ADHD and hypersexual behaviors: The role of impulsivity, depressive feelings, hypomaniacal symptoms and psychotic prodromes

•ADHD symptomatology, depression, hypomania, psychotic prodromes, and male gender are significant predictors of hypersexuality.•The relationship between ADHD and hypersexuality is largely mediated by depressive feelings and psychotic prodromes.•Hypersexuality may represent a way of self-regulation to cope with negative feelings triggered by difficulties in daily life caused by ADHD symptoms.