Non-Paraphilic Compulsive Sexual Behavior and Psychiatric Co-morbidities in Gay and Bisexual Men

Abstract

This study explored the features of non-paraphilic compulsive sexual behavior (NPCSB) in a community sample of 183 gay and bisexual men in New York City who reported difficulty controlling their sexual behavior. Several diagnostic and face valid measures of NPCSB and Axis I comorbidity were administered. Results indicated that NPCSB is associated with a range of problem behaviors, a fairly coherent pattern of symptoms that can be assessed with good inter-rater reliability, is distinct from other related disorders, and provides a moderate fit to the dependence model but with other unique features. Implications for classification and treatment will be discussed.

Acknowledgments

The study was supported by a grant from the Centers for Disease Control and Prevention (U62 CCU217852) and the National Institute of Mental Health through an Inter-Agency Agreement.

The authors would like to acknowledge members of the Project SPIN Research Team: David S. Bimbi, Thomas Irwin, Alicia Kaplan, Andrew Kolodny, James Kelleher, Dennis Popeo, Lauren Priday, Ljiljana Radulovic, Payam Saadai, and James Sorrentino. The authors would also like to acknowledge Eli Coleman, Marshall Forstein, and Martin Kafka for their input into the project.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.