Evidence map›Paper›PMID 41293435›Full record

ArticleHealth psychology report2025

Alexithymia and problematic sexual behaviour: the mediation of dissociative patterns.

Eleonora Topino, Giulia Fioravanti, Diego Fabiani, Alessandro Musetti, Alessio Gori

Abstract read
In one paragraph

Article in Health psychology report, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eleonora TopinoDepartment of Human and Social Sciences, Mercatorum University, Rome, Italy.ORCID https://orcid.org/0000-0003-0849-1249
Giulia FioravantiDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID https://orcid.org/0000-0003-4871-2755
Diego FabianiDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID https://orcid.org/0009-0005-7811-394X
Alessandro MusettiDepartment of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-4125-0068
Alessio GoriDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID https://orcid.org/0000-0002-6867-2319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex addiction is a behavioural addiction that has received increasing scientific attention in recent years. Indeed, problematic sexual behaviours represent a growing clinical concern, often associated with significant emotional distress and interpersonal difficulties. In light of this, the present study aimed to investigate its psychological antecedents by exploring the role of alexithymia and dissociation, and by examining the effect of gender as a covariate. PARTICIPANTS AND PROCEDURE: A sample of 326 participants completed validated self-report measures assessing alexithymia, dissociative experiences, and problematic sexual behaviour. Data analysis included ANOVAs, regression models, and a path analysis.

resultsThe results showed that two subdimensions of alexithymia (difficulty in identifying feelings and difficulty in describing feelings) were significantly associated with higher levels of sex addiction. Moreover, the dissociation subdimension of absorption significantly mediated both relationships, while dissociative amnesia and depersonalization/derealization did not show significant mediation effects. Gender also played a role, with male participants reporting higher levels of problematic sexual behaviour.

conclusionsThese findings offer novel insight into the emotional and dissociative processes underlying sex addiction. The results emphasize the central role of absorption (a form of dissociation involving deep immersion in internal experience) as a potential emotional avoidance strategy that may sustain compulsive sexual behaviours. Understanding these mechanisms can guide future research and inform the development of targeted clinical interventions. Additionally, the relevance of gender differences suggests the importance of considering sex-specific pathways in assessment and treatment planning.

Indexed as

alexithymiabehavioural addictioncompulsive sexual behaviourdissociationproblematic sexual behaviour

Identifiers

PMID41293435
PMCPMC12642458

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.