title: Compulsive sexual behavior and psychopathology among treatment-seeking men in São Paulo, Brazil.
abstract: This study examined compulsive sexual behavior (CSB) and psychopathology in a treatment-seeking sample of men in São 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-Clinical 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 São Paulo, Brazil.
authors: Department and Institute of Psychiatry, Clínicas' Hospital (HC), University of São Paulo Medical School (FMUSP), Brazil. Electronic address: scanavino@gmail.com.
authors: Marco de Tubino
authors: Mde T
authors: Scanavino
authors: Ana
authors: A
authors: Ventuneac
authors: Carmita Helena Najjar
authors: CH
authors: Abdo
authors: Hermano
authors: H
authors: Tavares
authors: Maria Luiza Sant'ana
authors: ML
authors: do Amaral
authors: Bruna
authors: B
authors: Messina
authors: Sirlene Caramello
authors: SC
authors: dos Reis
authors: João Paulo Lian Branco
authors: JP
authors: Martins
authors: Jeffrey T
authors: JT
authors: Parsons
mesh_terms: D000987:Antisocial Personality Disorder / Q000453:epidemiology* / Q000523:psychology*; D001938:Brazil / Q000453:epidemiology; D003192:Compulsive Behavior / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D011569:Psychiatric Status Rating Scales; D011599:Psychopathology; D057566:Self Report; D012725:Sexual Behavior
keywords: Hypersexual disorder; Hypersexuality; Mental disorders; Psychiatric disorder; Sexual addiction; Sexual behavior; Sexual compulsivity