Compulsive sexual behavior and psychopathology among treatment-seeking men in S?o Paulo, Brazil

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• 作者：Marco de Tubino Scanavino ; Ana Ventuneac ; Carmita Helena Najjar Abdo ; Hermano Tavares ; Maria Luiza Sant'Ana do Amaral ; Bruna Messina ; Sirlene Caramello dos Reis ; Jo?o Paulo Lian Branco Martins ; Jeffrey T. Parsons
• 关键词：Sexual addiction ; Hypersexuality ; Hypersexual disorder ; Mental disorders ; Sexual compulsivity ; Sexual behavior ; Psychiatric disorder
• 刊名：Psychiatry Research
• 出版年：2013
• 出版时间：30 October, 2013
• 年：2013
• 卷：209
• 期：3
• 页码：518-524
• 全文大小：239 K

文摘

This study examined compulsive sexual behavior (CSB) and psychopathology in a treatment-seeking sample of men in S?o Paulo, Brazil. Eighty-six men (26 % gay, 17 % bisexual, 57 % heterosexual) who met diagnostic criteria for excessive sexual drive and sexual addiction completed assessments consisting of the Mini International Neuropsychiatric Interview, a structured clinical interview for DSM-IV Axis I Disorders¡ªClinical Version (segment for Impulse Control Disorder), Sexual Compulsivity Scale (SCS), and questions about problematic CSB. The average SCS score for our sample was above the cut-off score reported in other studies, and 72 % of the sample presented at least one Axis I psychiatric diagnosis. There were no differences among gay, bisexual, and heterosexual men on SCS scores and psychiatric conditions, but gay and bisexual men were more likely than heterosexual men to report casual sex and sex with multiple casual partners as problematic behaviors. SCS scores were associated with psychiatric co-morbidities, mood disorder, and suicide risk, but diagnosis of a mood disorder predicted higher SCS scores in a regression analysis. The study provides important data on the mental health needs of men with CSB in S?o Paulo, Brazil.