Abstract
Bivariate analyses were utilized in order to identify the relations between scores on the Compulsive Sexual Behavior Inventory
(CSBI) and self-report of risky sexual behavior and drug abuse among 482 racially and ethnically diverse men and women. CSBI
scores were associated with both risky sexual behavior and drug abuse among a diverse non-clinical sample, thereby providing
evidence of criterion-related validity. The variables that demonstrated a high association with the CSBI were subsequently
entered into a multiple regression model. Four variables (number of sexual partners in the last 30 days, self-report of trading
drugs for sex, having paid for sex, and perceived chance of acquiring HIV) were retained as variables with good model fit.
Receiver operating characteristic (ROC) curve analyses were conducted in order to determine the optimal tentative cut point
for the CSBI. The four variables retained in the multiple regression model were utilized as exploratory gold standards in
order to construct ROC curves. The ROC curves were then compared to one another in order to determine the point that maximized
both sensitivity and specificity in the identification of compulsive sexual behavior with the CSBI scale. The current findings
suggest that a tentative cut point of 40 may prove clinically useful in discriminating between persons who exhibit compulsive
sexual behavior and those who do not. Because of the association between compulsive sexual behavior and HIV, STIs, and drug
abuse, it is paramount that a psychometrically sound measure of compulsive sexual behavior is made available to all healthcare
professionals working in disease prevention and other areas.
(CSBI) and self-report of risky sexual behavior and drug abuse among 482 racially and ethnically diverse men and women. CSBI
scores were associated with both risky sexual behavior and drug abuse among a diverse non-clinical sample, thereby providing
evidence of criterion-related validity. The variables that demonstrated a high association with the CSBI were subsequently
entered into a multiple regression model. Four variables (number of sexual partners in the last 30 days, self-report of trading
drugs for sex, having paid for sex, and perceived chance of acquiring HIV) were retained as variables with good model fit.
Receiver operating characteristic (ROC) curve analyses were conducted in order to determine the optimal tentative cut point
for the CSBI. The four variables retained in the multiple regression model were utilized as exploratory gold standards in
order to construct ROC curves. The ROC curves were then compared to one another in order to determine the point that maximized
both sensitivity and specificity in the identification of compulsive sexual behavior with the CSBI scale. The current findings
suggest that a tentative cut point of 40 may prove clinically useful in discriminating between persons who exhibit compulsive
sexual behavior and those who do not. Because of the association between compulsive sexual behavior and HIV, STIs, and drug
abuse, it is paramount that a psychometrically sound measure of compulsive sexual behavior is made available to all healthcare
professionals working in disease prevention and other areas.
- Content Type Journal Article
- DOI 10.1007/s10508-010-9712-2
- Authors
- Erik David Storholm, The Steinhardt School of Culture, Education, and Human Development, Center for Health, Identity, Behavior & Prevention Studies, New York University, 82 Washington Square East, Pless 555, New York, NY 10003, USA
- Dennis G. Fisher, Center for Behavioral Research and Services, California State University, Long Beach, Long Beach, CA USA
- Lucy E. Napper, Center for Behavioral Research and Services, California State University, Long Beach, Long Beach, CA USA
- Grace L. Reynolds, Center for Behavioral Research and Services, California State University, Long Beach, Long Beach, CA USA
- Perry N. Halkitis, The Steinhardt School of Culture, Education, and Human Development, Center for Health, Identity, Behavior & Prevention Studies, New York University, 82 Washington Square East, Pless 555, New York, NY 10003, USA
- Journal Archives of Sexual Behavior
- Online ISSN 1573-2800
- Print ISSN 0004-0002