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Articles and topics related to compulsive sexual behavior.
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Compulsive Use of Internet-based Sexually Explicit Media: Adaptation and Validation of the Compulsive Internet Use Scale (CIUS)

Compulsive Use of Internet-based Sexually Explicit Media: Adaptation and Validation of the Compulsive Internet Use Scale (CIUS) | Sex  Addiction | Scoop.it


"This report investigates the psychometric properties of the 14-item Compulsive Internet Use Scale.......adapted to assess the severity of compulsive Internet (sexually explicit media) SEM use........The results offer preliminary evidence for the reliability and validity of using an adapted version of the CIUS to understand compulsive Internet SEM use......"



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Curator comment:  The study is based on an online survey of 265 men who have sex with men (MSM).  The idea that viewing sexually explicit media may contribute to, rather than be a correlate of, greater numbers of sexual partners, sexual risk-taking, etc. is not without controversy. 

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The Pornography Craving Questionnaire: Psychometric Properties

The Pornography Craving Questionnaire: Psychometric Properties | Sex  Addiction | Scoop.it

"Despite the prevalence of pornography use, and recent conceptualization of problematic use as an addiction, we could find no published scale to measure craving for pornography. Therefore, we conducted three studies employing young male pornography users to develop and evaluate such a questionnaire. This questionnaire could be applied in clinical settings to plan and evaluate therapy for problematic users of pornography and as a research tool to assess the prevalence and contextual triggers of craving among different types of pornography users."

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Curator comment: The authors designed the instrument to measure several possible dimensions of craving for pornography: desire,

intention, physiological arousal, and anticipated difficulty restraining
use.


Arch Sex Behav
DOI 10.1007/s10508-013-0229-3


Published online 28 January 2014.

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Measuring Hypersexual Behavior

Measuring Hypersexual Behavior | Sex  Addiction | Scoop.it

"The present article aims to (a) review extant measures of hypersexual behavior, (b) compare the items on the existing measures to the proposed criteria of HD, and (c) evaluate which measures best reflect the proposed criteria. We present and review 32 measures, which fall into 3 categories: (a) clinical interviews, (b) self-report measures of general symptoms, and (c) self-report measures of consequences associated with hypersexual behavior.."

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(2013).  Sexual Addiction & Compulsivity: Vol. 20: 1-2, pp. 65-78.


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Hypersexual Behavior and HIV Sex Risk among Young Gay and Bisexual Men

Hypersexual Behavior and HIV Sex Risk among Young Gay and Bisexual Men | Sex  Addiction | Scoop.it

"We examined the psychometric properties of the Hypersexual Behavior Inventory......in a sample of young men who self-identified as gay or bisexual and assessed its association with unprotected receptive anal intercourse partners and occasions.........In light of our findings, we discuss the importance of reexamining the theoretical assumptions of hypersexual behavior and propose HIV prevention strategies that may reduce young GBM's vulnerability to HIV infection."

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(2013). Hypersexual Behavior and HIV Sex Risk among Young Gay and Bisexual Men. Journal of Sex Research, Vol. 50:8.  Published online 10 October 2013.


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Relations between sexually transmitted infection diagnosis and sexual compulsivity in a community-based sample of men who have sex with men

Relations between sexually transmitted infection diagnosis and sexual compulsivity in a community-based sample of men who have sex with men | Sex  Addiction | Scoop.it

"Objective: To assess relations between sexual compulsivity and a history of sexually transmitted infection (STI) diagnosis and testing among a community-based sample
of men who have sex with men (MSM) in a mid-size urban area of the midwestern United States."


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Curator comment: This full article, published in the journal Sexually Transmitted Infections, can be found at this link, which is somewhat rare without violating copyright.


Authors: B Dodge, M Reece, D Herbenick, C Fisher, S Satinsky, N Stupiansky


Source: Sex Transm Infect 2008;84:324–327.


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Report of Findings in a DSM-5 Field Trial for Hypersexual Disorder - The Journal of Sexual Medicine

Report of Findings in a DSM-5 Field Trial for Hypersexual Disorder - The Journal of Sexual Medicine | Sex  Addiction | Scoop.it

Curator comment: Recent field trials show high reliability and validity of the proposed DSM-5 criteria for hypersexual disorder (HD).  This one simple sentence, the result of lengthy and rigorous efforts, represents a major development in the codification of a syndrome of driven sexual behavior.


Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., Cooper, E. B., McKittrick, H., Davtian, M. and Fong, T. (2012), Report of Findings in a DSM-5 Field Trial for Hypersexual Disorder. J Sex Med.


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Examining the Validity of Low-Income African American Women's Responses to Items from the Compulsive Sexual Behavior Inventory (CSBI)

Examining the Validity of Low-Income African American Women's Responses to Items from the Compulsive Sexual Behavior Inventory (CSBI) | Sex  Addiction | Scoop.it

"The CSBI assesses problems associated with compulsive sexual behavior in male samples. Three hundred and six low income women were administered a 13-item CSBI prior to a sexual health seminar. CFA was used to confirm the previously-established two factor model. The two factor model showed acceptable fit. Women's scores appeared lower than men's. CSBI-13 total and subscale scores were higher in women who reported having engaged in sex exchange. Results support continued use of CSBI Total and Control scores in studying women's sexual behavior. It is unclear whether women's lower scores indicate less CSB or whether women's symptoms are inadequately measured by the CSBI."

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(2012). Carpenter, D.L. & Miner, .H., "Examining the Validity of Low-Income African American Women's Responses to Items from the Compulsive Sexual Behavior Inventory (CSBI)", Sexual Addiction & Compulsivity: Vol. 19, No. 3, pp. 181-198.


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Reliability, Validity, and Psychometric Development of the Hypersexual Behavior Inventory in an Outpatient Sample of Men

Reliability, Validity, and Psychometric Development of the Hypersexual Behavior Inventory in an Outpatient Sample of Men | Sex  Addiction | Scoop.it

"Psychometric properties of the Hypersexual Behavior Inventory (HBI) are reported using treatment-seeking samples of hypersexual men.........The psychometric properties of the HBI suggest it reflects the proposed DSM-V classification criteria for hypersexual disorder and has both the clinical and research utility to advance a more comprehensive understanding of hypersexuality."

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Authors: Rory C. Reid, Sheila Garos and Bruce N. Carpenter


Sexual Addiction & Compulsivity: Vol. 18, No. 1, pages 30 - 11 (2011).


Note: free access to this article is currently available.

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Preliminary Report on the Development and Validation of the Sexual Symptom Assessment Scale

In order to measure the severity of symptoms of Compulsive Sexual Behavior (CSB) the Sexual Symptom Assessment Scale (S-SAS) was developed.



Nancy C. Raymond, Martin D. Lloyd, Michael H. Miner & Suck Won Kim

 Sexual Addiction & Compulsivity: Vol. 14, No. 2, page 119-129 (2007).

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Attachment Styles and Male Sex Addiction

Attachment Styles and Male Sex Addiction | Sex  Addiction | Scoop.it
This study addresses the adult romantic attachment styles of sexually addicted men. The Sexual Addiction Screening Test and the Experiences in Close Relationships Revised were used to determine the presence of a sexual addiction and the participants' style of romantic attachment. ANOVA revealed that sexually addicted men are more likely to relate with insecure attachment styles. Specifically, sexually addicted men were found to have higher anxiety F(1, 38) = 6.122, p < .05 and avoidance F(1, 37) = 4.685, p < .05 in their romantic relationships. Treatment for male sexual addicts should address both addiction and relationship insecurity.


Authors: James L. Zapf. Jay Greiner and James Caroll


(2008). Attachment Styles and Male Sex Addiction. Sexual Addiction & Compulsivity: Vol. 15, No. 2, pages 158-175


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Psychometric Exploration of the Sexual Addiction Screening Test in Veterans

Psychometric Exploration of the Sexual Addiction Screening Test in Veterans | Sex  Addiction | Scoop.it

Using two groups of veterans from an addictions treatment program (N = 313, N = 316), this research explored the psychometric properties of the Sexual Addiction Screening Test (SAST) and explored the feasibility of reducing the length of the SAST. Results suggested that the SAST measured a single construct with excellent reliability and acceptable convergent and divergent validity. Examination of the shortened SAST provided some initial support for a six-item SAST version. Finally, a wide-ranging pattern of significant correlations between personality disorders and sexual addiction emerged.


Psychometric Exploration of the Sexual Addiction Screening Test in Veterans. Sexual Addiction & Compulsivity: Vol. 15, No. 1, pages39-58 (2008)


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Diagnosing and Treating Pornography Addiction

Diagnosing and Treating Pornography Addiction | Sex  Addiction | Scoop.it




Fairly accurate and straight-forward overview of the generally accepted criteria for diagnosing an unhealthy reliance on porn.


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Source: HealthyPlace, "the largest consumer mental health site, providing comprehensive, trusted information on psychological disorders and psychiatric medications from both a consumer and expert point of view."

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An initial list of citations regarding the Sexual Addiction Screening Test (SAST)

(It is becoming evident to the curator that this site will benefit from having a page within some categories that simply provides citations to certain topics.  This is the first.)


This is a 2010 review of how the SAST tool was modified to account for gender and orientation differences.


The Same Yet Different: Refocusing the Sexual Addiction Screening Test (SAST) to Reflect Orientation and Gender. Carnes, P., Green, B., & Carnes, S. Sexual Addiction & Compulsivity, 17(1), 7-30 (2010)

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The relationship of “passionate attachment” for pornography with sexual compulsivity, frequency of use, and craving for pornography

The relationship of “passionate attachment” for pornography with sexual compulsivity, frequency of use, and craving for pornography | Sex  Addiction | Scoop.it

"(W)e administered a pornography-specific modification of the Passion Scale and other psychological measures to a sample of undergraduate males who used pornography regularly......As one would expect of a sample of young, non-clinical, regularporn ography users, our participants reported relatively low rates of obsessive passion for pornography indicating that most retained the flexibility to engage or disengage in this specific activity."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  The authors have also recently published their findings related to the development of the Pornography Craving Questionnaire in the Archives of Sexual Behavior.


Available online 24 February 2014.  In Press, Corrected Proof.

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Sexual Compulsivity Scale: Adaptation and Validation in the Spanish Population

Sexual Compulsivity Scale: Adaptation and Validation in the Spanish Population | Sex  Addiction | Scoop.it

"The aim of this study was the adaptation and validation of the Sexual Compulsivity Scale to a sample of Spanish young people......The reliability of the Sexual Compulsivity Scale was found to be high. Moreover, the scale showed good temporal stability.......The authors’ results suggest that the Sexual Compulsivity Scale is an appropriate measure for assessing sexual compulsivity, showing adequate psychometric properties in the Spanish population."

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Bill Herring LCSW, CSAT's insight:

(2013). Journal of Sex & Marital Therapy: Vol. 39, No. 6, pp. 526-540. 


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A Psychometric Investigation of the Hypersexual Disorder Screening Inventory among Highly Sexually Active Gay and Bisexual Men: An Item Response Theory Analysis

A Psychometric Investigation of the Hypersexual Disorder Screening Inventory among Highly Sexually Active Gay and Bisexual Men: An Item Response Theory Analysis | Sex  Addiction | Scoop.it


"Our study sought to conduct a psychometric analysis of the HDSI......We examined a diverse group of 202 highly sexually active gay and bisexual men in New York City.......The HDSI was found to be highly reliable......."



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Authors: Parsons JTRendina HJVentuneac ACook KFGrov C, and Mustanski B

 

Journal of Sexual Medicine, Online version published before inclusion in an issue.    Article first published online: 27 MAR 2013.


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Mindfulness and Addictive Behaviors

Mindfulness and Addictive Behaviors | Sex  Addiction | Scoop.it

"This study examined the relationship between mindfulness and various addictive behaviors (i.e. alcohol abuse, pathological gambling, sex addiction, and compulsive buying) in a community sample. A short but comprehensive composite measure of mindfulness was constructed...... Inverse correlations emerged between the nonjudgmental attitude and alcohol abuse, pathological gambling, and sexual addiction, ......The findings of this study support the use of mindfulness as a treatment for substance abuse and suggest the possible usefulness for the treatment of other addictive behaviors."

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Bill Herring LCSW, CSAT's insight:

Curator comment: "Mindfulness", a state of nonjudgmental self-awareness, has become a popular topic in the field of behavioral health, and this article continues that trend.  The authors used the Compulsive Sexual Behavior Inventory (CSBI) to measure the sexual dimensions of their study.  It would have been nice if they had shown more consistency by avoiding using the phrases "sex addiction" and "sexual addiction" interchangeably and if they had defined the term other than via the CSBI (which does not use either term).  The "Composite Mindfulness Questionnaire" (which is included) is interesting.


Note: This article is currently available in its entirety through Open Access, which is always nice for those without university or other institutional access.


AMA cite: Spinella M, Martino S, Ferri C. Mindfulness and Addictive Behaviors. J Behav Health. 2013; 2(1): 1-7. doi:10.5455/jbh.20120908033138

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Researchers Say Sex Addiction is a Real Disorder

Researchers Say Sex Addiction is a Real Disorder | Sex  Addiction | Scoop.it

"Sex addiction as a mental disorder is a controversial idea, but a new study suggests it may be the case."


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Curator comment: I have seen at least a dozen articles that carry either this exact headline or some close variant of it.  This is an example of erroneous news reporting that comes from simplifying and sensationalizing the truth.  The study being referenced does not prove that "sex addiction" is a legitimate disorder.  The proposed criteria for hypersexual disorder were carefully crafted to specifically avoid allegiance to any model of addiction, compulsivity, or impulsivity, including "sex addiction".   More information about the actual hypersexual disorder criteria field trials can be found further down this page, and anyone with questions about what the results of the suggest or support can contact Rory Reid, Ph.D. or any of the other investigators. Dr Reid's website seems to be temporarily down but here is his LinkedIn page which provides further contact info for him.


Source: AddictionInfo.org: "Alternatives to 12 Step Treatment".  October 12, 2012.

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Psychometric Development of the Hypersexual Behavior Consequences Scale

Psychometric Development of the Hypersexual Behavior Consequences Scale | Sex  Addiction | Scoop.it

"This study investigated and developed a new scale, the Hypersexual Behavior Consequences Scale (HBCS), to assess the various consequences reported among hypersexual patients............"


"Conclusions: The HBCS possesses good psychometric properties and appears to capture various consequences associated with the DSM-5 proposed criteria for Hypersexual Disorder (HD). The HBCS can be used to aid clinicians and researchers in identifying consequences associated with hypersexual behavior........"


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Curator comment:  The entire article is currently available at this site.  The actual assessment instrument is available at the end of the article.  This was just published October 8, 2012.


Reid, R., Garos, S. and Fong. T, (2012) Psychometric development of the hypersexual behavior consequences scale, Journal of Behavioral Addictions, 1(3), 115-122.



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Sexual Compulsivity and Sexual Risk in Gay and Bisexual Men

"Using data from a community-based survey of gay and bisexual men (n = 1214), this analysis sought to further evaluate the association between the SCS (sexual compulsiviy Scale) and sexual risk behavior."

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Grov, C, Parsons, JT, Bimbi, DS Sexual compulsivity and sexual risk in gay and bisexual men, Archives of Sexual Behavior. 2010; 39: 940-949.

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Assessment and treatment of compulsive sexual behavior [Minn Med. 2003]

This article describes the symptoms of paraphilic and nonparaphilic CSB and discusses their epidemiology, etiology, as well as comorbid psychiatric conditions. It also presents screening questions that clinicians can use with patients suspected of having CSB and outlines medical and psychiatric treatment for the condition.


Coleman E, Raymond N, McBean A.

Minn Med. 2003 Jul;86(7):42-7.


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The Consequences of Compulsive Sexual Behavior: The Preliminary Reliability and Validity of the Compulsive Sexual Behavior Consequences Scale

The Consequences of Compulsive Sexual Behavior: The Preliminary Reliability and Validity of the Compulsive Sexual Behavior Consequences Scale | Sex  Addiction | Scoop.it

The consequences of any excessive behavior can serve as a proxy indicator of problem severity. This appears especially salient for the diagnosis of non-paraphilic compulsive sexual behavior (CSB) because of the influence of societal norms on the pathologizing of frequent consensual ego-syntonic sexual behavior. The current study is a preliminary examination of the psychometric properties, descriptive features, concurrent validity, and ability to detect change over time of a measure designed to assess the consequences of non-paraphilic CSB........Results indicate that the measure demonstrated good internal and test-retest reliability, concurrent validity, and was able to detect change in symptoms over the course of the 12-week period..........(R)esults suggest that measuring consequences can reveal important clues into the domains most affected by CSB, provide clues into those domains that are resistant to change, and aid in individualized treatment planning.


Frederick Muench, Jon Morgenstern, Eric Hollander, Thomas Irwin, Ann O'Leary, Jeffrey T. Parsons, Milton L. Wainberg & Betty Lai

Sexual Addiction & Compulsivity: Vol. 14, No. 3, pages 227-220 (2007)

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Using the Sexual Compulsivity Scale to Predict Outcomes of Sexual Behavior in Young Adults

Using the Sexual Compulsivity Scale to Predict Outcomes of Sexual Behavior in Young Adults | Sex  Addiction | Scoop.it
The purpose of the study was to assess the psychometric properties of the Sexual Compulsivity Scale (SCS) and its relations with sexual behaviors and their associated outcomes. Data were collected from 390 young adults. Results indicated acceptable levels of internal consistency for the SCS (α = .79) and acceptable levels of construct and criterion-related validity. Forward stepwise logistic regression analyses suggest that the SCS was capable of predicting negative outcomes and unprotected sexual intercourse. The SCS appears to hold great potential for use in sexual health programs focusing on young adults.


Authors: Kimberly R. McBride, Michaek Reece and Stephanie Sanders


(2008). Using the Sexual Compulsivity Scale to Predict Outcomes of Sexual Behavior in Young Adults. Sexual Addiction & Compulsivity: Vol. 15, No. 2, pages 97-115.


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Psychometrics and Comparison of the Compulsive Sexual Behavior Inventory and the Sexual Compulsivity Scale in a Male College Student Sample

Psychometrics and Comparison of the Compulsive Sexual Behavior Inventory and the Sexual Compulsivity Scale in a Male College Student Sample | Sex  Addiction | Scoop.it
The current study examined and compared the psychometric properties of the Sexual Compulsivity Scale and the Compulsive Sexual Behavior Inventory in male college students. Participants included 334 male undergraduate students enrolled in Introductory Psychology courses. Zero-order correlation analyses were conducted and statistically compared to identify sexual behaviors and constructs significantly and differentially related to scores on the CSBI and SCS. Examination of the results suggests both of the compulsivity scales have good evidence for reliability and validity in a male college student sample, but may measure somewhat different aspects of compulsivity. Implications, limitations, and future directions are discussed.


Sexual Addiction & Compulsivity: Vol. 16. No. 2, pages 146-167 (2009)


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Measuring Sexual Addiction and Compulsivity: A Critical Review of Instruments

Measuring Sexual Addiction and Compulsivity: A Critical Review of Instruments | Sex  Addiction | Scoop.it

The authors review 17 instruments that have been created to assess sexual addiction, including self-report rating scales, self-report checklists, and clinician rating scales measuring symptoms of sexual addiction, as well as self-report rating scales measuring consequences associated with sexual addiction. For each instrument, the authors describe its structure, conceptual basis, and samples studied. They also evaluate the evidence for the reliability and validity of each instrument. The instruments vary widely in their psychometric properties. Many have been created recently, and others have only been studied in specific populations. For each group of instruments, the authors make recommendations for researchers and clinicians.


Authors: Joshua N. Hook, Jan P. Hook, Don E. Davis, Everett L. Worthington Jr. & J. Kim Penberthy


Journal of Sex & Marital Therapy: Vol. 36, No. 3, pages 227-260 (2010)


Note: Abstract only.

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