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Compulsive sexual behaviour disorder

Compulsive sexual behaviour disorder (CSBD),[1] is an impulse control disorder. CSBD manifests as a pattern of behavior involving intense preoccupation with sexual fantasies and behaviours that cause significant levels of psychological distress, are inappropriately used to cope with psychological stress, cannot be voluntarily curtailed, and risk or cause harm to oneself or others.[1][2][3] This disorder can also cause impairment in social, occupational, personal, or other important functions.[1][4] CSBD is not an addiction,[5] and is typically used to describe behavior, rather than "sexual addiction".

CSBD is recognised by the World Health Organization as an impulse control disorder and is categorised as "Compulsive Sexual Behaviour Disorder" in the ICD-11.[6] In contrast, the American Psychiatric Association's (APA) DSM-5 does not recognise CSBD as a standalone diagnosis.[1] CSBD was proposed as a diagnosis for inclusion in the DSM-V in 2010,[4] but was ultimately rejected.[7]

Sexual behaviours such as chemsex and paraphilias are closely related with CSBD and frequently co-occur along with it.[1] Psychological distress entirely related to moral judgments and disapproval about sexual impulses, urges, or behaviours is not sufficient to diagnose CSBD.[1] A study conducted in 42 countries found that almost 5% of people may be at high risk of CSBD, but only 14% of them have sought treatment.[8] The study also highlighted the need for more inclusive research and culturally-sensitive treatment options for CSBD.

  1. ^ a b c d e f Turner, D.; Thibaut, F.; Briken, P.; Grubbs, J.; Malandain, L.; Mestre-Bach, G.; Potenza, M. N. (November 2022). Thibaut, Florence (ed.). "The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder". Dialogues in Clinical Neuroscience. 24 (1). Laboratoires Servier: 10–69. doi:10.1080/19585969.2022.2134739. ISSN 1958-5969. OCLC 62869913. PMID 37522807. S2CID 253661994.
  2. ^ Herron, Abigail J., Brennan, Tim K. eds. ASAM Essentials of Addiction Medicine, The. 3rd Edition. Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103 USA:Lippincott Williams & Wilkins; 2020.
  3. ^ Das, Shrayasi; Singh, Lokesh Kumar; Somani, Aditya (2023). "Compulsive Sexual Behavior". Encyclopedia of Sexual Psychology and Behavior. Springer, Cham. pp. 1–5. doi:10.1007/978-3-031-08956-5_28-1. ISBN 978-3-031-08956-5. Archived from the original on 2024-12-25. Retrieved 2024-12-25.
  4. ^ a b Kafka MP (April 2010). "Hypersexual Disorder: A Proposed Diagnosis for DSM-V". Archives of Sexual Behavior. 39 (2): 377–400. CiteSeerX 10.1.1.433.1948. doi:10.1007/s10508-009-9574-7. ISSN 0004-0002. PMID 19937105. S2CID 2190694.
  5. ^ Hall, Timothy M.; Bershad, Anya; Shoptaw, Steven (2024-02-15). "53. Compulsive Sexual Behaviors". In Miller, Shannon C.; Rosenthal, Richard N.; Levy, Sharon; Saxon, Andrew J.; Tetrault, Jeanette M.; Wakeman, Sarah E. (eds.). The ASAM Principles of Addiction Medicine. Philadelphia, PA: Lippincott Williams & Wilkins. p. unpaginated. ISBN 978-1-9752-0157-9. Proposals for two constructs related to compulsive sexual behaviors , sexual addiction and hypersexual disorder, have been repeatedly rejected from inclusion in recent editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) for lack of empirical support and lack of consensus as to definition. [...] (CSBD), has been included in the International Classification of Diseases, 11th edition (ICD-11), under impulse control disorders rather than as an addiction disorder. CSBD has significant differences from substance use disorders (SUD) [...]
  6. ^ "Compulsive sexual behaviour disorder (ICD-11)", icd.who.int, archived from the original on 2023-10-15, retrieved 2023-04-27
  7. ^ Briken P, Bőthe B, Carvalho J, Coleman E, Giraldi A, Kraus SW, Lew-Starowicz M, Pfaus JG (June 2024). "Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective". Sexual Medicine Reviews. 12 (3): 355–370. doi:10.1093/sxmrev/qeae014. PMC 11214846. PMID 38529667.
  8. ^ Bothe, Beata (2023-06-23). "Almost 5% of people may experience compulsive sexual behavior disorder worldwide". PsyPost. Archived from the original on 2023-06-23. Retrieved 2023-06-23.
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