Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis.
JAMA Netw Open. 2018 Nov 2;1(7):e184468. doi: 10.1001/jamanetworkopen.2018.4468.
The veracity, nomenclature, and conceptualizations of sex addiction, out-of-control sexual behavior, hypersexual behavior, and impulsive or compulsive sexual behavior are widely debated. Despite such variation in conceptualization, all models concur on the prominent feature: failing to control one's sexual feelings and behaviors in a way that causes substantial distress and/or impairment in functioning. However, the prevalence of the issue in the United States is unknown.
To assess the prevalence of distress and impairment associated with difficulty controlling sexual feelings, urges, and behaviors among a nationally representative sample in the United States.
DESIGN, SETTING, AND PARTICIPANTS: This survey study used National Survey of Sexual Health and Behavior data to assess the prevalence of distress and impairment associated with difficulty controlling sexual feelings, urges, and behaviors and determined how prevalence varied across sociodemographic variables. Participants between the ages of 18 and 50 years were randomly sampled from all 50 US states in November 2016.
Distress and impairment associated with difficulty controlling sexual feelings, urges, and behavior were measured using the Compulsive Sexual Behavior Inventory-13. A score of 35 or higher on a scale of 0 to 65 indicated clinically relevant levels of distress and/or impairment.
Of 2325 adults (1174 [50.5%] female; mean [SD] age, 34.0 [9.3] years), 201 [8.6%] met the clinical screen cut point of a score of 35 or higher on the Compulsive Sexual Behavior Inventory. Gender differences were smaller than previously theorized, with 10.3% of men and 7.0% of women endorsing clinically relevant levels of distress and/or impairment associated with difficulty controlling sexual feelings, urges, and behavior.
The high prevalence of this prominent feature associated with compulsive sexual behavior disorder has important implications for health care professionals and society. Health care professionals should be alert to the high number of people who are distressed about their sexual behavior, carefully assess the nature of the problem within its sociocultural context, and find appropriate treatments for both men and women.
性成瘾、无法控制的性行为、过度性行为和冲动或强迫性行为的真实性、命名法和概念在广泛的争论中。尽管概念上存在差异，但所有模型都一致认为主要特征是：无法以一种导致大量痛苦和/或功能障碍的方式控制自己的性感觉和行为。然而，美国对此问题的普遍程度尚不清楚。
评估美国全国代表性样本中与难以控制性感觉、冲动和行为相关的困扰和功能障碍的流行程度。
设计、地点和参与者：这项调查研究使用国家性健康和行为调查数据评估与难以控制性感觉、冲动和行为相关的困扰和功能障碍的流行程度，并确定流行程度如何因社会人口统计学变量而异。年龄在 18 至 50 岁之间的参与者于 2016 年 11 月从美国所有 50 个州随机抽取。
使用强迫性性行为量表-13 评估与难以控制性感觉、冲动和行为相关的困扰和功能障碍。0 到 65 分的量表上得分为 35 或更高表示存在临床相关的困扰和/或功能障碍。
在 2325 名成年人中（1174 名[50.5%]为女性；平均[标准差]年龄为 34.0[9.3]岁），201 名[8.6%]符合强迫性性行为障碍的临床筛选标准，即 Compulsive Sexual Behavior Inventory 得分为 35 或更高。性别差异小于先前的理论假设，10.3%的男性和 7.0%的女性表现出与难以控制性感觉、冲动和行为相关的临床相关程度的困扰和/或功能障碍。
与强迫性性行为障碍相关的这种主要特征的高患病率对医疗保健专业人员和社会具有重要意义。医疗保健专业人员应该警惕有很多人对自己的性行为感到困扰，在其社会文化背景下仔细评估问题的性质，并为男性和女性找到适当的治疗方法。
