RESEARCH EVIDENCE MODERATE EVIDENCE Diagnostic classification Tier 2 — Peer-reviewed study / review

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
Source
https://pubmed.ncbi.nlm.nih.gov/29352554/
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

Limitations

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.

Related topics