Sexual Motivations Underlying Compulsive Sexual Behavior in Women and Men from Germany and Hungary

Koós, Mónika; Fuß, Johannes; Klein, Verena; Demetrovics, Zsolt; Bőthe, Beáta

doi:10.1016/j.jsxm.2021.11.005

Cited by 7 publications

(5 citation statements)

References 66 publications

(94 reference statements)

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“…Another limitation of our study is that we had relatively fewer male participants, and the proportion of the male-to-female ratio of participation in online surveys is relatively constant (one man for three women); however, it is important to increase the sample of males in Latino population in future studies to prevent a possible misrepresentation in the results and explore the gender differences such as previous studies (35).…”

Section: Discussionmentioning

confidence: 99%

Impulsivity and sexual addiction: factor structure and criterion-related validity of the sexual addiction screening test in Mexican adults

Mejía Cruz,

Avila Chauvet,

Villalobos-Gallegos

et al. 2023

Front. Psychiatry

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Sexual addiction is associated with serious health problems. Due to that fact, it is quite important to perform a comprehensive assessment. The Sex Addiction Screening Test (SAST-R) is a self-administered questionnaire with good psychometric properties used in several countries. Our study conducts a cross-cultural adaptation of the SAST-R on the Mexican population. The original version of the SAST-R was translated into Mexican Spanish, and we performed a pilot with 23 participants to be sure that the participants understood the meaning of the items. The final version was administered to 370 adults who completed the SAST-R, and measures of impulsivity (the Kirby questionnaire), reward/punishment responsivity (BIS-BAS scale), personality (BIG-Five), and psychological distress (SCL-90). The confirmatory factor analysis (CFA) with a five-factor model with one second-order factor model had the best fit. Reliability analysis suggests acceptable internal consistency (α = 0.80). The SAST-R scores exhibited significant correlations with several variables. Specifically, they showed a positive correlation with the neuroticism scale (r = 0.11, p < 0.05), a negative correlation with the conscientiousness scale (r = –0.21, p < 0.01), a negative correlation with the BIS scale (r = −0.11, p < 0.05), and a positive correlation with psychological distress (r = 0.34, p < 0.01). Notably, there were no significant correlations observed with variables that we initially expected to have a substantial association, such as impulsivity (r = –0.004, p > 0.05) and the three BAS subscales (p > 0.05). We found with an algorithm that psychological distress, impulsivity, neuroticism, and agreeableness were the good predictors to identify high scores of hypersexuality. Our results confirmed that the Mexican Spanish version of the SAST-R has good psychometric properties to be used in future research.

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Section: Discussionmentioning

confidence: 99%

Impulsivity and sexual addiction: factor structure and criterion-related validity of the sexual addiction screening test in Mexican adults

Mejía Cruz,

Avila Chauvet,

Villalobos-Gallegos

et al. 2023

Front. Psychiatry

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“…The CSBD-related personal characteristics of interest in our study were the early onset of the symptoms in adolescence, 17 , 51 fewer steady relationships, 10 and high sexual motivation. 52 Further personal characteristics concerning PUD were time watching pornography 8 , 53 and problematic pornography use. 8 …”

Section: Introductionmentioning

confidence: 99%

Compulsive sexual behavior disorder in an inpatient sample with substance use disorder

Golder,

Walter,

Bengesser

et al. 2024

Sexual Medicine

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Background Several studies indicate that compulsive sexual behavior disorder (CSBD) shares core elements with substance use disorder (SUD). These findings support the assumption of common mechanisms in addiction, which may lead to a higher tendency in patients with SUD to have comorbid CSBD. Nevertheless, this relationship between CSBD and SUD is poorly understood to date. Aim This study aimed to compare the prevalence of CSBD and its subtype pornography use disorder (PUD) between a SUD group and a matched control group. Herein, we aimed to test whether patients with SUD are more likely to have a comorbid CSBD/PUD. We further hypothesized that a higher CSBD/PUD prevalence in patients with SUD is accompanied by more pronounced CSBD- and PUD-related personal characteristics. Methods We assessed CSBD, PUD, and related personal characteristics in an inpatient SUD sample (N = 92) and a healthy control sample matched by age, gender, and educational level. Outcomes Primary outcomes were the diagnoses of CSBD/PUD as assessed by questionnaires. CSBD/PUD-related personal characteristics were the early onset of problematic pornography consumption, relationship status as a single person, a high sexual motivation, a high level of time spent watching pornography, and a high degree of problematic pornography consumption (Problematic Pornography Consumption Scale, short version). Results There was no significant difference between groups regarding CSBD prevalence (SUD sample, 3.3%; control sample, 7.6%) and PUD prevalence (SUD sample, 2.2%; control sample, 6.5%). We found relationship status as a single person and the sexual motivation dimension of importance of sex to be the only CSBD-related personal characteristics that were more pronounced in the SUD sample than the matched control group. Clinical Implications Results indicate no higher tendency for patients with SUD to develop comorbid CSBD/PUD, yet important vulnerabilities (eg, emotional dysregulation) should be considered when treating addictive disorder to prevent possible symptom displacement. Strengths and Limitations A strength of the study is that we compared a sample of patients with SUD with a matched control sample and used an instrument based on ICD-11 criteria for CSBD. Possible limitations are significant differences between the groups because of the restrictions in an inpatient clinic that may have influenced responses (eg, roommates) and that the control group was not screened for SUD. Therefore, the results should be interpreted with some caution. Conclusion We found no evidence of an overcomorbidity of SUD and CSBD/PUD. However, a higher rate of vulnerability factors for CSBD/PUD in the SUD sample might suggest some similarities between SUD and CSBD/PUD.

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“…Addressing the relevance of such a framework for characterizing CSBD requires an in-depth understanding of specific motives underlying dysfunctional engagement in sexual behaviors. Preliminary studies in this area seem to offer promising results (e.g., Castro-Calvo, Giménez-García, Gil-Llario, & Ballester-Arnal, 2018 ; Koós, Fuss, Klein, Demetrovics, & Bőthe, 2021 ), but further research is required before considering relative outcome utility central to CSBD and its classification as an addictive disorder.…”

Section: Introductionmentioning

confidence: 99%

Compulsive Sexual Behavior Disorder should not be classified by solely relying on component/symptomatic features •

Castro-Calvo

Flayelle

Perales

et al. 2022

JBA

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The paper by Sassover and Weinstein (2022) contributes to a timely and complex debate related to the classification of Compulsive Sexual Behavior Disorder (CSBD). The recent inclusion of CSBD as an impulse-control disorder in the ICD-11 has generated debate since a competitive view is that CSBD should rather be classified as an addictive disorder. Sassover and Weinstein (2022) reviewed existing evidence and concluded it does not support the conceptualization of CSBD as an addictive disorder. Although we agree regarding the relevance and timely nature of considering the classification of CSBD, we respectfully disagree with the position that relying on the components model of addiction (Griffiths, 2005) is the optimal approach for determining whether or not CSBD is an addictive disorder. In this commentary, we discuss potential pitfalls of relying on the components model to conceptualize CSBD as an addictive disorder and argue that considering a process-based approach is important for advancing this timely debate.

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Sexual Motivations Underlying Compulsive Sexual Behavior in Women and Men from Germany and Hungary

Cited by 7 publications

References 66 publications

Impulsivity and sexual addiction: factor structure and criterion-related validity of the sexual addiction screening test in Mexican adults

Impulsivity and sexual addiction: factor structure and criterion-related validity of the sexual addiction screening test in Mexican adults

Compulsive sexual behavior disorder in an inpatient sample with substance use disorder

Compulsive Sexual Behavior Disorder should not be classified by solely relying on component/symptomatic features •

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