They often reported distress stemming from three factors: difficulty in controlling their fantasies that seemed overwhelming; concern that the fantasies interfered in their personal relationships; and intense shame and exhaustive efforts to keep this "abnormal" behaviour hidden from others.
他们经常报告由三个因素引起的痛苦：难以控制他们的幻想似乎势不可挡; 担心幻想干扰了他们的人际关系; 并且强烈的羞耻和彻底的努力使这种“异常”行为对他人隐藏。