Compulsive sexual behavior: A twelve-step therapeutic approach
Open accessAbstract
Background and aims: Sexuality is natural to human life and inseparable from it, yet some individuals develop compulsive sexual behavior (CSB). Many individuals with CSB seek treatment in free self-support groups based on the twelve-step program. This program was extensively studied in substance abuse disorders (e.g., Alcoholics Anonymous), but little is known about its efficiency in CSB. Methods: We “assesed” questionnaire data on sociodemographical-, psychological-, and recovery-related factors from 97 male participants of Sexaholics Anonymous (SA) programs in Israel. Results: Our results indicated that advancement in the SA program, measured as a current step of the program, is significantly related to lower levels of sexual-related overall sense of helplessness, avoidant help-seeking, self-control, overall CSB, and sexual suppression. It is also related to the higher well-being. Discussion: This is the first study to examine psychological factors of CSB recovery process in twelve-step groups, and future research is needed to replicate our results within a longitudinal study.
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Other studies have shown beneficial effects on compulsive sexual behaviour of a 12-step self-help group, a mindfulness-based intervention, an intervention to reduce sexual risk behaviour in HIV-positive men, and an intervention designed to reduce minority stress.
“Other studies have shown beneficial effects on compulsive sexual behaviour of a 12-step self-help group 286 , a mindfulness-based intervention 287 , an intervention to reduce sexual risk behaviour in HIV-positive men 288 , and an intervention designed to reduce minority stress 253 .”
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 [286]
Citation 286 is attached to the 12-step self-help group, not the other interventions. The Abstract Results and Discussion report that greater advancement in a Sexaholics Anonymous 12-step program was associated with lower CSB, but the Discussion calls this a possible beneficial correlation. The study does not establish that the group caused a beneficial effect. (LLM, conf=0.86)
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References 63 · Cited by 65
Research works printed but not linked: 2
- Ahituv R. (2014). Dynamics of family discourse about the Shoah and its contribution to forgiveness, agression, and mental health among second- and third-generation individuals in Europe and Israel. Unpublished PhD Dissertation, Bar-Ilan University, Ramat-Gan, Israel (Hebrew).
- DuPont R. L. McGovern J. P. (1994). A bridge to recovery: An introduction to 12 steps programs. Washington, DC: American Psychiatric Press.
- Authors
- Efrati, Y., & Gola, M.
- Affiliations
- Beit Berl College (IL)
- University of California San Diego (US)
- Corresponding author
- Efrati, Yaniv
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2018-05-15
- Volume
- 7
- Issue
- 2
- Pages
- 445-453
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC6174596
- OpenAlex
- W2803543356
- Cited by
- 65
- References
- 63
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 6 · 2023: 10 · 2022: 7 · 2021: 8 · 2020: 12 · 2019: 9 · 2018: 4
- FWCI
- 9.67
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (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
- Kosciuszko Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- compulsive sexual behavior, 12-step programs, recovery process, helplessness, self-control, well-being, male participants, self-help groups
- MeSH terms
- Self-Control, Adolescent, Adult, Compulsive Behavior, Emotions, Female, Humans, Israel, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Regression Analysis, Self-Help Groups, Sexual Behavior, Social Support, Treatment Outcome, Young Adult
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