Compulsive Sexual Behavior Inventory

The compulsive sexual behavior inventory (CSBI-13) is a screening tool developed by Dr. Eli Coleman and Dr. Michael Miner that assesses the core feature of Compulsive Sexual Behavior Disorder (CSBD): functional impairment and/or distress associated with difficulty controlling one’s sexual feelings, urges, and behaviors.1 The CSBI-13 has shown to have adequate reliability, reliable criterion validity, discriminant and convergent validity.2 Previous versions of the CSBI has been tested in various populations of adult men and women in the U.S.3-7 and in other countries.7,8


How to Use CSBI-13

Participants rate each of the 13 items (see Figure 1) on a 5-point scale ranging from 1 (never) to 5 (very frequently). The total scale score is computed by summing across items. A score of 35 or greater has been shown to be a sensitive and specific cut-off for distinguishing individuals who meet criteria for the compulsive sexual behavior clinical syndrome, and is accurate 79% of the time.2 Because the CSBI-13 is used as a screening tool but does not measure the specific criteria of CSBD, a score of 35 or higher indicates a high probability of meeting diagnostic criteria and warrants further evaluation to ascertain the diagnosis of CSBD.

1 Coleman, E., Swinburne Romine, R., Dickenson, J., & Miner, M. H. (in press). Compulsive sexual behavior inventory – 13. In R. R. Milhausen, J. K. Sakaluk, T. D. Fisher, C. M. Davis, W. L. Yarber (Eds.), Handbook of sexuality-related measures. New York, NY: Routledge.
2 Miner, M. H., Raymond, N., Coleman, E., & Swinburne Romine, R. (2017). Investigating clinically and scientifically useful cut points on the compulsive sexual behavior inventory. The Journal of Sexual Medicine, 14(5), 715-720. DOI: 10.1016/j.jsxm.2017.03.255
3 Coleman, E., Horvath, K. J., Miner, M., Ross, M. W., Oakes, M., & Rosser, B. R..S. (2010). Compulsive sexual behavior and risk for unsafe sex among internet using men who have sex with men. Archives of Sexual Behavior, 39(5), 1045-1053. DOI: 10.1007/s10508-009-9507-5
4 Miner, M. H., Coleman, E., Center, B. A., Ross, M., & Rosser, B. R. S. (2007). The compulsive sexual behavior inventory: Psychometric properties. Archives of Sexual Behavior, 36(4), 579-587. DOI: 10.1007/s10508-006-9127-2
5 McBride, K. R., Reece, M., & Sanders, S. A. (2008). Predicting negative outcomes of sexuality using the Compulsive Sexual Behavior Inventory. International Journal of Sexual Health, 19(4), 51-62. DOI: 10.1300/J514v19n04_06
6 Storholm, E. D., Fisher, D. G., Napper, L. E., Reynolds, G. L., & Halkitis, P.N. (2011) A psychometric analysis of the compulsive sexual behavior inventory. Sexual Addiction & Compulsivity, 18(2), 86-103. DOI: 10.1007/s10508-015-0566-5
7 Scanavino, Mde. T., Ventuneac, A., Rendina, H. J., Abdo, C. H., Tavares, H., Amaral,... Parsons, J. T. (2016). Sexual compulsivity scale, compulsive sexual behavior inventory, and hypersexual disorder screening inventory: Translation, adaptation, and validation for use in brazil. Archives of Sexual Behavior, 45(1), 207-217. DOI: 10.1007/s10508-014-0356-5
8 Træen, B., Noor, S. W., Hald, G. M., Rosser, B. R. S., Brady, S. S., Erickson, D.,… Wilkerson, J. M. (2015). Examining the relationship between use of sexually explicit media and sexual risk behavior in a sample of men who have sex with men in Norway. Scandinavian Journal of Psychology. 56(3). 290-296. DOI: 10.1111/sjop.12203