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

Overview
Journal J Behav Addict
Publisher Akademiai Kiado
Date 2020 Jul 2
PMID 32609629
Citations 52
Authors
Affiliations
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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.

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.

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.

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