The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder
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The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder. / Turner, Daniel; Briken, Peer; Grubbs, Joshua; Malandain, Leo; Mestre-Bach, Gemma; Potenza, Marc N. ; Thibaut , Florence.
in: DIALOGUES CLIN NEURO, Jahrgang 24, Nr. 1, 12.2022, S. 10-69.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder
AU - Turner, Daniel
AU - Briken, Peer
AU - Grubbs, Joshua
AU - Malandain, Leo
AU - Mestre-Bach, Gemma
AU - Potenza, Marc N.
AU - Thibaut , Florence
PY - 2022/12
Y1 - 2022/12
N2 - OBJECTIVES: The current guidelines aim to evaluate the role of pharmacological agents in the treatment of patients with compulsive sexual behaviour disorder (CSBD). They are intended for use in clinical practice by clinicians who treat patients with CSBD.METHODS: An extensive literature search was conducted using the English-language-literature indexed on PubMed and Google Scholar without time limit, supplemented by other sources, including published reviews.RESULTS: Each treatment recommendation was evaluated with respect to the strength of evidence for its efficacy, safety, tolerability, and feasibility. Psychoeducation and psychotherapy are first-choice treatments and should always be conducted. The type of medication recommended depended mainly on the intensity of CSBD and comorbid sexual and psychiatric disorders. There are few randomised controlled trials. Although no medications carry formal indications for CSBD, selective-serotonin-reuptake-inhibitors and naltrexone currently constitute the most relevant pharmacological treatments for the treatment of CSBD. In cases of CSBD with comorbid paraphilic disorders, hormonal agents may be indicated, and one should refer to previously published guidelines on the treatment of adults with paraphilic disorders. Specific recommendations are also proposed in case of chemsex behaviour associated with CSBD.CONCLUSIONS: An algorithm is proposed with different levels of treatment for different categories of patients with CSBD.
AB - OBJECTIVES: The current guidelines aim to evaluate the role of pharmacological agents in the treatment of patients with compulsive sexual behaviour disorder (CSBD). They are intended for use in clinical practice by clinicians who treat patients with CSBD.METHODS: An extensive literature search was conducted using the English-language-literature indexed on PubMed and Google Scholar without time limit, supplemented by other sources, including published reviews.RESULTS: Each treatment recommendation was evaluated with respect to the strength of evidence for its efficacy, safety, tolerability, and feasibility. Psychoeducation and psychotherapy are first-choice treatments and should always be conducted. The type of medication recommended depended mainly on the intensity of CSBD and comorbid sexual and psychiatric disorders. There are few randomised controlled trials. Although no medications carry formal indications for CSBD, selective-serotonin-reuptake-inhibitors and naltrexone currently constitute the most relevant pharmacological treatments for the treatment of CSBD. In cases of CSBD with comorbid paraphilic disorders, hormonal agents may be indicated, and one should refer to previously published guidelines on the treatment of adults with paraphilic disorders. Specific recommendations are also proposed in case of chemsex behaviour associated with CSBD.CONCLUSIONS: An algorithm is proposed with different levels of treatment for different categories of patients with CSBD.
KW - Adult
KW - Humans
KW - Biological Psychiatry
KW - Sexual Dysfunctions, Psychological/drug therapy
KW - Paraphilic Disorders/drug therapy
KW - Sexual Behavior
KW - Compulsive Behavior/drug therapy
U2 - https://doi.org/10.1080/19585969.2022.2134739
DO - https://doi.org/10.1080/19585969.2022.2134739
M3 - SCORING: Journal article
C2 - 37522807
VL - 24
SP - 10
EP - 69
JO - DIALOGUES CLIN NEURO
JF - DIALOGUES CLIN NEURO
SN - 1294-8322
IS - 1
ER -