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PATHOS: a brief screening application for assessing sexual addiction.

Patrick J Carnes1, Bradley A Green, Lisa J Merlo

  • 1Pine Grove Behavioral Health Services, University of Southern Mississippi, Hattiesburg, MS, USA.

Journal of Addiction Medicine
|August 6, 2011
PubMed
Summary

The PATHOS Questionnaire effectively screens for sexual addiction, demonstrating high sensitivity and specificity in both male and female populations. This brief instrument aids clinicians in identifying potential cases of sex addiction in clinical settings.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Sexual addiction affects 3% to 6% of the population, yet clear diagnostic criteria are often lacking for clinicians.
  • Effective screening tools are crucial for accurate diagnosis and timely intervention in cases of sexual addiction.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of the brief "PATHOS Questionnaire" for identifying individuals with sexual addiction.
  • To assess the PATHOS Questionnaire's effectiveness in distinguishing between patients undergoing treatment for sex addiction and healthy individuals.

Main Methods:

  • The PATHOS Questionnaire, a 6-item screening tool, was administered to a combined sample of patients and healthy volunteers in two separate studies.
  • Receiver operating characteristics (ROC) analyses were used to determine the sensitivity and specificity of the PATHOS Questionnaire in classifying participants.

Main Results:

  • In Study 1, the PATHOS Questionnaire achieved high area under the curve (AUC) values (92.6% for men, 90.2% for women) with a cutoff score of 3, demonstrating good sensitivity and specificity.
  • Study 2's cross-validation confirmed the PATHOS Questionnaire's utility, showing AUCs of 85.1% for men and 80.9% for women, with acceptable sensitivity and specificity.

Conclusions:

  • The PATHOS Questionnaire is a validated and effective brief screening instrument for detecting potential sexual addiction.
  • Findings support the clinical utility of the PATHOS Questionnaire for identifying individuals with sex addiction in various settings.