Evidence map›Paper›PMID 38529667›Full record

ReviewSexual medicine reviews2024

Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective.

Peer Briken, Beáta Bőthe, Joana Carvalho, Eli Coleman, Annamaria Giraldi, Shane W Kraus, Michał Lew-Starowicz, James G Pfaus

Open access · hybridAbstract readReview
In one paragraph

Review in Sexual medicine reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
21.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. A Pragmatic Approach to Sexual Health in Movement Disorders.Movement disorders clinical practice · 2025
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. My secret life as a sex addict: How I repaired the damage.Journal of behavioral addictions · 2025
    Review
  15. Article
  16. Article
  17. The Role of Attachment, Childhood Traumatic Experiences and Gender in Men and Women with Compulsive Sexual Behavior Symptoms.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 7 countries.

Peer BrikenInstitute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Center, Hamburg-Eppendorf, Hamburg 20251, Germany.
Beáta BőtheDepartment of Psychology, Université de Montréal, Montréal, QC H3C 3J7, Canada.
Joana CarvalhoWilliam James Center for Research, Department of Education and Psychology, University of Aveiro, Aveiro 3810-193, Portugal.
Eli ColemanEli Coleman Institute for Sexual and Gender Health, University of Minnesota, Minneapolis, MN 55454, United States.
Annamaria GiraldiSexological Clinic, Mental Health Center, Copenhagen University Hospital, Mental Health Services, Copenhagen CPH 2200, Denmark.
Shane W KrausDepartment of Psychology, University of Nevada Las Vegas, Las Vegas, NV 5030, United States.
Michał Lew-StarowiczDepartment of Psychiatry, Centre of Postgraduate Medical Education, Warsaw 01-809, Poland.
James G PfausCenter for Sexual Health and Intervention, Czech National Institute of Mental Health, Klecany 25067, Czech Republic.
Charles University · CZEppendorf (Germany) · DEPostgraduate School of Molecular Medicine · PLUniversité de Montréal · CAUniversity of Aveiro · PTUniversity of Copenhagen · DKUniversity of Minnesota · USUniversity of Nevada, Las Vegas · US

Funding

Center for the Application of Substance Abuse TechnologiesCentre of Postgraduate Medical Education 501-1-065-38-22CIHR 162264Grantová Agentura České Republiky GA23-06662SMassachusetts General Hospital, and Kindbridge Research Institute GR15685Polish Medical Research Agency 2022/ABM/03/00039Social Sciences and Humanities Research Council of Canada
6 · The paper itself

Abstract

introductionThe 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 compulsive sexual behavior, or what has been termed "hypersexual disorder," "sexual addiction," "porn addiction," "sexual compulsivity," and "out-of-control sexual behavior."

objectivesTo identify where concerns exist from the perspective of sexual medicine and what can be done to resolve them.

methodsA scientific review committee convened by the International Society for Sexual Medicine reviewed pertinent literature and discussed clinical research and experience related to CSBD diagnoses and misdiagnoses, pathologizing nonheteronormative sexual behavior, basic research on potential underlying causes of CSBD, its relationship to paraphilic disorder, and its potential sexual health consequences. The panel used a modified Delphi method to reach consensus on these issues.

resultsCSBD was differentiated from other sexual activity on the basis of the ICD-11 diagnostic criteria, and issues regarding sexual medicine and sexual health were identified. Concerns were raised about self-labeling processes, attitudes hostile to sexual pleasure, pathologizing of nonheteronormative sexual behavior and high sexual desire, mixing of normative attitudes with clinical distress, and the belief that masturbation and pornography use represent "unhealthy" sexual behavior. A guide to CSBD case formulation and care/treatment recommendations was proposed.

conclusionsClinical sexologic and sexual medicine expertise for the diagnosis and treatment of CSBD in the psychiatric-psychotherapeutic context is imperative to differentiate and understand the determinants and impact of CSBD and related "out-of-control sexual behaviors" on mental and sexual well-being, to detect forensically relevant and nonrelevant forms, and to refine best practices in care and treatment. Evidence-based, sexual medicine-informed therapies should be offered to achieve a positive and respectful approach to sexuality and the possibility of having pleasurable and safe sexual experiences.

Indexed as

Compulsive Sexual Behavior DisorderSexual BehaviorHumansInternational Classification of DiseasesParaphilic DisordersSexual Healthassessmentcomorbiditycompulsive sexual behaviordiagnosishypersexualityICD-11impulse control disorderparaphiliassex/porn “addiction”treatment

Identifiers

PMID38529667
PMCPMC11214846
OpenAlexW4393181833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.