The development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 based screening measure across three languages
Open accessAbstract
Background: Compulsive Sexual Behavior Disorder (CSBD) is included in the eleventh edition of The International Classification of Diseases (ICD-11) as an impulse-control disorder. Aims: The 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. Method: Four 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. Results: The 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. Conclusions: The 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.
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The Compulsive Sexual Behavior Disorder-19 scale yielded a five-factor structure and its psychometric properties were robust across Germany, Hungary, and the US.
“The scale yielded a five-factor structure (i.e., control, salience, relapse, dissatisfaction, and general and domain-specific negative consequences), and its psychometric properties were robust across the three countries involved in the initial study (Germany, Hungary and the US).”
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Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Evaluating Goodness-of-Fit Indexes for Testing Measurement Invariance
Cheung, G. W., & Rensvold, R. B. (2002) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1207/s15328007sem0902_5 · Cited by 16,280 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
Carter, M. J. (2014) · Therapeutic Recreation Journal · Cited by 15,154 · see citing works
Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance
Chen, F. F. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701301834 · Cited by 12,217 · see citing works
Amazon's Mechanical Turk: A New Source of Inexpensive, Yet High-Quality, Data?
Buhrmester, M., Kwang, T., & Gosling, S. D. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393980 · Cited by 9,996 · see citing works
Vandenberg, R. J., & Lance, C. E. (2000) · Organizational Research Methods · doi:10.1177/109442810031002 · Cited by 7,997 · see citing works
Measurement Invariance, Factor Analysis and Factorial Invariance
Meredith, W. (1993) · Psychometrika · doi:10.1007/bf02294825 · Cited by 4,536 · see citing works
International Statistical Classification of Diseases and Related Health Problems
Eisfeld, J. (2014) · TSQ Transgender Studies Quarterly · doi:10.1215/23289252-2399740 · Cited by 3,570 · see citing works
Structural Equation Modeling: A Second Course
(2007) · Personnel Psychology · doi:10.1111/j.1744-6570.2007.00081_13.x · Cited by 2,851 · see citing works
Collins, L. M., & Lanza, S. T. (2009) · Cited by 2,536 · see citing works
Statistics Notes: Diagnostic tests 1: sensitivity and specificity
Altman, D. G., & Bland, J. M. (1994) · BMJ · doi:10.1136/bmj.308.6943.1552 · Cited by 2,074 · see citing works
Understanding Power and Rules of Thumb for Determining Sample Sizes
VanVoorhis, C. R. W., & Morgan, B. L. (2007) · Tutorials in Quantitative Methods for Psychology · doi:10.20982/tqmp.03.2.p043 · Cited by 1,946 · see citing works
Statistics Notes: Diagnostic tests 2: predictive values
Altman, D. G., & Bland, J. M. (1994) · BMJ · doi:10.1136/bmj.309.6947.102 · Cited by 1,711 · see citing works
Statistical Approaches to Measurement Invariance
Millsap, R. E. (2012) · doi:10.4324/9780203821961 · Cited by 1,554 · see citing works
Hypersexual disorder: A proposed diagnosis for DSM-V
Kafka, M. P. (2010) · Archives of Sexual Behavior · doi:10.1007/s10508-009-9574-7 · Cited by 1,095 · see citing works
Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model
Rollè, L., Prino, L. E., Sechi, C., Vismara, L., Neri, E., Polizzi, C., Trovato, A., Volpi, B., Molgora, S., Fenaroli, V., et al. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00839 · Cited by 1,018 · see citing works
Compulsive sexual behaviour disorder in the ICD‐11
Kraus, S. W., Krueger, R. B., Briken, P., First, M. B., Stein, D. J., Kaplan, M. S., Voon, V., Abdo, C. H. N., Grant, J. E., Atalla, E., et al. (2018) · World Psychiatry · doi:10.1002/wps.20499 · Cited by 511 · see citing works
Self-citationReid, R. C., Garos, S., & Carpenter, B. N. (2011) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720162.2011.555709 · Cited by 468 · see citing works
Report of Findings in a DSM-5 Field Trial for Hypersexual Disorder
Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., Cooper, E. B., McKittrick, H., Davtian, M., & Fong, T. (2012) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2012.02936.x · Cited by 430 · see citing works
Grubbs, J. B., Perry, S. L., Wilt, J. A., & Reid, R. C. (2019) · Archives of Sexual Behavior · doi:10.1007/s10508-018-1248-x · Cited by 394 · see citing works
Marsh, H. W., Ellis, L. A., Parada, R. H., Richards, G. E., & Heubeck, B. G. (2005) · Psychological Assessment · doi:10.1037/1040-3590.17.1.81 · Cited by 326 · see citing works
The development of the Problematic Pornography Consumption Scale (PPCS)
Bőthe, B., Tóth-Király, I., Zsila, Á., Griffiths, M. D., Demetrovics, Z., & Orosz, G. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2017.1291798 · Cited by 317 · see citing works
Self-citationDicke, T., Marsh, H. W., Riley, P., Parker, P. D., Guo, J., & Horwood, M. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00584 · Cited by 268 · see citing works
Karila, L., Wéry, A., Weinstein, A. M., Cottencin, O., Petit, A., Reynaud, M., & Billieux, J. (2014) · Current Pharmaceutical Design · doi:10.2174/13816128113199990619 · Cited by 234 · see citing works
Revisiting the role of impulsivity and compulsivity in problematic sexual behaviors
Bőthe, B., Tóth-Király, I., Potenza, M. N., Griffiths, M. D., Orosz, G., & Demetrovics, Z. (2019) · The Journal of Sex Research · doi:10.1080/00224499.2018.1480744 · Cited by 220 · see citing works
Self-citationWhat happened to hypersexual disorder?
Kafka, M. P. (2014) · Archives of Sexual Behavior · doi:10.1007/s10508-014-0326-y · Cited by 207 · see citing works
Dickenson, J. A., Gleason, N., Coleman, E., & Miner, M. H. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.4468 · Cited by 204 · see citing works
Psychometric development of the hypersexual behavior consequences scale
Reid, R. C., Garos, S., & FONG, T. W. (2012) · Journal of Behavioral Addictions · doi:10.1556/jba.1.2012.001 · Cited by 153 · see citing works
Király, O., Bőthe, B., Ramos‐Diaz, J., Rahimi‐Movaghar, A., Lukavská, K., Hrabec, O., Miovský, M., Billieux, J., Deleuze, J., Nuyens, F. M., et al. (2018) · Psychology of Addictive Behaviors · doi:10.1037/adb0000433 · Cited by 140 · see citing works
Self-citationTóth‐Király, I., Bőthe, B., Rigó, A., & Orosz, G. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01968 · Cited by 138 · see citing works
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Orosz, G., Tóth‐Király, I., & Bőthe, B. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2015.11.038 · Cited by 133 · see citing works
Self-citationSelf-Reported Indicators of Hypersexuality and Its Correlates in a Female Online Sample
Klein, V., Rettenberger, M., & Briken, P. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12602 · Cited by 128 · see citing works
Self-citationConceptualization and Assessment of Hypersexual Disorder: A Systematic Review of the Literature
Montgomery-Graham, S. (2017) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2016.11.001 · Cited by 128 · see citing works
Hypersexuality, Gender, and Sexual Orientation: A Large-Scale Psychometric Survey Study
Bőthe, B., Bartók, R., Tóth‐Király, I., Reid, R. C., Griffiths, M. D., Demetrovics, Z., & Orosz, G. (2018) · Archives of Sexual Behavior · doi:10.1007/s10508-018-1201-z · Cited by 124 · see citing works
Self-citationBőthe, B., Tóth‐Király, I., Demetrovics, Z., & Orosz, G. (2020) · The Journal of Sex Research · doi:10.1080/00224499.2020.1716205 · Cited by 120 · see citing works
Self-citationMeasuring Hypersexual Behavior
Womack, S. D., Hook, J. N., Ramos, M. J., Davis, D. E., & Penberthy, J. K. (2013) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720162.2013.768126 · Cited by 106 · see citing works
Orosz, G., Tóth‐Király, I., Büki, N., Ivaskevics, K., Bőthe, B., & Fülöp, M. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00779 · Cited by 81 · see citing works
Self-citationBőthe, B., Koós, M., Tóth-Király, I., Orosz, G., & Demetrovics, Z. (2019) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2019.01.312 · Cited by 80 · see citing works
Self-citationBőthe, B., Kovács, M., Tóth‐Király, I., Reid, R. C., Griffiths, M. D., Orosz, G., & Demetrovics, Z. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2018.1494262 · Cited by 76 · see citing works
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Štulhofer, A., Jurin, T., & Briken, P. (2016) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2015.1113585 · Cited by 70 · see citing works
Chen, L., & Jiang, X. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17020488 · Cited by 64 · see citing works
Yang, F.-C., Chen, H., Huang, C., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165798 · Cited by 64 · see citing works
Public stakeholders’ comments on ICD-11 chapters related to mental and sexual health
Fuss, J., Lemay, K., Stein, D. J., Briken, P., Jakob, R., Reed, G. M., & Kogan, C. S. (2019) · World Psychiatry · doi:10.1002/wps.20635 · Cited by 61 · cited 1× · see citing works
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BackgroundRubin, J. D., Conley, T. D., Klein, V., Liu, J., Lehane, C. M., & Dammeyer, J. (2019) · Personality and Individual Differences · doi:10.1016/j.paid.2019.07.012 · Cited by 60 · see citing works
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Klein, V., Jurin, T., Briken, P., & Štulhofer, A. (2015) · The Journal of Sexual Medicine · doi:10.1111/jsm.13019 · Cited by 36 · see citing works
Self-citationOrosz, G., Bruneau, E., Tropp, L. R., Sebestyén, N., Tóth‐Király, I., & Bőthe, B. (2018) · Journal of Applied Social Psychology · doi:10.1111/jasp.12513 · Cited by 35 · see citing works
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Erez, G., Pilver, C. E., & Potenza, M. N. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.04.009 · Cited by 33 · see citing works
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Stewart, H., & Fedoroff, J. P. (2014) · Current Sexual Health Reports · doi:10.1007/s11930-014-0017-7 · Cited by 18 · see citing works
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Evenson, R. C., Cho, D. W., & Holland, R. (1988) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198811)44:6 · Cited by 13 · see citing works
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- Authors
- Bőthe, B., Potenza, M. N., Griffiths, M. D., Kraus, S. W., Klein, V., Fuss, J., & Demetrovics, Z.
- Affiliations
- Eötvös Loránd University (HU)
- Yale University (US)
- Nottingham Trent University (GB)
- University of Nevada, Las Vegas (US)
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Bőthe, Beáta
- ORCID
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2020-06
- Volume
- 9
- Issue
- 2
- Pages
- 247-258
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC8939427
- OpenAlex
- W3040579074
- Cited by
- 175
- References
- 49
- Citations by year
- 2026: 33 · 2025: 29 · 2024: 32 · 2023: 30 · 2022: 27 · 2021: 18 · 2020: 6
- FWCI
- 8.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (acceptedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Digital Scholarship - UNLV (University of Nevada Reno) (submittedVersion, cc-by)
- ELTE Digital Institutional Repository (EDIT) (Eötvös Loránd University) (submittedVersion, other-oa)
- Funders
- Hungarian National Research, Development, and Innovation Office (KKP126835, NKFIH-1157-8/2019-DT)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- compulsive sexual behavior disorder, ICD-11, impulse control disorders, screening tool development, measurement invariance, cross-cultural validation, factor structure, risk thresholds, sex differences, behavioral addiction
- MeSH terms
- Adolescent, Adult, Aged, Compulsive Behavior, Germany, Humans, Hungary, Disruptive, Impulse Control, and Conduct Disorders, Middle Aged, Paraphilic Disorders, Psychiatric Status Rating Scales, Psychometrics, Sexual Behavior, United States, Reproducibility of Results, International Classification of Diseases, Young Adult
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