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Compulsive Sexual Behaviour in Iranian Married Women: Prevalence, Sociodemographic, Sexual, and Psychological Predictors Across-Country Publisher



Khayer E1 ; Zareiorcid R1 ; Damghanianorcid M1, 2 ; Botheorcid B3, 4 ; Farnam F1
Authors
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Authors Affiliations
  1. 1. Department of Reproductive Health and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Psychology, Universite de Montreal, Montreal, Canada
  4. 4. Ctr. de Rech. Interdisciplinaire sur les Problemes Conjugaux et les Agressions Sexuelles (CRIPCAS), Universite de Montreal, Montreal, Canada

Source: Journal of Behavioral Addictions Published:2024


Abstract

Background and Aims: This study addresses the scarcity of research on Compulsive Sexual Behavior Disorder (CSBD) in non-Western cultures and women, exploring its prevalence, sociodemographic, sexual history characteristics, and sexual and psychological health factors in Iranian married women. Methods: A cross-sectional study involving 772 heterosexual married women was conducted between 2022 and 2023, covering all 31 provinces of Iran. Participants were categorized as CSBD+ (at-risk individuals) and CSBD- (low-risk individuals) based on a pre-established cut-off point of ≥18 by the Compulsive Sexual Behavior Disorder Scale -7. Depression, anxiety, obsessive-compulsive disorder, self-esteem, sexual distress, sexual satisfaction, relationship satisfaction, and sexual dysfunction were assessed as psychological and sexual health variables by standardized scales. Results: The prevalence of CSBD was 3.8% in women. Linear regression analysis showed that lower education, being jobless, substance use, pornography use, paraphilic behaviors, conflict on sex frequency, relationship, orgasm and sexual dissatisfaction, higher sexual arousal, depression, and obsessive-compulsive symptoms were positively associated with CSBD. The univariate analysis, at a stringent significance level of 0.005, mirrored the regression findings. Additionally, women with CSBD+ exhibited lower religiousness and higher anxiety compared to those without CSBD-. Discussion and Conclusions: Raising awareness of CSBD is crucial for health systems and individuals for better policy-making and help-seeking behavior. Identifying risk factors like substance use presents opportunities for prevention, and the association of CSBD with sexual and mental health variables suggests addressing co-occurring issues for improved treatment outcomes. Recognizing culture and gender-specific sexual and psychological correlates enables targeted and effective treatment approaches. © 2024 The Author(s).
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