González-Bueso Vega, Santamaría Juan José, Caro-Pérez Oriol, Fernández Daniel, Baño-Alcazar Marta, Jiménez-Murcia Susana, Håkansson Anders, Del Pino-Gutiérrez Amparo, Ribas Joan
Atención e Investigación en Socioadicciones (AIS), Mental Health and Addictions Network, Generalitat de Catalunya, Sistema Sanitari Integral d'Utilització Pública de Catalunya (SISCAT), Barcelona, Spain.
CELBIOTECH_Paper Engineering Research Group, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain.
Front Psychiatry. 2022 May 3;13:839788. doi: 10.3389/fpsyt.2022.839788. eCollection 2022.
Compulsive sexual behavior (CSB) is characterized by a persistent pattern of failure to control sexual impulses, resulting in repetitive sexual behavior over a prolonged period that causes marked discomfort in personal, family, social, school, work or in other functional areas. The evolution of the worldwide incidence of this disorder warrants further studies focused on examining the characteristics of the affected people. The purpose of this study was to compare online compulsive sexual behavior (when the problematic sexual practices were online) and non-online compulsive sexual behavior (when the problematic sexual practices were in-person) patients (OCSB and non-OCSB, respectively), and healthy controls in terms of sexual behavior, sociodemographic variables and psychopathology and personality characteristics.
A sample of 80 CSB male patients consecutively admitted to our Behavioral Addictions Unit and 25 healthy male controls, participated in the study. The CSB group was comprised by 36 online CSB patients (mean age 42.25, SD: 10.0) and 44 non-online CSB patients (mean age 43.5, SD: 11.9). Scores on the Sexual Compulsivity Scale, Temperament and Character Inventory-Revised, Symptom CheckList-90 Items-Revised, State-Trait Anxiety Index, and additional demographic, clinical, and social/family variables related to sexual behaviors between the three groups were compared.
When compared with healthy controls, both clinical groups showed higher psychopathology in all measures as well as higher harm avoidance and self-transcendence and lower self-directness and cooperativeness. When comparing OCSB and non-OCSB patients, results showed that non-OCSB patients exhibited higher prevalence of sexually transmitted diseases, higher percentage of homosexual and bisexual orientation and higher scores in anxiety and in sexual impulse control failure.
Both online and non-online CSB patients may experience a variety of comorbid psychological and medical problems. Patients with non-OCSB may suffer more consequences that are negative. Therefore, these results should be considered when designing the most convenient therapeutic approach. Whether sexual orientation plays a role in treatment needs and treatment response in CSB, should be further explored in future studies.
强迫性行为（CSB）的特征是持续无法控制性冲动，导致长期反复出现性行为，从而在个人、家庭、社会、学校、工作或其他功能领域引起明显不适。这种障碍在全球范围内的发病率变化情况，值得开展进一步研究，重点关注受影响人群的特征。本研究的目的是比较网络强迫性行为（即问题性行为发生在网络上）患者和非网络强迫性行为（即问题性行为发生在现实中）患者（分别为OCSB和非OCSB）以及健康对照者在性行为、社会人口学变量、精神病理学和人格特征方面的差异。
80名连续入住我们行为成瘾科的CSB男性患者和25名健康男性对照者参与了本研究。CSB组由36名网络CSB患者（平均年龄42.25岁，标准差：10.0）和44名非网络CSB患者（平均年龄43.5岁，标准差：11.9）组成。比较了三组在性强迫量表、修订版气质与性格量表、90项症状清单修订版、状态-特质焦虑指数以及与性行为相关的其他人口统计学、临床和社会/家庭变量上的得分。
与健康对照者相比，两个临床组在所有测量指标上均表现出更高的精神病理学水平，以及更高的伤害回避和自我超越水平，更低的自我导向和合作性。比较OCSB和非OCSB患者时，结果显示非OCSB患者性传播疾病的患病率更高，同性恋和双性恋取向的比例更高，焦虑和性冲动控制失败得分更高。
网络和非网络CSB患者可能都存在各种共病的心理和医学问题。非OCSB患者可能遭受更多负面后果。因此，在设计最便捷的治疗方法时应考虑这些结果。性取向在CSB的治疗需求和治疗反应中是否起作用，有待未来研究进一步探索。
