Association of ADHD and hypersexuality and paraphilias

Soldati, Lorenzo; Bianchi‐Demicheli, Francesco; Schockaert, Pauline; Kohl, John P.; Bolmont, Mylène; Hasler, Roland; Perroud, Nader

doi:10.1016/j.psychres.2020.113638

Cited by 15 publications

(20 citation statements)

References 64 publications

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“…Similar ndings were recently reported by Gregorio Hertz et al (13). In contrast, in a recent systematic review and metaanalysis, a similar rate of hypersexual behaviors was found in individuals with ADHD compared to the general population (22,23). However, a pooled ADHD prevalence of 20% was found in those reporting about hypersexual behaviors, which is clearly above the ADHD prevalence in the general population (23).…”

Section: Introductionsupporting

confidence: 86%

Paraphilias in ADHD and their Association with Hypersexuality

Turner

Hertz²,

Biedermann³

et al. 2022

Preprint

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Previous research has found some peculiarities in sexual functioning of adults with attention deficit/hyperactivity disorder (ADHD). So far, the prevalence of paraphilias in adults with ADHD is not known. We assessed the prevalence of paraphilic fantasies and behaviors in a sample of 160 adults with ADHD in comparison to 75 adults without ADHD. Furthermore, the association between paraphilias and hypersexuality was evaluated. All participants had to answer several questionnaires online. Both adults with and without ADHD reported high rates of paraphilic sexual fantasies and behaviors. Women without ADHD reported about frotteuristic fantasies more often, while women with ADHD reported about a higher rate of masochistic and fetishistic fantasies. On the other side, men without ADHD had a higher rate of fetishistic fantasies than men with ADHD. Hypersexuality was related to paraphilias in adults with ADHD, however, not in adults without ADHD. Furthermore, temper problems significantly predicted paraphilias in adults with ADHD. Altogether, individuals with ADHD seem to be not more prone to develop and act out paraphilic sexuality than controls. The results of the present study add to the current trend to depathologize paraphilic sexuality in the general as well as in clinical populations.

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Section: Introductionsupporting

confidence: 86%

Paraphilias in ADHD and their Association with Hypersexuality

Turner

Hertz²,

Biedermann³

et al. 2022

Preprint

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“…This condition seems to be connected to ADHD. Evidence from the literature shows that, in adulthood, the prevalence of BPD in patients with a diagnosis of ADHD ranges from 19 to 37% [14,38,39], whereas the presence of ADHD in patients with a diagnosis of BPD ranges from 16 to 38% [14,40]. Some authors support the hypothesis that ADHD may be considered a predictor of development of BPD in adulthood [14,40].…”

Section: Evidencementioning

confidence: 99%

“…Evidence from the literature shows that, in adulthood, the prevalence of BPD in patients with a diagnosis of ADHD ranges from 19 to 37% [14,38,39], whereas the presence of ADHD in patients with a diagnosis of BPD ranges from 16 to 38% [14,40]. Some authors support the hypothesis that ADHD may be considered a predictor of development of BPD in adulthood [14,40]. Furthermore, ADHD and BPD have in common some clinical features, impulsiveness, and emotional dysregulation (EDys; see later in the text), [41].…”

Section: Evidencementioning

confidence: 99%

“…Particular attention has been recently paid to specific aspects related to hypersexuality, i.e. (i) addictive behavior [9]; (ii) loss of pleasure associated with the compulsivity of sexual acts [10,11]; which in some cases can predict the need for help, and, hence, can explain the perceived distress [12,13]; (iii) sexual frequency [14]; and (iv) high sexual desire [15,16]. However, none of these aspects has been demonstrated to specifically characterize hypersexuality.…”

Section: Introductionmentioning

confidence: 99%

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Hypersexuality as a tip of the iceberg of a primary psychopathology: a joined position statement of the Italian Society of Andrology and Sexual Medicine (SIAMS) and of the Italian Society of Psychopathology (SOPSI)

Limoncin

Ciocca

Castellini

et al. 2022

J Endocrinol Invest

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In the last years, hypersexual behavior has been broadly scientifically studied. The interest in this topic, belonging to psycho-sexology and sexual medicine, has been due to its still unclear aetiology, nature, and its manifestation in relationship with several organic and psychopathological conditions. So, the specialist (the psychologist, psychiatrist, endocrinologist, neurologist) may encounter some difficulties in diagnosing and managing this symptom. The first main objective of this position statement, which has been developed in collaboration between the Italian Society of Andrology and Sexual Medicine (SIAMS) and the Italian Society of Psychopathology (SOPSI) is to give to the reader evidence about the necessity to consider hypersexuality as a symptom related to another underlying condition. Following this consideration, the second main objective is to give specific statements, for the biopsychosocial assessment and the diagnosis of hypersexual behavior, developed on the basis of the most recent literature evidence. To develop a psycho-pharmacological treatment tailored on patients' needs, our suggestion is to assess the presence of specific comorbid psychopathological and organic conditions, and the impact of pharmacological treatments on the presence of an excess of sexual behavior. Finally, a suggestion of a standardized psychometric evaluation of hypersexuality will be given.

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“…ADHD is a neuropsychological disorder that is manifested by poor attention, hyperactive and impulsive behaviors [ 21 , 22 ], beginning in childhood and often persisting through adulthood. Previous studies have revealed solid association between ADHD and hypersexuality/CSBD [ 23 , 24 ]. In line with the potential relationship patterns of ADHD and hypersexuality/CSBD, ADHD should be considered one of the predisposing factors for PPU, as PPU may represent a prominent manifestation of hypersexuality/CSBD [ 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Investigating the Associations of ADHD Symptoms, Impulsivity, Physical Exercise, and Problematic Pornography Use in a Chinese Sample

Zhang

Chen

Jiang

et al. 2022

IJERPH

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Investigating the relationship between attention-deficit/hyperactivity disorder (ADHD) symptoms and impulsivity will benefit our understanding of the concept of problematic pornography use (PPU), and revealing predisposing and malleable moderators of PPU will be beneficial for its prevention and intervention. The current study not only aimed to observe these relationships, but also explored the potential moderating role of physical exercise in the general population. A total of 600 Chinese adults (Mage = 32.31, SDage = 12.40, 39.8% women) were recruited and completed an online survey. The results showed that participants with regular exercise scored lower than those without exercise on ADHD, impulsivity, and PPU (all ps < 0.001). Using latent moderated structural equations (LMS), the findings revealed that the relationship between ADHD symptoms and PPU was mediated by impulsivity, and physical exercise moderated this relationship (B = −0.14, p = 0.048). Specifically, when individuals’ physical exercise was higher than 0.84 standard deviations above the mean, the positive predictive effect of impulsivity on PPU was not significant. These findings indicate the important role of impulsivity in the relationship between ADHD and PPU, and physical exercise could be a meaningful component of interventions among individuals experiencing PPU.

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Association of ADHD and hypersexuality and paraphilias

Cited by 15 publications

References 64 publications

Paraphilias in ADHD and their Association with Hypersexuality

Paraphilias in ADHD and their Association with Hypersexuality

Hypersexuality as a tip of the iceberg of a primary psychopathology: a joined position statement of the Italian Society of Andrology and Sexual Medicine (SIAMS) and of the Italian Society of Psychopathology (SOPSI)

Investigating the Associations of ADHD Symptoms, Impulsivity, Physical Exercise, and Problematic Pornography Use in a Chinese Sample

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