{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:39:37Z","timestamp":1791293977727,"version":"4.1.0"},"reference-count":62,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004484","name":"Tehran University of Medical Sciences","doi-asserted-by":"crossref","award":["1401-2-100-57269"],"award-info":[{"award-number":["1401-2-100-57269"]}],"id":[{"id":"10.13039\/501100004484","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2024,6,26]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>This study addresses the scarcity of research on Compulsive Sexual Behavior Disorder (CSBD) in non-Western cultures and women, exploring its prevalence, sociodemographic, sexual history characteristics, and sexual and psychological health factors in Iranian married women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study involving 772 heterosexual married women was conducted between 2022 and 2023, covering all 31 provinces of Iran. Participants were categorized as CSBD+ (at-risk individuals) and CSBD\u2212 (low-risk individuals) based on a pre-established cut-off point of \u226518 by the Compulsive Sexual Behavior Disorder Scale \u22127. Depression, anxiety, obsessive-compulsive disorder, self-esteem, sexual distress, sexual satisfaction, relationship satisfaction, and sexual dysfunction were assessed as psychological and sexual health variables by standardized scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of CSBD was 3.8% in women. Linear regression analysis showed that lower education, being jobless, substance use, pornography use, paraphilic behaviors, conflict on sex frequency, relationship, orgasm and sexual dissatisfaction, higher sexual arousal, depression, and obsessive-compulsive symptoms were positively associated with CSBD. The univariate analysis, at a stringent significance level of 0.005, mirrored the regression findings. Additionally, women with CSBD+ exhibited lower religiousness and higher anxiety compared to those without CSBD\u2212.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Raising awareness of CSBD is crucial for health systems and individuals for better policy-making and help-seeking behavior. Identifying risk factors like substance use presents opportunities for prevention, and the association of CSBD with sexual and mental health variables suggests addressing co-occurring issues for improved treatment outcomes. Recognizing culture and gender-specific sexual and psychological correlates enables targeted and effective treatment approaches.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.2024.00009","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T07:33:36Z","timestamp":1713425616000},"page":"495-505","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":12,"title":["Compulsive sexual behaviour in Iranian married women: Prevalence, sociodemographic, sexual, and psychological predictors across-country"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5462-6496","authenticated-orcid":true,"given":"Elnaz","family":"Khayer","sequence":"first","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Tehran University of Medical Sciences, Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6751-3203","authenticated-orcid":true,"given":"Rezvan","family":"Zarei","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Tehran University of Medical Sciences, Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4598-232X","authenticated-orcid":true,"given":"Maryam","family":"Damghanian","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Tehran University of Medical Sciences, Tehran Iran"},{"name":"Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2718-4703","authenticated-orcid":true,"given":"Be\u00e1ta","family":"B\u0151the","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Canada"},{"name":"Centre de recherche interdisciplinaire sur les probl\u00e8mes conjugaux et les agressions sexuelles (CRIPCAS), Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1706-7079","authenticated-orcid":true,"given":"Farnaz","family":"Farnam","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health and Midwifery, Tehran University of Medical Sciences, Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"1","key":"B1","series-title":"Sexual Addiction & Compulsivity","first-page":"23","article-title":"Shame reduction, affect regulation, and sexual boundary development: Essential building blocks of sexual addiction treatment","volume":"8","author":"Adams, K. 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