Compulsive sexual behavior disorder in obsessive-compulsive disorder: Prevalence and associated comorbidity.
behavioral addictions
compulsive sexual behavior disorder
compulsivity
hypersexual disorder
hypersexuality
impulsivity
Journal
Journal of behavioral addictions
ISSN: 2063-5303
Titre abrégé: J Behav Addict
Pays: Hungary
ID NLM: 101602037
Informations de publication
Date de publication:
01 Jun 2019
01 Jun 2019
Historique:
pubmed:
14
5
2019
medline:
11
1
2020
entrez:
14
5
2019
Statut:
ppublish
Résumé
Compulsive sexual behavior disorder (CSBD) will be included in ICD-11 as an impulse-control disorder. CSBD also shares clinical features with obsessive-compulsive spectrum disorders (OCSDs) and behavioral addictions. There has been relatively little systematic investigation of CSBD in obsessive-compulsive disorder (OCD), the paradigmatic compulsive disorder. We aimed to determine prevalence of CSBD in OCD, and its associated sociodemographic and clinical features, including associated comorbidity, to learn more about the nature of CSBD. Adult outpatients with current OCD ( Lifetime prevalence of CSBD was 5.6% in patients with current OCD and significantly higher in men than women. OCD patients with and without CSBD were similar in terms of age, age of onset of OCD, present OCD illness severity, as well as educational background. Lifetime prevalence rates of several mood, obsessive-compulsive, and impulse-control disorders were considerably elevated in patients with lifetime CSBD. A substantive number of OCD patients suffered from CSBD. CSBD in OCD was more likely comorbid with other mood, obsessive-compulsive, and impulse-control disorders, but not with disorders due to substance use or addictive behaviors. This finding supports conceptualization of CSBD as a compulsive-impulsive disorder.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Compulsive sexual behavior disorder (CSBD) will be included in ICD-11 as an impulse-control disorder. CSBD also shares clinical features with obsessive-compulsive spectrum disorders (OCSDs) and behavioral addictions. There has been relatively little systematic investigation of CSBD in obsessive-compulsive disorder (OCD), the paradigmatic compulsive disorder. We aimed to determine prevalence of CSBD in OCD, and its associated sociodemographic and clinical features, including associated comorbidity, to learn more about the nature of CSBD.
METHODS
METHODS
Adult outpatients with current OCD (
RESULTS
RESULTS
Lifetime prevalence of CSBD was 5.6% in patients with current OCD and significantly higher in men than women. OCD patients with and without CSBD were similar in terms of age, age of onset of OCD, present OCD illness severity, as well as educational background. Lifetime prevalence rates of several mood, obsessive-compulsive, and impulse-control disorders were considerably elevated in patients with lifetime CSBD.
DISCUSSION AND CONCLUSIONS
CONCLUSIONS
A substantive number of OCD patients suffered from CSBD. CSBD in OCD was more likely comorbid with other mood, obsessive-compulsive, and impulse-control disorders, but not with disorders due to substance use or addictive behaviors. This finding supports conceptualization of CSBD as a compulsive-impulsive disorder.
Identifiants
pubmed: 31079471
doi: 10.1556/2006.8.2019.23
pmc: PMC7044559
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
242-248Références
JAMA Netw Open. 2018 Nov 2;1(7):e184468
pubmed: 30646355
Eur Arch Psychiatry Clin Neurosci. 2001;251(1):32-4
pubmed: 11315516
World Psychiatry. 2019 Jun;18(2):233-235
pubmed: 31059633
Arch Gen Psychiatry. 1989 Nov;46(11):1006-11
pubmed: 2684084
N Engl J Med. 1989 Aug 24;321(8):539-41
pubmed: 2761591
World Psychiatry. 2018 Feb;17(1):109-110
pubmed: 29352554
Behav Res Ther. 1986;24(5):597-602
pubmed: 3753387
Arch Sex Behav. 2010 Aug;39(4):968-78
pubmed: 19421850
Compr Psychiatry. 2001 Jul-Aug;42(4):291-300
pubmed: 11458303
CNS Spectr. 2000 Jan;5(1):36-46
pubmed: 18311099
J Am Acad Child Adolesc Psychiatry. 2007 Aug;46(8):947-968
pubmed: 17667475
Am J Psychiatry. 1997 Feb;154(2):243-9
pubmed: 9016275
CNS Spectr. 2000 Jan;5(1):60-4
pubmed: 18311101
Ann Clin Psychiatry. 2013 Aug;25(3):193-200
pubmed: 23926574
Psychiatry Res. 2013 Oct 30;209(3):518-24
pubmed: 23415890
Am J Psychiatry. 2005 Nov;162(11):2184-8
pubmed: 16263865
Lancet Psychiatry. 2017 Sep;4(9):663-664
pubmed: 28853408
CNS Spectr. 2000 Jan;5(1):26-72
pubmed: 18311098
Addiction. 2016 Dec;111(12):2097-2106
pubmed: 26893127
J Behav Addict. 2014 Dec;3(4):214-22
pubmed: 25592306
Arch Gen Psychiatry. 1986 Dec;43(12):1180-2
pubmed: 3465280
J Behav Addict. 2018 Jun 1;7(2):208-210
pubmed: 29895182
Addiction. 2016 Dec;111(12):2107-2108
pubmed: 26936832
Compr Psychiatry. 2003 Jul-Aug;44(4):317-23
pubmed: 12923710
Arch Sex Behav. 2010 Apr;39(2):377-400
pubmed: 19937105
J Abnorm Psychol. 2019 Jul;128(5):465-472
pubmed: 31282729
Psychopharmacol Bull. 1986;22(3):730-3
pubmed: 3467387
Compr Psychiatry. 2003 Sep-Oct;44(5):370-80
pubmed: 14505297
J Sex Med. 2014 Aug;11(8):1974-81
pubmed: 24909396
J Affect Disord. 2003 Jan;73(1-2):123-31
pubmed: 12507745
Health Psychol. 1992;11(4):218-22
pubmed: 1396489
World Psychiatry. 2014 Jun;13(2):125-7
pubmed: 24890056
Arch Sex Behav. 2014 Oct;43(7):1259-61
pubmed: 24951045
Psychiatr Clin North Am. 2008 Dec;31(4):587-91
pubmed: 18996299
Arch Sex Behav. 2006 Feb;35(1):37-52
pubmed: 16502152
Arch Gen Psychiatry. 1989 Nov;46(11):1012-6
pubmed: 2510699
Arch Sex Behav. 2018 Nov;47(8):2265-2276
pubmed: 29926261
J Sex Res. 2019 Feb;56(2):166-179
pubmed: 29913087
J Behav Addict. 2015 Jun;4(2):37-43
pubmed: 26014671