Compulsive Sexual Behavior and Its Sexual and Psychological Related Factors Among Iranian Married Men: A Nationwide Study

Abstract

A 2023 nationwide study of 386 Iranian married heterosexual men assessed compulsive sexual behavior disorder (CSBD) and its correlation with demographic, sexual, and mental health variables. Using the cut-off point ≥ 18 of CSBD Scale-7, 5.2% were CSBD+. Univariate analysis revealed that CSBD+ men had higher rates of substance abuse, pornography use, paraphilic behaviors, sexual desire, arousal, orgasm ability, and younger age at first sex. After Bonferroni correction (p < 0.005), paraphilic behaviors and orgasm ability remained significant. Regression analysis showed positive associations between CSBD and lower age, substance use, extramarital affairs, paraphilic behaviors, higher sex drive, and less orgasm satisfaction.

Acknowledgements

The researchers wish to extend their special thanks to the administrators and officials of the Tehran University of Medical Sciences and all the men who provided us with the information required for conducting this study.

Authors contributions

Conception and design: Elnaz Khayer; Rezvan Zarei, Maryam Damghanian, Beáta Bőthe, and Farnaz Franam. Acquisition of data: Elnaz Khayer; Rezvan Zarei. Analysis and interpretation of data: Elnaz Khayer, Farnaz Farnam, and Rezvan Zarei. Drafting the article: Elnaz Khayer, Farnaz Franam, and Rezvan Zarei. Revising for intellectual content: Elnaz Khayer, Rezvan Zarei, Maryam Damghanian, Beáta Bőthe, and Farnaz Franam. Final approval of the completed article: Elnaz Khayer, Rezvan Zarei, Maryam Damghanian, Beáta Bőthe, and Farnaz Franam

Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Tehran University of Medical Sciences under ethical code IR.TUMS.FNM.REC.1400.230.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the Tehran University of Medical Sciences under Grant number 1401-2-100-57269.