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Two subtypes of compulsive sexual behavior disorder

Models explaining addictive behaviors such as the Interaction of Person-Affect-Cognition-Execution (I-PACE) model emphasize the importance of reinforcement mechanisms for developing and maintaining these behaviors, including compulsive sexual behavior disorder (CSBD) as well as personal characterist...

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Autores principales: Golder, Sarah, Markert, Charlotte, Psarros, Rhea, Discher, Julian Peter, Walter, Bertram, Stark, Rudolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666180/
https://www.ncbi.nlm.nih.gov/pubmed/38025451
http://dx.doi.org/10.3389/fpsyt.2023.1248900
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author Golder, Sarah
Markert, Charlotte
Psarros, Rhea
Discher, Julian Peter
Walter, Bertram
Stark, Rudolf
author_facet Golder, Sarah
Markert, Charlotte
Psarros, Rhea
Discher, Julian Peter
Walter, Bertram
Stark, Rudolf
author_sort Golder, Sarah
collection PubMed
description Models explaining addictive behaviors such as the Interaction of Person-Affect-Cognition-Execution (I-PACE) model emphasize the importance of reinforcement mechanisms for developing and maintaining these behaviors, including compulsive sexual behavior disorder (CSBD) as well as personal characteristics as vulnerability factors. This study aimed to determine whether there are CSBD subtypes distinguished by reinforcement sensitivity. We hypothesize that one subtype is sensitive to positive reinforcement (C(+)subtype) and one is sensitive to negative reinforcement (Ȼ(−)subtype). We calculated a cluster analysis with data from 62 patients with CSBD and tested differences between the identified clusters by t-test. The sample consisted only of men. Cluster variables were: the sensitivity to the Behavioral Inhibition and Approach System (BIS/BAS), the severity of depressive symptoms (BDI-II), the severity of Trait Anxiety (STAI-T), Sexual Sensation Seeking (SSSS), Thrill- and Adventure-Seeking (SSS-V subscale), Disinhibition (SSS-V subscale), Experience Seeking (SSS-V subscale), and Boredom Susceptibility (SSS-V subscale). Between-cluster differences were analyzed for Trait Sexual Motivation (TSMQ) and Sexual Compulsivity (SCS). The results showed a two-cluster solution with cluster 1 representing patients sensitive to negative reinforcement (Ȼ(−)subtype) and cluster 2 representing patients sensitive to positive reinforcement (C(+)subtype). No significant difference in symptom severity of Sexual Compulsivity between clusters was found. Cluster 2 showed higher Importance of Sex and a higher motivation to seek sexual encounters than cluster 2. We found a two-cluster solution regarding reinforcement sensitivity in patients with CSBD. This may have clinical implications regarding individual therapy by focusing on the underlying maintenance mechanisms.
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spelling pubmed-106661802023-11-09 Two subtypes of compulsive sexual behavior disorder Golder, Sarah Markert, Charlotte Psarros, Rhea Discher, Julian Peter Walter, Bertram Stark, Rudolf Front Psychiatry Psychiatry Models explaining addictive behaviors such as the Interaction of Person-Affect-Cognition-Execution (I-PACE) model emphasize the importance of reinforcement mechanisms for developing and maintaining these behaviors, including compulsive sexual behavior disorder (CSBD) as well as personal characteristics as vulnerability factors. This study aimed to determine whether there are CSBD subtypes distinguished by reinforcement sensitivity. We hypothesize that one subtype is sensitive to positive reinforcement (C(+)subtype) and one is sensitive to negative reinforcement (Ȼ(−)subtype). We calculated a cluster analysis with data from 62 patients with CSBD and tested differences between the identified clusters by t-test. The sample consisted only of men. Cluster variables were: the sensitivity to the Behavioral Inhibition and Approach System (BIS/BAS), the severity of depressive symptoms (BDI-II), the severity of Trait Anxiety (STAI-T), Sexual Sensation Seeking (SSSS), Thrill- and Adventure-Seeking (SSS-V subscale), Disinhibition (SSS-V subscale), Experience Seeking (SSS-V subscale), and Boredom Susceptibility (SSS-V subscale). Between-cluster differences were analyzed for Trait Sexual Motivation (TSMQ) and Sexual Compulsivity (SCS). The results showed a two-cluster solution with cluster 1 representing patients sensitive to negative reinforcement (Ȼ(−)subtype) and cluster 2 representing patients sensitive to positive reinforcement (C(+)subtype). No significant difference in symptom severity of Sexual Compulsivity between clusters was found. Cluster 2 showed higher Importance of Sex and a higher motivation to seek sexual encounters than cluster 2. We found a two-cluster solution regarding reinforcement sensitivity in patients with CSBD. This may have clinical implications regarding individual therapy by focusing on the underlying maintenance mechanisms. Frontiers Media S.A. 2023-11-09 /pmc/articles/PMC10666180/ /pubmed/38025451 http://dx.doi.org/10.3389/fpsyt.2023.1248900 Text en Copyright © 2023 Golder, Markert, Psarros, Discher, Walter and Stark. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Golder, Sarah
Markert, Charlotte
Psarros, Rhea
Discher, Julian Peter
Walter, Bertram
Stark, Rudolf
Two subtypes of compulsive sexual behavior disorder
title Two subtypes of compulsive sexual behavior disorder
title_full Two subtypes of compulsive sexual behavior disorder
title_fullStr Two subtypes of compulsive sexual behavior disorder
title_full_unstemmed Two subtypes of compulsive sexual behavior disorder
title_short Two subtypes of compulsive sexual behavior disorder
title_sort two subtypes of compulsive sexual behavior disorder
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666180/
https://www.ncbi.nlm.nih.gov/pubmed/38025451
http://dx.doi.org/10.3389/fpsyt.2023.1248900
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