non-heterosexual sexual orientation, male gender, single relationship status, less than full-time work, and living in a capital city were associated with Hypersexuality, and education was not a significant predictor. CSA, AASA, and CSA/AASA predicted Hypersexuality in both men and women. There was a significant interaction between CSA/AASA and gender, such that the relationship between CSA/AASA and Hypersexuality was stronger in men than in women. Clinical Translation Sexual abuse at each developmental time-point may influence Hypersexuality among men and women, although the cumulative impact of CSA and AASA on Hypersexuality may be particularly relevant among men. Strengths & Limitations This is one of the largest studies to examine gender-related differences in the relationship between sexual abuse and Hypersexuality. Nevertheless, our study is cross-sectional, and longitudinal work is needed to determine how sexual abuse affects children, adolescents, and adults throughout their lives. Conclusion Developmental impacts of sexual abuse may be considered in a gender-informed fashion in order to develop and optimize effective prevention and treatment strategies for Hypersexuality. Slavin MN, Blycker GR, Potenza MN, et al. Gender-Related Differences in Associations Between Sexual Abuse and Hypersexuality. J Sex Med 2020;XX:XXX–XXX.
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posting sexually explicit images or videos of oneself online is associated with impulsivity and Hypersexuality but not measures of psychopathology in a sample of us veterans
The Journal of Sexual Medicine, 2020Co-Authors: Jack L Turban, Rani A Hoff, Steven D Shirk, Marcus N Potenza, Shane W. KrausAbstract:Abstract Introduction Sending sexually explicit text messages (“sexting”) is prevalent among US adults; however, the mental health correlates of this behavior among adults have not been studied adequately. Furthermore, there are few studies examining the related but distinct behavior of posting sexually explicit photos or videos of oneself online (posting sexual images [PSI]) and the mental health correlates of this behavior. Aim To examine associations between sexting, PSI, impulsivity, Hypersexuality, and measures of psychopathology. Methods Using a national convenience sample of 283 US post-deployment, post-9/11 military veterans, we evaluated the prevalence of 2 behaviors: sexting and PSI and the associations of these behaviors with psychopathology, suicidal ideation, sexual behaviors, Hypersexuality, sexually transmitted infections, trauma history, and measures of impulsivity. Main Outcome Measure Measures of psychopathology including depression, anxiety, post-traumatic stress disorder, insomnia, substance dependence, Hypersexuality, and suicidal ideation, as well as measures of impulsivity, sexual behavior, and trauma. Results Sexting was found to be common among post-9/11 veterans (68.9%). A smaller number of veterans engaged in PSI (16.3%). PSI veterans were more likely to be younger, male, less educated, and unemployed. After adjusting for covariates, no associations were detected between PSI or sexting and the examined measures of psychopathology. However, PSI was associated with higher levels of impulsivity and Hypersexuality, whereas sexting was not associated with these measures. Clinical Implications Results from this study suggest that not all digital sexual behaviors are associated with psychopathology. However, PSI was associated with Hypersexuality and impulsivity. Those who engage with PSI may benefit from guidance on how to manage their impulsivity to prevent ego-dystonic sexual behaviors. Strengths & Limitations The strengths of this study include differentiating PSI from sexting broadly, highlighting that digital sexual behaviors are heterogeneous. Limitations include the study's cross-sectional design, which limits causal interpretations. More research is also needed in civilian populations. Conclusion PSI was less prevalent than sexting in our sample. This behavior was associated with impulsivity and Hypersexuality but not with elevated levels of psychopathology. Sexting was not associated with any of these measures. Turban JL, Shirk SD, Potenza MN, et al. Posting Sexually Explicit Images or Videos of Oneself Online Is Associated with Impulsivity and Hypersexuality but Not Measures of Psychopathology in a Sample of US Veterans. J Sex Med 2020;17:163–167.
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psychopathology and Hypersexuality among veterans with and without histories of alcohol use disorders
American Journal on Addictions, 2019Co-Authors: Marc N. Potenza, Jonathan Moisson, Steven D Shirk, Rani A Hoff, Crystal L Park, Shane W. KrausAbstract:BACKGROUND AND OBJECTIVES Little research has examined the clinical characteristics of U.S. post-9/11 military veterans coping with alcohol problems. Specifically, we examined psychopathology and Hypersexuality among male and female post-9/11 veterans with and without a lifetime history of alcohol-use disorders (AUDs). METHODS Using data from a baseline telephone interview and follow-up web-based survey, we examined frequencies of AUDs, mental health and addictive disorders, sexual behaviors, Hypersexuality, and problematic use of pornography in a national convenience sample of 283 U.S. veterans. RESULTS Many (39.1%) veterans met lifetime criteria for AUDs. Bivariate associations revealed that veterans with lifetime AUDs met clinically significant levels of posttraumatic stress disorder and criteria for drug-use disorders (lifetime). Veterans with lifetime AUDs also attended religious services less often, engaged in more solitary masturbation in the past month, and reported more issues with problematic use of pornography and Hypersexuality compared with veterans without AUDs. Results from a logistic regression found that lifetime drug-use disorders (odds ratio [OR] = 4.22) and posttraumatic stress disorder symptoms (OR = 1.98) were significant predictors of veterans with lifetime AUD status. DISCUSSION AND CONCLUSIONS We found differences among veterans with lifetime AUDs compared with those without on select measures of psychopathology, sexual behavior, and Hypersexuality. SCIENTIFIC SIGNIFICANCE Further screening for substance-use disorders and Hypersexuality in Veterans Affairs is strongly encouraged while veterans are transitioning back into civilian life. (Am J Addict 2019;28:398-404).
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Marijuana Use, Marijuana Expectancies, and Hypersexuality among College Students.
Sexual Addiction & Compulsivity, 2017Co-Authors: Melissa N. Slavin, Shane W. Kraus, Anthony H. Ecker, Carolyn E. Sartor, Gretchen R. Blycker, Marc N. Potenza, Kristin Dukes, Dawn W. FosterAbstract:ABSTRACTResearch supports links between marijuana effect expectancies and risky sexual behaviors among marijuana users, but associations between marijuana expectancies and Hypersexuality have yet to be investigated. The current study examined links between marijuana lifetime use and Hypersexuality among university students. A hierarchical regression adjusting for gender and alcohol use was used to determine the degree to which marijuana use and expectancies accounted for variance in Hypersexuality. Marijuana lifetime use and Hypersexuality were significantly and positively related. After adjusting for covariates, marijuana perceptual and cognitive enhancement expectancies positively correlated with Hypersexuality, while tension reduction and relaxation expectancies negatively correlated with Hypersexuality.
Peer Briken - One of the best experts on this subject based on the ideXlab platform.
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is high sexual desire a facet of male Hypersexuality results from an online study
Journal of Sex & Marital Therapy, 2016Co-Authors: Aleksandar Štulhofer, Tanja Jurin, Peer BrikenAbstract:Despite a growing number of studies, Hypersexuality remains controversial and empirically elusive. Using a group comparison approach, this study revisited the claim that Hypersexuality cannot be reliably distinguished from high sexual desire. An online survey, advertised as focusing on pornography use and sexual health, was carried out in 2014 among 1,998 Croatian men aged 18 to 60 years (Mage = 34.7, SD = 9.83). Membership in the Hypersexuality group (HYP; n = 57) was determined using the Hypersexual Disorder Screening Inventory and the Hypersexual Behavior Consequences Scale. The highest values on two indicators of sexual desire/interest set membership in the high sexual desire group (HSD; n = 70). The overlap between the groups was negligible (n = 4). Compared to the rest of the sample, men in the HYP group had significantly higher odds of being single, not exclusively heterosexual, religious, depressed, prone to sexual boredom, experiencing substance abuse consequences, holding negative attitudes towa...
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erectile dysfunction boredom and Hypersexuality among coupled men from two european countries
The Journal of Sexual Medicine, 2015Co-Authors: Verena Klein, Tanja Jurin, Peer Briken, Aleksandar ŠtulhoferAbstract:Abstract Introduction Much of the research on the association between erectile dysfunction (ED) and possible clinical relevant Hypersexuality up to now has been only descriptive in nature. Aim The present study aimed to explore the relationships among Hypersexuality, ED, and sexual boredom in a sample of coupled community men. Methods An Internet-based survey was conducted in two European countries. The sample included 911 Croatian and 210 German coupled men. The survey comprised the Hypersexual Disorder Screening Inventory, the International Index of Erectile Function and the Sexual Boredom Scale. Poisson regression analysis was used to examine how ED, solitary sexual activities and sexual boredom were associated with Hypersexuality. Results Among Croatian and German men, Hypersexuality was significantly correlated with proneness to sexual boredom and more problems with erectile function. Conclusions In some men, hypersexual behavior may serve as a coping mechanism for sexual fantasy poverty-associated boredom. In addition, ED within an intimate relationship can accompany this simultaneously.
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self reported indicators of Hypersexuality and its correlates in a female online sample
The Journal of Sexual Medicine, 2014Co-Authors: Verena Klein, Martin Rettenberger, Peer BrikenAbstract:Abstract Introduction Hypersexual behavior has been a controversial and much disputed issue in the field of sexual medicine. However, only little attention has been paid to hypersexual behavior in women. Therefore, to date there is limited knowledge on the behavioral patterns of Hypersexuality in women. Aims The purpose of the present study was to examine which sexual behavioral patterns are associated with self‐reported indicators of Hypersexuality in a female online sample. The second aim was to evaluate the association between Hypersexuality and sexual risk behavior in women. Methods In total, 988 women participated in an online survey. Logistic regression analysis was conducted to examine the association between sexual behavioral patterns and Hypersexuality. Furthermore, correlation analyses were calculated in order to identify the relationship between sexual risk behavior and Hypersexuality. Main Outcome Measures Indicators of hypersexual behavior were measured by the Hypersexual Behavior Inventory (HBI). In addition, current and present impersonal sexual activities were investigated. Sexual risk behavior was assessed using the Sexual Sensation Seeking Scale (SSSS). Results High masturbation frequency, number of sexual partners, and pornography use were associated with a higher degree of hypersexual behavior in women. Furthermore, the HBI total score was positively correlated to sexual risk behavior. Conclusion The results of the current study do not support the idea of previous research that hypersexual women are typically engaged in more passive forms of sexual behavior. Rather female Hypersexuality seems to be more characterized by impersonal sexual activity. An association between hypersexual behavior and sexual risk behavior was identified. The implications of these findings for potential prevention strategies and therapeutic interventions are discussed. Klein V, Rettenberger M, and Briken P. Self‐reported indicators of Hypersexuality and its correlates in a female online sample. J Sex Med 2014;11:1974–1981.
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Self‐Reported Indicators of Hypersexuality and Its Correlates in a Female Online Sample
The Journal of Sexual Medicine, 2014Co-Authors: Verena Klein, Martin Rettenberger, Peer BrikenAbstract:Abstract Introduction Hypersexual behavior has been a controversial and much disputed issue in the field of sexual medicine. However, only little attention has been paid to hypersexual behavior in women. Therefore, to date there is limited knowledge on the behavioral patterns of Hypersexuality in women. Aims The purpose of the present study was to examine which sexual behavioral patterns are associated with self‐reported indicators of Hypersexuality in a female online sample. The second aim was to evaluate the association between Hypersexuality and sexual risk behavior in women. Methods In total, 988 women participated in an online survey. Logistic regression analysis was conducted to examine the association between sexual behavioral patterns and Hypersexuality. Furthermore, correlation analyses were calculated in order to identify the relationship between sexual risk behavior and Hypersexuality. Main Outcome Measures Indicators of hypersexual behavior were measured by the Hypersexual Behavior Inventory (HBI). In addition, current and present impersonal sexual activities were investigated. Sexual risk behavior was assessed using the Sexual Sensation Seeking Scale (SSSS). Results High masturbation frequency, number of sexual partners, and pornography use were associated with a higher degree of hypersexual behavior in women. Furthermore, the HBI total score was positively correlated to sexual risk behavior. Conclusion The results of the current study do not support the idea of previous research that hypersexual women are typically engaged in more passive forms of sexual behavior. Rather female Hypersexuality seems to be more characterized by impersonal sexual activity. An association between hypersexual behavior and sexual risk behavior was identified. The implications of these findings for potential prevention strategies and therapeutic interventions are discussed. Klein V, Rettenberger M, and Briken P. Self‐reported indicators of Hypersexuality and its correlates in a female online sample. J Sex Med 2014;11:1974–1981.
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Assessment, diagnosis, and management of hypersexual disorders
Current Opinion in Psychiatry, 2010Co-Authors: Liam E. Marshall, Peer BrikenAbstract:Purpose of review This review examines recent advances in conceptualizing and treating hypersexual disorders. Recent findings Studies on hypersexual disorders, inferred from research on their associated descriptors, suggest that these disorders have a strong relationship to a number of areas of functioning, in particular, self-regulation and sexually offensive behavior. Summary The proposed inclusion of hypersexual disorders in the upcoming Diagnostic and Statistical Manual of Mental Disorders-V may address many of the current issues related to the lack of empirical research on Hypersexuality. Although there have been some gains made on understanding Hypersexuality, there remains a lack of consensus and empirical research on hypersexual disorders. There are also an insufficient number of controlled studies on the efficacy of pharmacological and psychological treatments for hypersexual behavior problems.
Sara Karaga - One of the best experts on this subject based on the ideXlab platform.
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Hypersexuality and religion spirituality a qualitative review
Sexual Addiction & Compulsivity, 2016Co-Authors: Sara Karaga, Don E. Davis, Elise Choe, Joshua N. HookAbstract:ABSTRACTPrior research has linked Hypersexuality to negative mental health outcomes, and this relationship is partially explained by one's appraisals of sexual behavior. Religious/spiritual beliefs can strongly influence appraisals of sexual behavior, especially to the degree that individuals view themselves as failing to act in line with their sexual values. The purpose of the present article was to review empirical studies on the intersection of religion/spiritualty and Hypersexuality. Most studies were based on convenience samples and used measures of Hypersexuality that only partially align with proposed diagnostic criteria. Studies consistently demonstrated a negative relationship between religiosity and hypersexual behavior. In addition, Hypersexuality was negatively related to measures of spiritual adjustment. Implications for future research as well as treatment of Hypersexuality are discussed.
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Hypersexuality and Religion/Spirituality: A Qualitative Review
Sexual Addiction & Compulsivity, 2016Co-Authors: Sara Karaga, Don E. Davis, Elise Choe, Joshua N. HookAbstract:ABSTRACTPrior research has linked Hypersexuality to negative mental health outcomes, and this relationship is partially explained by one's appraisals of sexual behavior. Religious/spiritual beliefs can strongly influence appraisals of sexual behavior, especially to the degree that individuals view themselves as failing to act in line with their sexual values. The purpose of the present article was to review empirical studies on the intersection of religion/spiritualty and Hypersexuality. Most studies were based on convenience samples and used measures of Hypersexuality that only partially align with proposed diagnostic criteria. Studies consistently demonstrated a negative relationship between religiosity and hypersexual behavior. In addition, Hypersexuality was negatively related to measures of spiritual adjustment. Implications for future research as well as treatment of Hypersexuality are discussed.
Tanja Jurin - One of the best experts on this subject based on the ideXlab platform.
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A Network Approach to Hypersexuality: Insights and Clinical Implications.
The Journal of Sexual Medicine, 2018Co-Authors: Marlene Werner, Aleksandar Štulhofer, Lourens J. Waldorp, Tanja JurinAbstract:Abstract Background In spite of a growing interest in research on Hypersexuality, consensus about its etiology and best treatment strategy has not been achieved. Aim To further the empirical and clinical understanding of Hypersexuality by exploring the structure of its symptoms using a network analytic approach. Methods In 2014, an online survey advertised as focusing on Internet pornography, sexual health, and relationships was carried out among Croatian men and women aged 18–60 years (Mage = 31.1 years, SD = 9.67). In a sample of 3,028 participants, we applied a network analytic approach to explore the structure of Hypersexuality symptoms. In the network, nodes represented Hypersexuality symptoms and associated sexual behaviors, while their connections were operationalized as partial correlations. 4 Research questions were addressed: (1) does the Hypersexuality network differ between genders; (2) which symptoms are centrally positioned; (3) what is the topological location of pornography use; and (4) are there distinct clusters (“communities”) of symptoms in the network? Outcomes We estimated and plotted Hypersexuality networks by gender using items from the Hypersexual Disorder Screening Inventory and the Hypersexual Behavioral Consequences Scale, as well as indicators of sexual desire, pornography use, sexual intercourse, and masturbation frequency. Results The structure of the Hypersexuality network was surprisingly similar in women and men, both in terms of symptom centrality and the clustering of symptoms. Psychological distress and negative emotions triggered by sexual fantasies and/or behaviors, together with a loss of control over sexual feelings, occupied central positions in the networks. Pornography use was located peripherally in both the men’s and women’s Hypersexuality networks. Clinical Translation Psychological distress and negative emotions triggered by sexual fantasies and/or behaviors constituted the core of the Hypersexuality network, which makes them potential prime targets for clinical intervention and calls for normalization of (presumably self-stigmatized) sexual expression through affirmative therapy and interventions that enhance self-care, self-compassion, and adaptive coping mechanisms. Strengths & Limitations This is the first network analytic approach to Hypersexuality. Apart from its novel insights about the structure of Hypersexuality, the study employed several methods to assure reliability and robustness of findings. Considering that networks were estimated in a convenience-based community sample, the findings might not generalize to clinically distressed individuals. Conclusion Our results demonstrate the usefulness of network analytics to Hypersexuality in a non-clinical sample and we encourage future clinical and longitudinal explorations of Hypersexuality using this novel approach. Werner M, Stulhofer A, Waldorp L, et al. A Network Approach to Hypersexuality: Insights and Clinical Implications. J Sex Med 2018;15:373–386.
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is high sexual desire a facet of male Hypersexuality results from an online study
Journal of Sex & Marital Therapy, 2016Co-Authors: Aleksandar Štulhofer, Tanja Jurin, Peer BrikenAbstract:Despite a growing number of studies, Hypersexuality remains controversial and empirically elusive. Using a group comparison approach, this study revisited the claim that Hypersexuality cannot be reliably distinguished from high sexual desire. An online survey, advertised as focusing on pornography use and sexual health, was carried out in 2014 among 1,998 Croatian men aged 18 to 60 years (Mage = 34.7, SD = 9.83). Membership in the Hypersexuality group (HYP; n = 57) was determined using the Hypersexual Disorder Screening Inventory and the Hypersexual Behavior Consequences Scale. The highest values on two indicators of sexual desire/interest set membership in the high sexual desire group (HSD; n = 70). The overlap between the groups was negligible (n = 4). Compared to the rest of the sample, men in the HYP group had significantly higher odds of being single, not exclusively heterosexual, religious, depressed, prone to sexual boredom, experiencing substance abuse consequences, holding negative attitudes towa...
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Hypersexuality and high sexual desire exploring the structure of problematic sexuality
The Journal of Sexual Medicine, 2015Co-Authors: Joana Carvalho, Aleksandar Štulhofer, Armando Luis Vieira, Tanja JurinAbstract:Abstract Introduction 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. Aim The aim of the present study was to systematically explore the overlap between problematic sexuality and high sexual desire. Methods 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. Main Outcome Measures 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. Results 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—problematic sexuality and high sexual desire/activity. Conclusion 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. Carvalho J, Stulhofer A, Vieira AL, and Jurin T. Hypersexuality and high sexual desire: Exploring the structure of problematic sexuality. J Sex Med 2015;12:1356–1367.
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erectile dysfunction boredom and Hypersexuality among coupled men from two european countries
The Journal of Sexual Medicine, 2015Co-Authors: Verena Klein, Tanja Jurin, Peer Briken, Aleksandar ŠtulhoferAbstract:Abstract Introduction Much of the research on the association between erectile dysfunction (ED) and possible clinical relevant Hypersexuality up to now has been only descriptive in nature. Aim The present study aimed to explore the relationships among Hypersexuality, ED, and sexual boredom in a sample of coupled community men. Methods An Internet-based survey was conducted in two European countries. The sample included 911 Croatian and 210 German coupled men. The survey comprised the Hypersexual Disorder Screening Inventory, the International Index of Erectile Function and the Sexual Boredom Scale. Poisson regression analysis was used to examine how ED, solitary sexual activities and sexual boredom were associated with Hypersexuality. Results Among Croatian and German men, Hypersexuality was significantly correlated with proneness to sexual boredom and more problems with erectile function. Conclusions In some men, hypersexual behavior may serve as a coping mechanism for sexual fantasy poverty-associated boredom. In addition, ED within an intimate relationship can accompany this simultaneously.