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Psychiatry"],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Despite having been introduced into ICD-11, the appropriate classification and symptomatology of compulsive sexual behavior disorder (CSBD) remain controversial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this review, we examined the historical background, epidemiological status quo, comorbidities, neuroscience theories, current diagnoses, and treatment recommendations for CSBD. Additionally, we emphasized the limitations of the current research and the prospects for future work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Psychotherapy and cognitive-behavioral therapy are the preferred treatment methods for CSBD. Selective serotonin reuptake inhibitors and naltrexone are commonly used as \u201coff-label\u201d drugs. The diagnosis and treatment of patients with CSBD should integrate biological, psychological, and social factors with expertise in sexual medicine by employing a comprehensive and holistic therapeutic approach. This treatment aims not only to control abnormal sexual desires and behaviors but also to assist patients in achieving a healthy and satisfying sexual life and well-being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Future research should focus on understanding etiology, improving study population representation, correcting methodological flaws in treatment evaluation, enhancing clinician training in sexual medicine, and addressing patients\u2019 addictions and sexual function issues. Narrowing these research gaps is crucial for improving clinical diagnosis and treatment levels and formulating targeted social intervention measures.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1621136","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T11:16:33Z","timestamp":1751541393000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation and treatment of compulsive sexual behavior: current limitations and potential strategies"],"prefix":"10.3389","volume":"16","author":[{"given":"Lu","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenwen","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongqiu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunxia","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanjian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101925","article-title":"Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research","volume":"82","author":"Grubbs","year":"2020","journal-title":"Clin Psychol Rev"},{"key":"B2","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1556\/2006.4.2015.003","article-title":"Compulsive sexual behavior: A review of the literature","volume":"4","author":"Derbyshire","year":"2015","journal-title":"J Behav Addict"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1080\/713775415","article-title":"A psychoanalytic overview of excessive sexual behavior and addiction","volume":"10","author":"Giugliano","year":"2003","journal-title":"Sexual Addict Compulsivity"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1556\/2006.7.2018.26","article-title":"Compulsive sexual behavior: A twelve-step therapeutic approach","volume":"7","author":"Efrati","year":"2018","journal-title":"J Behav Addict"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/s0272-7358(97)00051-2","article-title":"Sexual addiction: many conceptions, minimal data","volume":"18","author":"Gold","year":"1998","journal-title":"Clin Psychol Rev"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1080\/00926239208412855","article-title":"Sexual addiction: designation and treatment","volume":"18","author":"Goodman","year":"1992","journal-title":"J sex marital Ther"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1080\/00926239308404908","article-title":"Diagnosis and treatment of sexual addiction","volume":"19","author":"Goodman","year":"1993","journal-title":"J sex marital Ther"},{"key":"B8","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/ADM.0b013e3182251a28","article-title":"Pathos: A brief screening application for assessing sexual addiction","volume":"6","author":"Carnes","year":"2012","journal-title":"J Addict Med"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1017\/s1092852900015133","article-title":"Impulsive-compulsive sexual behavior","volume":"11","author":"Mick","year":"2006","journal-title":"CNS spectrums"},{"key":"B10","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s10508-009-9574-7","article-title":"Hypersexual disorder: A proposed diagnosis for Dsm-V","volume":"39","author":"Kafka","year":"2010","journal-title":"Arch sexual Behav"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20499","article-title":"Compulsive sexual behaviour disorder in the Icd-11","volume":"17","author":"Kraus","year":"2018","journal-title":"World Psychiatry"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20635","article-title":"Public stakeholders\u2019 Comments on Icd-11 chapters related to mental and sexual health","volume":"18","author":"Fuss","year":"2019","journal-title":"World Psychiatry"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2020.00055","article-title":"Should compulsive sexual behavior (Csb) be considered as a behavioral addiction? 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