Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder

Kowalewska, Ewelina; Grubbs, Joshua B.; Potenza, Marc N.; Gola, Mateusz; Draps, Małgorzata; Kraus, Shane W.

doi:10.1007/s11930-018-0176-z

Cited by 75 publications

(54 citation statements)

References 109 publications

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“…One of the missing gaps in the literature pertains to the lack of scientific investigation on CSB among women and sexual minorities, 145,146 focusing on prevalence estimates, clinical patterns of sexual functioning, as well as neurobiological mechanisms. According to Bőthe and colleagues' review of literature on LGBTQ adolescents, 146 of eleven studies published in the past 5 years, only two focused exclusively on CSB among the reviewed group.…”

Section: Discussionmentioning

confidence: 99%

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

Kowalewska

Gola

Kraus

et al. 2020

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Purpose of Review: World Health Organization recently included compulsive sexual behavior disorder (CSBD) to the upcoming 11th edition of International Classification of Diseases (6C72). Despite the potential benefits of this decision (eg, the acceleration of research in the field will allow the development of effective treatments), previous research focused mainly on men, and as a result, we do not have an accurate clinical picture of compulsive sexual behavior (CSB) among women. Therefore, in this systematic review, we aim to present available knowledge on this topical subject. Literature search was conducted in the guideline of PRISMA methodology. Studies were identified from multiple databases including Academic Search Ultimate, SocINDEX, PsycARTICLES, PsycINFO, PubMed, and MEDLINE. Out of a total of 10,531 articles identified and screened, 58 were included in this review. Included studies covered the following topics: prevalence and etiology of CSB, behavioral and cognitive processes involved, comorbidities, personality traits, psychosocial and interpersonal difficulties, traumatic experiences, and treatments. Recent Findings: Available studies indicate that CSB symptom severity is lower in women than in men. Overall, women reported consuming pornography less often than men and exhibit lower rates of feeling urges to these materials. CSB symptoms (including problematic pornography use) have been found to be positively related to trait psychopathy, impulsivity, sensation seeking, attention-deficit/hyperactivity disorder symptoms, obsessive-compulsive disorder, pathological buying, sexual dysfunctions, general psychopathology, child sexual abuse, while negatively related to dispositional mindfulness. Summary: Conclusions that can be drawn from prior studies are considerably limited. There are no accurate estimates of the CSB prevalence or severity among women, and studies have been mostly conducted on non-clinical populations, which has limited application for women diagnosed with CSBD.

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Section: Discussionmentioning

confidence: 99%

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

Kowalewska

Gola

Kraus

et al. 2020

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“…Data from self-report, behavioral, electrophysiological, and neuroimaging studies demonstrate an involvement of psychological processes and underlying neural correlates that have been investigated and established to varying degrees for substance-use disorders and gambling/gaming disorders (criterion 3). Commonalities noted in prior studies include cue-reactivity and craving accompanied by increased activity in reward-related brain areas, attentional biases, disadvantageous decision-making, and (stimuli-specific) inhibitory control (e.g., Antons & Brand, 2018;Antons, Mueller, et al, 2019;Bothe et al, 2019;Brand, Snagowski, Laier, & Maderwald, 2016;Gola et al, 2017;Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016;Kowalewska et al, 2018;Mechelmans et al, 2014;Stark, Klucken, Potenza, Brand, & Strahler, 2018;Voon et al, 2014).…”

Section: Pornography-use Disordermentioning

confidence: 98%

Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of “other specified disorders due to addictive behaviors”?

Brand

Rumpf

Demetrovics

et al. 2020

Journal of Behavioral Addictions

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179

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BackgroundGambling and gaming disorders have been included as “disorders due to addictive behaviors” in the International Classification of Diseases (ICD-11). Other problematic behaviors may be considered as “other specified disorders due to addictive behaviors (6C5Y).”MethodsNarrative review, experts' opinions.ResultsWe suggest the following meta-level criteria for considering potential addictive behaviors as fulfilling the category of “other specified disorders due to addictive behaviors”:1. Clinical relevance: Empirical evidence from multiple scientific studies demonstrates that the specific potential addictive behavior is clinically relevant and individuals experience negative consequences and functional impairments in daily life due to the problematic and potentially addictive behavior.2. Theoretical embedding: Current theories and theoretical models belonging to the field of research on addictive behaviors describe and explain most appropriately the candidate phenomenon of a potential addictive behavior.3. Empirical evidence: Data based on self-reports, clinical interviews, surveys, behavioral experiments, and, if available, biological investigations (neural, physiological, genetic) suggest that psychological (and neurobiological) mechanisms involved in other addictive behaviors are also valid for the candidate phenomenon. Varying degrees of support for problematic forms of pornography use, buying and shopping, and use of social networks are available. These conditions may fit the category of “other specified disorders due to addictive behaviors”.ConclusionIt is important not to over-pathologize everyday-life behavior while concurrently not trivializing conditions that are of clinical importance and that deserve public health considerations. The proposed meta-level-criteria may help guide both research efforts and clinical practice.

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“…These studies, most of which use addiction related experimental paradigms, have sought to better understand the neurobiological underpinnings of CSB. In general, these studies have found that CSB is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, diminished impulse control, and reward processing in patterns like substance, gambling, and gaming addictions (Kowalewska et al, 2018;Stark et al, 2018). In addition, studies looking at dopamine replacement therapies used for individuals with Parkinson's disease have also produced similar patterns of impulse control problems that resemble CSBD (Weintraub et al, 2010).…”

Section: Conceptualizations Of Csbmentioning

confidence: 99%

“…Across neuroimaging studies, the majority of this research seems to be in its nascency, without adequate controls for confounds (e.g. comorbid conditions such as ADHD) and samples consisting of predominantly heterosexual men (for a review, see: Kowalewska et al, 2018).…”

Section: Types Of Studiesmentioning

confidence: 99%

Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research

Grubbs

Hoagland

Lee

et al. 2020

Clinical Psychology Review

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167

191

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In 1998, Gold and Heffner authored a landmark review in Clinical Psychology Review on the topic of sexual addiction that concluded that sexual addiction, though increasingly popular in mental health settings, was largely based on speculation, with virtually no empirical basis. In the more than two decades since that review, empirical research around compulsive sexual behaviors (which subsumes prior research about sexual addiction) has flourished, ultimately culminating in the inclusion of a novel diagnosis of Compulsive Sexual Behavior Disorder in the eleventh edition of the World Health Organization's International Classification of Diseases. The present work details a systematic review of empirical research published between January 1 st , 1995 and August 1 st , 2020 related to compulsive sexual behaviors, with a specific focus on evaluating the methodologies of that literature. This review yielded 371 papers detailing 415 individual studies. In general, the present review finds that, although research related to compulsive sexual behaviors has proliferated, much of this work is characterized by simplistic methodological designs, a lack of theoretical integration, and an absence of quality measurement. Moreover, the present review finds a virtual absence of high-quality treatment-related research published within this time frame. Implications of these findings for both clinical practice and future research are discussed.

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Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder

Cited by 75 publications

References 109 publications

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of “other specified disorders due to addictive behaviors”?

Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research

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