The development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 based screening measure across three languages.

Beáta Bőthe,Marc N Potenza,Verena Klein,Johannes Fuss,Zsolt Demetrovics,Shane W Kraus,Mark D Griffiths

doi:10.1556/2006.2020.00034

Abstract

BackgroundCompulsive 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.MethodFour 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.ResultsThe 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.ConclusionsThe 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.

Highlights

Six years after the exclusion of hypersexual disorder (HD) from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (American PsychiatricUnauthenticated | Downloaded 11/08/21 03:02 PM UTCJournal of Behavioral Addictions 9 (2020) 2, 247-258Association, 2013; Kafka, 2010), Compulsive Sexual Behavior Disorder (CSBD) has been included as a new diagnostic entity in the eleventh edition of The International Statistical Classification of Diseases (ICD-11) (World Health Organization, 2019)
The 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
Given the theory-based factors of the CSBD-19 (World Health Organization, 2019) (Appendix 1), Confirmatory factor analysis (CFA) were conducted on the selected items in each sample separately to examine the factor structure of the CSBD-19

Summary

Introduction

Association, 2013; Kafka, 2010), Compulsive Sexual Behavior Disorder (CSBD) has been included as a new diagnostic entity in the eleventh edition of The International Statistical Classification of Diseases (ICD-11) (World Health Organization, 2019). The development of a new, valid, and reliable scale (Compulsive Sexual Behavior Disorder Scale–CSBD-19) that assesses the ICD-11 diagnostic guidelines of CSBD (and does not measure prior criteria such as emotion regulation) across different countries (Kiraly et al, 2019) is necessary for both clinical practice and research purposes. Compulsive Sexual Behavior Disorder (CSBD) is included in the eleventh edition of The International Classification of Diseases (ICD-11) as an impulse-control disorder. Aims: The 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. Its use in large-scale, cross-cultural studies may promote the identification and understanding of individuals with a high risk of CSBD

Methods

Results

Discussion

Conclusion