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<p>The Compulsive Sexual Behavior Disorder Scale (CSBD-19) is one of the most widely used instruments for assessing compulsive sexual behavior according to ICD-11 diagnostic criteria. Although previous studies have consistently supported a five-factor structure, high inter-factor correlations and the use of total score thresholds suggest the need for further evaluation of its dimensionality. The present study examined the latent structure of the CSBD-19 in a community sample of 632 adults (aged 18–78&#xa0;years) using CFA, exploratory structural equation modelling (ESEM), bifactor CFA, and bifactor ESEM (BESEM), which simultaneously evaluates a general compulsive sexual behavior factor alongside its specific symptom domains. First-order models specified five factors (control, salience, relapse, dissatisfaction, and negative consequences), whereas bifactor models included one general and five specific factors. Results indicated that the BESEM model provided the best fit. The general factor accounted for most of the shared variance across items and demonstrated strong reliability. Specific symptom domains contributed relatively little unique information, with limited support for the salience, dissatisfaction, and relapse domains. Overall, findings suggest the CSBD-19 primarily measures a single underlying dimension of compulsive sexual behavior. These results support use of the total score as a primary indicator of severity and have implications for the interpretation of CSBD-19 scores in research and assessment settings.</p>

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Reevaluation of the Psychometric Properties of the Compulsive Sexual Behavior Disorder Scale (CSBD-19)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月7日

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  • Brian Hunt,
  • Rapson Gomez

摘要

The Compulsive Sexual Behavior Disorder Scale (CSBD-19) is one of the most widely used instruments for assessing compulsive sexual behavior according to ICD-11 diagnostic criteria. Although previous studies have consistently supported a five-factor structure, high inter-factor correlations and the use of total score thresholds suggest the need for further evaluation of its dimensionality. The present study examined the latent structure of the CSBD-19 in a community sample of 632 adults (aged 18–78 years) using CFA, exploratory structural equation modelling (ESEM), bifactor CFA, and bifactor ESEM (BESEM), which simultaneously evaluates a general compulsive sexual behavior factor alongside its specific symptom domains. First-order models specified five factors (control, salience, relapse, dissatisfaction, and negative consequences), whereas bifactor models included one general and five specific factors. Results indicated that the BESEM model provided the best fit. The general factor accounted for most of the shared variance across items and demonstrated strong reliability. Specific symptom domains contributed relatively little unique information, with limited support for the salience, dissatisfaction, and relapse domains. Overall, findings suggest the CSBD-19 primarily measures a single underlying dimension of compulsive sexual behavior. These results support use of the total score as a primary indicator of severity and have implications for the interpretation of CSBD-19 scores in research and assessment settings.