Compulsive sexual behavior disorder: rates and clinical correlates in a community sample

Abstract

Background: This study sought to examine the rate of compulsive sexual behavior disorder (CSBD) in a sample of adults drawn from the community and its associated mental health correlates. Methods: An online survey of “Personality, Mental Health, and Well-Being” was distributed via Prolific to 300 adults aged 18 to 75 years. The survey measured a range of behaviors, such as sexual behavior, alcohol and drug use, and dimensional constructs of impulsivity and compulsivity using validated self-report instruments. Results: A total of 296 participants (54.7% female) completed the survey and were included in the analysis. The overall prevalence of probable compulsive sexual behavior disorder (CSBD) was 10.8% (n=32). Compared to adults without CSBD, those with CSBD were more likely to be younger and identify as bisexual. In addition, they were more likely to have attention-deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) symptoms, social media and drug use problems, and higher levels of obsessionality, trans-diagnostic compulsivity, and trans-diagnostic impulsivity. Gender, race, and alcohol use did not significantly differ between groups. Conclusion: CSBD appears to be common in adults and is equally represented in males and females. CSBD appears to have obsessive, compulsive, and impulsive traits and this may have nosological importance.

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