Should compulsive sexual behavior (CSB) be considered as a behavioral addiction? A debate paper presenting the opposing view
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Background and aims: Compulsive sexual behavior disorder (CSBD) has been a long debated issue. While formerly the discussion was about whether to regard CSBD as a distinctive disorder, the current debate is dealing with the classification of this phenomenon. One of the prominent voices in this field considers CSBD as a behavioral addiction and proposes CSBD to be called and diagnosed as sexual addiction (SA). This present debate paper will review the existing evidence supporting this view and it will argue against it. Results: We have found that a great deal of the current literature is anecdotal while empirical evidence is insufficient. First, the reports about the prevalence of CSBD are contradictory. Additionally, the field mainly suffers from inconsistent defining criteria of CSBD and a consensus which symptoms should be included. As a result, the empirical evidence that does exist is mostly about some symptoms individually and not on the disorder as a whole construct. Conclusions: We conclude that currently, there is not enough data supporting CSBD as a behavioral addiction. Further research has to be done, examining CSBD phenomenology as a whole construct and based on a homogeneous criterion.
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CSB typically involves a wide range of problematic sexual behaviours with significant diversity characterising the condition.
“These findings agree with those of Derbyshire and Grant (2015), Böthe et al. (2019) and Sassover and Weinstein (2020), confirming that CSB typically involves a wide range of problematic sexual behaviours with significant diversity characterising the condition.”
From The Lived Experiences and Well-Being of Female Partners Following Discovery or Disclosure of Their Male Partner’s Compulsive Sexual Behaviours: An Australian Phenomenological Study (2025) · cites this paper as Sassover and Weinstein (2020)
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Problematic Pornography Use in Adolescents: From Prevention to Intervention
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Another failure of the latent disease model? The case of compulsive sexual behavior disorder •
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The Structure of Compulsive Sexual Behavior: A Network Analysis Study
Marchetti, I. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02549-y · Cited by 19 · see citing works
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The Relationship between Boredom Proneness, Attachment Styles and Compulsive Sexual Behavior
Coleman, E., Rahm-Knigge, R. L., Danielson, S., Nielsen, K. H., Gleason, N., Jennings, T. L., & Miner, M. H. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2086511 · Cited by 17 · see citing works
Villena‐Moya, A., Actis, C. C., Granero, R., Fernández‐Aranda, F., Potenza, M. N., Jiménez‐Múrcia, S., & Mestre-Bach, G. (2024) · Archives of Sexual Behavior · doi:10.1007/s10508-024-03000-6 · Cited by 12 · see citing works
Zhang, W., Wang, P., Gao, B., & Wang, Z. (2025) · Journal of Behavioral Addictions · doi:10.1556/2006.2025.00059 · Cited by 12 · see citing works
Wnuk, M., & Charzyńska, E. (2022) · Journal of Behavioral Addictions · doi:10.1556/2006.2022.00024 · Cited by 12 · see citing works
Criteria for the establishment of a new behavioural addiction •
Gullo, M. J., Wood, A. P., & Saunders, J. B. (2022) · Journal of Behavioral Addictions · doi:10.1556/2006.2022.00031 · Cited by 12 · see citing works
Debates on Compulsive Sexual Behavior Disorder: A Call for Global and Interdisciplinary Perspectives
Bőthe, B., Potenza, M. N., & Demetrovics, Z. (2024) · Archives of Sexual Behavior · doi:10.1007/s10508-024-02836-2 · Cited by 11 · see citing works
Fernandez, D. P., Kuss, D. J., Justice, L. V., Fernandez, E. F., & Griffiths, M. D. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-022-02519-w · Cited by 11 · see citing works
Two subtypes of compulsive sexual behavior disorder
Golder, S., Markert, C., Psarros, R., Discher, J. P., Walter, B., & Stark, R. M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1248900 · Cited by 10 · see citing works
Multicultural Considerations for the Psychometrics of the Brief Pornography Screen
Borgogna, N. C., Way, B. M., & Kraus, S. W. (2024) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2023.0493 · Cited by 10 · see citing works
Acceptance and Commitment Therapy Approach for Problematic Chemsex Among Men Who Have Sex With Men
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Compulsive sexual behavior disorder in an inpatient sample with substance use disorder
Golder, S., Walter, B., Bengesser, I., Kramer, D., Muhl, C., Tahmassebi, N., Storz, F., Markert, C., & Stark, R. M. (2024) · Sexual Medicine · doi:10.1093/sexmed/qfae003 · Cited by 8 · see citing works
Stark, R. M., Markert, C., Golder, S., Psarros, R., Discher, J. P., Khatib, S., Metzger, J., Palmer, S., Rechmann, J., Storz, F., et al. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2024.00046 · Cited by 10 · see citing works
Evaluation and treatment of compulsive sexual behavior: current limitations and potential strategies
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Lacy, E. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1366617 · Cited by 7 · see citing works
Horváth, Z., Kun, B., Király, O., Paksi, B., Griffiths, M. D., & Demetrovics, Z. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2024.00055 · Cited by 8 · see citing works
Differences in cross-sectional and daily diary problematic pornography use correlates
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Wizła, M., Kraus, S. W., & Lewczuk, K. (2022) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2022.152303 · Cited by 7 · see citing works
Ashkenazi, S., Anaki, L., Nahum, Y., & Weinstein, A. M. (2022) · Current Psychology · doi:10.1007/s12144-022-03925-y · Cited by 7 · see citing works
Self-citationEfrati, Y. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10359-8 · Cited by 7 · see citing works
Impulsivity in the context of pornography use and compulsive sexual behavior
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Zarate, D., Tran, T. T. D., Rehm, I. C., Prokofieva, M., & Stavropoulos, V. (2023) · Clinical Psychologist · doi:10.1080/13284207.2023.2221781 · Cited by 7 · see citing works
A meta-analytic review of smartphone addiction prevalence in Chinese college students
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Paraphilias and Sexual Offending in Compulsive Sexual Behavior in the Sex@Brain-Study
Engel, J., Nagy, L., Dickhut, C., Veit, M., Kneer, J., & Krüger, T. H. C. (2024) · Sexual Health & Compulsivity · doi:10.1080/26929953.2024.2392204 · Cited by 6 · see citing works
Nosology of behavioral addictions: Intersections with philosophy of psychiatry •
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Gomez, R., Brown, T., & Stavropoulos, V. (2024) · Psychiatric Quarterly · doi:10.1007/s11126-024-10087-6 · Cited by 5 · see citing works
Investigating mood-modification, withdrawal, and sensitization in compulsive sexual behaviour
Sassover, E., Kushnir, T., & Weinstein, A. M. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1421028 · Cited by 5 · see citing works
Self-citationOkabe, Y., & Ito, D. (2023) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01077-z · Cited by 5 · see citing works
Cruz, G. V., Aboujaoude, E. N., Liberacka-Dwojak, M., Wiłkość-Dębczyńska, M., Rochat, L., Khan, R., & Khazaal, Y. (2024) · Archives of Public Health · doi:10.1186/s13690-024-01294-5 · Cited by 5 · see citing works
Seo, B.-K., Hwang, Y., & Cho, H. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032331 · Cited by 5 · see citing works
Cruz, D. M., Ávila-Chauvet, L., Villalobos-Gallegos, L., & Toledo-Lozano, C. G. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1265822 · Cited by 5 · see citing works
Compulsive sexual behavior disorder and impulsivity
Sassover, E., & Weinstein, A. M. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13437-1.00009-4 · Cited by 5 · see citing works
Self-citationPrantner, S., Espino‐Payá, A., Pastor, M. C., Giménez‐García, C., Kroker, T., Ballester‐Arnal, R., & Junghoefer, M. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100524 · Cited by 5 · see citing works
Jiménez‐Múrcia, S., Granero, R., Testa, G., Tarragón, E., Potenza, M. N., Bőthe, B., Demetrovics, Z., Uríszar, J. C., Actis, C. C., Fernández‐Aranda, F., et al. (2025) · Archives of Sexual Behavior · doi:10.1007/s10508-025-03201-7 · Cited by 4 · see citing works
Başar, K. (2024) · Turkish Journal of Psychiatry · doi:10.5080/u27559 · Cited by 4 · see citing works
Prause, N., & Siegle, G. J. (2022) · Sexual Health · doi:10.1071/sh21219 · Cited by 4 · see citing works
Seyed Aghamiri, F., Luetz, J. M., & Hills, K. (2025) · Sexuality Research and Social Policy · doi:10.1007/s13178-024-01043-x · Cited by 3 · see citing works
“These findings agree with those of Derbyshire and Grant (2015), Böthe et al. (2019) and Sassover and Weinstein (2020), confirming that CSB typically involves a wide range of problematic sexual behaviours with significant diversity characterising the condition.”
Aghamiri, F. S., Luetz, J. M., & Hills, K. (2025) · Counselling and Psychotherapy Research · doi:10.1002/capr.12850 · Cited by 4 · see citing works
Hatch, H. D., Hatch, S., Henderson, E., Deichman, C. L., Johnson, D., Esplin, C. R., Halstead, A. G., & Braithwaite, S. R. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.11.001 · Cited by 3 · see citing works
Buczó, D., Koós, M., Nagy, L., Demetrovics, Z., & Bőthe, B. (2024) · Sexuality Research and Social Policy · doi:10.1007/s13178-023-00919-8 · Cited by 3 · see citing works
Asian cultural values and help-seeking: a cross-sectional study on compulsive sexual behavior
Pham, H.-L., Nguyen, V. H. A., Le, C. M., Truong-Thai, T.-H., Vu-Thi, Q.-A., Phan, X., Nguyen-Vo, H.-N., Hua, T. D., Nguyen-Duong, B.-T., Ho, C. S. H., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1633160 · Cited by 2 · see citing works
Buathier, F., Lack, P., Chappuy, M., Bailly, F., Lespine, L., & Rolland, B. (2026) · Archives of Sexual Behavior · doi:10.1007/s10508-025-03392-z · Cited by 2 · see citing works
Horváth, Z., Bőthe, B., Potenza, M. N., Stein, D. J., Demirgül, S. A., Paksi, B., Czakó, A., & Demetrovics, Z. (2026) · Journal of Behavioral Addictions · doi:10.1556/2006.2025.00419 · Cited by 3 · see citing works
Hypersexuality in Kayakers: Roles of Sport, Gender, and Perceived Stress
Szabó, A., Bőthe, B., Lazur, M., Tremblay, F., & Kovácsik, R. (2024) · Sexual Health & Compulsivity · doi:10.1080/26929953.2024.2310224 · Cited by 3 · see citing works
Volarov, M., Vujić, A., Zdravković, S. A., Kuruzović, N., Bőthe, B., & Szabó, A. (2025) · Sexual Health & Compulsivity · doi:10.1080/26929953.2024.2448110 · Cited by 2 · see citing works
Yaakov, R., & Weinstein, A. M. (2025) · Archives of Sexual Behavior · doi:10.1007/s10508-025-03137-y · Cited by 2 · see citing works
Self-citationPuszcz, A., Górski, J., & Pierudzka, W. (2025) · Cureus · doi:10.7759/cureus.91966 · Cited by 2 · see citing works
Schreck, B., Valenciano‐Mendoza, E., Balem, M., Jiménez‐Múrcia, S., Thiabaud, E., Tillet, S., Saillard, A., Donnio, Y., Grall‐Bronnec, M., & Challet‐Bouju, G. (2025) · Archives of Sexual Behavior · doi:10.1007/s10508-025-03167-6 · Cited by 1 · see citing works
Subjective Socioeconomic Status, Relative Deprivation, and Technology Addiction in Young AdultsPreprint
Park, K., & Chang, H. (2024) · SSRN Electronic Journal · doi:10.2139/ssrn.4798165 · Cited by 1 · see citing works
Neurocognitive function among individuals with problematic social media use
Almog, I., Mama, Y., & Weinstein, A. M. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1825888 · Cited by 1 · see citing works
“The lack of rigorous scienti fi c evidence raised our doubts as well as others ’ about whether compulsive sexual behavior should be considered a behavioral addiction (89).”
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The Impact of Constipation as a Microbiota-related Marker on Antihypertensive Treatment Response
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Sex differences in compulsive sexual behavior disorder
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Solomonov, N., Dayan, M., Argaman, R., Mama, Y., & Weinstein, A. M. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1828055
Self-citationThe Concept of Recovery in Compulsive Sexual Behavior Disorder – A Scoping Review
Gavriel‐Fried, B., Glaser-Guy, N., Horváth, R., Szabó, R. V., Demetrovics, Z., & Bőthe, B. (2026) · The Journal of Sex Research · doi:10.1080/00224499.2026.2704252
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Helal, A., Marey, M. M., Reda, E., Hassan, A., Elhady, M. M., Elgohry, Y. A., Basha, E. A., & Sallie, S. N. (2026) · Archives of Sexual Behavior · doi:10.1007/s10508-026-03532-z
- Authors
- Sassover, E., & Weinstein, A.
- Affiliations
- Ariel University (IL)
- Corresponding author
- Weinstein, Aviv
- ORCID
- Weinstein, Aviv
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2020-09-29
- Volume
- 11
- Issue
- 2
- Pages
- 166-179
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC9295215
- OpenAlex
- W3091325673
- Cited by
- 100
- References
- 94
- Citations by year
- 2026: 17 · 2025: 13 · 2024: 21 · 2023: 23 · 2022: 20 · 2021: 6
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Funders
- Ariel University
- 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, sexual addiction, behavioral addiction, diagnostic classification, prevalence, symptom criteria, phenomenology, empirical evidence
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