Anxiety and Compulsive Sexual Behavior Disorder: A Systematic Review

Weinandy, Jennifer T. Grant; Lee, Brinna N.; Hoagland, K. Camille; Grubbs, Joshua B.; Bőthe, Beáta

doi:10.1080/00224499.2022.2066616

Cited by 10 publications

(13 citation statements)

References 92 publications

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“…The results of the present study are largely consistent with previous research showing that perceived problems due to pornography use are related to a range of negative psychiatric symptoms including anxiety, depression, anger, and stress (Grant Weinandy et al, 2023; Grubbs et al, 2015; Kraus et al, 2015). One plausible explanation for the observed links is that PPU may be related to the emergence of suicidal thoughts and beliefs through distorted cognitions and affect regulation.…”

Section: Discussionsupporting

confidence: 91%

“…Consistent with recent calls for more rigor in the assessment and study of CSBs broadly (Grant Weinandy et al, 2023; and pornography use specifically (Grubbs & Kraus, 2021), the present work used validated measures of PPU and a rigorous methodological design (i.e., multistudy approach with longitudinal data) to carefully demonstrate how PPU corresponds to a severe psychiatric comorbidity, such as SI. The present work adds to the growing body of literature that suggests that CSBD is indeed associated with a wide range of concerning clinical phenomena (Reed et al, 2022).…”

Section: Discussionmentioning

confidence: 90%

“…The World Health Organization’s International Classification of Diseases–11 diagnosis of compulsive sexual behavior disorder (CSBD; Kraus et al, 2018) reflects a turning point in how the mental health community understands out-of-control sexual behaviors. However, recent reviews have consistently concluded that research related to CSBD is still severely limited by methodological weaknesses (Grubbs, Hoagland, et al, 2020), limited focus (Grubbs & Kraus, 2021), and a poor understanding of how CSBD relates to psychiatric comorbidities (Grant Weinandy et al, 2023). More simply, despite a robust evidence base to support the inclusion of CSBD in the International Classification of Diseases–11 , little is known of the full clinical profile of CSBD and associated psychiatric disorders.…”

Section: Csbd Pornography and Moral Incongruencementioning

confidence: 99%

“…psychiatric comorbidities (Grant Weinandy et al, 2023). More simply, despite a robust evidence base to support the inclusion of CSBD in the International Classification of Diseases-11, little is known of the full clinical profile of CSBD and associated psychiatric disorders.…”

mentioning

confidence: 99%

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Problematic pornography use and suicidal thoughts: Results from cross-sectional and longitudinal analyses.

McGraw,

Grant Weinandy,

Floyd

et al. 2024

Psychology of Addictive Behaviors

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Objective: There is a growing consensus that problematic pornography use (PPU), one of the most commonly reported compulsive sexual behaviors, is related to a number of internalizing psychiatric symptoms (e.g., anxiety, depression). However, little is known about the potential comorbidity of PPU and suicidal thoughts. Given known links between PPU and higher levels of guilt, shame, and moral disapproval, it may be that PPU may be related to suicidal thoughts. Method: Using two independent samples, we cross-sectionally (Sample 1: undergraduates, n = 422) and longitudinally (Sample 2: nationally representative sample of U.S. adults, n = 1,455) tested for associations between PPU and past-month suicidal ideation and perceived likelihood of suicidal behaviors, while controlling for frequency of pornography use, moral disapproval, moral incongruence, and religiousness. Results: Cross-sectionally, PPU was related to higher levels of self-perceived likelihood of suicidal behaviors, but not past-month suicidal thoughts. Longitudinally, PPU was related to higher initial levels (i.e., intercept) of past-month suicidal thoughts and self-perceived likelihood of suicidal behaviors, but not changes in either (i.e., slope). The frequency of pornography use was statistically unrelated to each outcome for both samples, while moral beliefs about pornography use showed mixed relationships. Conclusions: Clinicians working with patients reporting PPU may consider ways it may contribute to suicidal thinking. Public Health Significance StatementThere is a growing consensus that problematic pornography use, one of the most commonly reported compulsive sexual behaviors, is related to a number of internalizing psychiatric symptoms (e.g., anxiety, depression). In the present study, we found cross-sectional and longitudinal evidence that problematic pornography use was also related to more frequent suicidal thoughts or a stronger self-reported belief that a person would eventually attempt suicide in the future, even after controlling for the actual frequency of pornography use.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 90%

Section: Csbd Pornography and Moral Incongruencementioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Problematic pornography use and suicidal thoughts: Results from cross-sectional and longitudinal analyses.

McGraw,

Grant Weinandy,

Floyd

et al. 2024

Psychology of Addictive Behaviors

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“…Moving further, based on a body of literature demonstrating that moral disapproval can lead to inaccurate self-perceptions of sexual compulsivity (Grubbs, Perry, Wilt, & Reid, 2019), the CSBD criteria emphasize that distress related to moral disapproval of one's own sexual behavior alone (i.e., as opposed to impairment and distress due to actual dysregulation) is insufficient for the diagnosis. Finally, persistence in sexual behaviors despite a lack of or decrease in satisfaction deriving from those behaviors was also introduced as a new aspect of the CSBD diagnostic criteria in Importantly, in addition to being a psychiatric disorder in its own right, symptoms of CSBD are also associated with a range of psychiatric comorbidities including anxiety (Grant Weinandy, Lee, Hoagland, Grubbs, & Bőthe, 2022), general emotional dysregulation (Lew-Starowicz, Lewczuk, Nowakowska, Kraus, & Gola, 2020), depression (Grubbs, Perry, Grant Weinandy, & Kraus, 2022), and substance use disorders (Ballester-Arnal, Castro-Calvo, Giménez-García, Gil-Juliá, & Gil-Llario, 2020). That is, CSBD is often associated with a cluster of other concerning psychiatric phenomena, underscoring the need to screen for this disorder in a range of clinical settings.…”

Section: Compulsive Sexual Behavior Disorder In Icd-11mentioning

confidence: 99%

Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

Grubbs

Reid

Bőthe

et al. 2023

JBA

Self Cite

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Background and aimsThe World Health Organization's International Classification of Diseases (ICD-11) includes Compulsive Sexual Behavior Disorder (CSBD), a new diagnosis that is both controversial and groundbreaking, as it is the first diagnosis to codify a disorder related to excessive, compulsive, and out-of-control sexual behavior. The inclusion of this novel diagnosis demonstrates a clear need for valid assessments of this disorder that may be quickly administered in both clinical and research settings.DesignThe present work details the development of the Compulsive Sexual Behavior Disorder Diagnostic Inventory (CSBD-DI) across seven samples, four languages, and five countries.SettingIn the first study, data were collected in community samples drawn from Malaysia (N = 375), the U.S. (N = 877), Hungary (N = 7,279), and Germany (N = 449). In the second study, data were collected from nationally representative samples in the U.S. (N = 1,601), Poland (N = 1,036), and Hungary (N = 473).FindingsAcross both studies and all samples, results revealed strong psychometric qualities for the 7-item CSBD-DI, demonstrating evidence of validity via correlations with key behavioral indicators and longer measures of compulsive sexual behavior. Analyses from nationally representative samples revealed residual metric invariance across languages, scalar invariance across gender, strong evidence of validity, and utility in classifying individuals who self-identified as having problematic and excessive sexual behavior, as evidenced by ROC analyses revealing suitable cutoffs for a screening instrument.ConclusionCollectively, these findings demonstrate the cross-cultural utility of the CSBD-DI as a novel measure for CSBD and provide a brief, easily administrable instrument for screening for this novel disorder.

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The Structure of Compulsive Sexual Behavior: A Network Analysis Study

Marchetti

2023

Arch Sex Behav

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Compulsive sexual behavior is a phenomenon characterized by a persistent failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behavior that causes marked distress or impairment in personal, familial, social, educational, or occupational areas of functioning. Despite its major impact on mental health and quality of life, little is known about its internal structure and whether this phenomenon differs across genders, age groups, and risk status. By considering a large online sample (n = 3186; 68.3% males), ranging from 14 to 64 years old, compulsive sexual behavior was explored by means of network analysis. State-of-the-art analytical techniques were adopted to investigate the pattern of association among the different elements of compulsive sexual behavior, identify possible communities of nodes, pinpoint the most central nodes, and detect differences between males and females, among different age groups, as well as between individuals at low and high risk of developing a full-blown disorder. The analyses revealed that the network was characterized by three communities, namely Consequence, Preoccupation, and Perceived Dyscontrol, and that the most central node was related to (perceived) impulse dyscontrol. No substantial differences were found between males and females and across age. Failing to meet one’s own commitments and responsibilities was more central in individuals at high risk of developing a full-blown disorder than in those at low risk.

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Anxiety and Compulsive Sexual Behavior Disorder: A Systematic Review

Cited by 10 publications

References 92 publications

Problematic pornography use and suicidal thoughts: Results from cross-sectional and longitudinal analyses.

Problematic pornography use and suicidal thoughts: Results from cross-sectional and longitudinal analyses.

Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

The Structure of Compulsive Sexual Behavior: A Network Analysis Study

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