The Epidemiology and Phenomenology of Compulsive Sexual Behavior

CNS Spectrums ◽  
2000 ◽  
Vol 5 (1) ◽  
pp. 26-35,72 ◽  
Author(s):  
Donald W. Black
Keyword(s):  
Sexual Behavior ◽  
Childhood Abuse ◽  
Sexual Behaviors ◽  
Psychiatric Comorbidity ◽  
The United States ◽  
Medical Complications ◽  
Compulsive Sexual Behavior ◽  
Subjective Distress ◽  
Emotional Aspects ◽  
Include Family History

AbstractCompulsive sexual behavior (CSB) is characterized by inappropriate or excessive sexual behaviors or cognitions that lead to subjective distress or impaired functioning. Both abnormal (paraphilic) and conventional (nonparaphilic) forms of sexual behavior are usually included in the definition. CSB is reported to affect 3% to 6% of the general population in the United States, occurring more frequently in men. It typically begins in the late teens or early twenties and is chronic or intermittent. The disorder has been described as a progression through four stages: preoccupation, ritualization, gratification, and despair. Men with CSB typically focus on physical sexual gratification; women focus on romantic or emotional aspects of sexuality. Psychiatric comorbidity is common, particularly substance use, mood, anxiety, and personality disorders. CSB can lead to medical complications. Risk factors are thought to include family history and childhood abuse.

scholarly journals Is Compulsive Sexual Behavior Different in Women Compared to Men?

2021 ◽  
Vol 10 (15) ◽  
pp. 3205
Author(s):  
Laura I. Kürbitz ◽  
Peer Briken
Keyword(s):  
Gender Differences ◽  
Sexual Behavior ◽  
Sexual Behaviors ◽  
Psychiatric Comorbidity ◽  
Behavior Disorder ◽  
Clinical Implications ◽  
Compulsive Sexual Behavior ◽  
Childhood Adversities ◽  
Men And Women ◽  
Stress Vulnerability

The inclusion of Compulsive Sexual Behavior Disorder (CSBD) in the ICD-11 has sparked research interest on this topic in recent years. This review aims to investigate gender differences in Compulsive Sexual Behavior (CBD) and persons with CSBD. While impulsivity and psychiatric comorbidity play a role in persons with CSBD regardless of gender, some gender differences can be identified. CSBD is more prevalent in men, with a higher rate of reported sexual behaviors and higher scores on questionnaires measuring CSBD related symptoms. Neuroticism and stress vulnerability seem to play a more important role in the symptomatology of CSBD in women. While it seems plausible that childhood adversities play a role in the development of CSB, the manner with respect to how these adversities affect men and women differently is still to be explored. More clinical studies including the female CSBD population are required to infer clinical implications.

scholarly journals The development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 based screening measure across three languages

2020 ◽  
Vol 9 (2) ◽  
pp. 247-258 ◽  
Author(s):  
Beáta Bőthe ◽  
Marc N. Potenza ◽  
Mark D. Griffiths ◽  
Shane W. Kraus ◽  
Verena Klein ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Measurement Invariance ◽  
Large Scale ◽  
Factor Model ◽  
Five Factor Model ◽  
Behavior Disorder ◽  
The United States ◽  
Compulsive Sexual Behavior ◽  
Negative Consequences

AbstractBackgroundCompulsive Sexual Behavior Disorder (CSBD) is included in the eleventh edition of The International Classification of Diseases (ICD-11) as an impulse-control disorder.AimsThe aim of the present work was to develop a scale (Compulsive Sexual Behavior Disorder Scale–CSBD-19) that can reliably and validly assess CSBD based on ICD-11 diagnostic guidelines.MethodFour independent samples of 9,325 individuals completed self-reported measures from three countries (the United States, Hungary, and Germany). The psychometric properties of the CSBD-19 were examined in terms of factor structure, reliability, measurement invariance, and theoretically relevant correlates. A potential threshold was determined to identify individuals with an elevated risk of CSBD.ResultsThe five-factor model of the CSBD-19 (i.e., control, salience, relapse, dissatisfaction, and negative consequences) had an excellent fit to the data and demonstrated appropriate associations with the correlates. Measurement invariance suggested that the CSBD-19 functions similarly across languages. Men had higher means than women. A score of 50 points was found as an optimal threshold to identify individuals at high-risk of CSBD.ConclusionsThe CSBD-19 is a short, valid, and reliable measure of potential CSBD based on ICD-11 diagnostic guidelines. Its use in large-scale, cross-cultural studies may promote the identification and understanding of individuals with a high risk of CSBD.

scholarly journals “You’ve Gotta be Careful”: Familial Messages Regarding Sexual Behavior and Sexual Relationships among African American Adolescents

2019 ◽  
Vol 16 (7) ◽  
pp. 1146
Author(s):  
Gary Harper ◽  
Darnell Motley ◽  
April Timmons Tyler ◽  
Donald Tyler ◽  
Joseph Catania ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
African American ◽  
Sexual Behaviors ◽  
Qualitative Interviews ◽  
African American Youth ◽  
Family Members ◽  
African American Adolescents ◽  
The United States ◽  
Sexual Relationships ◽  
Sexual Decision Making

Background: Research on the sexual behaviors of African American youth has primarily focused on associated risks, with a dearth of studies examining a fuller representation of African American adolescents’ sexual lives. This study explored the range of messages African American adolescents receive from family members regarding sexual behavior and sexual relationships. Methods: Participants were 52 sexually experienced African American youth (male = 32, female = 20) between the ages of 15 and 17 recruited from community-based organizations in the United States. Youth participated in individual in-depth qualitative interviews, and data were analyzed using a phenomenological framework. Results: Participants received a variety of messages about sexual behavior and sexual relationships from a range of family members including parents, siblings, grandmothers, aunts/uncles, and cousins. Types of messages clustered into three domains: sexual decision-making, quantity and quality of sexual activity, and sexual health promotion; with themes and sub-themes emerging within each area. Conclusion: Gender differences in the types of messages received are explored, and applications of the findings to the development of family-involved community interventions that promote sexual and reproductive health are discussed.

Psychiatric comorbidity in compulsive sexual behavior disorder (CSBD)

2020 ◽  
Vol 107 ◽  
pp. 106384 ◽  
Author(s):  
R. Ballester-Arnal ◽  
J. Castro-Calvo ◽  
C. Giménez-García ◽  
B. Gil-Juliá ◽  
M.D. Gil-Llario
Keyword(s):  
Sexual Behavior ◽  
Psychiatric Comorbidity ◽  
Behavior Disorder ◽  
Compulsive Sexual Behavior

scholarly journals Addiction or Transgression? Moral Incongruence and Self-Reported Problematic Pornography Use in a Nationally Representative Sample

2020 ◽  
Vol 8 (5) ◽  
pp. 936-946 ◽  
Author(s):  
Joshua B. Grubbs ◽  
Brinna N. Lee ◽  
K. Camille Hoagland ◽  
Shane W. Kraus ◽  
Samuel L. Perry
Keyword(s):  
Sexual Behavior ◽  
Behavior Disorder ◽  
International Classification Of Diseases ◽  
The United States ◽  
Compulsive Sexual Behavior ◽  
Total N ◽  
Self Reports ◽  
Pornography Use ◽  
Nationally Representative ◽  
New Diagnosis

In the United States, pornography use is common, and it is increasingly a clinical concern under some circumstances. Excessive pornography use may qualify for the new diagnosis of compulsive sexual behavior disorder (CSBD) in the forthcoming 11th version of the International Classification of Diseases. There is also evidence, however, that moral incongruence (i.e., a misalignment of moral beliefs about sexual behavior and actual sexual behavior) may inflate self-reports of problems associated with pornography use. Prior work suggests religiousness may drive such moral incongruence. Using a large sample matched to U.S. representative norms (total: N = 2,519; past-year pornography users: n = 1,424, 66.4% men), we examined the interaction between pornography use and religiousness in predicting self-reported addiction to pornography. Results indicated that religiousness moderated the association between pornography use and self-reported addiction so that, despite a negative association between religiousness and use, at higher levels of religiousness, pornography use was more strongly related to self-reports of addiction.

scholarly journals Age, sex, and other demographic trends in sexual behavior in the United States: Initial findings of the sexual behaviors, internet use, and psychological adjustment survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255371
Author(s):  
Hannah Roberts ◽  
Angus Clark ◽  
Carter Sherman ◽  
Mary M. Heitzeg ◽  
Brian M. Hicks
Keyword(s):  
United States ◽  
Sexual Behavior ◽  
Romantic Relationships ◽  
Psychological Adjustment ◽  
Sexual Behaviors ◽  
Internet Use ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Use Of The Internet

It remains unclear how the seemingly ubiquitous use of the internet impacts user’s offline personal relationships, particularly those that are romantic or sexual. Therefore, we conducted a national online survey to better understand the associations among internet use, sexual behavior, and adjustment called the Sexual Behaviors, Internet Use, and Psychological Adjustment Survey (SIPS). Here, we report patterns of sexual behavior in a sample of adults (N = 1987; ages 18–70) in the United States to establish its representativeness and consistency with similar recent surveys. We found age- and sex-related trends in oral, vaginal, and anal sex in terms of prevalence, frequency, number of partners, and age of initiation consistent with prior studies. We also detected differences in sexual behaviors based on relationship status and sexual orientation, but small and relatively few significant differences across racial and ethnic groups. The results confirm and expand upon trends identified in prior national surveys of sexual behavior, establishing the representativeness of the SIPS sample for use in future research examining the links among sexual behaviors and romantic relationships, internet use, and adjustment.

scholarly journals Impulsivity in Compulsive Sexual Behavior Disorder and Pedophilic Disorder

2021 ◽  
Author(s):  
Josephine Savard ◽  
Tatja Hirvikoski ◽  
Katarina Görts Öberg ◽  
Cecilia Dhejne ◽  
Christoffer Rahm ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Neurodevelopmental Disorders ◽  
Psychiatric Comorbidity ◽  
Performance Test ◽  
Behavior Disorder ◽  
Multiple Linear Regression Model ◽  
Autism Spectrum ◽  
Sexual Compulsivity ◽  
Compulsive Sexual Behavior ◽  
Pedophilic Disorder

AbstractBackground and aimsImpulsivity is regarded as a risk factor for sexual crime reoffending, and a suggested core feature in Compulsive Sexual Behavior Disorder. The aim of this study was to explore clinical (e.g. neurodevelopmental disorders), behavioral and neurocognitive dimensions of impulsivity in disorders of problematic sexuality, and the possible correlation between sexual compulsivity and impulsivity.MethodsMen with Compulsive Sexual Behavior Disorder (n = 20), and Pedophilic Disorder (n = 55), enrolled in two separate drug trials in a specialized Swedish sexual medicine outpatient clinic, as well as healthy male controls (n = 57) were assessed with the Hypersexual Behavior Inventory (HBI) for sexual compulsivity, and with the Barratt Impulsiveness Scale (BIS) and Connors’ Continuous Performance Test-II (CPT-II) for impulsivity. Psychiatric comorbidity information was extracted from interviews and patient case files.ResultsApproximately a quarter of the clinical groups had Attention-Deficit/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder. Both clinical groups reported more compulsive sexuality (r = 0.73−0.75) and attentional impulsivity (r = 0.36−0.38) than controls (P < 0.05). Based on results on univariate correlation analysis, BIS attentional score, ADHD, and Commissions T-score from CPT-II were entered in a multiple linear regression model, which accounted for 15% of the variance in HBI score (P < 0.0001). BIS attentional score was the only independent positive predictor of HBI (P = 0.001).DiscussionSelf-rated attentional impulsivity is an important associated factor of compulsive sexuality, even after controlling for ADHD. Psychiatric comorbidity and compulsive sexuality are common in Pedophilic Disorder.ConclusionNeurodevelopmental disorders and attentional impulsivity – including suitable interventions – should be further investigated in both disorders.

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