Compulsive Sexual Behavior

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Compulsive sexual behavior (CSB) is a clinical syndrome characterized by substantial difficulty controlling one’s sexual feelings, urges and behaviors, resulting in clinically significant levels of distress and/or impairment. There is currently a lack of consensus among psychologists as to whether this syndrome constitutes a true psychiatric disorder or is a result of a larger sociocultural problem. This lack of consensus is evidenced by the many names that have been used to describe this syndrome: compulsive sexual behavior1-2, hypersexual disorder3, sexual addiction4, and out of control sexual behavior5. In 2010, a proposal to include a clinical diagnosis of “hypersexual disorder” in the DSM-V was ultimately not approved,6 while more recently the diagnosis of “compulsive sexual behavior disorder” was approved for inclusion in the ICD-11.2 The study of CSB and its treatment is an important, expanding area of research.

Researchers at the University of Minnesota’s Program in Human Sexuality have conducted pioneering research in the area of compulsive sexual behavior, including development of the Compulsive Sexual Behavior Inventory (CSBI-13), one of the most widely used measures of CSB. This page provides further information about the CSBI-13, as well as links to research studies involved in its conceptualization and utilization.



1 Coleman, E. (1992). Is your patient suffering from compulsive sexual behavior? Psychiatric Annals, 22(6). 320-325.
2 Kraus, S. W., Krueger, R. B., Briken, P., et al. (2018). Compulsive sexual behaviour disorder in the ICD‐11World Psychiatry, 17(1). 109-110.
3 Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-VArchives of Sexual Behavior, 39(2). 377-400.
4 Carnes P. (2001). Out of the shadows: Understanding sexual addictionHazelden Publishing.
5 Braun-Harvey, D. & Vigorito, M. A. (2015). Treating out of control sexual behavior: Rethinking sex addiction. Springer Publishing Company.
6 Reid, R. C., & Kafka, M. P. (2014). Controversies about hypersexual disorder and the DSM-5Current Sexual Health Reports, 6(4), 259-264. DOI: 10.1007/s11930-014-0031-9