巴西大型社区样本中的强迫性性行为障碍与性欲倒错障碍：一项在线调查

ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Forensic Psychiatry

Abstract

International Classification of Diseases includes Compulsive Sexual Behavior Disorder (CSBD) in the category of impulse control disorders, aiming to standardize diagnostic criteria and expand scientific understanding of this phenomenon. There are few studies assessing the occurrence of CSBD and its population characteristics outside North America and Western Europe, limiting the generalizability of findings to these populations. The study aimed to evaluate the occurrence of CSBD in a large Brazilian sample, its correlation with Paraphilic Disorder (PD), and to evaluate the sociodemographic characteristics of individuals at risk of experiencing compulsive sexual behavior symptoms. This was a cross-sectional, quantitative study conducted online with a convenience sample of individuals in Brazil. The survey included sociodemographic data and the Brazilian Portuguese version of the CSBD-19. Categorical variables were described using absolute and relative frequencies and analyzed using chi-squared or Fisher's exact tests, as appropriate. A total of 5,335 individuals participated, with 5.3% at risk of experiencing CSB. Positive associations were observed between being at risk for CSBD and being a cisgender man; paraphilic interest in Exhibitionism, Fetishism, and Zoophilic; paraphilic disorders regarding Frotteuristic, Partialism, and Specific Characteristics Disorder. Presenting Paraphilia discomfort was associated with, regardless of the paraphilia type presented. The occurrence of CSBs in Brazil is similar to that found globally. Gender and sexual orientation-based differences in CSBD were highlighted, with higher rates in men and sexually diverse individuals, which was not supported by the logistic regression analysis. Future research should further investigate CSBD across different populations, with special attention to underrepresented and underserved populations.

Keywords

compulsive sexual behavior, Paraphilic disorder, sexual health, Transcultural adaptation, Understudied Populations

Received

09 February 2026

Accepted

29 May 2026

Copyright

© 2026 Do Canto, Jordani, Marchi, Branco, Roza, Scha, Beier, Bőthe and Rodrigues Lobato. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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