Document Detail

Report of findings in a DSM-5 field trial for hypersexual disorder.
MedLine Citation:
PMID:  23035810     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for hypersexual disorder (HD) have been proposed to capture symptoms reported by patients seeking help for out-of-control sexual behavior. The proposed criteria created by the DSM-5 Work Group on Sexual and Gender Identity Disorders require evaluation in a formal field trial.
AIM: This DSM-5 Field Trial was designed to assess the reliability and validity of the criteria for HD in a sample of patients seeking treatment for hypersexual behavior, a general psychiatric condition, or a substance-related disorder.
METHOD: Patients (N = 207) were assessed for psychopathology and HD by blinded raters to determine inter-rater reliability of the HD criteria and following a 2-week interval by a third rater to evaluate the stability of the HD criteria over time. Patients also completed a number of self-report measures to assess the validity of the HD criteria.
MAIN OUTCOME MEASURES: HD and psychopathology were measured by structured diagnostic interviews, the Hypersexual Behavior Inventory, Sexual Compulsivity Scale, and Hypersexual Behavior Consequences Scale. Emotional dysregulation and stress proneness were measured by facets on the NEO Personality Inventory-Revised.
RESULTS: Inter-rater reliability was high and the HD criteria showed good stability over time. Sensitivity and specificity indices showed that the criteria for HD accurately reflected the presenting problem among patients. The diagnostic criteria for HD showed good validity with theoretically related measures of hypersexuality, impulsivity, emotional dysregulation, and stress proneness, as well as good internal consistency. Patients assessed for HD also reported a vast array of consequences for hypersexual behavior that were significantly greater than those diagnosed with a general psychiatric condition or substance-related disorder.
CONCLUSIONS: The HD criteria proposed by the DSM-5 Work Group on Sexual and Gender Identity Disorders appear to demonstrate high reliability and validity when applied to patients in a clinical setting among a group of raters with modest training on assessing HD.
Rory C Reid; Bruce N Carpenter; Joshua N Hook; Sheila Garos; Jill C Manning; Randy Gilliland; Erin B Cooper; Heather McKittrick; Margarit Davtian; Timothy Fong
Publication Detail:
Type:  Journal Article     Date:  2012-10-04
Journal Detail:
Title:  The journal of sexual medicine     Volume:  9     ISSN:  1743-6109     ISO Abbreviation:  J Sex Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-31     Completed Date:  2013-04-24     Revised Date:  2013-10-15    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2868-77     Citation Subset:  IM    
Copyright Information:
© 2012 International Society for Sexual Medicine.
UCLA Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
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MeSH Terms
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders*
Interview, Psychological
Mental Disorders / diagnosis,  epidemiology,  psychology
Middle Aged
Observer Variation
Obsessive-Compulsive Disorder / diagnosis*,  epidemiology,  psychology
Paraphilias / diagnosis,  epidemiology,  psychology
Psychometrics / statistics & numerical data
Reproducibility of Results
Research Report
Sexual Behavior*
Sexual Dysfunctions, Psychological / diagnosis*,  epidemiology,  psychology
Substance-Related Disorders / diagnosis,  epidemiology,  psychology
Comment In:
Eur Urol. 2013 Oct;64(4):685-6   [PMID:  23998503 ]

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