Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples

Castro-Calvo, J.; Gil-Llario, M. D.; Giménez-García, C.; Gil-Juliá, B.; Ballester-Arnal, R.

doi:10.1556/2006.2020.00025

Cited by 56Sexuality, Behavior, and TechnologyGambling Behavior and TreatmentsSexual function and dysfunction studies

Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples

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Castro-Calvo, J., Gil-Llario, M. D., Giménez-García, C., Gil-Juliá, B., Ballester-Arnal, R.·2020·Journal of Behavioral Addictions

DOI 10.1556/2006.2020.00025PMC PMC8939411

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Abstract

Background and aims: Compulsive Sexual Behavior Disorder (CSBD) is characterized by a persistent failure to control intense and recurrent sexual impulses, urges, and/or thoughts, resulting in repetitive sexual behavior that causes a marked impairment in important areas of functioning. Despite its recent inclusion in the forthcoming ICD-11, concerns regarding its assessment, diagnosis, prevalence or clinical characteristics remain. The purpose of this study was to identify participants displaying CSBD through a novel data-driven approach in two independent samples and outline their sociodemographic, sexual, and clinical profile. Methods: Sample 1 included 1,581 university students (females = 56.9%; M age = 20.58) whereas sample 2 comprised 1,318 community members (females = 43.6%; M age = 32.37). First, we developed a new composite index to assess the whole range of CSBD symptoms based on three previously validated scales. Based on this new composite index, we subsequently identified individuals with CSBD through a cluster analytic approach. Results: The estimated occurrence of CSBD was 10.12% in sample 1 and 7.81% in sample 2. Participants with CSBD were mostly heterosexual males, younger than respondents without CSBD, reported higher levels of sexual sensation seeking and erotophilia, an increased offline and especially online sexual activity, more depressive and anxious symptoms, and poorer self-esteem. Conclusions: This research provides further evidence on the occurrence of CSBD based on an alternative data-driven approach, as well as a detailed and nuanced description of the sociodemographic, sexual, and clinical profile of adults with this condition. Clinical implications derived from these findings are discussed in detail.

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Across studies, endorsement of items related to compulsive sexual behaviour seems to be associated with male gender, younger age, religiousness, and moral incongruence.
“Across studies, endorsement of items related to compulsive sexual behaviour seems to be associated with male gender 247,248 , younger age 246,250 , religiousness 246,250 , and moral incongruence (i.e., the experience of engaging in activities that violate one's moral values) 225 .”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [248]
CastroCalvo et al studied compulsive sexual behaviour disorder in two independent convenience samples in Spain; estimated prevalence was 10.1% in the student sample and 7.8% in the community sample.
“CastroCalvo et al 248 studied compulsive sexual behaviour disorder in two independent convenience samples in Spain, one comprising university students and the other community members who had volunteered to participate in a study about their sexual behaviour. The estimated prevalence of the disorder was 10.1% in the student sample and 7.8% in the community sample.”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [248]
Participants reporting symptoms meeting the requirements for compulsive sexual behaviour disorder were mostly heterosexual males, younger than other respondents, with higher sexual sensation-seeking and interest in sex, increased offline and especially online sexual activity, more depressive and anxious symptoms, and poorer self-esteem.
“Participants reporting symptoms meeting the requirements for the disorder were mostly heterosexual males, younger than the other respondents, and with higher levels of sexual sensation-seeking and interest in sex, increased offline and especially online sexual activity, more depressive and anxious symptoms, and poorer selfesteem.”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [248]

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Authors: Castro-Calvo, J., Gil-Llario, M. D., Giménez-García, C., Gil-Juliá, B., & Ballester-Arnal, R.
Affiliations: 1Dpto. Personalidad, Evaluación y Tratamientos Psicológicos, Universitat de València, Estudi General, Valencia, Spain
2Dpto. Psicología Evolutiva y de la Educación, Universitat de València, Estudi General, Valencia, Spain
3Dpto. Psicología Básica, Clínica y Psicobiología, Universitat Jaume I, Castelló de la Plana, Castellón, Spain
ORCID: Castro-Calvo, J.
Venue: Journal of Behavioral Addictions
Publisher: Akademiai Kiado Zrt.
Published: 2020-06
Volume: 9
Issue: 2
Pages: 446-468
ISSN: 2062-5871 (ISSN-L)
2063-5303
DOI: 10.1556/2006.2020.00025
PMC: PMC8939411
OpenAlex: W3036397876
Cited by: 56
References: 101
Citations by year: 2026: 18 · 2025: 8 · 2024: 4 · 2023: 9 · 2022: 6 · 2021: 8 · 2020: 3
FWCI: 2.60
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (unspecified)
Locations: Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-nc-nd)
Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, other-oa)
Funders: University Jaume I of Castellón (P1.1B2012-49, P1.1B2015-82)
County Council Department of Education, Culture and Sports of the Valencian Community (APOSTD/2017/005)
Ministry of Science and Innovation (PSI2011-27992/11 I 384)
Topics: Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: compulsive sexual behavior disorder, prevalence, clinical features, sexual sensation seeking, erotophilia, online sexual behavior, depressive symptoms, anxiety symptoms, self-esteem, ICD-11, composite index, university students, community sample
MeSH terms: Adolescent, Adult, Compulsive Behavior, Female, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Paraphilic Disorders, Psychiatric Status Rating Scales, Severity of Illness Index, Sexual Behavior, Students, Universities, Cluster Analysis, Young Adult

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Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples

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