Are Borderline Personality Symptoms Associated With Compulsive Sexual Behaviors Among Women in Treatment for Substance Use Disorders? An Exploratory Study

Elmquist, JoAnna; Shorey, Ryan C.; Anderson, Scott; Stuart, Gregory L.

doi:10.1002/jclp.22310

Cited by 11 publications

(14 citation statements)

References 44 publications

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“…Two studies 87,95 indicated a relationship between CSB and borderline personality symptoms, which has been previously well documented in the literature, 83,[157][158][159] and has been found to occur more often in women compared to men. 160 Interestingly, both CSB and borderline personality are characterized by the lack of impulse control, 158 which is often manifested by engaging in problematic and risky sexual behavior, such as having multiple sexual partners or unprotected sex, 158,[161][162][163][164] as well as preoccupation with sexual fantasies 165 and distress related to sexual behavior.…”

Section: Discussionmentioning

confidence: 89%

“…163,170 Findings from two studies included in this review are consistent with prior studies showing a strong co-occurrence between CSB and borderline personality symptoms in both non-clinical 95 and clinical samples with substance-use disorder. 87 Further, CSB symptoms have been found to be associated with ADHD symptoms, 92 obsessive-compulsive disorder, 93 and pathological buying. 90 Further work is needed to identify effective treatments for CSB and other co-occurring disorders among treatment-seeking women.…”

Section: Discussionmentioning

confidence: 99%

“…Five studies revealed that CSB symptoms may comorbid with symptoms of Substance Use Disorder (SUD). [84][85][86][87][88] Interestingly, two of them 84,86 indicated a negative relationship between CSB and tendencies to be aware of the present moment, suggesting that approach based on mindfulness techniques should be further examined in the context of its potential effectiveness in working with women. A deeper examination of the co-occurrence of CSB and SUD should be considered in women.…”

Section: Discussionmentioning

confidence: 99%

“…Identified studies were focused on the relationship between CSB and substance-use disorders, [84][85][86][87][88] compulsive buying disorder or compulsive buying behavior, [89][90][91] ADHD, 92 obsessive-compulsive disorder, 93 Parkinson's disease, 94 borderline personality disorder, 95 and autism spectrum disorder. 96 Brem and colleagues [84][85][86] in the three articles described their studies conducted on groups of adults in residential treatment for substance-use disorders (SUDs).…”

Section: Comorbidity and Predisposing Factorsmentioning

confidence: 99%

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<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

Kowalewska

Gola

Kraus

et al. 2020

NDT

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Purpose of Review: World Health Organization recently included compulsive sexual behavior disorder (CSBD) to the upcoming 11th edition of International Classification of Diseases (6C72). Despite the potential benefits of this decision (eg, the acceleration of research in the field will allow the development of effective treatments), previous research focused mainly on men, and as a result, we do not have an accurate clinical picture of compulsive sexual behavior (CSB) among women. Therefore, in this systematic review, we aim to present available knowledge on this topical subject. Literature search was conducted in the guideline of PRISMA methodology. Studies were identified from multiple databases including Academic Search Ultimate, SocINDEX, PsycARTICLES, PsycINFO, PubMed, and MEDLINE. Out of a total of 10,531 articles identified and screened, 58 were included in this review. Included studies covered the following topics: prevalence and etiology of CSB, behavioral and cognitive processes involved, comorbidities, personality traits, psychosocial and interpersonal difficulties, traumatic experiences, and treatments. Recent Findings: Available studies indicate that CSB symptom severity is lower in women than in men. Overall, women reported consuming pornography less often than men and exhibit lower rates of feeling urges to these materials. CSB symptoms (including problematic pornography use) have been found to be positively related to trait psychopathy, impulsivity, sensation seeking, attention-deficit/hyperactivity disorder symptoms, obsessive-compulsive disorder, pathological buying, sexual dysfunctions, general psychopathology, child sexual abuse, while negatively related to dispositional mindfulness. Summary: Conclusions that can be drawn from prior studies are considerably limited. There are no accurate estimates of the CSB prevalence or severity among women, and studies have been mostly conducted on non-clinical populations, which has limited application for women diagnosed with CSBD.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Comorbidity and Predisposing Factorsmentioning

confidence: 99%

See 2 more Smart Citations

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

Kowalewska

Gola

Kraus

et al. 2020

NDT

View full text Add to dashboard Cite

show abstract

“…The limited research employing the five-factor model of personality (Costa and McCrae, 1992 ; Wiggins, 1996 ) in this context has found the trait openness to experience to be unrelated to sex addiction (Schmitt, 2004 ; Pinto et al, 2013 ; Rettenberger et al, 2016 ; Walton et al, 2017 ). However, it seems more likely that “liberal personalities” who appreciate “borderline” experiences are more at risk for sex addiction, than traditional, close-minded and cautious people (e.g., Elmquist et al, 2016 ). Addictive sex behaviors have also frequently been positively related to narcissism (Black et al, 1997 ; Raymond et al, 2003 ; Kafka, 2010 ; Kasper et al, 2015 ) and negatively related to self-esteem (Cooper et al, 1999 , 2004 ; Delmonico and Griffin, 2008 ; Kor et al, 2014 ; Doornwaard et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

The Development and Validation of the Bergen–Yale Sex Addiction Scale With a Large National Sample

et al. 2018

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The view that problematic excessive sexual behavior ("sex addiction") is a form of behavioral addiction has gained more credence in recent years, but there is still considerable controversy regarding operationalization of the concept. Furthermore, most previous studies have relied on small clinical samples. The present study presents a new method for assessing sex addiction-the Bergen-Yale Sex Addiction Scale (BYSAS)-based on established addiction components (i.e., salience/craving, mood modification, tolerance, withdrawal, conflict/problems, and relapse/loss of control). Using a cross-sectional survey, the BYSAS was administered to a broad national sample of 23,533 Norwegian adults [aged 16-88 years; mean (± SD) age = 35.8 ± 13.3 years], together with validated measures of the Big Five personality traits, narcissism, self-esteem, and a measure of sexual addictive behavior. Both an exploratory and a confirmatory factor analysis (RMSEA = 0.046, CFI = 0.998, TLI = 0.996) supported a one-factor solution, although a local dependence between two items (Items 1 and 2) was detected. Furthermore, the scale had good internal consistency (Cronbach's α = 0.83). The BYSAS correlated significantly with the reference scale (r = 0.52), and demonstrated similar patterns of convergent and discriminant validity. The BYSAS was positively related to extroversion, neuroticism, intellect/imagination, and narcissism, and negatively related to conscientiousness, agreeableness, and self-esteem. High scores on the BYSAS were more prevalent among those who were men, single, of younger age, and with higher education. The BYSAS is a brief, and psychometrically reliable and valid measure for assessing sex addiction. However, further validation of the BYSAS is needed in other countries and contexts.

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Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

et al. 2022

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Among the important changes in the ICD-11 is the addition of 21 new mental disorders. New categories are typically proposed to: a) improve the usefulness of morbidity statistics; b) facilitate recognition of a clinically important but poorly classified mental disorder in order to provide appropriate management; and c) stimulate research into more effective treatments. Given the major implications for the field and for World Health Organization (WHO) member states, it is important to examine the impact of these new categories during the early phase of the ICD-11 implementation. This paper focuses on four disorders: complex post-traumatic stress disorder, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder. These categories were selected because they have been the focus of considerable activity and/or controversy and because their inclusion in the ICD-11 represents a different decision than was made for the DSM-5. The lead authors invited experts on each of these disorders to provide insight into why it was considered important to add it to the ICD-11, implications for care of not having that diagnostic category, important controversies about adding the disorder, and a review of the evidence generated and other developments related to the category since the WHO signaled its intention to include it in the ICD-11. Each of the four diagnostic categories appears to describe a population with clinically important and distinctive features that had previously gone unrecognized as well as specific treatment needs that would otherwise likely go unmet. The introduction of these categories in the ICD-11 has been followed by a substantial expansion of research in each area, which has generally supported their validity and utility, and by a significant increase in the availability of appropriate services.

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Are Borderline Personality Symptoms Associated With Compulsive Sexual Behaviors Among Women in Treatment for Substance Use Disorders? An Exploratory Study

Cited by 11 publications

References 44 publications

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

<p>Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women</p>

The Development and Validation of the Bergen–Yale Sex Addiction Scale With a Large National Sample

Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

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