ArticleJournal of behavioral addictions2023
Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools.
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Article in Journal of behavioral addictions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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39citing papers in PubMed, 2 pooled it
23.8field-weighted citation impact, top 1% of its field
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- A systematic review and meta-analysis of diagnostic test accuracy of mental health screening tools applicable to adolescents in sub-Saharan Africa.Frontiers in psychiatry · 2026Pooled it
- Psychotherapy for problematic pornography use: A comprehensive meta-analysis.Journal of behavioral addictions · 2025Pooled it
- Compulsive sexual behavior may be more state-like than trait-like: Findings from a three-year longitudinal representative survey.Journal of behavioral addictions · 2026Article
- Non-contact sexual violence and its association with sexual & psychosocial health in Iranian women: a national cross-sectional study.BMC women's health · 2026Article
- The Semi-Structured Clinical Interview for the Assessment of Compulsive Sexual Behavior (SSCI-CSB): Development, Reliability, and Validity.Journal of clinical psychology · 2026Article
- Compensatory and Dissociative Coping in Young Adults: A Person-Centered Analysis of Their Associations with Childhood Maltreatment and Problematic Pornography Use.Archives of sexual behavior · 2026Article
- Validation of the Multidimensional Sexual Communication Questionnaires: A Framework for Assessing Content and Process Domains.Archives of sexual behavior · 2026Article
- Compulsive Sexual Behaviors, Pornography Consumption, and Co-Occurring Disorders Among College Students.Archives of sexual behavior · 2026Article
- Compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU): A comprehensive, interdisciplinary, and expert-informed narrative review with suggested future directions.Journal of behavioral addictions · 2026Review
- Non-partner sexual violence against women: a mixed-methods study protocol on prevalence, patterns, consequences, and coping strategies.Reproductive health · 2026Article
- Naltrexone for Acute Management of Compulsive Sexual and Obsessive Symptoms in a Patient With a Neurodevelopmental Disorder.Case reports in psychiatry · 2026Article
- Sex differences in compulsive sexual behavior disorder.Frontiers in behavioral neuroscience · 2026Review
- One-year follow-up effects of an acceptance-based treatment for hypersexuality.Frontiers in psychology · 2026Article
- Two sides of the same coin? Prevalence and co-occurrence of binge eating disorder and compulsive sexual behavior disorder in a representative sample of the Polish population.Sexual medicine · 2025Article
- Frequency of lab HIV and self-reported STI history and its predictors among a sexually compulsive clinical sample: a cross-sectional study.Sexual medicine · 2025Article
- Global research status and trends of compulsive sexual behavior disorder: A comprehensive bibliometric analysis.Journal of behavioral addictions · 2025Review
- Impaired sexual delay discounting as a potential mechanism in women's compulsive sexual behavior: Evidence from a mixed-gender experiment.Journal of behavioral addictions · 2025Article
- Prevalence of first- and second-wave digisexualities in Germany and their relation to Compulsive Sexual Behavior: Findings from a National Online Survey.Journal of behavioral addictions · 2025Article
- For Whom Is Sexual Abuse Related to Compulsive Sexual Behaviors? Timing of Abuse and Sociodemographic Characteristics as Potential Moderators Across 42 Countries.Archives of sexual behavior · 2025Article
- Profiles of Alcohol Use Disorders, Problematic Pornography Use, and Compulsive Sexual Behavior: The Role of Mental Health, Moral Disapproval, Thought Suppression, and Self-Concealment Among Israeli-Arab Adolescents.Archives of sexual behavior · 2025Article
Corrections and comments
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Authors and funding
72 authors at 20 institutions in 39 countries.
Beáta Bőthe1Département de Psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.ORCID 0000-0003-2718-4703
Mónika Koós3Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.ORCID 0000-0002-9961-9174
Léna Nagy3Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.ORCID 0000-0002-7947-2988
Shane W Kraus5Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA.ORCID 0000-0002-0404-9480
Zsolt Demetrovics4Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.ORCID 0000-0001-5604-7551
Marc N Potenza7Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6323-1354
Aurélie Michaud2Département de Psychologie, Université de Montréal, Montréal, Canada.
Rafael Ballester-Arnal10Departmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón, Spain.ORCID 0000-0003-4421-1144
Dominik Batthyány11Institute for Behavioural Addictions, Sigmund Freud University Vienna, Austria.ORCID 0000-0002-4516-774X
Sophie Bergeron12Département de Psychologie, Université de Montréal, Montréal, Canada.ORCID 0000-0001-8601-761X
Joël Billieux13Institute of Psychology, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-7388-6194
Peer Briken15Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-1360-014X
Julius Burkauskas16Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Lithuania.ORCID 0000-0002-3928-2151
Georgina Cárdenas-López17Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, Mexico.ORCID 0000-0003-4569-1944
Joana Carvalho18William James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro, Aveiro, Portugal.ORCID 0000-0003-2362-0010
Jesús Castro-Calvo20Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain.ORCID 0000-0001-6611-9643
Lijun Chen21Department of Psychology, College of Humanity and Social Science, Fuzhou University, China.ORCID 0000-0002-4327-8657
Giacomo Ciocca22Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-4256-1776
Ornella Corazza23Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, United Kingdom.ORCID 0000-0001-7371-319X
Rita Csako25Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-7612-6804
David P Fernandez26Nottingham Trent University, United Kingdom.ORCID 0000-0001-7645-9959
Elaine F Fernandez27HELP University, Malaysia.ORCID 0000-0002-6481-5001
Loïs Fournier13Institute of Psychology, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-6743-6456
Hironobu Fujiwara28Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-7422-7190
Johannes Fuss31Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-0445-5021
Roman Gabrhelík32Department of Addictology, First Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID 0000-0002-7672-3753
Ateret Gewirtz-Meydan34School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.ORCID 0000-0001-8221-9425
Biljana Gjoneska35Macedonian Academy of Sciences and Arts, Republic of North Macedonia.ORCID 0000-0003-1200-6672
Mateusz Gola36Institute of Psychology, Polish Academy of Sciences, Poland.ORCID 0000-0002-9691-1102
Joshua B Grubbs38Bowling Green State University, USA.ORCID 0000-0002-2642-1351
Hashim T Hashim39University of Baghdad, College of Medicine, Iraq.ORCID 0000-0001-6155-7302
Md Saiful Islam40Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.ORCID 0000-0003-3979-2423
Mustafa Ismail39University of Baghdad, College of Medicine, Iraq.ORCID 0000-0001-5636-0599
Martha C Jiménez-Martínez42Universidad Pedagógca y Tecnológica de Colombia, Colombia.ORCID 0000-0002-0290-9440
Tanja Jurin44Department of Psychology, Humanities and Social Sciences, University of Zagreb, Croatia.ORCID 0000-0002-6913-562X
Ondrej Kalina45Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Slovakia.ORCID 0000-0001-9875-1395
Verena Klein46School of Psychology, University of Southampton, United Kingdom.ORCID 0000-0002-5830-7991
András Költő47Health Promotion Research Centre, University of Galway, Ireland.ORCID 0000-0002-5509-2809
Chih-Ting Lee48Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0003-4821-2320
Sang-Kyu Lee49Department of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital, South Korea.ORCID 0000-0001-6714-850X
Karol Lewczuk51Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland.ORCID 0000-0003-2437-2450
Chung-Ying Lin52Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0002-2129-4242
Liverpool John Moores University's research team54Public Health Institute, Faculty of Health, Liverpool John Moores University, United Kingdom.
Christine Lochner55SAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University, South Africa.ORCID 0000-0002-4766-3704
Silvia López-Alvarado56Faculty of Psychology, University of Cuenca, Ecuador.ORCID 0000-0002-9402-645X
Kateřina Lukavská32Department of Addictology, First Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID 0000-0002-0321-0383
Percy Mayta-Tristán58Facultad de Medicina, Universidad Científica del Sur, Lima, Perú.ORCID 0000-0002-0861-6606
Ionut Milea59Babeș-Bolyai University, Romania.
Dan J Miller60James Cook University, Australia.ORCID 0000-0002-3230-2631
Oľga Orosová61Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Slovakia.ORCID 0000-0003-3758-3273
Gábor Orosz62Artois University, France.ORCID 0000-0001-5883-6861
Sungkyunkwan University's research team63Department of Psychology, Sungkyunkwan University, South Korea.
Fernando P Ponce64Escuela de Psicología, Universidad de Talca, Chile.ORCID 0000-0002-6283-4583
Gonzalo R Quintana65Departamento de Psicología y Filosofía, Facultad de Ciencias Sociales, Universidad de Tarapacá, Arica, Arica y Parinacota, Chile.ORCID 0000-0002-3298-6877
Gabriel C Quintero Garzola66Florida State University, Republic of Panama.ORCID 0000-0002-4390-0661
Jano Ramos-Diaz68Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Perú.ORCID 0000-0002-7993-2390
Kévin Rigaud62Artois University, France.ORCID 0000-0001-9813-1575
Ann Rousseau69Leuven School for Mass Communication, KU Leuven, Leuven, Belgium.ORCID 0000-0002-7086-9938
Marco De Tubino Scanavino70Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, Brazil.ORCID 0000-0003-3485-3805
Marion K Schulmeyer73Universidad Privada de Santa Cruz de la Sierra, Bolivia.ORCID 0000-0002-0707-0656
Pratap Sharan74Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, 110029, India.ORCID 0000-0003-2437-6099
Mami Shibata28Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-0834-1101
Sheikh Shoib75Department of Psychology, Shardha University, India.ORCID 0000-0002-3739-706X
Vera L Sigre Leirós13Institute of Psychology, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-1788-3909
Luke Sniewski77Auckland University of Technology, New Zealand.ORCID 0000-0002-0896-5160
Ognen Spasovski78Faculty of Philosophy, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia.ORCID 0000-0002-6039-6946
Vesta Steibliene80Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Lithuania.ORCID 0000-0002-8374-2768
Dan J Stein81SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, South Africa.ORCID 0000-0001-7218-7810
Julian Strizek82Austrian Public Health Institute, Austria.ORCID 0000-0002-1186-9911
Aleksandar Štulhofer83Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia.ORCID 0000-0001-5138-3644
Berk C Ünsal3Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.ORCID 0000-0003-0138-5320
Marie-Pier Vaillancourt-Morel1Département de Psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.ORCID 0000-0002-8634-3463
Eötvös Loránd University · HUAuckland University of Technology · NZCharles University · CZKyoto University · JPLithuanian University of Health Sciences · LTLiverpool John Moores University · GBNational Cheng Kung University Hospital · TWSouth African Medical Research Council · ZAUniversité d'Artois · FRUniversité de Montréal · CAUniversité du Québec à Trois-Rivières · CAUniversity of Baghdad · IQUniversity of Pavol Jozef Šafárik · SKUniversity of Zagreb · HRAddiction Switzerland · CHAll India Institute of Medical Sciences · INBabeș-Bolyai University · ROBowling Green State University · USFlorida State University-Panama · PAFuzhou University · CN
Funding
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9MNCATS NIH HHS UL1 TR001863
Abstract
Background and aims: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and 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. Method: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD. Results: A total of 4.8% of the participants were at high risk of experiencing CSBD. 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 reasons. Both versions of the scale demonstrated excellent validity and reliability. Discussion and conclusions: 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.
Indexed as
Paraphilic DisordersSexual Dysfunctions, PsychologicalCompulsive BehaviorFemaleHumansMaleReproducibility of ResultsSexual Behavioraddictive behaviorassessmentcompulsive sexual behaviorcross-culturalInternational Sex Survey (ISS)validation
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