Title

The Development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 Based Screening Measure Across Three Languages

Document Type

Article

Publication Date

6-1-2020

Publication Title

Journal of Behavioral Addictions

Volume

9

Issue

2

First page number:

247

Last page number:

258

Abstract

Background Compulsive Sexual Behavior Disorder (CSBD) is included in the eleventh edition of The International Classification of Diseases (ICD-11) as an impulse-control disorder. AimsThe aim of the present work was to develop a scale (Compulsive Sexual Behavior Disorder Scale–CSBD-19) that can reliably and validly assess CSBD based on ICD-11 diagnostic guidelines. Method Four independent samples of 9,325 individuals completed self-reported measures from three countries (the United States, Hungary, and Germany). The psychometric properties of the CSBD-19 were examined in terms of factor structure, reliability, measurement invariance, and theoretically relevant correlates. A potential threshold was determined to identify individuals with an elevated risk of CSBD. Results The five-factor model of the CSBD-19 (i.e., control, salience, relapse, dissatisfaction, and negative consequences) had an excellent fit to the data and demonstrated appropriate associations with the correlates. Measurement invariance suggested that the CSBD-19 functions similarly across languages. Men had higher means than women. A score of 50 points was found as an optimal threshold to identify individuals at high-risk of CSBD. Conclusions The CSBD-19 is a short, valid, and reliable measure of potential CSBD based on ICD-11 diagnostic guidelines. Its use in large-scale, cross-cultural studies may promote the identification and understanding of individuals with a high risk of CSBD.

Keywords

Compulsive Sexual Behavior Disorder (CSBD); Cut-off; Hypersexuality; Multi-language validation; Screening; Sex addiction

Disciplines

Feminist, Gender, and Sexuality Studies | Gender and Sexuality | Health Information Technology | Substance Abuse and Addiction

Language

English

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