Assessment, diagnosis, and management of hypersexual disorders

Abstract

The proposed inclusion of hypersexual disorders in the upcoming Diagnostic and Statistical Manual of Mental Disorders-V may address many of the current issues related to the lack of empirical research on hypersexuality. Although there have been some gains made on understanding hypersexuality, there remains a lack of consensus and empirical research on hypersexual disorders. There are also an insufficient number of controlled studies on the efficacy of pharmacological and psychological treatments for hypersexual behavior problems.

The Psychometric Properties of the Hypersexual Behavior Inventory Using a Large-Scale Nonclinical Sample

“…According to previous reviews (Marshall & Briken, 2010;MontgomeryGraham, 2016;Stewart & Fedoroff, 2014) and the results of the present study, the Hypersexual Behavior Inventory (HBI) is a reliable instrument to assess hypersexuality that can be employed in clinical and nonclinical settings across diverse populations. However, when the prevalence of a behavior or addiction is low, as is likely in the case of hypersexuality, the most appropriate use of screening measures is to rule out a condition (rather than to rule it in).…”

“…Consequently, these scales do not assess all the necessary information to measure the extent of hypersexual fantasies, urges, and behaviors (e.g., Marshall & Briken, 2010;Montgomery-Graham, 2016;Womack et al, 2013). Moreover, to fully grasp the complex nature of hypersexuality, psychometric scales that focus on only one aspect of hypersexuality (e.g., cybersex, masturbation, visiting strip clubs) or those scales that use one item to assess each criterion of hypersexuality are limited in their scope.…”

“…Moreover, to fully grasp the complex nature of hypersexuality, psychometric scales that focus on only one aspect of hypersexuality (e.g., cybersex, masturbation, visiting strip clubs) or those scales that use one item to assess each criterion of hypersexuality are limited in their scope. According to recent reviews (e.g., Marshall & Briken, 2010;Montgomery-Graham, 2016;Stewart & Fedoroff, 2014), the Hypersexual Behavior Inventory (HBI; Reid et al, 2011) appears to be the most reliable and valid scale for assessing hypersexuality based on Kafka's (2010) criteria.…”

Non-Paraphilic Compulsive Sexual Behavior and Psychiatric Co-morbidities in Gay and Bisexual Men

“…There is a substantial controversy about whether NPCSB warrants classification as a mental health disorder and, if so, what classification it should receive (for review, see Giugliano, 2009;Kafka, 2010;Kaplan & Krueger, 2010;Marshall & Briken, 2010). Some have argued that behaviors associated with NPCSB are transient, context dependent, or the result of a conflict between an individual and culturally defined sexual norms (Levine & Troiden, 1988;Winters, Christoff, & Gorzalka, 2010).…”

“…As a consequence, NPCSB is relegated to the classification of sexual disorders, not otherwise specified in the Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition, Text Revision (DSM-IV; American Psychiatric Association [APA], 2000). Experts agree that more high quality research is needed regarding the classification of NPCSB and that the dearth of such research is impeding the development of effective treatments (Kuzma & Black, 2008;Marshall & Briken, 2010). The primary aim of this study, titled "Project SPIN," was to examine the diagnostic classification of NPCSB.…”