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Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools

Bőthe, B, Koós, M, Nagy, L, Kraus, S, Demetrovics,, Z, Potenza, M, Van Hout, M and Vaillancourt-Morel, M (2023) Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools. Journal of Behavioral Addictions. ISSN 2063-5303

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Importance: Compulsive sexual behavior disorder (CSBD) is now included in the 11th revision of the International Classification of Diseases (ICD-11). However, there is a virtual paucity of high-quality scientific evidence about CSBD in general, and in particular in underrepresented and underserved populations, including, but not limited to, women, gender-diverse individuals, sexually diverse individuals, and individuals from different cultural backgrounds.
Objective: We comprehensively examined CSBD across 43 countries, genders, sexual orientations, and CSBD risk status. In addition, we validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice.
Design: We used cross-sectional self-report data from the International Sex Survey, collected in 2021 and 2022. After evaluating the psychometric properties of the CSBD-19 and CSBD-7, we compared CSBD across 43 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD.
Setting: This is a multi-lab, multi-language, and cross-cultural study.
Participants: We collected data from 82,243 participants (Mage=32.39 years, SD=12.52) in 43 countries from five continents, including a sample of 46,874 women, 2,783 gender-diverse individuals, and 25,777 sexually diverse individuals.
Main Outcome and Measure: We used the ICD-11-based CSBD-19 and its short version (CSBD-7) to examine CSBD across groups.
Results: A total of 4.8% of the participants were at high risk of experiencing CSBD, with estimates varying between 1.6% to 16.7% across subgroups. Country and gender-based differences were observed, while no sexual orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various structural and personal reasons. Both versions of the scale demonstrated excellent validity and reliability.
Conclusions and Relevance: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

Item Type: Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine
Divisions: Public Health Institute
Publisher: Akadémiai Kiadó
SWORD Depositor: A Symplectic
Date Deposited: 31 May 2023 11:00
Last Modified: 27 Jun 2023 11:15
DOI or ID number: 10.1556/2006.2023.00028
URI: https://researchonline.ljmu.ac.uk/id/eprint/19591
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