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The Epidemiology and Phenomenology of Compulsive Sexual Behavior

Published online by Cambridge University Press:  07 November 2014

Donald W. Black
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Abstract

Compulsive sexual behavior (CSB) is characterized by inappropriate or excessive sexual behaviors or cognitions that lead to subjective distress or impaired functioning. Both abnormal (paraphilic) and conventional (nonparaphilic) forms of sexual behavior are usually included in the definition. CSB is reported to affect 3% to 6% of the general population in the United States, occurring more frequently in men. It typically begins in the late teens or early twenties and is chronic or intermittent. The disorder has been described as a progression through four stages: preoccupation, ritualization, gratification, and despair. Men with CSB typically focus on physical sexual gratification; women focus on romantic or emotional aspects of sexuality. Psychiatric comorbidity is common, particularly substance use, mood, anxiety, and personality disorders. CSB can lead to medical complications. Risk factors are thought to include family history and childhood abuse.

Type
Feature Articles
Information
CNS Spectrums , Volume 5 , Issue 1: The Epidemiology, Psychopharmacology, and Neurobiology of Compulsive Sexual Behavior , January 2000 , pp. 26 - 35,72
Copyright
Copyright © 2000

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References

REFERENCES

1.Coleman, E. Is your patient suffering from compulsive sexual behavior? Psychiatr Ann. 1992;22:320–325.CrossRefGoogle Scholar
2.Stein, DJ, Hollander, E, Anthony, DT, et al.Serotonergic medications for sexual obsession, sexual addictions, and paraphilias. J Clin Psychiatry. 1992;53:267–271.Google ScholarPubMed
3.Anthony, DT, Hollander, E. Sexual compulsions. In: Hollander, E, ed. Obsessive-Compulsive Related Disorders. Washington, DC: American Psychiatric Press; 1992;139–150.Google Scholar
4.Goodman, A. Diagnosis and treatment of sexual addictions. J Sex Marital Ther 1993;19:225–251.CrossRefGoogle Scholar
5.Black, DW, Kehrberg, LLD, Flumerfelt, DL, Schlosser, SS. Characteristics of 36 subjects reporting compulsive sexual behavior. Am J Psychiatry. 1997;154:243–249.Google ScholarPubMed
6.Black, DW. Compulsive sexual behavior: a review. J Practical Psychiatry Behav Health. 1998;4:219–229.CrossRefGoogle Scholar
7.Carnes, P. Don't Call It Love: Recovery From Sexual Addiction. New York, NY: Bantam Books; 1991.Google Scholar
8.Kafka, MP. Hypersexual desire in males: an operational definition and clinical implications for males with paraphilias and paraphilia-related disorders. Arch Sex Behav. 1997;26:505–526.CrossRefGoogle ScholarPubMed
9.Kinsey, AC, Pomeroy, WB, Martin, CE. Sexual Behavior in the Human Male. Philadelphia, Pa: WB Saunders; 1948.Google Scholar
10.Atwood, JD, Gagnon, J. Masturbatory behavior in college youth. Journal of Sex Education and Therapy. 1987;13:35–42.CrossRefGoogle Scholar
11.Laumann, EO, Gagnon, JH, Michael, RT, Michael, S. The Social Organization of Sexuality: Sexual Practices in the United States. Chicago, Ill: University of Chicago Press; 1994.Google Scholar
12.Kafka, MP, Prentky, R. A comparative study of nonparaphilic sexual addictions and paraphilias in men. J Clin Psychiatry. 1992;53:345–350.Google ScholarPubMed
13.McConaghy, N, Armstrong, MS, Blaszczynski, A. Expectancy, covert sensitization, and imaginal desensitization in compulsive sexuality. Acta Psychiatr Scand. 1985;72:176–187.CrossRefGoogle ScholarPubMed
14.Carnes, PJ, Delmonico, DL. Childhood abuse and multiple addictions: research findings in a sample of self-identified sexual addicts. Sexual Addiction and Compulsivity. 1996;3:258–268.Google Scholar
15.Schneider, JP, Schneider, BH. Couple recovery from sexual addiction/coaddiction: results of a survey of 88 marriages. Sexual Addiction and Compulsivity. 1996;3:111–126.CrossRefGoogle Scholar
16.Kafka, MP, Prentky, RA. Preliminary observations of DSM-III-R axis I comorbidity in men with paraphilias and paraphilia-related disorders. J Clin Psychiatry. 1994;55:481–487.Google ScholarPubMed
17.Robins, LN, Helzer, JE, Weissman, MM, et al.Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry. 1984;41:949–958.CrossRefGoogle ScholarPubMed
18.Kessler, RC, McGonagle, KA, Zhao, S, et al.Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry. 1994;51:8–19.CrossRefGoogle ScholarPubMed
19.Christensen, GA, Faber, RJ, de Zwaan, M. Compulsive buying: descriptive characteristics and psychiatric comorbidity. J Clin Psychiatry. 1994;55:5–11.Google Scholar
20.Kafka, MP, Prentky, RA. Attention deficit hyperactivity disorder in males with paraphilias and paraphilia-related disorders: a comorbidity study. J Clin Psychiatry. 1998;59:388–396.CrossRefGoogle ScholarPubMed
21.Washton, A. Cocaine may trigger sexual compulsivity. American Journal of Drug and Alcohol Dependency. 1989;13:8.Google Scholar
22.Diagnostic and Statistical Manual of Mental Disorders. 3rd ed rev. Washington, DC: American Psychiatric Association; 1987.Google Scholar
23.Pfohl, B, Blum, N, Zimmerman, M, Stangl, D. Structured Interview for DSM-III-R Personality Disorders (SIDP-R). Iowa City, Ia: University of Iowa, Department of Psychiatry; 1987.Google Scholar
24.Hyler, SE, Reider, RO, Spitzer, R. Personality Diagnostic Questionnaire, Revised (PDQ-R). New York, NY: New York State Psychiatric Institute; 1987.Google Scholar
25.Irons, RP, Schneider, JP. Addictive sexual disorders. In: Miller, N, ed. Principles and Practice of Addictions in Psychiatry. Philadelphia, Pa: WB Saunders; 1997:441–457.Google Scholar
26.Gaffney, GR, Lurie, SF, Berlin, FS. Is there familial transmission of pedophilia? J Nerv Ment Dis. 1984;172:546–548.CrossRefGoogle ScholarPubMed
27.Carnes, PJ. Addiction or compulsion: politics or illness? Sexual Addiction and Compulsivity. 1996;3:127–149.CrossRefGoogle Scholar
28.Quadland, MC. Compulsive sexual behavior: definition of a problem and an approach to treatment. J Sex Marital Ther. 1985;11:121–132.CrossRefGoogle Scholar
29.Schneider, JP. How to recognize the signs of sexual addiction. Postgrad Med. 1991;6;171–182.CrossRefGoogle Scholar
30.Stein, MB, Walker, JR, Anderson, G, et al.Childhood physical and sexual abuse in patients with anxiety disorders and in a community sample. Am J Psychiatry. 1996;153:275–277.Google Scholar
31.David, D, Giron, A, Mellman, TA. Panic-phobic patients and developmental trauma. J Clin Psychiatry. 1995;56:113–117.Google ScholarPubMed
32.Black, DW, Moyer, T. Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatr Serv. 1998;49:1434–1439.CrossRefGoogle ScholarPubMed
33.Black, DW, Noyes, R, Pfohl, B, Goldstein, RB, Blum, N. Personality disorder in obsessive-compulsive volunteers, well comparison subjects, and their first-degree relatives. Am J Psychiatry. 1993;150:1226–1232.Google ScholarPubMed