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A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Jonas Hallberg1, Viktor Kaldo2, Stefan Arver1

  • 1Department of Medicine, Karolinska Institute, Stockholm, Sweden; ANOVA, Karolinska University Hospital, Stockholm, Sweden.

The Journal of Sexual Medicine
|April 9, 2019
PubMed

Insights

Cognitive behavioral therapy (CBT) effectively reduced hypersexual disorder (HD) symptoms and distress in men. These improvements were sustained at 6-month follow-up, supporting CBT as a potential first-line treatment.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Hypersexual disorder (HD) involves loss of control over sexual behaviors, causing distress and life impairment.
  • Cognitive behavioral therapy (CBT) is a potential treatment, but evidence from randomized controlled trials (RCTs) was lacking.

Purpose of the Study:

  • To evaluate the efficacy of group-administered CBT for men diagnosed with HD.

Main Methods:

  • A randomized controlled trial involving 137 men with HD.
  • Participants were assigned to 7 weeks of group CBT or a waitlist control.
  • Assessments included the HD:CAS, SCS, depression, and distress measures at multiple time points.

Main Results:

  • Group CBT significantly reduced HD symptoms and sexual compulsivity compared to the waitlist.
  • Participants receiving CBT showed greater improvements in psychiatric well-being.
  • Treatment benefits remained stable at 3 and 6 months post-intervention.

Conclusions:

  • Group-administered CBT is effective in ameliorating HD symptoms and associated psychiatric distress.
  • CBT may be a valuable first-line treatment for hypersexual disorder in clinical settings.
Abstract

Keywords:
Basic science male behavioralMale Sexual Desire DisordersMental Health and Male Sexuality

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