Should compulsive sexual behavior be considered an addiction?

Addiction. 2016 Dec;111(12):2097-2106. doi: 10.1111/add.13297. Epub 2016 Feb 18.

Abstract

Aims: To review the evidence base for classifying compulsive sexual behavior (CSB) as a non-substance or 'behavioral' addiction.

Methods: Data from multiple domains (e.g. epidemiological, phenomenological, clinical, biological) are reviewed and considered with respect to data from substance and gambling addictions.

Results: Overlapping features exist between CSB and substance use disorders. Common neurotransmitter systems may contribute to CSB and substance use disorders, and recent neuroimaging studies highlight similarities relating to craving and attentional biases. Similar pharmacological and psychotherapeutic treatments may be applicable to CSB and substance addictions, although considerable gaps in knowledge currently exist.

Conclusions: Despite the growing body of research linking compulsive sexual behavior (CSB) to substance addictions, significant gaps in understanding continue to complicate classification of CSB as an addiction.

Keywords: Addiction; behavioral addictions; compulsive sexual behavior; hypersexuality; neurobiology; psychiatric disorder; sexual behavior; sexual compulsivity.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Behavior, Addictive / diagnosis
  • Behavior, Addictive / psychology*
  • Behavior, Addictive / therapy
  • Compulsive Behavior / diagnosis
  • Compulsive Behavior / psychology*
  • Compulsive Behavior / therapy
  • Craving
  • Erotica / psychology
  • Female
  • Humans
  • Impulsive Behavior
  • Libido
  • Male
  • Reward
  • Sexual Behavior*
  • Unsafe Sex / psychology