Skip to main content

Advertisement

Log in

Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory, and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

Epidemiological, behavioral, and clinical data on sexual compulsivity in Brazil are very limited. This study sought to adapt and validate the Sexual Compulsivity Scale (SCS), the 22-item version of the Compulsive Sexual Behavior Inventory (CSBI-22), and the Hypersexual Disorder Screening Inventory (HDSI) for use in Brazil. A total of 153 participants underwent psychiatric assessment and completed self-reported measures. The adaptation process of the instruments from English to Portuguese followed the guidelines of the International Society for Pharmacoeconomics and Outcomes Research. The reliability and validity of the HDSI criteria were evaluated and the construct validity of all measures was examined. For the SCS and HDSI, factor analysis revealed one factor for each measure. For the CSBI-22, four factors were retained although we only calculated the scores of two factors (control and violence). All scores had good internal consistency (alpha >.75), presented high temporal stability (>.76), discriminated between patients and controls, and presented strong (ρ > .81) correlations with the Sexual Addiction Screening Test (except for the violence domain = .40) and moderate correlations with the Impulsive Sensation Seeking domain of the Zuckerman Kuhlman Personality Questionnaire (ρ between .43 and .55). The sensitivity of the HDSI was 71.93 % and the specificity was 100 %. All measures showed very good psychometric properties. The SCS, the HDSI, and the control domain of the CSBI-22 seemed to measure theoretically similar constructs, as they were highly correlated (ρ > .85). The findings support the conceptualization of hypersexuality as a cluster of problematic symptoms that are highly consistent across a variety of measures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Aluja, A., García, L. F., Cuevas, L., & García, O. (2007). The MCMI-III personality disorders scores predicted by the NEO-FFI-R and the ZKPQ-50-CC: A comparative study. Journal of Personality Disorders, 21, 58–71. doi:10.1521/pedi.2007.21.1.58.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2010). Hypersexual Disorder. Severity. Retrieved from http://www.dsm5.org/_layouts/login.aspx?ReturnUrl=%2fProposedRevisions%2fPages%2fproposedrevision.aspx%3frid%3d415&rid=415. Accessed 12 May 2011.

  • American Psychiatric Association. (2012). News Release: American Psychiatric Association Board of Trustees approves DSM-5. Diagnostic manual passes major milestone before May 2013 publication. Retrieved from http://www.psychiatry.org/File%20Library/Advocacy%20and%20Newsroom/Press%20Releases/2012%20Releases/12-43-DSM-5-BOT-Vote-News-Release--FINAL--3-.pdf. Accessed 12 Dec 2012.

  • Ballester Arnal, R., Gómez Martínez, S., Gil Llario, M. D., & Salmerón Sánchez, P. (2012). Sexual Compulsivity Scale (SCS): Adaptation and validation in Spanish population. Journal of Sex and Marital Therapy, 39, 526–540. doi:10.1080/0092623X.2012.665816.

    Article  Google Scholar 

  • Benotsch, E. G., Kalichman, S. C., & Kelly, J. A. (1999). Sexual compulsivity and substance use in HIV-seropositive men who have sex with men: Prevalence and predictors of high-risk behaviors. Addictive Behaviors, 24, 857–868. doi:10.1016/S0306-4603(99)00056-8.

    Article  PubMed  Google Scholar 

  • Benotsch, E. G., Kalichman, S. C., & Pinkerton, S. D. (2001). Sexual compulsivity in HIV-positive men and women: Prevalence, predictors and consequences of high risk sexual behaviors. Sexual Addiction & Compulsivity, 8, 83–89. doi:10.1080/10720160127561.

    Article  Google Scholar 

  • Black, D. W. (2000). The epidemiology and phenomenology of compulsive sexual behavior. CNS Spectrums, 5, 26–72.

    PubMed  Google Scholar 

  • Carnes, P. (1989). Contrary to love: Helping the sexual addict. Minneapolis, MN: CompCare Publishers.

    Google Scholar 

  • Clark, P., Lavielle, P., & Martínez, H. (2003). Learning from pain scales: Patient perspective. Journal of Rheumatology, 30, 1584–1588.

    PubMed  Google Scholar 

  • Coleman, E., Miner, M., Ohlerking, F., & Raymond, N. (2001). Compulsive Sexual Behavior Inventory: A preliminary study of reliability and validity. Journal of Sex and Marital Therapy, 27, 325–332. doi:10.1080/009262301317081070.

    Article  PubMed  Google Scholar 

  • Cooper, A., Delmonico, D. L., & Burg, R. (2000). Cybersex users, abusers, and compulsives: New findings and implications. Sexual Addiction & Compulsivity, 7, 5–29. doi:10.1080/10720160008400205.

    Article  Google Scholar 

  • Delmonico, D. L., Bubenzer, D. L., & West, J. D. (1998). Assessing sexual addiction with the Sexual Dependency Inventory Revised. Sexual Addiction & Compulsivity, 5, 179–187. doi:10.1080/10720169808400161.

    Article  Google Scholar 

  • Dodge, B., Reece, M., Cole, S. L., & Sandfort, T. G. (2004). Sexual compulsivity among heterosexual college students. Journal of Sex Research, 41, 343–350. doi:10.1080/00224490409552241.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gomà-i-Freixanet, M., & Valero Ventura, S. (2008). Spanish normative data of the Zuckerman-Kuhlman Personality Questionnaire in a general population sample. Psicothema, 20, 324–330. Retrieved from http://www.psicothema.com/PDF/3468.pdf. Accessed 22 Dec 2012.

  • Goodman, A. (2001). What’s in a name? Terminology for designating a syndrome of driven sexual behavior. Sexual Addiction & Compulsivity, 8, 191–213. doi:10.1080/107201601753459919.

    Article  Google Scholar 

  • Gullette, D. L., & Lyons, M. A. (2005). Sexual sensation seeking, compulsivity, and HIV risk behaviors in college students. Journal of Community Health Nursing, 22, 47–60. doi:10.1207/s15327655jchn2201_5.

    Article  PubMed  Google Scholar 

  • Gulzun, M., Gulcat, Z., & Aydin, H. (2007). Treatment of compulsive sexual behavior with clomipramine and valproic acid. Clinical Drug Investigation, 27, 219–223. doi:10.2165/00044011-200727030-00005.

    Article  Google Scholar 

  • Hook, J. N., Hook, J. P., Davis, D. E., Worthington, E. L., & Penberthy, J. K. (2010). Measuring sexual addiction and compulsivity: A critical review of instruments. Journal of Sex and Marital Therapy, 36, 227–260. doi:10.1080/00926231003719673.

    Article  PubMed  Google Scholar 

  • Kafka, M. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400. doi:10.1007/s10508-009-9574-7.

    Article  PubMed  Google Scholar 

  • Kafka, M. P. (2013). The development and evolution of the criteria for a newly proposed diagnosis for DSM-5: Hypersexual disorder. Sexual Addiction & Compulsivity, 20, 19–26. doi:10.1080/10720162.2013.768127.

    Google Scholar 

  • Kalichman, S. C., & Cain, D. (2004). The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic. Journal of Sex Research, 41, 235–241. doi:10.1080/00224490409552231.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., Johnson, J. R., Adair, V., Rompa, D., Multhauf, K., & Kelly, J. A. (1994). Sexual sensation seeking: Scale development and predicting AIDS-risk behavior among homosexually active men. Journal of Personality Assessment, 62, 385–397. doi:10.1207/s15327752jpa6203_1.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., & Rompa, D. (1995). Sexual sensation seeking and sexual compulsivity scales: Reliability, validity, and predicting HIV risk behavior. Journal of Personality Assessment, 65, 586–601. doi:10.1207/s15327752jpa6503_16.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., & Rompa, D. (2001). The Sexual Compulsivity Scale: further development and use with HIV-positive persons. Journal of Personality Assessment, 76, 379–395. doi:10.1207/S15327752JPA7603_02.

    Article  PubMed  Google Scholar 

  • Kuzma, J. M., & Black, D. W. (2008). Epidemiology, prevalence, and natural history of compulsive sexual behavior. Psychiatric Clinics of North America, 31, 603–611. doi:10.1016/j.psc.2008.06.005. S0193-953X(08)00072-5.

    Article  PubMed  Google Scholar 

  • Langstrom, N., & Hanson, R. K. (2006). High rates of sexual behavior in the general population: Correlates and predictors. Archives of Sexual Behavior, 35, 37–52. doi:10.1007/s10508-006-8993-y.

    Article  PubMed  Google Scholar 

  • McBride, K. R., Reece, M., & Sanders, S. A. (2008). Using the Sexual Compulsivity Scale to predict outcomes of sexual behavior in young adults. Sexual Addiction & Compulsivity, 15, 97–115. doi:10.1080/10720160802035816.

    Article  Google Scholar 

  • Miner, M. H., Coleman, E., Center, B. A., Ross, M., & Rosser, B. R. (2007). The Compulsive Sexual Behavior Inventory: Psychometric properties. Archives of Sexual Behavior, 36, 579–587. doi:10.1007/s10508-006-9127-2.

    Article  PubMed  Google Scholar 

  • Morgenstern, J., Muench, F., O’Leary, A., Wainberg, M., Parsons, J. T., Hollander, E., … Irvin, T. (2011). Non-paraphilic compulsive sexual behavior and psychiatric co-morbidities in gay and bisexual men. Sexual Addiction & Compulsivity, 18, 114–134. doi:10.1080/10720162.2011.593420.

    Article  Google Scholar 

  • Muench, F., Morgenstern, J., Hollander, E., Irwin, T., O’Leary, A., Parsons, J. T., … Lai, B (2007). The consequences of compulsive sexual behavior: The preliminary reliability and validity of the Compulsive Sexual Behavior Consequences scale. Sexual Addiction & Compulsivity, 14, 207–220. doi:10.1080/10720160701480493.

    Article  Google Scholar 

  • Parsons, J. T., Bimbi, D., & Halkitis, P. N. (2001). Sexual compulsivity among gay/bisexual male escorts who advertise on the internet. Sexual Addiction & Compulsivity, 8, 101–112. doi:10.1080/10720160127562.

    Article  Google Scholar 

  • Parsons, J. T., Grov, C., & Golub, S. A. (2012). Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic. American Journal of Public Health, 102, 156–162. doi:10.2105/AJPH.2011.300284.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parsons, J. T., Kelly, B. C., Bimbi, D. S., Muench, F., & Morgenstern, J. (2007). Accounting for the social triggers of sexual compulsivity. Journal of Addictive Diseases, 26, 5–16. doi:10.1300/J069v26n03_02.

    Article  PubMed  Google Scholar 

  • Parsons, J. T., Rendina, H. J., Ventuneac, A., Cook, K. F., Grov, C., & Mustanski, B. (2013). A psychometric investigation of the Hypersexual Disorder Screening Inventory among highly sexually active gay and bisexual men: An item response theory analysis. Journal of Sexual Medicine, 10, 3088–3101. doi:10.1111/jsm.12117.

    Article  PubMed  Google Scholar 

  • Raymond, N. C., Coleman, E., & Miner, M. H. (2003). Psychiatric comorbidity and compulsive/impulsive traits in compulsive sexual behavior. Comprehensive Psychiatry, 44, 370–380. doi:10.1016/S0010-440X(03)00110-X.

    Article  PubMed  Google Scholar 

  • Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., … Fong, T. (2012). Report of findings in a DSM-5 field trial for hypersexual disorder. Journal of Sexual Medicine, 9, 2868–2877. doi:10.1111/j.1743-6109.2012.02936.x.

    Article  PubMed  Google Scholar 

  • Scanavino, M. D. T., Torres, R. R., Abdo, C. H., Rego, M. A., & Fernandez, F. M. (2009). Sexual compulsion and HIV transmission: A case report. Revista Brasileira de Psiquiatria, 31, 189–190. doi:10.1590/S1516-44462009000200022.

    Article  Google Scholar 

  • Silveira, D. X., Vieira, A. C., Palomo, V., & Silveira, E. D. (2000). Criteria validity and reliability of the Brazilian version of the Sexual Addiction Screening Test. Revista Brasileira de Psiquiatria, 22, 4–10.

    Article  Google Scholar 

  • Souza, M. A., Omar, A., & Formiga, N. S. (2006). Generalização Transcultural do Questionário de Personalidade Zuckerman-Kuhlman: Um Estudo Argentina Brasil [Transcultural Generalization of the Zuckerman-Kuhlman Personality Questionnaire: A Study Argentina Brazil.]. Paper presented at the II Congresso Brasileiro Psicologia: Ciência e Profissão [II Brazilian Congress on Psychology: Science and Profession], São Paulo, Brazil. Abstract retrieved from http://www.cienciaeprofissao.com.br/anais/detalhe.cfm?idTrabalho=1732. Accessed 18 May 2013.

  • Wainberg, M. L., Muench, F., Morgenstern, J., Hollander, E., Irwin, T. W., Parsons, J. T., … O’Leary, A. (2006). A double-blind study of citalopram versus placebo in the treatment of compulsive sexual behaviors in gay and bisexual men. Journal of Clinical Psychiatry, 67, 1968–1973.

    Article  PubMed  Google Scholar 

  • Wang, W., Hu, L., Mu, L., Chen, D., Song, Q., Zhou, M., … He, C. (2003). Functioning styles of personality disorders and five-factor normal personality traits: A correlation study in Chinese students. BMC Psychiatry, 3, 11. doi:10.1186/1471-244X-3-11.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., & Verjee-Lorenz, A. (2005). ISPOR Task Force for Translation and Cultural Adaptation. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health, 8, 94–104. doi:10.1111/j.1524-4733.2005.04054.x.

    Article  PubMed  Google Scholar 

  • Womack, S. D., Hook, J. N., Ramos, M., Davis, D. E., & Penberthy, J. K. (2013). Measuring hypersexual behavior. Sexual Addiction & Compulsivity, 20, 65–78. doi:10.1080/10720162.2013.768126.

    Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

    Google Scholar 

  • Zuckerman, M., Kuhlman, D. M., Joireman, J., Teta, P., & Kraft, M. (1993). A comparison of three structural models for personality: The Big Three, the Big Five, and the Alternative Five. Journal of Personality and Social Psychology, 65, 757–768. doi:10.1037/0022-3514.65.4.757.

    Article  Google Scholar 

Download references

Acknowledgments

This study was supported by Grants from the São Paulo Research Foundation (FAPESP), Grant 2010/15921-6.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marco de T. Scanavino.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Scanavino, M.d., Ventuneac, A., Rendina, H.J. et al. Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory, and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil. Arch Sex Behav 45, 207–217 (2016). https://doi.org/10.1007/s10508-014-0356-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-014-0356-5

Keywords

Navigation