Unraveling the Links Between Sexual Addiction Self-Esteem, and Personality Dimensions A Tunisian Study

Study Overview and Key Findings

The cross-sectional study recruited 510 Tunisian participants aged 16 to 65 through anonymous online surveys. Using validated psychometric scales such as the Carnes Sexual Addiction Screening Test (SAST), Rosenberg Self-Esteem Scale, and the French Big Five Inventory (BFI-Fr), researchers sought to analyze associations between sexual addiction, self-esteem, and personality traits.

Key findings include:

  • 8% of participants met criteria for sexual addiction, while 13% exhibited attenuated symptoms.
  • Sexual addiction was more prevalent among males, with a sex-ratio skewed toward men in affected groups.
  • The majority of individuals with sexual addiction were young (average age ~31 years), highly educated, employed, and often single.

Self-Esteem and Sexual Addiction

A notable discovery was the negative correlation between self-esteem and sexual addiction severity. Specifically:

  • 73.7% of those with sexual addiction had below-average self-esteem.
  • Lower self-esteem scores were strongly associated with higher SAST scores.
  • The American Psychological Association highlights that low self-esteem can contribute to maladaptive coping strategies, potentially fueling addictive behaviors.

Personality Traits: The Big Five Dimensions

The study also evaluated personality traits based on the Big Five Inventory:

  • Neuroticism (N): Individuals with sexual addiction scored significantly higher, indicating higher emotional instability, anxiety, and vulnerability to stress.
  • Conscientiousness (C) and Extraversion (E): Lower scores in these dimensions were linked to higher sexual addiction scores, suggesting issues with impulse control, planning, and social engagement.
  • Agreeableness (A) and Openness (O): These dimensions showed no significant correlation.

According to the National Institute of Mental Health (NIMH), traits like high neuroticism and low conscientiousness are often implicated across various forms of addiction, supporting these findings.

Comparisons with Other Addictions

Interestingly, the personality patterns observed mirror those found in substance-related addictions:

  • Similar neuroticism and conscientiousness patterns have been observed in alcohol, opioid, and gambling addictions.
  • The overlapping personality traits suggest common psychological mechanisms underpinning both behavioral and substance addictions.

Detailed analysis can be found in our main journal article url.

Implications for Prevention and Treatment

Understanding these associations offers crucial insights for clinical practice:

  • Early identification of individuals with high neuroticism and low self-esteem may enable preventive interventions.
  • Therapeutic approaches might benefit from addressing underlying emotional instability and boosting self-esteem.
  • The American Society of Addiction Medicine (ASAM) emphasizes comprehensive treatment models that consider both psychological and behavioral dimensions for optimal outcomes.

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