Individual-based Compulsive Sexual Behavior scale: Its development and importance in examining compulsive sexual behavior (2017)

Journal of Sex & Marital Therapy

Dr Yaniv Efrati & Professor Mario Mikulincer

Received 19 Jan 2017, Accepted 01 Oct 2017, Accepted author version posted online: 27 Dec 2017

Abstract

Compulsive sexual behavior comprises individual-based (e.g., sexual fantasies, compulsive sexual thoughts, masturbation) and partnered (e.g., interpersonal sexual conquests, repeated infidelity) facets. Most instruments for assessing compulsive sexual behavior, however, focus less on the individual-based facet and specifically on fantasies and compulsive thoughts. In the current research, we developed and validated an individual-based compulsive sexual behavior scale (I-CSB). In Study 1 (N = 492), the factorial structure of the I-CSB was examined. In Study 2 (N = 406), we assessed I-CSB’s convergent validity. In Study 3 (N = 112), we examined whether the I-CSB differentiates between individuals who suffer from compulsive sexual behavior and those who do not. Results revealed a 4-factor structure for individual-based compulsive sexual behavior that is associated with an intense inner conflict regarding sexuality (high arousal contrasting with high sexual anxiety), and that account for approximately 75% of the differences between people with compulsive sexual behavior and controls. Results are discussed in light of the need for a broader understanding of compulsive sexual behavior.

Keywords: Hypersexualityquestionnairespsychiatric disorderscompulsive sexual behavior