Winters, J., Christoff, K., Lipovsky, L., and Gorzalka, B. B. Hypotheses 1.Participants that have sought treatment for sexual compulsivity/addiction, compared.

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Winters, J., Christoff, K., Lipovsky, L., and Gorzalka, B. B. Hypotheses 1.Participants that have sought treatment for sexual compulsivity/addiction, compared to those that have not, will score significantly greater on a measure of sexual compulsivity. However, they will also score greater on measures of sexual drive. 2.Sexual compulsivity will positively correlate with measures of sexual drive. The pattern of correlations will be the same for men and women, and for individuals that have sought treatment for sexual compulsivity/addiction. 3.Sexual compulsivity will not correlate any greater with sexual behaviours that increase risk of STI transmission than will measures of sexual drive. 4.Exploratory factor analysis, including sexual compulsivity and drive variables, will reveal a one factor structure. In other words, measures of sexual compulsivity and sexual drive measure a single construct. Method Participants completed an anonymous online survey, which included: Sample A total of sexually experienced male and female subjects participated. Of those, (73%) completed the entire set of survey measures. WomenMen Total N7800 (54.2%)6598 (45.8%) Age27.12 (7.42;18-92)30.75 (9.38; 18-94) Ethnicity Caucasian Asian Other 6467 (82.9%) 527 (6.6%) 815 (10.4%) 5738 (87.0%) 292 (4.4%) 567 (8.6%) Sexual Identity Heterosexual Bisexual Homosexual Other 5781 (74.1%) 1350 (17.3%) 168 (2.2%) 501 (6.4%) 5258 (79.7%) 461 (7.0%) 689 (10.4%) 190 (2.9%) Location United States Canada Other 4609 (59.4%) 2118 (27.3%) 1037 (13.4%) 4149 (63.3%) 1782 (17.2%) 621 (9.5%) Treatment for sexual compulsivity/addiction 69 (0.9%)108 (1.6%) Department of Psychology, University of British Columbia Background Interest in sexual compulsivity has increased substantially as it has been implicated in the spread of sexually transmitted infections (STIs), in particular HIV/AIDS (1-6). However, the various studies linking sexual compulsivity with STIs have not controlled for the influence of sexual drive. Also, some have suggested that sexual compulsivity may merely reflect sexual drive (3), and it is possible that the two constructs are not distinct. Analyses TreatSC Men and women differed significantly on all sexuality measures. Therefore, subsequent correlational and factor analyses were conducted separately for each sex. Likewise, male and female participants whom had sought treatment for sexual compulsivity/addiction (TreatSC) were treated as distinct groups. Two indices of risky sexual behaviour (RSB) were calculated: TNP TNP – total number of sexual partners, during the preceding three months, summed across three types of sexual behaviours (oral, vaginal and anal intercourse) FUS FUS – frequency of unprotected sex, during the preceding three months, summed across two types of sexual behaviours (vaginal and anal intercourse) Only those participants who were sexually active and non exclusive were included in RSB analyses (N=1927). SCS TNPFUS SCSTransTNPTransFUSTrans To help normalize highly positively skewed distributions for the SCS, TNP, and FUS, a log(10) transform was used (13). The transformed scores (SCSTrans, TNPTrans and FUSTrans) were included in ensuing correlational and factor analyses. SCSTransSESSDI2-DSDSDA2-SSD TreatSC Principal components exploratory factor analysis (EFA; 13) was used to determine the number of underlying latent variables accounting for the scores on and relationships among variables of interest (SCSTrans, SES, SDI2-DSD and SDA2-SSD). Oblique rotation allowed for input variables to correlate with each other during factor rotation, based on the theoretical assumption that sexuality variables would intercorrelate. Emergence of factors was determined by eigenvalues greater than one (13) and scree plots were examined as a means of confirmation. Male and female TreatSC participants were pooled since EFA requires large sample sizes. Only cases for which there was complete data were included in EFA analyses. an online consent form a demographics and general information questionnaire the Sexual Excitation/Sexual Inhibition Scales (SES/SIS; 7-9); two of three SES/SIS subscales were of interest: SES SES – propensity for sexual excitation SIS2 SIS2 – propensity for sexual inhibition due to threat of performance consequences (e.g. STIs, unwanted pregnancy, etc.) SDI- DSDSDI2-SSDthe Sexual Desire Inventory-2 (SDI2; 10); the SDI2 produces two subscales: dyadic sexual desire (SDI- DSD) and solitary sexual desire (SDI2-SSD) SCSthe Sexual Compulsivity Scale (SCS; 11) the Survey of Sexual Behaviours (SSB); the SSB measures partnered and solitary sexual behaviours TSOthe Total Sexual Outlet (TSO; 12); TSO is orgasms experienced per week, on average, over the preceding 6 months Results TreatSC Descriptive statistics, t tests and correlations for men and women, split into non TreatSC and TreatSC groups are presented below. Participants that had sought treatment for sexual compulsivity/addiction, when compared to those that had not, scored significantly higher on the sexual compulsivity, excitation and desire measures, and lower on the measure of sexual inhibition due to fear of performance consequences. Means (SD) Non TreatSC Means (SD) TreatSC t (df) SES Women55.74 (8.14)60.08 (8.23)3.90 (6400)*** Men58.37 (7.50)61.00 (7.92)3.21 (5380)** SIS2 Women31.07 (4.89)29.03 (5.70)-3.04 (6276)*** Men27.54 (4.79)26.32 (4.32)-2.32 (5242)* SDI2-DSD Women39.57 (9.85)42.57 (8.36)2.28 (6618)* Men44.06 (8.70)46.95 (9.09)2.99 (5439)** SDI2-SSD Women12.17 (6.13)14.18 (5.87)2.44 (6619)* Men14.36 (5.08)15.96 (4.62)2.84 (5441)** SCS Women1.42 (.42)2.06 (.76)6.66 (56.31)*** Men1.65 (.49)2.43 (.79)9.09 (85.01)*** TSO Women5.59 (9.12)9.72 (8.87)1.63 (55.22) Men7.71 (8.94)8.47 (11.10).78 (5509) TNP Women3.45 (8.76)8.91 (23.65)1.70 (53.12) Men4.40 (22.68)4.02 (4.75)-1.55 (5299) FUS Women18.5 (51.45)24.61 (45.38).86 (6602) Men19.47 (63.48)14.49 (18.31)-.722 (5292) Means * p<.05, ** p<.01, ***p<.005 TreatSC Across sub samples of men and women, and people who have sought treatment for sexual compulsivity/addiction, indicators of sexual drive correlated positively with sexual compulsivity. The pattern of correlations was similar for men, women and TreatSC sub samples. SCSTransSESSIS2SDI2-DSDSDI2-SSD SES.442**.342** SIS ** -.145** -.245** -.187** SDI2-DSD,432**.366**.596**.520** -.227** -.231** SDI2-SSD.292**.217**.419**.341** -.179** -.089**.349**.278** TSO.142**.121*.125**.089** -.108** -.099**.170**.144**.154**.168** SCSTransSESSIS2SDI2-DSDSDI2-SSD SES.433**.339** SIS * * SDI2-DSD.380**.376**.420**.488** SDI2-SSD * ** TSO.373** * * SES SDI2-DSD Solitary sexual desire did not correlate with either indicator of RSB. Sexual compulsivity was unrelated to frequency of unprotected sex and only dyadic sexual desire did. Sexual compulsivity and two sexual drive variables (SES and SDI2-DSD) positively correlated with number of sexual partners. However, for both men and women, the correlation between sexual compulsivity and number of sexual partners did not differ significantly from the correlations of sexual excitation and dyadic sexual desire with number of sexual partners. Sexual inhibition due to threat of performance consequences correlated negatively with both markers of RSB. FUSTransTNPTrans SCSTrans **.174** SES **.128** SIS * -.142** -.122** -.128** SDI2-DSD.096*.171**.153**.242** SDI2-SSD Correlations: RSB Exploratory factor analysis produced a one factor solution for all groups. Component Eigenvalues WomenMenTreatSC Component Matrices (Loadings) WomenMenTreatment SCSTrans SES SDI-DSD SDI-SSD * p<.05, ** p<.01; women: red, men: blue Correlations: NonTreatSC Correlations: Non TreatSC Correlations: TreatSC * p<.05, ** p<.01; women: red, men: blue z =.84, p>.05 z =.87, p>.05 z =.46, p>.05 z =.71, p>.05 Conclusion All four hypotheses were supported by our data. Taken together, our results suggest that sexual compulsivity, as it is currently conceptualized and measured, may simply be a marker of high sexual drive. Additionally, it appears that high sexual drive may be able to account for the relationship between sexual compulsivity and risky sexual behaviour. * p<.05, ** p<.01; women: red, men: blue SCSTrans TNPTrans SES TNPTrans SCSTrans SDI2-DSD EFA Eigenvalues Contact information: Jason Winters Department of Psychology University of British Columbia 2136 West Mall Vancouver, BC V6T 1Z4 References 1.Benotsch, E. G., Kalichman, S. C., & Kelly, J. A. (1999). Sexual compulsivity and substance use in HIV seropositive men who have sex with men: Prevalence and predictors of high-risk behaviors. Addictive Behaviors, 24, Benotsch, E. G., Kalichman, S. C., & Pinkerton, S. D. (2001). Sexual compulsivity in HIV-positive men and women: Prevalence, predictors, and consequences of high-risk behaviors. Sexual Addiction and Compulsivity: Journal of Treatment and Prevention, 8, Dodge, B., Reece, M., Cole, S. L., & Sandford, T. G. M. (2004). Sexual compulsivity among heterosexual college students. Journal of Sex Research, 41(4), Kalichman, S. C., & Cain, D. (2004). The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic. Journal of Sex Research, 41(3), Kalichman, S. C., Greenberg, J., & Able, G. G. (1997a). HIV-seropositive men who engage in high-risk sexual behavior: Psychological characteristics and implications for prevention. AIDS Care, 9, Kalichman, S. C., Greenberg, J., & Able, G. G. (1997b). Sexual compulsivity among HIV positive men who engage in high-risk sexual behavior with multiple partners: An exploratory study. AIDS Care, 9, Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002a). The sexual inhibition (SIS) and sexual excitation (SES) scales: I. Measuring sexual inhibition and excitation proneness in men. Journal of Sex Research, 39(2), Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002b). 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