Cited by 21Gambling Behavior and TreatmentsSexuality, Behavior, and TechnologyObsessive-Compulsive Spectrum Disorders

Demographic and psychiatric correlates of compulsive sexual behaviors in gambling disorder

Open access
Cowie, Megan E., Kim, Hyoun S., Hodgins, David C., McGrath, Daniel S., Scanavino, Marco D. T., Tavares, Hermano·2019·Journal of Behavioral Addictions

Abstract

Background and aims: Gambling disorder (GD) and compulsive sexual behavior (CSB) may commonly co-occur. Yet, the psychiatric correlates of these co-occurring disorders are an untapped area of empirical scrutiny, limiting our understanding of appropriate treatment modalities for this dual-diagnosed population. This study examined the demographic and clinical correlates of CSB in a sample of treatment-seeking individuals with GD (N = 368) in São Paulo, Brazil. Methods: Psychiatrists and psychologists conducted semi-structured clinical interviews to identify rates of CSB and other comorbid psychiatric disorders. The Shorter PROMIS Questionnaire was administered to assess additional addictive behaviors. The TCI and BIS-11 were used to assess facets of personality. Demographic and gambling variables were also assessed. Results: Of the total sample, 24 (6.5%) met diagnostic criteria for comorbid CSB (GD + CSB). Compared to those without compulsive sexual behaviors (GD − CSB), individuals with GD + CSB were more likely to be younger and male. No differences in gambling involvement emerged. Individuals with GD + CSB tended to have higher rates of psychiatric disorders (depression, post-traumatic stress disorder, and bulimia nervosa) and engage in more addictive behaviors (problematic alcohol use, drug use, and exercise) compared to GD − CSB. Those with GD + CSB evidenced less self-directedness, cooperativeness, self-transcendence, and greater motor impulsivity. Logistic regression showed that the predictors of GD + CSB, which remained in the final model, were being male, a diagnosis of bulimia, greater gambling severity, and less self-transcendence. Discussion and conclusion: Given those with GD + CSB evidence greater psychopathology, greater attention should be allocated to this often under studied comorbid condition to ensure adequate treatment opportunities.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1556/2006.8.2019.35

Cites

89 of 89 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

3 of the 92 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. American Psychiatric Association [APA]. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Arlington, VA: American Psychiatric Publishing, Inc.
  2. Fuentes D. Tavares H. Camargo C. H. P. Gorenstein C. (2000). Inventário de Temperamento e Caráter de Cloninger–Validação da versão em Português [Cloninger’s temperament and Character Inventory – Validation of a Portuguese version] In Gorenstein C. Andrade L. H. S. G. Zuardi A. W. (Eds.), Escalas de avaliação clínica em psiquiatria e psicofarmacologia [Scales of clinical evaluation in psychiatry and psychopharmacology] (pp. 363– 376). São Paulo: Lemos Editorial.
  3. Goodman A. (2005). Sexual addiction: Nosology, diagnosis, etiology, and treatment In Lowinson J. H. Ruiz P. Millman R. B. Langrod J. G. (Eds.), Substance abuse (pp. 505– 539). Philadelphia, PA: Lippincott Williams & Wilkins.
  4. Grant J. E. (2008). Impulse control disorders: A clinician’s guide to understanding and treatment behavioral addictions (1st ed.). New York, NY: W. W. Norton & Co.

Cited by

Sorted by citations

Authors
Cowie, M. E., Kim, H. S., Hodgins, D. C., McGrath, D. S., Scanavino, M. D. T., & Tavares, H.
Affiliations
  • University of Calgary (CA)
  • Universidade de São Paulo (BR)
Corresponding author
Cowie, Megan E.
Venue
Journal of Behavioral Addictions
Published
2019-08-16
Volume
8
Issue
3
Pages
451-462
ISSN
  • 2062-5871 (ISSN-L)
  • 2063-5303
OpenAlex
W2968886027
Cited by
21
References
92
Citations by year
2026: 3 · 2025: 6 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 2
FWCI
2.33
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavioral Addictions (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Keywords
gambling addiction, compulsive sexual behavior, comorbidities, psychiatric comorbidity, bulimia nervosa, depression, post-traumatic stress disorder, addictive behavior, personality traits, self-transcendence, motor impulsivity, dual diagnosis, treatment-seeking patients
MeSH terms
Adult, Mental Disorders, Brazil, Bulimia, Compulsive Behavior, Female, Gambling, Humans, Male, Middle Aged, Sexual Behavior, Comorbidity, Behavior, Addictive

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review