DSM-5 and the Decision Not to Include Sex, Shopping or Stealing as Addictions

Piquet-Pessôa, Marcelo; Ferreira, Gabriela M.; Melca, Isabela A; Fontenelle, Leonardo F.

doi:10.1007/s40429-014-0027-6

Cited by 84 publications

(32 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifically, proposed criteria for hypersexual disorder [7] were excluded, generating questions about the diagnostic future of problematic/excessive sexual behaviors. Multiple reasons probably contributed to these decisions, with insufficient data in important domains likely contributing [8].…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…Despite a field trial supporting the reliability and validity of criteria for hypersexual disorder [15], the American Psychiatric Association excluded hypersexual disorder from DSM-5. Concerns were raised about the lack of research including anatomical and functional imaging, molecular genetics, pathophysiology, epidemiology and neuropsychological testing [8]. Others expressed concerns that hypersexual disorder could lead to forensic abuse or produce false positive diagnoses, given the absence of clear distinctions between normal range and pathological levels of sexual desires and behaviors [16][17][18].…”

Section: Defining Csbmentioning

confidence: 99%

See 1 more Smart Citation

Should compulsive sexual behavior be considered an addiction?

2016

View full text Add to dashboard Cite

Aims To review the evidence base for classifying compulsive sexual behavior (CSB) as a non-substance or “behavioral” addiction. Methods Data from multiple domains (e.g., epidemiological, phenomenological, clinical, biological) are reviewed and considered with respect to data from substance and gambling addictions. Results Overlapping features exist between CSB and substance-use disorders. Common neurotransmitter systems may contribute to CSB and substance-use disorders, and recent neuroimaging studies highlight similarities relating to craving and attentional biases. Similar pharmacological and psychotherapeutic treatments may be applicable to CSB and substance addictions, although considerable gaps in knowledge currently exist. Conclusions Despite the growing body of research linking compulsive sexual behavior to substance addictions, significant gaps in understanding continue to complicate classification of compulsive sexual behaviour as an addiction.

show abstract

Section: Statement Of the Problemmentioning

confidence: 99%

Section: Defining Csbmentioning

confidence: 99%

Should compulsive sexual behavior be considered an addiction?

2016

View full text Add to dashboard Cite

show abstract

“…The uncertainty about the extent to which impulsiveness, compulsiveness, and addiction underpin CBB has been debated at length (e.g., Aboujaoude, ; Piquet‐Pessôa, Ferreira, Melca, & Fontenelle, ). This is reflected in both the many terms that have been given to CBB such as “shopaholism,” “impulsive buying,” and “compulsive shopping” (Aboujaoude, ; Andreassen, ) and by the variation in the instruments that have been used to screen consumers for the disorder over the past 30 years.…”

Section: Literature Reviewmentioning

confidence: 99%

Compulsive buying behavior: Re‐evaluating its dimensions and screening

Maccarrone-Eaglen

Schofield

2017

J of Consumer Behaviour

View full text Add to dashboard Cite

Despite the significant research in the consumer behavior literature on compulsive buying behavior (CBB), there is still no general agreement about the dimensionality or diagnostic screening of the disorder. Previous studies have identified two principal dimensions: compulsivity and impulsivity, although more recent strands of theory characterize CBB with reference to loss of self-control and behavioral addiction. This study challenges the impulsive-compulsive paradigm by validating a new model with compulsive and self-control impaired spending dimensions. The model more closely reflects the disorder's ego-dystonic character, routed in an anxiety-based reactive mechanism with uncontrollable buying and an inability to rationalize the behavior and its consequences. The study also develops and cross-validates a new seven-item CBB screening tool, using a comparative analysis with three existing screeners and an independent sample. The findings indicate that compulsive buying results from both compulsive and self-control impaired impulsive elements, which are characteristic of behavioral addiction. KEYWORDScompulsive purchasing, screening tool, self-control, spending | INTRODUCTIONResearch has shown that compulsive buying behavior (CBB) is typified by an inability to resist a strong inner urge to make repeated purchases in order to provide relief from mental disquiet (d'Astous, 1990;Dittmar, 2005;Elliott, 1994;Kwak, Zinkhan, & Lester-Roushanzamir, 2004;Lejoyeux, Tassain, & Ades, 1995;Monahan, Black, & Gabel, 1996;Roberts, Manolis, & Pulling, 2014), and it is also characterized by a loss of control over these purchasing actions (Achtziger, Hubert, Kenning, Raab, & Reisch, 2015;Baumeister, 2002;Baumeister, Sparks, Stillman, & Vohs, 2008;Schlosser, Black, Repertinger, & Freet, 1994;Tangney, Baumeister, & Boone, 2004). The underpinning psychological strain is caused by anxiety, low self-esteem (De Sarbo & Edwards, 1996;Faber & O'Guinn, 1989;Valence, d'Astous, & Fortier, 1988

show abstract

“…However, concerns were raised about the gaps in knowledge, including epidemiology, pathophysiology, and validity of the proposed disorder (Marshall & Briken, 2010; Moser, 2013; Piquet-Pessôa, Ferreira, Melca, & Fontenelle, 2014; Wakefield, 2012; Winters, 2010), and HD was finally not included as a diagnosis in the DSM-5.…”

Section: Introductionmentioning

confidence: 99%

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

et al. 2017

View full text Add to dashboard Cite

Background and aimsThere are significant gaps in knowledge regarding the role of childhood adversity, interpersonal violence, and suicidal behavior in hypersexual disorder (HD). The aim of this study was to investigate interpersonal violence in hypersexual men compared with healthy volunteers and the experience of violence in relation to suicidal behavior.MethodsThis case–control study includes 67 male patients with HD and 40 healthy male volunteers. The Childhood Trauma Questionnaire – Short Form (CTQ-SF) and the Karolinska Interpersonal Violence Scale (KIVS) were used for assessing early life adversity and interpersonal violence in childhood and in adult life. Suicidal behavior (attempts and ideation) was assessed with the Mini-International Neuropsychiatric Interview (version 6.0) and the Montgomery–Åsberg Depression Rating Scale – Self-rating.ResultsHypersexual men reported more exposure to violence in childhood and more violent behavior as adults compared with healthy volunteers. Suicide attempters (n = 8, 12%) reported higher KIVS total score, more used violence as a child, more exposure to violence as an adult as well as higher score on CTQ-SF subscale measuring sexual abuse (SA) compared with hypersexual men without suicide attempt.DiscussionHypersexuality was associated with interpersonal violence with higher total scores in patients with a history of suicide attempt. The KIVS subscale exposure to interpersonal violence as a child was validated using the CTQ-SF but can be complemented with questions focusing on SA for full assessment of early life adversity.ConclusionChildhood adversity is an important factor in HD and interpersonal violence might be related to suicidal behavior in hypersexual men.

show abstract

DSM-5 and the Decision Not to Include Sex, Shopping or Stealing as Addictions

Cited by 84 publications

References 35 publications

Should compulsive sexual behavior be considered an addiction?

Should compulsive sexual behavior be considered an addiction?

Compulsive buying behavior: Re‐evaluating its dimensions and screening

Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men

Contact Info

Product

Resources

About