Problematic sexual behaviours, dissociation, and adult attachment: A path analysis model

Background Problematic sexual behaviours are controversial phenomena, lacking diagnostic consensus, yet they are significant and warrant in-depth scientific research due to their clinically significant consequences. Therefore, this study aimed to explore the association between potential risk factors of sex addiction and problematic online pornography use, with a specific focus on the role of attachment and dissociation. Method A sample of 375 participants (Mage = 30 years; SD = 12.441) was involved in the research. The collected data were analysed by implementing a path analysis model. Results Significant and positive total effects in the relationships between fearful/preoccupied attachment patterns and both sex addiction and problematic online pornography use were shown. Furthermore, these associations were significantly mediated by dissociation. Finally, sex addiction and problematic online pornography use were significantly associated with daily thoughts about sex and weekly online pornography use, respectively. Limitations The cross-sectional design and the use of only self-report measures in an online survey should be kept in mind while interpreting the results. Conclusions Such data provide useful insight into the complex interplay of attachment, dissociation, and problematic sexual behaviours, providing information that may inform and guide targeted clinical interventions.