Understanding Male Compulsive Sexual Behavior

This study examined heterogeneity within compulsive sexual behavior disorder (CSBD) using latent class analysis to identify distinct behavioral and psychological profiles among adult men. Indicators included high-risk but legal and illegal sexual behavior patterns, trauma exposure and symptomology, entitlement beliefs, co-occurring personality disorders, substance use, and demographic factors. Although some behaviors examined carry potential legal consequences, CSBD is conceptualized as distinct from populations defined by sexual offending. A three-class solution emerged, reflecting differences in behavioral stability and psychological risk factors. Multinomial logistic regression analyses indicated that trauma history, entitlement beliefs, and co-occurring psychological symptoms significantly differentiated class membership. Findings support the presence of meaningful subgroups within CSBD and suggest the potential utility of risk-based diagnostic specifiers to improve assessment and treatment planning. Implications for diagnostic conceptualization, clinical assessment, and future research are discussed.