.2023 Mar 13;12(1):242-260.

doi: 10.1556/2006.2023.00005. Print 2023 Mar 30.

Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

Joshua B Grubbs¹, Rory C Reid², Beáta Bőthe^{3 4}, Zsolt Demetrovics^{5 6}, Eli Coleman⁷, Neil Gleason⁸, Michael H Miner⁷, Johannes Fuss⁹, Verena Klein¹⁰, Karol Lewczuk¹¹, Mateusz Gola^{12 13}, David P Fernandez¹⁴, Elaine F Fernandez¹⁵, Stefanie Carnes¹⁶, Michal Lew-Starowicz¹⁷, Drew Kingston^{18 19}, Shane W Kraus²⁰

Affiliations

¹ 1Bowling Green State University, Bowling Green, Ohio, USA.
² 2University of California Los Angeles, Los Angeles, California, USA.
³ 3Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
⁴ 4Université de Montréal, Montreal, Quebec, Canada.
⁵ 5Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
⁶ 6Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar.
⁷ 7University of Minnesota, Minneapolis, Minnesota, USA.
⁸ 8University of Washington, Seattle, Washington, USA.
⁹ 9University of Duisburg-Essen, Duisburg, Germany.
¹⁰ 10School of Psychology, University of Southampton, UK.
¹¹ 11Cardinal Stefan Wyszynski University in Warsaw, Poland.
¹² 12University of California San Diego, San Diego, California, USA.
¹³ 13Institute of Psychology, Polish Academy of Sciences, Poland.
¹⁴ 14Nottingham Trent University, Nottingham, United Kingdom.
¹⁵ 15Independent Practice.
¹⁶ 16International Institute for Trauma and Addiction Professionals, Carefree, Arizona, USA.
¹⁷ 17Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹⁸ 18Institute of Mental Health Research, Royal Ottawa Health Care Group, Ottawa, ON, Canada.
¹⁹ 19Department of Psychiatry, McMaster University, Hamilton, ON, Canada.
²⁰ 20University of Nevada Las Vegas, Las Vegas, Nevada, USA.

PMID:36913189
PMCID: PMC10260208
DOI: 10.1556/2006.2023.00005

Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

Joshua B Grubbs et al. J Behav Addict.2023.

.2023 Mar 13;12(1):242-260.

doi: 10.1556/2006.2023.00005. Print 2023 Mar 30.

Authors

Affiliations

¹ 1Bowling Green State University, Bowling Green, Ohio, USA.
² 2University of California Los Angeles, Los Angeles, California, USA.
³ 3Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
⁴ 4Université de Montréal, Montreal, Quebec, Canada.
⁵ 5Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
⁶ 6Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar.
⁷ 7University of Minnesota, Minneapolis, Minnesota, USA.
⁸ 8University of Washington, Seattle, Washington, USA.
⁹ 9University of Duisburg-Essen, Duisburg, Germany.
¹⁰ 10School of Psychology, University of Southampton, UK.
¹¹ 11Cardinal Stefan Wyszynski University in Warsaw, Poland.
¹² 12University of California San Diego, San Diego, California, USA.
¹³ 13Institute of Psychology, Polish Academy of Sciences, Poland.
¹⁴ 14Nottingham Trent University, Nottingham, United Kingdom.
¹⁵ 15Independent Practice.
¹⁶ 16International Institute for Trauma and Addiction Professionals, Carefree, Arizona, USA.
¹⁷ 17Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹⁸ 18Institute of Mental Health Research, Royal Ottawa Health Care Group, Ottawa, ON, Canada.
¹⁹ 19Department of Psychiatry, McMaster University, Hamilton, ON, Canada.
²⁰ 20University of Nevada Las Vegas, Las Vegas, Nevada, USA.

PMID:36913189
PMCID: PMC10260208
DOI: 10.1556/2006.2023.00005

Abstract

Background and aims: The World Health Organization's International Classification of Diseases (ICD-11) includes Compulsive Sexual Behavior Disorder (CSBD), a new diagnosis that is both controversial and groundbreaking, as it is the first diagnosis to codify a disorder related to excessive, compulsive, and out-of-control sexual behavior. The inclusion of this novel diagnosis demonstrates a clear need for valid assessments of this disorder that may be quickly administered in both clinical and research settings.

Design: The present work details the development of the Compulsive Sexual Behavior Disorder Diagnostic Inventory (CSBD-DI) across seven samples, four languages, and five countries.

Setting: In the first study, data were collected in community samples drawn from Malaysia (N = 375), the U.S. (N = 877), Hungary (N = 7,279), and Germany (N = 449). In the second study, data were collected from nationally representative samples in the U.S. (N = 1,601), Poland (N = 1,036), and Hungary (N = 473).

Findings: Across both studies and all samples, results revealed strong psychometric qualities for the 7-item CSBD-DI, demonstrating evidence of validity via correlations with key behavioral indicators and longer measures of compulsive sexual behavior. Analyses from nationally representative samples revealed residual metric invariance across languages, scalar invariance across gender, strong evidence of validity, and utility in classifying individuals who self-identified as having problematic and excessive sexual behavior, as evidenced by ROC analyses revealing suitable cutoffs for a screening instrument.

Conclusion: Collectively, these findings demonstrate the cross-cultural utility of the CSBD-DI as a novel measure for CSBD and provide a brief, easily administrable instrument for screening for this novel disorder.

Keywords: behavioral addiction; hypersexuality; impulse control disorders; scale development; sexual addiction.

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Conflict of interest statement

All authors declare no coflict of interest in preparing this work. BB is an associate editor, while ZD is the chief editor of the Journal of Behavioral Addictions.

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Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

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Assessing compulsive sexual behavior disorder: The development and international validation of the compulsive sexual behavior disorder-diagnostic inventory (CSBD-DI)

Authors

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Abstract

Conflict of interest statement

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