Who feels affected by “out of control” sexual behavior?

TY - JOUR

T1 - Who feels affected by “out of control” sexual behavior?

T2 - Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

AU - Briken, Peer

AU - Wiessner, Christian

AU - Stuhlhofer, Alexander

AU - Klein, Verena

AU - Fuß, Johannes

AU - Reed, Geoffrey M.

AU - Dekker, Arne

PY - 2022/9/26

Y1 - 2022/9/26

N2 - BACKGROUND AND AIMS: The purpose of this study was to examine the prevalence and correlates of indicators consistent with Compulsive Sexual Behavior Disorder (CSBD)-defined and operationalized according to the ICD-11 guidelines-in a large (n = 4,633; 50.5% male; 49,5% female) probability-based German national sample.METHODS: Participants were asked if they had ever experienced "intense and recurring sexual impulses or sexual urges that I had difficulty controlling and resulted in sexual behavior" over a period of several months. Those who reported this experience were queried about the associated distress.RESULTS: Overall, 4.9% of men [95% CI = 3.9-6.1] and 3.0% of women [95% CI = 2.3-3.9] reported experiences consistent with ICD-11 diagnostic requirements for lifetime diagnosis. In the 12 months preceding the study, 3.2% of men [95% CI = 2.4-4.2] and 1.8% of women [95% CI = 1.2-2.5] reported experiences consistent with CSBD requirements. Compared to controls and participants who reported elements of compulsive sexuality but without accompanying distress, strict religious upbringing was most prevalent in the CSBD group. The CSBD group was more likely to view sexual practices like men having sex with men as unacceptable and to report the belief that pornography has negative impacts on their sex life and life in general. Compared to the other two groups, the CSBD group was significantly more likely to have received psychiatric treatment for depression or another mental health problem during the past 12 months.DISCUSSION AND CONCLUSIONS: The current study provides novel and important insights into the prevalence and characteristics of CSBD in the general population.

AB - BACKGROUND AND AIMS: The purpose of this study was to examine the prevalence and correlates of indicators consistent with Compulsive Sexual Behavior Disorder (CSBD)-defined and operationalized according to the ICD-11 guidelines-in a large (n = 4,633; 50.5% male; 49,5% female) probability-based German national sample.METHODS: Participants were asked if they had ever experienced "intense and recurring sexual impulses or sexual urges that I had difficulty controlling and resulted in sexual behavior" over a period of several months. Those who reported this experience were queried about the associated distress.RESULTS: Overall, 4.9% of men [95% CI = 3.9-6.1] and 3.0% of women [95% CI = 2.3-3.9] reported experiences consistent with ICD-11 diagnostic requirements for lifetime diagnosis. In the 12 months preceding the study, 3.2% of men [95% CI = 2.4-4.2] and 1.8% of women [95% CI = 1.2-2.5] reported experiences consistent with CSBD requirements. Compared to controls and participants who reported elements of compulsive sexuality but without accompanying distress, strict religious upbringing was most prevalent in the CSBD group. The CSBD group was more likely to view sexual practices like men having sex with men as unacceptable and to report the belief that pornography has negative impacts on their sex life and life in general. Compared to the other two groups, the CSBD group was significantly more likely to have received psychiatric treatment for depression or another mental health problem during the past 12 months.DISCUSSION AND CONCLUSIONS: The current study provides novel and important insights into the prevalence and characteristics of CSBD in the general population.

U2 - https://doi.org/10.1556/2006.2022.00060

DO - https://doi.org/10.1556/2006.2022.00060

M3 - SCORING: Journal article

VL - 11

SP - 900

EP - 911

JO - J BEHAV ADDICT

JF - J BEHAV ADDICT

SN - 2062-5871

IS - 3

ER -