Co-occurring compulsive sexual behaviour in an inpatient substance use population: Clinical correlates and influence on treatment outcomes DOI Creative Commons
Lindsey A. Snaychuk, Sarah S. Dermody, Nassim Tabri

и другие.

Journal of Behavioral Addictions, Год журнала: 2024, Номер 13(2), С. 676 - 686

Опубликована: Июнь 21, 2024

Abstract Background and Aims Many individuals with substance use disorders (SUDs) present co-occurring mental health other addictions, including behavioral addictions (BAs). Though several studies have investigated the relationship between SUDs BAs, less research has focused specifically on compulsive sexual behaviour (CSB). Given that poly-addiction can hinder treatment outcomes, it is necessary to better understand impact of CSB SUD. Therefore, current study aimed 1) determine rate in a sample seeking for SUDs, 2) identify demographic clinical correlates CSB, 3) if impacts outcomes Methods Participants were 793 adults (71.1% men) ranging age from 18–77 ( M = 38.73) at an inpatient facility who assessed upon admission into treatment. completed battery questionnaires discharge assess psychological addiction symptoms. Results Rates 24%. Younger being single associated greater CSB. Mental distress symptoms higher participants Predictors severity included traumatic stress interpersonal dysfunction. completion similar without Discussion Conclusions These results highlight amongst However, was not poorer outcomes. Further identifying characteristics help clinicians may be risk.

Язык: Английский

Problematic pornography use across countries, genders, and sexual orientations: Insights from the International Sex Survey and comparison of different assessment tools DOI Creative Commons
Beáta Bőthe, Léna Nagy, Mónika Koós

и другие.

Addiction, Год журнала: 2024, Номер 119(5), С. 928 - 950

Опубликована: Фев. 27, 2024

Abstract Background and aims Problematic pornography use (PPU) is a common manifestation of the newly introduced Compulsive Sexual Behavior Disorder diagnosis in 11th edition International Statistical Classification Diseases Related Health Problems. Although cultural, gender‐ sexual orientation‐related differences behaviors are well documented, there relative absence data on PPU outside Western countries among women as sexually‐diverse individuals. We addressed these gaps by (a) validating long short versions Pornography Consumption Scale (PPCS PPCS‐6, respectively) Brief Screen (BPS) (b) measuring risk across diverse populations. Methods Using from pre‐registered Sex Survey [ n = 82 243; mean age (M ) 32.4 years, standard deviation 12.5], study 42 five continents, we evaluated psychometric properties (i.e. factor structure, measurement invariance, reliability) PPCS, BPS examined their associations with relevant correlates (e.g. treatment‐seeking). also compared groups three genders). Results The demonstrated excellent [for example, comparative fit index 0.985, Tucker–Lewis Index 0.981, root square error approximation 0.060 (90% confidence interval 0.059–0.060)] confirmatory analysis, all PPCS’ inter‐factor correlations positive strong ( r s 0.72–0.96). A total 3.2% participants were at experiencing (PPU+) based significant country‐ gender‐based men reported highest levels PPU). No orientation‐based observed. Only 4–10% individuals PPU+ group had ever sought treatment for PPU, while an additional 21–37% wanted to, but did not do so specific reasons unaffordability). Conclusions This validated measures to assess severity problematic languages, countries, genders, orientations 26 languages: (PPCS, respectively), (BPS). estimated be 3.2–16.6% population varies different genders) measure used.

Язык: Английский

Процитировано

23
Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review DOI Creative Commons
Stephanie Antons, Jannis Engel, Peer Briken

и другие.

Journal of Behavioral Addictions, Год журнала: 2022, Номер 11(3), С. 643 - 666

Опубликована: Сен. 13, 2022

Abstract Background and aims Compulsive sexual behavior disorder (CSBD) which includes problematic pornography use (PPU) is a clinically relevant syndrome that has been included in the ICD-11 as impulse control disorder. The number of studies on treatments CSBD PPU increased last years. current preregistered systematic review aimed for identifying treatment well effects symptom severity enactment. Methods study was at Prospero International Prospective Register Systematic Reviews (CRD42021252329). literature search done February 2022 PubMed, Scopus, Web Science, PsycInfo, original research published peer-reviewed journals between 2000 to end 2021. risk bias assessed with CONSORT criteria. A quantitative synthesis based effect sizes done. Results Overall 24 were identified. Four these randomized controlled trials. Treatment approaches settings cognitive therapy components, psychotherapy methods, psychopharmacological therapy. Receiving seems improve symptoms PPU. Especially, evidence efficacy present. Discussion conclusions There first effectiveness such However, strong specificity should be drawn caution. More rigorous methodological are needed future studies. may informative development specific programs

Язык: Английский

Процитировано

41
Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools DOI Creative Commons
Beáta Bőthe, Mónika Koós, Léna Nagy

и другие.

Journal of Behavioral Addictions, Год журнала: 2023, Номер 12(2), С. 393 - 407

Опубликована: Июнь 23, 2023

Despite its inclusion in the 11th revision of International Classification Diseases, there is a virtual paucity high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, orientations, validated original (CSBD-19) short (CSBD-7) versions Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research clinical practice.

Язык: Английский

Процитировано

35
The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder DOI Creative Commons
Daniel Turner, Peer Briken, Joshua B. Grubbs

и другие.

Dialogues in Clinical Neuroscience, Год журнала: 2022, Номер 24(1), С. 10 - 69

Опубликована: Ноя. 17, 2022

The current guidelines aim to evaluate the role of pharmacological agents in treatment patients with compulsive sexual behaviour disorder (CSBD). They are intended for use clinical practice by clinicians who treat CSBD.An extensive literature search was conducted using English-language-literature indexed on PubMed and Google Scholar without time limit, supplemented other sources, including published reviews.Each recommendation evaluated respect strength evidence its efficacy, safety, tolerability, feasibility. Psychoeducation psychotherapy first-choice treatments should always be conducted. type medication recommended depended mainly intensity CSBD comorbid psychiatric disorders. There few randomised controlled trials. Although no medications carry formal indications CSBD, selective-serotonin-reuptake-inhibitors naltrexone currently constitute most relevant CSBD. In cases paraphilic disorders, hormonal may indicated, one refer previously adults Specific recommendations also proposed case chemsex associated algorithm is different levels categories

Язык: Английский

Процитировано

33
Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective DOI Creative Commons
Peer Briken, Beáta Bőthe, Joana Carvalho

и другие.

Sexual Medicine Reviews, Год журнала: 2024, Номер 12(3), С. 355 - 370

Опубликована: Март 25, 2024

The addition of compulsive sexual behavior disorder (CSBD) into the ICD-11 chapter on mental, behavioral, or neurodevelopmental disorders has greatly stimulated research and controversy around behavior, what been termed "hypersexual disorder," "sexual addiction," "porn compulsivity," "out-of-control behavior." To identify where concerns exist from perspective medicine can be done to resolve them. A scientific review committee convened by International Society for Sexual Medicine reviewed pertinent literature discussed clinical experience related CSBD diagnoses misdiagnoses, pathologizing nonheteronormative basic potential underlying causes CSBD, its relationship paraphilic disorder, health consequences. panel used a modified Delphi method reach consensus these issues. was differentiated other activity basis diagnostic criteria, issues regarding were identified. Concerns raised about self-labeling processes, attitudes hostile pleasure, high desire, mixing normative with distress, belief that masturbation pornography use represent "unhealthy" behavior. guide case formulation care/treatment recommendations proposed. Clinical sexologic expertise diagnosis treatment in psychiatric-psychotherapeutic context is imperative differentiate understand determinants impact behaviors" mental well-being, detect forensically relevant nonrelevant forms, refine best practices care treatment. Evidence-based, medicine-informed therapies should offered achieve positive respectful approach sexuality possibility having pleasurable safe experiences.

Язык: Английский

Процитировано

5
Compulsive sexual behaviours and relational consequences: A phenomenological study on intimate female partner impacts DOI Creative Commons
Fakri Seyed Aghamiri, Johannes M. Luetz,

Karenne Hills

и другие.

Counselling and Psychotherapy Research, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 15, 2025

Abstract Background Studies on sexual addiction (SA) and compulsive behaviour (CSB) outline a new area of counselling research touching variety social, gendered, cultural repercussions for those who are affected, including individuals, families, intimate partners, society. Taboos surrounding SA/CSB frequently cast the topic in an ignorant shameful light. Aims/Methods Although men is gaining scholarly attention, very few studies have examined complex relational effects female partners (FPs). This study closes this knowledge gap through descriptive phenomenological design. Using in‐depth semi‐structured interviews, FPs ( n = 12) professional therapists 15) articulated impacts experiences. Results/Discussion The results reveal intra‐ inter‐relational fractures, often contributing to detective work, self‐harm, suicidal ideation SA/CSB‐affected women. Conclusion For stakeholder groups, important because it highlights methods by which academics, therapists, religious organisations might provide more specialised support during healing recovery process.

Язык: Английский

Процитировано

0
Development and preliminary validation of the dyadic sexual self-esteem inventory DOI Creative Commons
Fabienne S. V. Wehrli, Katharina Weitkamp, Guy Bodenmann

и другие.

Current Psychology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 25, 2025

Язык: Английский

Процитировано

0
Die Pornografie-Nutzungsstörung und ihre Behandlung im Rahmen der multizentrischen Studie „PornLoS“ DOI
Charlotte Markert,

Sina Wehrum‐Osinsky,

Rudolf Stark

и другие.

Suchttherapie, Год журнала: 2025, Номер 26(01), С. 12 - 20

Опубликована: Фев. 1, 2025

Zusammenfassung Die Pornografie-Nutzungsstörung kann als Variante der Störung mit zwanghaftem Sexualverhalten verstanden werden, für die in ICD-11 spezifische diagnostische Kriterien entwickelt wurden. Symptomatik ist Betroffene teils gravierenden Beeinträchtigungen und Leid verbunden. Während sie bislang zu den Impulskontrollstörungen zählt, gibt es einen wissenschaftlichen Diskurs darüber, ob auch Verhaltenssucht werden kann. Bisher mangelt an methodisch hochwertig durchgeführten Therapiestudien, um effektive Behandlungsmethoden entwickeln. Um schlechte Versorgungssituation von Betroffenen Deutschland nachhaltig verbessern, wird multizentrische Therapiestudie „PornLoS“ durchgeführt. Darin eine innovative Intensivtherapie einer Standardtherapie verglichen. Zusätzlich Frage untersucht, vollständige Abstinenz oder reduzierte Nutzung Pornografie das geeignetere Therapieziel darstellen. Der Artikel beschreibt zunächst klinische Bild Pornografie-Nutzungsstörung, dann vom Gemeinsamen Bundesausschuss geförderte Projekt vorzustellen.

Процитировано

0
Die Beziehung zwischen Symptomschwere und dem Einfluss traumatischer Kindheitserfahrungen bei Patienten mit Onlinesexsucht und Patienten mit Computerspielsucht DOI Open Access
Klaus Wölfling, Manfred E. Beutel,

Nanne Dominick

и другие.

Suchttherapie, Год журнала: 2025, Номер 26(01), С. 21 - 28

Опубликована: Фев. 1, 2025

Zusammenfassung Die Onlinesexsucht gewinnt in der digitalen Welt zunehmend an Relevanz, da einfacher Zugang zu sexuellen Inhalten die Befriedigung sexueller Bedürfnisse jederzeit ermöglicht und dies oft mit sozialer Isolation realweltlichen Intimitätsproblemen einhergeht. Ziel vorliegenden Studie ist es, den Zusammenhang zwischen traumatischen Kindheitserfahrungen Schwere Symptome bei Patienten im Vergleich Computerspielsucht untersuchen, wobei angenommen wird, dass spezifische Traumata Symptomschwere beiden Störungen beeinflussen. untersuchte Daten von 260 männlichen Patienten, sich wegen einer vermuteten oder Spezialambulanz für Verhaltenssüchte vorstellten. Nachdem eine klinische Diagnostik identifizierte, wurde mithilfe Fragebögen traumatische erfasst. Nachfolgend wurden Beziehungen Erlebnissen jeweiligen Suchtstörung analysiert. Ergebnisse zeigen, Patientengruppen keine signifikanten Unterschiede spezifischen Abhängigkeit bestanden. Traumatische Kindheitserfahrungen, wie emotionale Vernachlässigung, korrelieren stärker Computerspielsucht, während Kindheit erlebter Missbrauch signifikant häufiger Betroffenen auftritt nur dieser Gruppe vorhersagen kann. Sowohl Entwicklung als auch kann durch determiniert sein, korreliert Vernachlässigung Verbindung steht. legen nahe, unterschiedliche Behandlungsansätze erfordern, um gezielt auf individuellen Erfahrungen einzugehen.

Процитировано

0
“Your Addiction, her Sexual Suffering”—A Qualitative Inquiry into the Effects of Compulsive Sexual Behaviors on Intimate Female Partners DOI Creative Commons
Fakri Seyed Aghamiri, Johannes M. Luetz,

Karenne Hills

и другие.

Sexual Health & Compulsivity, Год журнала: 2025, Номер unknown, С. 1 - 36

Опубликована: Апрель 10, 2025

Язык: Английский

Процитировано

0