Psychometric development of the hypersexual behavior consequences scale

Abstract

Background and aims:The past decade has seen an increased interest in understanding hypersexual behavior and its associated features. Beyond the obvious risks for sexually transmitted infections, there is a paucity of literature examining specific challenges encountered by hypersexual individuals. This study investigated and developed a new scale, the Hypersexual Behavior Consequences Scale (HBCS), to assess the various consequences reported among hypersexual patients. Methods: Participants were drawn from a sample of patients recruited in a DSM-5 Field Trial for Hypersexual Disorder (HD). Participants completed the Hypersexual Behavior Inventory, a structured diagnostic interview to assess for psychopathology and HD, and self-report measures of personality, life satisfaction, and the initial item pool for the HBCS. Results: Factor analysis reduced the HBCS items to a single factor solution which showed high internal consistency and stability over time. Higher HBCS scores were positively correlated with higher levels of emotional dysregulation, impulsivity, and stress proneness and lower levels of satisfaction with life and happiness. HBCS scores among the hypersexual patients were significantly higher than non-hypersexual patients. Conclusions:The HBCS possesses good psychometric properties and appears to capture various consequences associated with the DSM-5 proposed criteria for HD. The HBCS can be used to aid clinicians and researchers in identifying consequences associated with hypersexual behavior. The HBCS may also prove a useful tool to guide treatment interventions aimed at reducing the negative impact of hypersexuality in patient populations.

Is Hypersexuality Dimensional or Categorical? Evidence From Male and Female College Samples

“…Despite its relative prevalence and association with negative consequences (Earle & Crow, 1990;Gold & Heffner, 1998;Kafka, 2003;Långströ m & Hanson, 2006) hypersexuality has not benefited from the same empirical scrutiny as other externalizing or sexual disorders. Although multiple empirically validated measures of hypersexuality have been developed (Carnes, 1989;Carnes, Green, & Carnes, 2010;Coleman, Miner, Ohlerking, & Raymond, 2001;Kalichman & Rompa, 1995;MIDSA, 2011;Reid et al, 2012), all have made assumptions about the latent structure of the construct. This study corroborates past findings of a latent continuous structure in males and provides strong evidence of dimensionality in females.…”

Normative and Clinical Self-Perceptions of Sexuality and Their Links to Psychopathology among Adolescents

“…Kafka [1] defined CSB as an intense, repetitive obsession with sexual fantasies, urges, and behaviors, that could bring about adverse consequences such as clinical distress and impaired social and occupational functioning. Specifically, CSB includes the following 4 facets: (1) unwanted consequences because of sexual fantasies – how sexual fantasies carry harm to oneself by causing physical, mental, and spiritual distress [17] and to one’s close others such as family members [18], colleagues, and peers [19]; (2) lack of behavioral control – constant engagement with sexual fantasies without control of thoughts and exposure to pornography; (3) negative affect – a negative feeling accompanied by guilt and shame because of sexual fantasies that feed feelings of unworthiness; and (4) affect regulation – escape to sexual fantasies and pornography because of pain, stress, and distress. Research has supported this definition [20, 21].…”

Validación preliminar del inventario de hipersexualidad en jóvenes

“…En este modelo, el valor de significación del x 2 de Satorra-Bentler (xel inventario de hipersexualidad. Además, este trabajo se ha realizado con jóvenes de entre 18 y 27 años, reconociendo así la importancia de este periodo en la manifestación de los primeros síntomas de hipersexualidad y la aparición de las primeras consecuencias negativas asociadas (Reid, Garos y Fong, 2012). En este sentido, el ih no solo se dibuja como un instrumento eficaz para la evaluación de este cuadro clínico en jóvenes, sino que además resulta superior a otros empleados con tanta o más frecuencia con fines clínicos y empíricos.…”