Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools

TY - JOUR

T1 - Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools

AU - Böthe, Beáta

AU - Koós, Mónika

AU - Nagy, Léna

AU - Kraus, Shane W.

AU - Demetrovics, Zsolt

AU - Potenza, Marc N.

AU - Michaud, Aurélie

AU - Ballester-Arnal, Rafael

AU - Batthyány, Dominik

AU - Bergeron, Sophie

AU - Billieux, Joel

AU - Briken, Peer

AU - Burkauskas, Julius

AU - Cárdenas-López, Georgina

AU - Carvalho, Joana

AU - Castro-Calvo, Jesús

AU - Chen, Lijun

AU - Ciocca, Giacomo

AU - Corazza, Ornella

AU - Csako, Rita

AU - Fernandez, David P.

AU - Fernandez, Elaine F.

AU - Fournier, Lois

AU - Fujiwara, Hironobu

AU - Fuß, Johannes

AU - Gabrhelík, Roman

AU - Gewirtz-Meydan, Ateret

AU - Gjoneska, Biljana

AU - Gola, Mateusz

AU - Grubbs, Joshua B.

AU - Hashim, Hashim T.

AU - Islam, Md. Saiful

AU - Ismail, Mustafa

AU - Jiménez-Martínes, Martha C.

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költö, Andreas

AU - Lee, Chin-Ting

AU - Lee, Sang-Kyu

AU - Lewczuk, Karol

AU - Lin, Chung-Ying

AU - Liverpool John Moores University's Research Team,

AU - Lochner, Christine

AU - López-Alvarado, Silvia

AU - Lukavská, Katerina

AU - Mayta-Tristán, Percy

AU - Milea, Ionut

AU - Miller, Dan J.

AU - Orosová, Ol'ga

AU - Orosz, Gábor

AU - Sungkyunkwan University's Research Team,

AU - Ponce, Fernando P.

AU - Quintana, Gonzalo R.

AU - Garzola, Gabriel C. Quintero

AU - Ramos-Diaz, Jano

AU - Rigaud, Kévin

AU - Rousseau, Ann

AU - de Tubino Scanavino, Marco

AU - Schulmeyer, Marion K.

AU - Sharan, Pratap

AU - Shibata, Mami

AU - Shoib, Sheikh

AU - Sigre-Leirós, Vera L.

AU - Sniewski, Luke

AU - Spasovski, Ognen

AU - Steibliene, Vesta

AU - Stein, Dan J.

AU - Strizek, Julian

AU - Stulhofer, Aleksandra

AU - Ünsal, Berk C.

AU - Vaillancourt-Morel, Marie-Pier

PY - 2023/6/29

Y1 - 2023/6/29

N2 - BACKGROUND AND AIMS: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice.METHOD: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD.RESULTS: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability.DISCUSSION AND CONCLUSIONS: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

AB - BACKGROUND AND AIMS: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice.METHOD: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD.RESULTS: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability.DISCUSSION AND CONCLUSIONS: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

U2 - 10.1556/2006.2023.00028

DO - 10.1556/2006.2023.00028

M3 - SCORING: Journal article

VL - 12

SP - 393

EP - 407

JO - J BEHAV ADDICT

JF - J BEHAV ADDICT

SN - 2062-5871

IS - 2

ER -