The University of Southampton
University of Southampton Institutional Repository

Who feels affected by "out of control" sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

Who feels affected by "out of control" sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)
Who feels affected by "out of control" sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

Background and aims: The purpose of this study was to examine the prevalence and correlates of indicators consistent with Compulsive Sexual Behavior Disorder (CSBD)-defined and operationalized according to the ICD-11 guidelines-in a large (n = 4,633; 50.5% male; 49,5% female) probability-based German national sample. Methods: Participants were asked if they had ever experienced "intense and recurring sexual impulses or sexual urges that I had difficulty controlling and resulted in sexual behavior"over a period of several months. Those who reported this experience were queried about the associated distress. Results: Overall, 4.9% of men [95% CI = 3.9-6.1] and 3.0% of women [95% CI = 2.3-3.9] reported experiences consistent with ICD-11 diagnostic requirements for lifetime diagnosis. In the 12 months preceding the study, 3.2% of men [95% CI = 2.4-4.2] and 1.8% of women [95% CI = 1.2-2.5] reported experiences consistent with CSBD requirements. Compared to controls and participants who reported elements of compulsive sexuality but without accompanying distress, strict religious upbringing was most prevalent in the CSBD group. The CSBD group was more likely to view sexual practices like men having sex with men as unacceptable and to report the belief that pornography has negative impacts on their sex life and life in general. Compared to the other two groups, the CSBD group was significantly more likely to have received psychiatric treatment for depression or another mental health problem during the past 12 months. Discussion and conclusions: The current study provides novel and important insights into the prevalence and characteristics of CSBD in the general population.

German health and sexuality survey (GeSiD), ICD-11, compulsive sexual behavior disorder, sex survey, sexual health
2062-5871
900-911
Briken, Peer
ecffa123-808f-4e4d-9f88-79e9de331943
Wiessner, Christian
26da948b-f9c7-43c7-9146-b2a4e4180e24
Stulhofer, Alexander
fb3aa4dd-f980-4ad6-bce4-ecfa5e4a53c4
Klein, Verena
ae0b3b07-e55d-4793-bdc0-ceea23f00b9e
FUss, Johannes
6113cb72-35f8-4960-8f35-b5902b3f91a8
Reed, Geoffrey M.
f5512d58-9bb4-401a-a5f6-c01f4fbef7b4
Dekker, Arne
e8837cf1-73c6-434b-a573-810622eb701a
Briken, Peer
ecffa123-808f-4e4d-9f88-79e9de331943
Wiessner, Christian
26da948b-f9c7-43c7-9146-b2a4e4180e24
Stulhofer, Alexander
fb3aa4dd-f980-4ad6-bce4-ecfa5e4a53c4
Klein, Verena
ae0b3b07-e55d-4793-bdc0-ceea23f00b9e
FUss, Johannes
6113cb72-35f8-4960-8f35-b5902b3f91a8
Reed, Geoffrey M.
f5512d58-9bb4-401a-a5f6-c01f4fbef7b4
Dekker, Arne
e8837cf1-73c6-434b-a573-810622eb701a

Briken, Peer, Wiessner, Christian, Stulhofer, Alexander, Klein, Verena, FUss, Johannes, Reed, Geoffrey M. and Dekker, Arne (2022) Who feels affected by "out of control" sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD). JOURNAL OF BEHAVIORAL ADDICTIONS, 11 (3), 900-911. (doi:10.1556/2006.2022.00060).

Record type: Article

Abstract

Background and aims: The purpose of this study was to examine the prevalence and correlates of indicators consistent with Compulsive Sexual Behavior Disorder (CSBD)-defined and operationalized according to the ICD-11 guidelines-in a large (n = 4,633; 50.5% male; 49,5% female) probability-based German national sample. Methods: Participants were asked if they had ever experienced "intense and recurring sexual impulses or sexual urges that I had difficulty controlling and resulted in sexual behavior"over a period of several months. Those who reported this experience were queried about the associated distress. Results: Overall, 4.9% of men [95% CI = 3.9-6.1] and 3.0% of women [95% CI = 2.3-3.9] reported experiences consistent with ICD-11 diagnostic requirements for lifetime diagnosis. In the 12 months preceding the study, 3.2% of men [95% CI = 2.4-4.2] and 1.8% of women [95% CI = 1.2-2.5] reported experiences consistent with CSBD requirements. Compared to controls and participants who reported elements of compulsive sexuality but without accompanying distress, strict religious upbringing was most prevalent in the CSBD group. The CSBD group was more likely to view sexual practices like men having sex with men as unacceptable and to report the belief that pornography has negative impacts on their sex life and life in general. Compared to the other two groups, the CSBD group was significantly more likely to have received psychiatric treatment for depression or another mental health problem during the past 12 months. Discussion and conclusions: The current study provides novel and important insights into the prevalence and characteristics of CSBD in the general population.

Text
2063-5303-article-p900 - Version of Record
Download (1MB)

More information

e-pub ahead of print date: 24 August 2022
Published date: 26 September 2022
Additional Information: Funding Information: Funding sources: The study was funded by the German Federal Centre for Health Education under Grants [Z2/ 25.5.2.1/18 and Z2/25.5.2.1/20]; Bundeszentrale für gesundheitliche Aufklärung [Z2/25.5.2.1/18, Z2/25.5.2.1/20]. Funding Information: Acknowledgments: We would like to thank all participants in the survey, the interviewers and the staff of Kantar EMNID, as well as the study’s scientific advisory board. The GeSiD study was supported by a grant from the German Federal Center for Health Education (BZgA). Publisher Copyright: © 2022 The Author(s).
Keywords: German health and sexuality survey (GeSiD), ICD-11, compulsive sexual behavior disorder, sex survey, sexual health

Identifiers

Local EPrints ID: 474085
URI: http://eprints.soton.ac.uk/id/eprint/474085
ISSN: 2062-5871
PURE UUID: f8b93f2b-a0ed-4a93-b80f-f5b85afc559d
ORCID for Verena Klein: ORCID iD orcid.org/0000-0002-5830-7991

Catalogue record

Date deposited: 13 Feb 2023 17:39
Last modified: 17 Mar 2024 04:16

Export record

Altmetrics

Contributors

Author: Peer Briken
Author: Christian Wiessner
Author: Alexander Stulhofer
Author: Verena Klein ORCID iD
Author: Johannes FUss
Author: Geoffrey M. Reed
Author: Arne Dekker

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×