Compulsive Sexual Behavior, Hypersexuality
Conditions
Brief summary
Investigation of the efficacy of Acceptance and Commitment Therapy (ACT) for the psychological treatment of hypersexuality.
Detailed description
After being informed about the study, all patients giving written informed consent will be assessed to determine eligibility for study entry. Patients who meet eligibility requirements will receive psychological intervention consisting in an 8-session individual on line-delivered ACT-based treatment. The participants will be assessed through self-report instruments before and after treatment and at 3 months follow-up. The clinical trial will not include a control group.
Interventions
BEHAVIORALAcceptance and Commitment Therapy
The aim of the intervention was to increase psychological flexibility. Therapeutic methods focused on values clarification, cognitive defusion, self-as-context, acceptance, commited action and flexible attention to present moment.
Sponsors
apoyopositivo.org
Universidad Europea de Madrid
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* older than 18 years-old * Spanish speaking * having had a sexual relationship in the last year * significant score on the HBI Inventory (of 53 or more) * at least 6 months of problematic pornography use or sexual practices * clinically significant discomfort related to sexual practices * degree of interference in his/her life of sexual practices greater than or equal to 5 out of 10 * at least one failure in his attempts to change his sexual life * desire to improve/reduce excessive sexual behaviour
Exclusion criteria
* practicing meditation at least once a week in the last three months * receiving psychological or psychopharmacological treatment * intellectual disability * substance dependence (use not associated with sex) * personality disorder or other serious or chronic mental disorder diagnosed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Hypersexual Behavior Inventory (HBI) | Change from Baseline Hypersexuality at 5 months | The Hypersexual Behavior Inventory is a 19-item, seven-point Likert-type scale. Scores range between 19 and 95. Higher scores indicate higher levels of Hypersexuality and worse outcome. García-Barba et al. (2020) consider the presence of a problem of hypersexuality when the score is equal or higher than 53. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cognitive Fusion Questionnaire (CFQ) | Change from Baseline cognitive fusion at 5 months | Cognitive Fusion Questionnaire assesses cognitive fusion. It is a 7-item, seven-point Likert-type scale. Scores range between 7 and 49. Higher the score in the questionnaire, the higher the tendency to believe the literal content of private events (higher levels of cognitive fusion and worse outcome). |
| Change in Scale of Body Connection (SBC) | Change from Baseline body awareness at 5 months | Scale of Body Connection assesses Body Awareness (the capacity to be aware of body states, processes and actions, paying attention to the internal experience of the body) and Bodily Dissociation (avoidance of body experiences). It is a 20-item, 7-point Likert-type scale. Scores in Body Awareness scale range between 0 and 48. Higher scores indicate higher levels of body awareness and better outcome. Scores in Bodily Dissociation scale range between 0 and 32. Higher scores indicate higher levels of bodily dissociation and worse outcome. |
| Change in Mindful Attention Awareness Scale (MAAS) | Change from Baseline mindufullness skills at 5 months | Mindful Attention Awareness Scale assesses mindfulness skills. It is a 15-item 6-point scale. Scores range between 1 and 6. Higher scores indicate a higher degree of attention to the present moment and a better outcome. |
| Change in The New Sexual Satisfaction Scale-short form (NSSS-S) | Change from Baseline sexual satisfaction at 5 months | he New Sexual Satisfaction Scale assesses sexual satisfaction. It is a 12-item, 7-point Likert-type scale. Scores range between 12 and 60. Higher scores indicate a higher degree of sexual satisfaction and a better outcome. |
| Change in Intensity of cravings subjective scale | Through study completion, an average of 5 months | Global self-assessment of intensity of cravings VAS-ratings. Scores range from 0 = very low intensity to 10 = very high intensity. Higher scores indicate higher levels of intensity of cravings and worse outcome. |
| Change in Acceptance and Action Questionnaire (AAQ-II) | Change from Baseline psychological inflexibilty at 5 months | Acceptance and Action Questionnaire assesses psychological inflexibility. It is a 7-item, seven-point Likert-type scale. Scores range between 7 and 49. Higher scores indicate higher levels of psychological inflexibility and worse outcome. |
| Change in Time spent planning or practicing sex per week | Through study completion, an average of 5 months | Self-monitoring: Time spent (hours) planning or practicing sex during last week. Higher number of hours indicate worse outcome. |
| Change in number of sexual encounters per week | Through study completion, an average of 5 months | Self-monitoring: Number of sexual encounters during last week. Higher number of sexual encounters indicate worse outcome. |
| Change in Frequency of chemsex encounters per week | Through study completion, an average of 5 months | Self-monitoring: Frequency of practicing chemsex during last week. Higher number of chemsex encounters indicate worse outcome. |
| Change in number of different sexual partners per week | Through study completion, an average of 5 months | Self-monitoring: Number of different sexual partners during last week. Higher number of different sexual partners indicate worse outcome. |
| Change in Interference of cravings subjective scale | Through study completion, an average of 5 months | Global self-assessment of interference of cravings VAS-ratings. Scores range from 0 = very low interference to 10 = very high interference. Higher scores indicate higher levels of interference of cravings and worse outcome. |
Countries
Spain
Outcome results
None listed