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Obsessive-Compulsive Disorder01:28

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Sex differences in compulsive sexual behavior disorder.

Aviv M Weinstein1

  • 1Department of Psychology, Ariel University, Ariel, Israel.

Frontiers in Behavioral Neuroscience
|June 11, 2026
PubMed
Summary
This summary is machine-generated.

Compulsive sexual behavior disorder (CSBD) is more prevalent in men, but women

Keywords:
compulsive sexual behaviorhypersexualitysex addictionsex differencessexual arousal

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Genetics

Background:

  • Compulsive sexual behavior disorder (CSBD) involves a failure to control intense sexual impulses, causing distress.
  • Studies indicate a higher prevalence of CSBD in men, with noted sex differences in arousal and motivation.
  • Neuroticism and stress vulnerability are significant factors in CSBD symptoms among women.

Purpose of the Study:

  • To explore the known sex differences in compulsive sexual behavior disorder (CSBD).
  • To review the neurobiological and psychosocial factors contributing to CSBD across genders.
  • To highlight areas for future research regarding sex-based variations in CSBD.

Main Methods:

  • A systematic literature search was conducted in PubMed/Medline and Scopus databases.
  • The search covered publications from January 2000 to January 2026.
  • Keywords included terms related to compulsive sexual behavior.

Main Results:

  • While CSBD is more common in men, neuroticism and stress impact women's symptoms.
  • Dopamine-related genes, impulsivity, and novelty seeking are linked to sexual activity.
  • Neuroimaging reveals sex differences in brain responses to sexual stimuli, with men showing reward area activation.
  • Childhood trauma is frequently reported in individuals seeking treatment for sex addiction, especially women.

Conclusions:

  • Significant sex differences exist in CSBD, influencing symptom presentation and contributing factors.
  • While childhood adversity is a common factor for both sexes, specific response patterns require further investigation.
  • Understanding these sex differences is crucial for targeted prevention and treatment strategies for CSBD.