Conclusions and Relevance The high prevalence of this prominent feature associated with compulsive sexual behavior disorder has important implications for health care professionals and society. Health care professionals should be alert to the high number of people who are distressed about their sexual behavior, carefully assess the nature of the problem within its sociocultural context, and find appropriate treatments for both men and women.
Conclusions
This study was the first we know of to document the US national prevalence of distress associated with difficulty controlling one’s sexual thoughts, feelings, and behaviors—the key feature of CSBD. The high prevalence of this sexual symptom has major public health relevance as a sociocultural problem and indicates a significant clinical problem that warrants attention from health care professionals. Moreover, gender, sexual orientation, race/ethnicity, and income differences suggest potential health disparities, point to the salience of sociocultural context of CSBD, and argue for a treatment approach that accounts for minority health, gender ideology, and sociocultural norms and values surrounding sexuality and gender. Health care professionals should be alert to the high number of people who are distressed about their sexual behavior, carefully assess the nature of the problem, and find appropriate treatments for both men and women.
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