Psychiatric comorbidity in compulsive sexual behavior disorder (CSBD).

Psychiatric comorbidity in compulsive sexual behavior disorder (CSBD).

Publication date: Aug 01, 2020

Compulsive Sexual Behavior Disorder (CSBD) is characterized by a persistent failure to control intense and recurrent sexual impulses, urges, and/or thoughts, resulting in repetitive sexual behavior that causes a marked impairment in important areas of functioning. Data collected from clinical populations suggest that CSBD frequently co-occurs with other Axis I and II psychiatric disorders; however, studies conducted so far suffer from methodological shortcomings that prevent the determination of accurate psychiatric comorbidity rates (e.g., small sample sizes, reliance on non-reliable assessment methods in the estimation of comorbidity or the non-inclusion of healthy individuals to compare prevalence rates). The purpose of this study was to explore psychiatric comorbidity in a sample of individuals with and without CSBD. The study sample comprised 383 participants distributed into two groups through a cluster analyses: 315 participants without CSBD (non-CSBD) and 68 qualifying as sexually compulsives (CSBD). Participants were assessed for co-occurring Axis I and II clinical conditions using structured clinical interviews for the DSM-IV (SCID-I and II). The majority of CSBD participants (91.2%) met the criteria for at least one Axis I disorder, compared to 66% in non-CSBD participants. CSBD participants were more likely to report an increased prevalence of alcohol dependence (16.2%), alcohol abuse (44%), major depressive disorder (39.7%), bulimia nervosa (5.9%), adjustment disorders (20.6%), and other substances -mainly cannabis and cocaine- abuse or dependence (22.1%). Concerning Axis II, prevalence of borderline personality disorder was significantly higher in CSBD participants (5.9%). As expected, prevalence of different psychiatric conditions was significantly increased among sexually compulsive participants, revealing comorbidity patterns with important implications in the conceptualization, assessment, and treatment of patients with CSBD.

Concepts Keywords
Adjustment Disorders Criteria Axis disorder
Alcohol Abuse Bulimia nervosa
Alcohol Dependence Adjustment disorders
Axis Cannabis cocaine abuse
Axis II Alcohol abuse
Borderline Personality Disorder Psychiatric disorders
Bulimia Nervosa Major depressive disorder
Cannabis Psychiatry
Cocaine Psychiatric diagnosis
Comorbidity Abnormal psychology
DSM IV Psychopathology
Major Depressive Disorder Personality disorders
Psychiatric Disorders RTT
Sexual Behavior Comorbidity
Mental disorder
Borderline personality disorder
Sexual addiction


Type Source Name
disease MESH comorbidity
disease MESH psychiatric disorders
drug DRUGBANK Methionine
disease MESH alcohol dependence
disease MESH major depressive disorder
disease MESH bulimia nervosa
disease MESH adjustment disorders
drug DRUGBANK Medical Cannabis
drug DRUGBANK Cocaine
disease MESH borderline personality disorder

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