Compulsive Sexual Behavior Inventory

Compulsive Sexual Behavior Inventory, evaluation, psychosexual evaluation, Sex Offense, sexual compulsion

Compulsive Sexual Behavior Inventory

Compulsive Sexual Behavior Inventory
Coleman, Miner, Ohlerking, and Raymond, 2001

Assessment Instruments for Impulsivity and Impulse Control Disorders.
Matusiewicz, A. and Lejuez, C., (2012).
The Oxford Handbook of Impulse Control Disorders. Ed. Jon Grant and Marc Potenza, pp. 28-30.

The CSBI is a self-report measure of compulsive sexual behavior that assesses the severity of compulsive sexual behavior. The measure assesses hypersexuality, dyscontrol of sexual impulses and behavior, and theoretically relevant risk factors for compulsive sexual behavior. The CSBI is a 28-item instrument that consists of three subscales: Control, Abuse and Violence. The Control subscale consists of 13 questions related to control of sexual urges and behavior (e.g., “have you felt unable to control your sexual behavior?”) as well as interpersonal, professional and financial consequences (e.g., “How often have your sexual thoughts or behaviors interfered with the formation of friendships?” and distress associated with compulsive sexual behavior (e.g., “How often have you had sex or masturbated more than you wanted to?”). The Abuse subscale consists of 8 questions related to history of sexual and physical abuse (e.g., “Were you sexual abused as a child?”), history of sexual perpetration and victimization (e.g., “Have you forced anyone against his or her will?”) and incest (e.g., “Did you have sexual experiences with either of your parents?”). The Violence subscale consists of 7 questions related to physical and sexual aggression between sexual partners (e.g., “Have you been forced to have sex with your husband, wife or lover?”), sadistic and masochistic sexual experiences (e.g., “Have you given others physical pain for sexual pleasure?”), and exchange of sex for money (e.g., “Have you received money to have sex?”). The scale is scored from one (very frequently) to five (never), with total scores ranging from 28 to 140. Lower scores indicate greater sexual compulsivity.

Exploratory factor analysis revealed the three-factor solution (Control, Abuse and Violence), which accounted for 58% of the variance in symptom severity in a combined sample of men with nonparaphilic sexual behavior, pedophilia, and healthy controls (Coleman et al., 2001). The Control subscale accounted for 42% of the variance (eigenvalue = 16.66), the Abuse subscale accounted for 10.1% of the variance (eigenvalue = 4.26), and the Violence subscale accounted for 5.9% of the variance (eigenvalue = 2.46). The CSBI demonstrated good to excellent internal consistency for each subscale (Control: Cronbach’s α = .96, Abuse: Cronbach’s α = .91, Violence: Cronbach’s α = ..88). The CSBI was administered twice to an internet-based sample of men who have sex with men (Miner, Coleman, Center, Ross & Rosser, 2007). The CBSI showed good test-retest reliability over 7-10 days (r = .86).

Validity
In Coleman et al (2001), pedophilic participants scored significantly lower on the Control subscale than participants with nonparaphilic compulsive sexual behavior or controls, suggesting greater difficulties with control of sexual thoughts and behaviors, and providing evidence construct validity (Coleman et al., 2001). As further evidence, individuals designated as high in sexual compulsivity based on a median-split reported more lifetime sexual partners, more sexual partners in the past three months, and more unprotected sexual encounters in the past three months (Miner et al., 2007). Pedophilic participants also scored lower on the Violence subscale than controls, suggesting greater engagement in problematic sexual behavior among the pedophilic group (Coleman et al., 2001), whereas sexual compulsives did not differ significantly from either group on this subscale. No group differences were found for the abuse subscale (Coleman et al., 2001).

The CSBI demonstrated satisfactory reliability and validity among male participants with histories of sexually compulsive behavior (Coleman et al., 2001) and men who have sex with men (Miner et al., 2007). Continued research, using more varied samples that include female participants, is needed to identify the optimal clinical cutoff to differentiate individuals with and without compulsive sexual behavior. The concurrent and divergent validity of the measure should also be explored. Finally, continued psychometric evaluation is necessary to determine whether the factor structure, reliability and validity of the CSBI apply to females with sexually compulsive behavior.

Factor 1: Control

How often have you had trouble controlling your sexual urges?
Have you felt unable to control your sexual behavior?
How often have you used sex to deal with worries or problems in your life?
How often have you felt guilty or shameful about aspects of your sexual behavior?
How often have you concealed or hidden your sexual behavior from others?
How often have you been unable to control your sexual feelings?
How often have you made pledges or promises to change or alter your sexual behavior?
How often have your sexual thoughts or behaviors interfered with the formation of friendships?
How often have you developed excuses and reasons to justify your sexual behavior?
How often have you missed opportunities for productive and enhancing activities because of your sexual activity?
How often have your sexual activities caused financial problems for you?
How often have your felt emotionally distant when you were engaging in sex with others?
How often have you had sex or masturbated more than you wanted to?

Factor 2: Abuse

Were you sexually abused as a child?
Were you physically abused as a child?
Other than parents or siblings, did you experience sexual activity as a child with someone more than 4–6 years older than you?
Did you have sexual experiences with any of your siblings?
Have you been forced to have sex with a stranger, casual acquaintance or friend?
How often have you been arrested or legally apprehended for your sexual behavior?
Have you forced anyone against his or her will? .
Did you have sexual experiences with either of your parents?

Factor 3: Violence

Have you ever hit, kicked, punched, slapped, thrown, chocked, restrained, or beaten any of your sexual partners?
Have you given others physical pain for sexual pleasure?
In fighting, have you been hit, kicked, punched, slapped, thrown, chocked, restrained, or beaten by your current or most recent partner? .
Have you received physical pain for sexual pleasure?
Have you received money to have sex?
Have you been forced to have sex with your husband, wife, or lover?
Have you been watched masturbating or having sex without giving permission?