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No Magic Pill: A Systematic Review of the Pharmacological Treatments for Compulsive Sexual Behavior Disorder.

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Title: No Magic Pill: A Systematic Review of the Pharmacological Treatments for Compulsive Sexual Behavior Disorder.
Authors: Borgogna, Nicholas C., Owen, Tyler, Johnson, David, Kraus, Shane W.
Source: Journal of Sex Research. Nov/Dec2024, Vol. 61 Issue 9, p1328-1341. 14p.
Subjects: Human sexuality, Drug therapy, Drugs, Paroxetine, Citalopram
Abstract: Compulsive sexual behavior disorder (CSBD) is a burgeoning diagnostic construct. No systematic reviews of CSBD pharmacotherapy interventions have been conducted. We addressed this gap using a three-aim approach. We reviewed researchers' theoretical arguments for various pharmacotherapies, outcomes from pharmacotherapy trials, and the generalizability of the extant findings. Our review included k = 13 studies, with n = 141 participants. An opioid model of reward seeking was the most popular framework, though inconsistently specified. A serotonin model was also documented, though with few details. Naltrexone was the most prominently examined pharmacotherapy and the only medication that reliably demonstrated a therapeutic effect for some (but not all) indicators compared to placebo. Paroxetine and citalopram were also documented in placebo-controlled trials, though their incremental benefit compared to placebo is suspect. Several additional pharmacotherapies have been documented in case series contexts. Across studies, only one female participant was identified. All trials were conducted in developed nations, and race was rarely assessed. We conclude that the case for pharmacotherapy for CSBD is limited and should preferably not occur outside of clinical trial contexts. Naltrexone offers the best evidence for a potential research program, though new theoretically informed approaches are welcome. Finally, we call for additional pharmacotherapy research in women and non-White populations. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: No Magic Pill: A Systematic Review of the Pharmacological Treatments for Compulsive Sexual Behavior Disorder.
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  Data: <searchLink fieldCode="AR" term="%22Borgogna%2C+Nicholas+C%2E%22">Borgogna, Nicholas C.</searchLink><br /><searchLink fieldCode="AR" term="%22Owen%2C+Tyler%22">Owen, Tyler</searchLink><br /><searchLink fieldCode="AR" term="%22Johnson%2C+David%22">Johnson, David</searchLink><br /><searchLink fieldCode="AR" term="%22Kraus%2C+Shane+W%2E%22">Kraus, Shane W.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Nov/Dec2024, Vol. 61 Issue 9, p1328-1341. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+therapy%22">Drug therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Paroxetine%22">Paroxetine</searchLink><br /><searchLink fieldCode="DE" term="%22Citalopram%22">Citalopram</searchLink>
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  Label: Abstract
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  Data: Compulsive sexual behavior disorder (CSBD) is a burgeoning diagnostic construct. No systematic reviews of CSBD pharmacotherapy interventions have been conducted. We addressed this gap using a three-aim approach. We reviewed researchers' theoretical arguments for various pharmacotherapies, outcomes from pharmacotherapy trials, and the generalizability of the extant findings. Our review included k = 13 studies, with n = 141 participants. An opioid model of reward seeking was the most popular framework, though inconsistently specified. A serotonin model was also documented, though with few details. Naltrexone was the most prominently examined pharmacotherapy and the only medication that reliably demonstrated a therapeutic effect for some (but not all) indicators compared to placebo. Paroxetine and citalopram were also documented in placebo-controlled trials, though their incremental benefit compared to placebo is suspect. Several additional pharmacotherapies have been documented in case series contexts. Across studies, only one female participant was identified. All trials were conducted in developed nations, and race was rarely assessed. We conclude that the case for pharmacotherapy for CSBD is limited and should preferably not occur outside of clinical trial contexts. Naltrexone offers the best evidence for a potential research program, though new theoretically informed approaches are welcome. Finally, we call for additional pharmacotherapy research in women and non-White populations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/00224499.2023.2282619
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      – Code: eng
        Text: English
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        PageCount: 14
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        Type: general
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      – SubjectFull: Drugs
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            NameFull: Johnson, David
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            – D: 01
              M: 11
              Text: Nov/Dec2024
              Type: published
              Y: 2024
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