The Psychometric Properties of the Hypersexual Behavior Inventory Using a Large-Scale Nonclinical Sample

Bőthe, Beáta; Kovács, Márton; Tóth‐Király, István; Reid, Rory C.; Griffiths, Mark D.; Orosz, Gábor; Demetrovics, Zsolt

doi:10.1080/00224499.2018.1494262

Cited by 59 publications

(52 citation statements)

References 51 publications

(70 reference statements)

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“…In its included form, CSBD shares diagnostic features with HD but omits the function of sexual behavior as a response to dysphoric mood states and stressful life events (i.e., sexual behaviors as a coping strategy). As pointed out by Bothe et al (2018), sexual behavior as a coping strategy may be viewed as an motivational factor rather than problematic factor. The coping motive is not necessarily associated with problems; however, loss of control and negative consequences of sexual behaviors can be considered symptomatic of problematic behavior.…”

Section: Compulsive Sexual Behavior Disorder (Csbd)a New Beginning?mentioning

confidence: 99%

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Hallberg

Kaldo

Arver

et al. 2019

The Journal of Sexual Medicine

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Background Hypersexual disorder (HD) is defined as a condition in which the individual loses control over engagement in sexual behaviors, leading to distress and negative effects on key life areas. Cognitive behavioral therapy (CBT) has been proven to reduce symptoms of hypersexual behavior; however, no randomized controlled study of CBT interventions for HD has been reported previously. Aim To investigate the efficacy of group-administered CBT for HD. Methods Male participants (n = 137) diagnosed with HD, were randomized between 7 weeks of group-administered CBT (n = 70) and a waitlist control receiving the intervention after 8 weeks (n = 67). Measurements were administered at pre-, mid-, and posttreatment, with follow-up after 3 and 6 months. Outcomes The primary outcome was the Hypersexual Disorder: Current Assessment Scale (HD:CAS), and secondary outcomes were the Sexual Compulsivity Scale (SCS) and measures of depression (Montgomery–Åsberg Depression Rating Scale (MADRS-S), psychological distress (Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM), and treatment satisfaction (CSQ-8). Results A significantly greater decrease in HD symptoms and sexual compulsivity, as well as significantly greater improvements in psychiatric well-being, were found for the treatment condition compared with the waitlist. These effects remained stable at 3 and 6 months after treatment. Clinical Implications CBT can ameliorate HD symptoms and psychiatric distress, suggesting that the CBT program may serve as a first-line treatment in clinical settings. Strengths & Limitations This is the first randomized controlled study evaluating the efficacy of a CBT program in a rather large sample of HD-specific diagnosed men. The long-term treatment effects are vague due to the low response rate on follow-up measurements, and the efficacy of this program for hypersexual women remains unknown. Conclusion This study supports the efficacy of a group-administered CBT program as a treatment option for HD; however, future studies should include women, comprise dismantling analysis of the constituting interventions, and evaluate other treatment formats, for example, administration via the Internet.

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Section: Compulsive Sexual Behavior Disorder (Csbd)a New Beginning?mentioning

confidence: 99%

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Hallberg

Kaldo

Arver

et al. 2019

The Journal of Sexual Medicine

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“…All participants were informed about the study and all provided signed informed consent. (Bőthe, Kovács, et al, 2018). If the old cutoff score would have been applied, there would be a considerably large number of women and men that showed increased levels of HD symptom severity.…”

Section: Statistical Analysesmentioning

confidence: 99%

Hypersexual behavior in a large online sample: Individual characteristics and signs of coercive sexual behavior

et al. 2019

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Background and aims: Despite the high prevalence of perceived problems relating to symptoms of hypersexual disorder (HD), important aspects remain underinvestigated. This study examines symptoms of depression, symptoms of problematic cybersex, and coercive sexual behavior in a large online sample from a German-speaking population. Methods: In an online survey, N = 1,194 (n = 564 women) participated in this study and completed measures including self-report questionnaires to assess depressive symptoms (PHQ-9), HD (HBI-19), symptoms of problematic cybersex (s-IATsex), as well as questions characterizing participants sexually, including fantasies and actual sexual coercive behaviors. Results: Men reported increased levels of HD symptom severity, pornography consumption, masturbation, and partnered sexual activity. Moreover, 59% of men and 18% of women reported fantasies of sexual coercion, whereas 21% of men and 4% of women reported acts of sexual coercion. Moderated regression analyses showed that symptoms of depression as well as sexual coercive fantasies and behaviors were associated with levels of HD symptom severity. Problematic cybersex, total sexual outlet (TSO), pornography consumption, and number of sexual partners were also associated with HD symptom severity. Interaction effects indicated that, in women, the connection of TSO as well as pornography was more strongly associated with levels of HD symptom severity than in men. Conclusions: This survey indicated that levels of HD symptom severity are often associated with severe intraand interpersonal difficulties. Furthermore, the amount of sexual activity seems to be more strongly connected to levels of HD symptom severity in women than in men.

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“…The "Coping" factor did not significantly predict experiencing the need for help for women or for men, suggesting that "Coping" cannot be used to distinguish those experiencing the need for help from individuals not wanting help. Our exploratory study does not warrant a definite conclusion regarding the associations of coping and PH because the items concerning "Coping" were directed at post-sex effects, and sex used as coping in PH might also constitute an important aspect of initiating sex [33]. We suggest that, firstly, important prior research on PH and coping [33] is replicated and that, secondly, other associations between sex used as coping and PH are studied before definite conclusions with regard to coping and PH are drawn.…”

Section: Discussionmentioning

confidence: 79%

“…Our exploratory study does not warrant a definite conclusion regarding the associations of coping and PH because the items concerning "Coping" were directed at post-sex effects, and sex used as coping in PH might also constitute an important aspect of initiating sex [33]. We suggest that, firstly, important prior research on PH and coping [33] is replicated and that, secondly, other associations between sex used as coping and PH are studied before definite conclusions with regard to coping and PH are drawn. Our results may explain, however, the high percentage of false positives found with the Hypersexual Behavior Inventory- [4,5], an instrument explicitly incorporating a "Coping" scale [26] to assess PH.…”

Section: Discussionmentioning

confidence: 79%

“…Despite the rejection of this diagnosis for inclusion in the DSM-5 [31], a scale with items addressing coping remains part of the Hypersexual Behavior Inventory [32], a frequently used instrument to assess PH. The relatively high percentages of hypersexual individuals that have been found with this instrument [4,33] suggest that associations between coping and sexuality might also be problematic for part of the general population that is not specifically afflicted by PH. Compulsive sexual behavior disorder, the newly accepted ICD-11 diagnosis [28], differs from the sex addiction diagnosis mostly in the addition of one indicator and a set of guidelines.…”

Section: Introductionmentioning

confidence: 98%

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Three Diagnoses for Problematic Hypersexuality; Which Criteria Predict Help-Seeking Behavior?

Tuijl

Tamminga²,

Meerkerk³

et al. 2020

IJERPH

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This study aimed to assess the best combination of indicators of problematic hypersexuality (PH), in a survey (n = 58,158) targeting individuals wondering if they were sex addicted. The survey allowed for testing of criteria from three theoretical models used to conceptualize PH. Factor analyses for women and men yielded an interpretable grouping of indicators consisting of four factors. In subsequent logistic regressions, these factors were used as predictors for experiencing the need for help for PH. The factors Negative Effects and Extreme positively predicted experiencing the need for help, with Negative Effects as the most important predictor for both women and men. This factor included, among others, withdrawal symptoms and loss of pleasure. The Sexual Desire factor negatively predicted the need for help, suggesting that for the targeted population more sexual desire leads to less PH. The Coping factor did not predict experiencing the need for help. Outcomes show that a combination of indicators from different theoretical models best indicates the presence of PH. Therefore, a measurement instrument to assess existence and severity of PH should consist of such a combination. Theoretically, this study suggests that a more comprehensive model for PH is needed, surpassing existing conceptualizations of PH.

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The Psychometric Properties of the Hypersexual Behavior Inventory Using a Large-Scale Nonclinical Sample

Cited by 59 publications

References 51 publications

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Hypersexual behavior in a large online sample: Individual characteristics and signs of coercive sexual behavior

Three Diagnoses for Problematic Hypersexuality; Which Criteria Predict Help-Seeking Behavior?

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