Compulsive sexual behaviour disorder in the ICD-11
- Authors
- Kraus, S. W., Krueger, R. B., Briken, P., First, M. B., Stein, D. J., Kaplan, M. S., Voon, V., Abdo, C. H. N., Grant, J. E., Atalla, E., & Reed, G. M.
- Year
- 2018
- Journal
- World Psychiatry
- Type
- Conceptual / review paper
- Method
- Commentary / announcement of ICD-11 inclusion
- Last verified
- 2026-10-04
Main question
What is the rationale for including CSBD in the ICD-11?
Related claims
Summary
Kraus and colleagues (2018), writing in World Psychiatry, set out the reasoning behind the ICD-11’s inclusion of Compulsive Sexual Behaviour Disorder and describe its proposed diagnostic criteria. The paper is a consensus/position piece authored by experts involved in the classification process.
What it argues
The authors position CSBD as an impulse-control disorder, distinguishing it from the substance-use and behavioural-addiction frameworks that were under consideration. They acknowledge the evidence base is incomplete and emphasize the need for more research on the condition’s phenomenology, course, and treatment.
Why it matters here
This record documents the official reasoning behind the current classification, and is a primary source for understanding why “sexual addiction” is not an ICD-11 diagnosis. See the CSBD topic and the behavioural addiction debate.
Findings
- Outlines the rationale for including CSBD in the ICD-11 and describes the proposed diagnostic criteria.
- Places CSBD within the impulse-control disorders chapter rather than classifying it as a behavioural addiction.
- Reviews the mixed state of the evidence base and calls for further research to clarify the condition's nature and course.
What this study can support
Documents the expert reasoning behind the CSBD diagnostic criteria.
What it cannot establish
Causal conclusions beyond the study design; generalizations to populations, behaviors, or contexts outside the sample; and any claim not directly measured.
Limitations
- Position and consensus paper rather than a primary empirical study.
- verification needed (DOI/PMID not recorded)
Clinical relevance
Documents the expert reasoning behind the CSBD diagnostic criteria.
Relevance to problematic pornography use
Clarifies why CSBD is classified as an impulse-control disorder rather than an addiction.