Compulsive Sexual Behavior Inventory

Compulsive Sexual Behavior Inventory‌

ELI COLEMAN AND REBECCA E. SWINBURNE ROMINE, University of Minnesota

The Compulsive Sexual Behavior Inventory (CSBI) is a 22-item self-report measure consisting of multiple-choice items about compulsive sexual behavior. Compulsive sexual behavior (CSB) is defined as a clinical syndrome characterized by intense, distressing, and recurrent sexual urges and fantasies that interfere with a person’s daily functioning. Despite a desire to be free of their symptoms, individuals with CSB are unable to control their distressing behaviors and thoughts. There are two basic types of CSB: paraphilic and nonparaphilic. Paraphilic CSB involves both compulsive or impulsive thoughts and behaviors and deviant or nonconventional sexual interests, whereas nonparaphilic CSB describes similar compulsivity and impulsivity but around normative or conventional sexual behaviors. The CSBI is used to assess the severity of both forms of CSB.

Description

The CSBI contains items that assess two factors of com- pulsive sexual behavior: control and violence. To develop the initial version of the scale, experts including the first author generated 42 items designed to assess components of CSB. These items included items designed to assess control over one’s sexual behavior, as well as items assessing behaviors that had been clinically observed to be associated with CSB. The first version of the scale included items that assessed control, violence, and abuse (Coleman, Miner, Ohlerking, & Raymond, 2001). The abuse items were later removed, and the total number of items has been reduced to 22. Each of the items is scored on a 5-point rating scale ranging from Never to Very Frequently. A Spanish version is also available, and shows comparable structure and reliability to the English version (see Exhibit). Preliminary research on the CSBI has focused on its use with Spanish- and English-speaking adult men. The first validity study compared CSBI scores in three groups of men: those clinically diagnosed with nonparaphilic CSB, those diagnosed with pedophilia, and a community control group. The second validity study focused on Latino men who have sex with men partici- pating in an online survey. Current research is being con- ducted to evaluate the CSBI for use with adult women, as well as with a larger and more representative group of adult men.

Response Mode and Timing

The individual completing the CSBI responds to 22 items. Each of the items is scored on a 5-point rating scale ranging from Never to Very Frequently. Completing the measure takes approximately 10 minutes. It has been administered both in a pencil-and-paper form and online.

Scoring

The CSBI is scored by assigning a value of 1 for every Never response, 2 for every Rarely, 3 for every Occasionally, 4 for every Frequently, and 5 for every Very Frequently, and summing across the 22 items. Higher scores indicate more CSB. The CSBI consists of two factors: Control and Violence. The control scale consists of Items 1 through 13, and the violence scale consists of Items 14 through 22.

Reliability

The CSBI has shown consistent factor structure in both English and Spanish. Test-retest reliability has been assessed in both languages and results have indicated a reliability of r = .86 for the English version, and r = .93 in Spanish (p < .001; Miner, Coleman, Center, Ross, & Rosser, 2007).

Validity

Respondents with CSBI scores above the median report greater numbers of sexual partners and more unprotected anal intercourse, and were more likely to report being intoxicated or feeling depressed, lonely, or driven during intercourse than those who scored below the median both on the full scale and on each of the factors. The exception to that was self-reports of depression, which were linked to the total score and the control score, but not to the violence score (Miner et al., 2007).

Compulsive Sexual Behavior Inventory

Never Rarely Occasionally Frequently Very Frequently

CSBI (English Version)

Circle the answer that most accurately describes your response.

1. How often have you had trouble controlling your sexual urges? 1 2 3 4 5

2. Have you felt unable to control your sexual behavior? 1 2 3 4 5

3. How often have you used sex to deal with worries or problems in your life? 1 2 3 4 5

4. How often have you felt guilty or shameful about aspects of your sexual behavior? 1 2 3 4 5

5. How often have you concealed or hidden your sexual behavior from others? 1 2 3 4 5

6. How often have you been unable to control your sexual feelings? 1 2 3 4 5

7. How often have you made pledges or promises to change or alter your sexual behavior? 1 2 3 4 5

8. How often have your sexual thoughts or behaviors interfered with the formation of friendships? 1 2 3 4 5

9. How often have you developed excuses and reasons to justify your sexual behavior? 1 2 3 4 5

10. How often have you missed opportunities for productive and enhancing activities because of your

    sexual activity? 1 2 3 4 5

11. How often have your sexual activities caused financial problems for you? 1 2 3 4 5

12. How often have you felt emotionally distant when you were engaging in sex with others? 1 2 3 4 5

13. How often have you had sex or masturbated more than you wanted to? 1 2 3 4 5

14. Have you forced anyone against his or her will to have sex? 1 2 3 4 5

15. Have you ever hit, kicked, punched, slapped, thrown, choked, restrained, or beaten any of your

    sexual partners? 1 2 3 4 5

16. Have you given others physical pain for sexual pleasure? 1 2 3 4 5

17. In fighting, have you been hit, kicked, punched, slapped, thrown, choked, restrained, or beaten by

    your current or most recent partner? 1 2 3 4 5

18. Have you received physical pain for sexual pleasure? 1 2 3 4 5

19. Have you received money to have sex? 1 2 3 4 5

20. Have you been forced to have sex with your husband, wife, or lover? 1 2 3 4 5

21. Have you been watched masturbating or having sex without giving permission? 1 2 3 4 5

Compulsive Sexual Behavior Inventory (CSBI)

© Eli Coleman, Ph.D. Program in Human Sexuality

Inventario de Comportamiento Sexual Compulsivo (Spanish Version)

Nunca Rara Ocasional Frec Muy Frec Circule la respuesta que más aplique.

1. Con qué frecuencia ha tenido usted dificultad en controlar sus impulsos sexuales?	1	2	3	4	5
2. Se ha sentido usted incapaz de controlar su comportamiento sexual?	1	2	3	4	5
3. Con qué frecuencia ha usado usted el sexo para tratar sus preocupaciones o problemas?	1	2	3	4	5
4. Con qué frecuencia se ha sentido usted culpable o avergonzado acerca de los aspectos de su comportamiento sexual?
	1	2	3	4	5
5. Con qué frecuencia ha ocultado usted su comportamiento sexual a otros?	1	2	3	4	5
6. Con qué frecuencia se ha sentido usted incapaz de controlar sus sentimientos sexuales?	1	2	3	4	5
7. Con qué frecuencia ha hecho usted compromisos o promesas de cambiar o de alterar su comportamiento sexual?	1	2	3	4	5

8. Con qué frecuencia sus pensamientos o comportamientos sexuales han interferido con la formación de amistades?‌	1	2	3	4	5
9. ¿Con qué frecuencia ha inventado usted excusas y razones para justificar su comportamiento sexual?	1	2	3	4	5
10. ¿Con qué frecuencia ha perdido usted la oportunidad para hacer actividades productivas debido a suactividad sexual?	1	2	3	4	5
11. Con qué frecuencia su actividad sexual le ha causado a usted problemas financieros?	1	2	3	4	5
12. ¿Con qué frecuencia se ha sentido emocionalmente distante cuando ha tenido sexo con otros?	1	2	3	4	5
13. Con qué frecuencia ha tenido sexo o masturbación más de lo que usted ha querido?	1	2	3	4	5
14. Con qué frecuencia ha sido arrestado o legalmente sancionado por su comportamiento sexual?	1	2	3	4	5
15. Ha obligado usted a algún hombre/mujer hacer algo en contra de su voluntad?	1	2	3	4	5
16. Alguna vez ha golpeado, empujado, cacheteado, lanzado, sofocado, sometido o le ha pegado
usted a alguna de sus parejas sexuales?	1	2	3	4	5
17. Le ha causado usted a otras personas dolor físico por placer sexual?	1	2	3	4	5
18. En peleas, ¿ha sido usted golpeado, pateado, empujado, cacheteado, ha sido tirado, estrangulado,	1	2	3	4	5
frenado, o le ha pegado su pareja actual o la más reciente?	1	2	3	4	5
19. Ha recibido usted dolor físico por placer sexual?	1	2	3	4	5
20. ¿Ha recibido dinero por tener sexo?	1	2	3	4	5
21. Ha sido obligado a tener sexo con su esposo, esposa u amantes?	1	2	3	4	5
22. Ha sido usted visto masturbándose o teniendo sexo sin dar su permiso?	1	2	3	4	5

Inventario de Comportamiento Sexual Compulsivo (ICSC)

© Eli Coleman, Ph.D. Program in Human Sexuality

Address correspondence to Eli Coleman, Professor and Director, Program in Human Sexuality, Department of Family Practice and Community Health, Medical School, 1300 South 2nd Street, Suite 180, Minneapolis, MN 55454; e-mail: [email protected]

References