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Addictive Behaviors
Session Type:: Symposia

Symposium 64 - Compulsive Sexual Behavior in Diverse Populations: Garnering Insights Through Mixed Methods Approaches

Sunday, November 23, 2025
12:00 PM - 1:00 PM CST
Location: Bolden 4, Level 2
CE: 1

Keywords: Addictive Behaviors, Methods, LGBTQ+
Level of Familiarity: Basic to Moderate
Recommended Readings: Jennings, T. L., Gleason, N., Grubbs, J. B., & Kraus, S. W. (2024). Compulsive sexual behavior in LGBTQ individuals and minority stress theory: A literature review and theoretical integration. Current Addiction Reports, 11(2), 256-264.,   Grubbs, J. B., Hoagland, K. C., Lee, B. N., Grant, J. T., Davison, P., Reid, R. C., & Kraus, S. W. (2020). Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research. Clinical psychology review, 82, 101925.,   Borgogna, N. C., Owen, T., Johnson, D., & Kraus, S. W. (2024). No magic pill: A systematic review of the pharmacological treatments for compulsive sexual behavior disorder. The Journal of Sex Research, 61(9), 1328-1341.,   Bőthe, B., Koós, M., Nagy, L., Kraus, S. W., Demetrovics, Z., Potenza, M. N., ... & Vaillancourt-Morel, M. P. (2023). Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools. Journal of Behavioral Addictions, 12(2), 393-407.,   Gleason, N., Finotelli Jr, I., Miner, M. H., Herbenick, D., & Coleman, E. (2021). Estimated prevalence and demographic correlates of compulsive sexual behavior among gay men in the United States. The journal of sexual medicine, 18(9), 1545-1554.

With the adoption and roll-out of the ICD-11 in 2022, Compulsive Sexual Behavior Disorder (CSBD) is now internationally recognized as an impulse control disorder, bearing profound implications for public and behavioral health. This official recognition has inspired a proliferation of novel research into CSBD and into compulsive sexual behaviors (CSBs) more broadly. Consistent with the convention's emphasis on research examining issues at the interplay of both public and behavioral health, a body of research now suggests that CSBD and CSBs are clear public health concerns globally and an increasingly encountered target in behavioral intervention settings. Importantly, however, there is compelling evidence that research in the domain of CSB is especially challenging, given the complexities of understanding sexuality in specific populations. This is particularly concerning as the risk of stigma and harm from a CSBD are especially high among sexual minority populations. Accordingly, the current symposium seeks to employ multiple methodologies to shed greater light on the experience and expression of CSBD/CSBs in diverse groups, with a focus on moving research toward the development of affirmative therapies for CSBD.
The first presentation considers the lived experiences of men in the LGBTQ community, employing qualitative methodology to explore how minority stress corresponds to experiences of CSBs. The second presentation considers the within-individual predictors of CSBs, using ecological momentary awareness methods to identify momentary predictors of sexual behavior engagement. The third presentation considers how CSBs among men in the LGBTQ community correspond to risky sexual behaviors and potentially harmful substance use. The fourth presentation considers the natural trajectory of CSBD symptoms in the general public over the course of three years, employing longitudinal methods and latent growth curve models to establish factors predicting changes in CSBs. Finally, this discussant will consider and integrate these novel research endeavors into the greater theme of addressing the need for affirmative therapies addressing CSBs in diverse populations.
Presenters bring a wide variety of perspectives on the issues facing CSB research due to their varied research backgrounds, methodological expertise, and personal lived experiences in minoritized communities. Collectively, the diversity of methods being presented, the samples studied, and the behaviors examined seek to enhance rigor in behavioral health research and to provide needed context for the establishment of affirmative therapies in minoritized populations.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explain the impact of ICD-11’s recognition of CSBD on public and behavioral health research.
  2. Identify key challenges in researching compulsive sexual behaviors (CSBs) across diverse populations.
  3. Describe how minority stress influences CSBs among LGBTQ individuals.
  4. Analyze predictors of CSBs using ecological momentary awareness and longitudinal methods.
  5. Discuss the need for affirmative therapies for CSBD in minoritized populations.

Presentations:

  • 12:04 PM - 12:18 PM CST
    (SYM 64) Compulsive Sexual Behavior and Minority Stress Among Sexual Minority Men: A Mixed-methods Exploratory Study

    Speaker: Neil Gleason, Ph.D. (he/him/his) – University of Southern California

    Co-author: Todd L. Jennings, M.A. (he/him/his) – University of Nevada, Las Vegas

    Co-author: Eric Pedersen, PhD – University of Southern california

    Co-author: William George, PhD – University of Washington

  • 12:18 PM - 12:32 PM CST
    (SYM 64) Is Pornography Use More/less Always Out-of-control? Results from a Two-week Daily Diary Study

    Speaker: Nicholas Borgogna, Ph.D. (he/him/his) – University of Alabama at Birmingham

    Co-author: Jacob Vaughn, BS (he/him/his) – Texas Tech University

    Co-author: Tyler Owen, None – Texas Tech University

    Co-author: Kyle Brasil, PhD (he/him/his) – Northwest Nazarene University

    Co-author: Shane W. Kraus, Ph.D. (he/him/his) – University of Nevada, Las Vegas

  • 12:32 PM - 12:46 PM CST
    (SYM 64) Chemsex and Compulsive Sexual Behavior Among Sexual Minority Men

    Speaker: Todd L. Jennings, M.A. (he/him/his) – University of Nevada, Las Vegas

    Co-author: Neil Gleason, Ph.D. (he/him/his) – University of Southern California

    Co-author: Frankie Nieblas, M.A. (he/him/his) – Department of Psychology, University of Nevada, Las Vegas,

    Co-author: Nicholas Borgogna, Ph.D. (he/him/his) – University of Alabama at Birmingham

  • 12:46 PM - 1:00 PM CST
    (SYM 64) Trajectories of CSBD Symptoms in a U.S. National Sample: A Three Year Longitudinal Study

    Speaker: Joshua B. Grubbs, Ph.D. (he/him/his) – University of New Mexico

    Co-author: Shane W. Kraus, Ph.D. (he/him/his) – University of Nevada, Las Vegas