Cited by 28Sexuality, Behavior, and TechnologyGambling Behavior and TreatmentsSexual function and dysfunction studies

Mental and sexual health perspectives of the International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder •: Commentary to the debate: “Behavioral addictions in the ICD-11”

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Lew-Starowicz, Michal, Coleman, Eli·2022·Journal of Behavioral Addictions

Abstract

After introduction of compulsive sexual behavior disorder (CSBD) in the ICD-11, many questions regarding etiology, classification and diagnostic criteria remain unanswered, providing rationale for further research. In this commentary, we critically review the ongoing discussion reflected in some relevant articles, and try to point out the risks of oversimplification of the broad clinical phenomenon, as well as attract attention to the neglected aspects, such as psychosexual development, intimacy disorder and the role of sexological expertise in the assessment and treatment of individuals presenting with out-of-control sexual behaviors. We also advocate for multimodal, transtheoretical approach and suggest that CSBD may be reconsidered as a condition related to sexual health.

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Crossref · 10.1556/2006.2022.00032

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  • CSBD deeply affects sexual well-being and the ability to form and maintain satisfactory emotional and sexual relationships.

    “It deeply affects sexual well-being and the ability to form and maintain satisfactory emotional and sexual relationships; therefore, it should be treated with a transtheoretical and multimodal approach to provide more holistic and individualized therapeutic care.15,102,147,148-150”

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Research works printed but not linked: 11

  1. Bőthe, B., Potenza, M. N., Griffiths, M. D., Kraus, S. W., Klein, V., Fuss, J., & Demetrovics, Z. (2020). The development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 based screening measure across three languages. Journal of Behavioral Addictions, 9(2), 247– 258. 10.1556/2006.2020.00034. 32609629 PMC8939427 · DOI · Paper page
  2. Brand, M., Rumpf, H.-J., Demetrovics, Z., Müller, A., Stark, R., King, D. L., … Potenza, M. N. (2022). Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of “other specified disorders due to addictive behaviors”? Journal of Behavioral Addictions, 11(2), 150– 159. 10.1556/2006.2020.00035. PMC9295220 32634114 · DOI · Paper page
  3. Braun-Harvey, D., & Vigorito, M. A. (2015). Treating out of control sexual behavior: Rethinking sex addiciton. Springer Publishing Company.
  4. Briken, P. (2020). An integrated model to assess and treat compulsive sexual behaviour disorder. Nature Reviews Urology, 17(7), 391– 406. 32561865
  5. Coleman, E., Dickenson, J. A., Girard, A., Rider, G. N., Candelario-Perez, L. E., Becker-Warner, R, … Munns,.R. (2018). An integrative biopsychosocial and sex positive model of understanding and treatment of impulsive/compulsive sexual behavior. Sexual Addiction & Compulsivity, 25(2–3), 125– 152. 10.1080/10720162.2018.1515050. · DOI · Paper page
  6. Gola, M., Lewczuk, K., Potenza, M. N., Kingston, D. A., Grubbs, J. B., Stark, R., & Reid, R. C. (2022). What should be included in the criteria for compulsive sexual behavior disorder? Journal of Behavioral Addictions, 11(2), 160– 165. 10.1556/2006.2020.00090. PMC9295236 34329192 · DOI · Paper page
  7. Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-5. Archives of Sexual Behavior, 39(2), 377– 400. 10.1007/s10508-009-9574-7. 19937105 · DOI · Paper page
  8. Kafka, M. P. (2014). What happened to hypersexual disorder? Archives of Sexual Behavior, 43(7), 1259– 1261. 24951045
  9. Lew-Starowicz, M., & Gola, M. (2020). Compulsive- and other out-of-control sexual behaviors. In M. Lew-Starowicz, A. Giraldi, & T. H. C. Krüger (Eds.), Psychiatry and sexual medicine. A comprehensive guide for clinical practitioners (pp. 457– 469). Springer. 10.1007/978-3-030-52298-8_30. · DOI
  10. Miner, M. H., Dickenson, J., & Coleman, E. (2019). Effects of emotions on sexual behavior in men with and without hypersexuality. Sexual Addictions & Compulsivity, 26(1–2), 24– 41. 10.1080/10720162.2018.1564408. PMC6879181 31772491 · DOI · Paper page
  11. Reid, R. C., Garos, S., & Carpenter, B. N. (2011). Reliability, validity, and psychometric development of the Hypersexual Behavior Inventory in an outpatient sample of men. Sexual Addiction & Compulsivity, 18(1), 30– 51.

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Authors
Lew-Starowicz, M., & Coleman, E.
Affiliations
  • Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland
  • University of Minnesota (US)
Corresponding author
Coleman, Eli
Venue
Journal of Behavioral Addictions
Published
2022-07-13
Volume
11
Issue
2
Pages
226-229
ISSN
  • 2062-5871 (ISSN-L)
  • 2063-5303
OpenAlex
W4285393689
Cited by
28
References
5
Citations by year
2026: 6 · 2025: 10 · 2024: 6 · 2023: 5 · 2022: 1
FWCI
5.02
Type
journal article
Language
en
Open access
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)
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, ICD-11, sexual health, mental health, diagnostic criteria, psychosexual development, multimodal therapy, compulsive sexual behavior
MeSH terms
Sexual Health, Compulsive Behavior, Humans, Paraphilic Disorders, Sexual Behavior, International Classification of Diseases

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