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
Healthcare, Год журнала: 2025, Номер 13(5), С. 559 - 559
Опубликована: Март 5, 2025
The SARS-CoV-2 pandemic had a significant impact on sexual health and human behavior, revealing widespread decline in function behaviors. To summarize these findings highlight their importance for public health, this article discusses the changes observed behavior during pandemic, as well potential explanations trends. This study followed PRISMA-ScR guidelines, using keyword search commands: "sexual function" AND ("SARS-CoV-2" OR "COVID-19" coronavirus) behavior*" Scopus PubMed databases. was conducted 10 March 2024, including articles published from January 2019 to 2024. Inclusion criteria required studies focusing health/function excluding non-English non-adult populations. Studies were screened based relevance, methodological rigor, sample size, with data extraction behavior/function metrics. Results synthesized identify trends propose explanatory models. While some individuals experienced reductions desire activities, others reported increases, indicating varied individual responses stressors such pandemic. Two hypotheses are presented explain changes: terror management theory dual control model of response. critical role addressing well-being needs crisis is discussed, emphasizing providing clear information, ensuring access remote services, reducing stigma. need integrate into global response future crises highlighted ensure comprehensive approach well-being. review shows multifaceted social distancing people's behaviors, underscoring considering an integral part emergency planning response, promote physical mental population
Язык: Английский
Процитировано
0
International Journal of Sexual Health, Год журнала: 2024, Номер 36(2), С. 205 - 220
Опубликована: Март 18, 2024
This study investigates factors influencing the psychological well-being of gay and lesbian individuals in Romania. Participants (N = 172) included 61.6% 38.4% lesbians, currently relationships, aged between 18 62 years (M 28.28; SD 9.53). Surveys assessed relationship satisfaction, depression, problematic pornography use. Significant associations were found among these variables, with gender differences observed. We tested a regression model for use, where depression provided additional explanatory power to initial model. Age, gender, accounted 18% variance The theoretical practical implications are discussed.
Язык: Английский
Процитировано
4
American Journal of Psychiatry, Год журнала: 2024, Номер 182(2), С. 155 - 163
Опубликована: Дек. 11, 2024
Gambling disorder is the only behavioral addiction recognized as a clinical in DSM-5, and Internet gaming included condition requiring further research. ICD-11 categorizes gambling disorders due to addictive behaviors. Additional addictions may include compulsive sexual behavior disorder, buying-shopping problematic use of social media. This narrative review summarizes current state knowledge regarding these five (potential) All are clinically relevant prevalent. Behavioral frequently co-occur with other mental problems, such depression, anxiety, attention deficit hyperactivity disorder. Validated diagnostic instruments exist, empirical support varying across conditions. No medications have approved indications from regulatory bodies for addictions, cognitive-behavioral therapy has most efficacious treatment. Given that prevalent, psychiatric disorders, often go undiagnosed untreated, been linked poorer treatment outcomes, active screening indicated. Public health considerations should be expanded, impacts modern technologies investigated more intensively. Treatment optimization involving pharmacotherapy, psychotherapy, neuromodulation, their combination warrants additional investigation.
Язык: Английский
Процитировано
4
The Journal of Sexual Medicine, Год журнала: 2025, Номер unknown
Опубликована: Фев. 20, 2025
Язык: Английский
Процитировано
0
Archives of Sexual Behavior, Год журнала: 2025, Номер unknown
Опубликована: Апрель 2, 2025
Язык: Английский
Процитировано
0
Journal of Behavioral Addictions, Год журнала: 2024, Номер 13(1), С. 276 - 292
Опубликована: Янв. 15, 2024
Abstract Background and aims The ICD-11 chapter on mental, behavioral neurodevelopmental disorders contains new controversial diagnoses including compulsive sexual behavior disorder (CSBD), intermittent explosive (IED) gaming disorder. Using a vignette-based methodology, this field study examined the ability of mental health professionals (MHPs) to apply diagnostic requirements for impulse control disorders, which include CSBD IED, due addictive behaviors, disorder, compared previous ICD-10 guidelines. Methods Across eleven comparisons, members WHO's Global Clinical Practice Network ( N = 1,090) evaluated standardized case descriptions that were designed test key differences between guidelines ICD-10. Results outperformed in accuracy diagnosing addictions most while was not superior any. superiority particularly clear where had been added classification system or major revisions made. However, only minority comparisons asked evaluate cases with non-pathological high involvement rewarding behaviors. Discussion Conclusions Overall, present indicates represent an improvement over additional efforts, such as training programs MHPs possible refinements guidance, are needed avoid over-diagnosis people who highly engaged repetitive but below threshold
Язык: Английский
Процитировано
3
Journal of Behavioral Addictions, Год журнала: 2024, Номер 13(1), С. 12 - 15
Опубликована: Янв. 30, 2024
Abstract The current understanding of compulsive sexual behavior disorder (CSBD) is primarily based on studies involving non-clinical samples heterosexual men, resulting in significant gaps knowledge regarding women with CSBD. commentary highlights the domains where further research necessary, including incidence and prevalence, etiology, diagnostic criteria, comorbidities, patterns, personality profiles, barriers to help-seeking among Bridging this gap essential for improving clinical care, developing tailored interventions, increasing awareness about CSBD healthcare providers, policymakers, general public.
Язык: Английский
Процитировано
3
Journal of Psychopathology and Clinical Science, Год журнала: 2024, Номер 133(6), С. 489 - 502
Опубликована: Июнь 17, 2024
Problematic pornography use (PPU) is the most common manifestation of newly introduced compulsive sexual behavior disorder diagnosis in 11th revision International Classification Diseases. Research related to PPU has proliferated past two decades, but prior studies were characterized by several shortcomings (e.g., using homogenous, small samples), resulting crucial knowledge gaps and a limited understanding concerning empirically based risk factors for PPU. This study aimed identify robust preregistered design. Independent laboratories' 74 preexisting self-report data sets (
Язык: Английский
Процитировано
3
Comprehensive Psychiatry, Год журнала: 2023, Номер 127, С. 152427 - 152427
Опубликована: Сен. 23, 2023
Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for Alcohol Use Disorders Identification Test (AUDIT). Furthermore, have been limited studies its invariance across cross-cultural subgroups, genders, and sexual orientations. The present study aimed to examine fit of different models AUDIT wide range subgroups by country, language, gender, orientation. Responses concerning past-year alcohol use from participants cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD 12.59). Confirmatory factor analysis, as well tests performed 21 countries, 14 languages, three four sexual-orientation that met minimum sample size requirement inclusion in these analyses. A two-factor with factors describing 'alcohol use' (items 1–3) problems' 4–10) showed best For former two, scalar latent mean levels reached considering criteria. gender orientation, level was reached. In line model, calculation separate alcohol-use alcohol-problem scores recommended when using AUDIT. high achieved support research, capable also meaningful comparisons among genders
Язык: Английский
Процитировано
7