{ "abstract": "Background\n\nThe International Classification of Diseases 11th Revision (ICD-11) includes Compulsive Sexual Behavior Disorder (CSBD) among impulse control disorders, aiming to standardize diagnostic criteria and improve the understanding of problematic sexual behaviors across cultures. However, few large-scale studies have investigated CSBD and its association with Paraphilic Disorders (PD) in Latin American populations.Objective\n\nTo investigate the occurrence of high-risk CSBD in a large Brazilian community sample, examine its association with paraphilic interests and disorders, and evaluate associated sociodemographic and clinical factors.Methods\n\nThis cross-sectional online study included 5,227 Brazilian adults recruited through convenience sampling between September 2022 and April 2023. Participants completed sociodemographic questionnaires, a Brazilian Portuguese version of the CSBD-19, and a translated inventory assessing paraphilic interests and disorders based on DSM-5-TR criteria. Descriptive statistics, chi-squared tests, linear discriminant analysis, and multivariate backward stepwise logistic regression were performed.Results\n\nThe prevalence of high-risk CSBD (CSBD-19 > 50) was 5.4% (n = 282). The mean CSBD-19 score was 30.4 (SD = 9.7), increasing to 56.4 (SD = 6.1) among individuals classified as high risk. Male sex was strongly associated with high-risk CSBD (OR = 3.32, 95%CI: 2.45-4.50, p < 0.001). Significant associations were also identified for sexual sadism disorder (OR = 2.69, 95%CI: 1.79-4.07), paraphilic disorder involving specific body characteristics (OR = 2.46, 95%CI: 1.49-4.04), zoophilic interest (OR = 2.39, 95%CI: 1.70-3.37), partialism disorder (OR = 2.00, 95%CI: 1.17-3.42), and paraphilia-related distress (OR = 1.94, 95%CI: 1.44-2.61). Linear discriminant analysis demonstrated that the Negative Consequences domain showed the strongest discriminative contribution for high-risk CSBD classification (ω = 1.23).Conclusions\n\nThis study contributes to more inclusive research on compulsive sexual behavior disorder (CSBD) by investigating a large Brazilian sample, including individuals with diverse sexual orientations and gender identities. Using the ICD-11 framework, the estimated prevalence of high-risk CSBD was 5.4%, a rate comparable to those reported for other common mental health conditions. The study also supports the psychometric applicability of the Brazilian Portuguese version of the CSBD-19 for future epidemiological and cross-cultural research in Latin American populations. Further longitudinal and nationally representative studies are needed to clarify causal pathways, psychiatric comorbidities, minority stress influences, and the neurobiological and psychosocial mechanisms underlying the relationship between CSBD and paraphilic disorders.", "abstract_shown": true, "affiliations": [ "Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.", "Programa Transdisciplinar de Identidade de Gênero, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.", "Departamento de Psiquiatria, Laboratório de Psiquiatria Digital, Universidade Federal do Parana, Curitiba, Brazil.", "Institute of Sexology and Sexual Medicine, Charite - Universitatsmedizin Berlin, Berlin, Germany.", "Department of Psychology, Universite de Montreal, Montreal, QC, Canada.", "Centre de Recherche Interdisciplinaire sur les Problèmes Conjugaux et les Agressions Sexuelles (CRIPCAS), Quebec City, QC, Canada." ], "article_type": "research article", "arxiv": null, "author_total": 9, "authors": [ { "affs": [ 0, 1 ], "name": "Gustavo Cambraia Do Canto" }, { "affs": [ 0, 1 ], "name": "João Guilherme Almeida Jordani" }, { "affs": [ 0, 1 ], "name": "Nino Cesar Marchi" }, { "affs": [ 2 ], "name": "Daniel Ingrisani Branco" }, { "affs": [ 2 ], "name": "Thiago Henrique Roza" }, { "affs": [ 0, 1 ], "name": "Karine Schwarz" }, { "affs": [ 3 ], "name": "Klaus Michael Beier" }, { "affs": [ 4, 5 ], "name": "Beáta Bőthe" }, { "affs": [ 0, 1 ], "name": "Maria Inês Rodrigues Lobato" } ], "bibtex": "https://research.draconitic.com/paper/5f987fx632pgv.bib", "cited_by": 0, "doi": "10.3389/fpsyt.2026.1807692", "fulltext_url": "https://europepmc.org/articles/PMC13683565", "id": "5f987fx632pgv", "issns": [ "1664-0640" ], "landing_url": "https://europepmc.org/article/MED/42908752", "language": "eng", "licence": "CC-BY", "licence_label": "CC BY", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [ [ "openalex", "3203|Sexuality, Behavior, and Technology" ] ], "openalex": "W7220847363", "pdf_url": "https://europepmc.org/articles/PMC13683565?pdf=render", "pmcid": "PMC13683565", "pmid": "42908752", "published": "2026-10-07", "publisher": "Frontiers Media SA", "ris": "https://research.draconitic.com/paper/5f987fx632pgv.ris", "sources": [ { "first_seen": "2026-10-30T12:19:53Z", "native_id": "MED:42908752", "source": "europepmc", "url": "https://europepmc.org/article/MED/42908752" }, { "first_seen": "2026-10-30T12:20:18Z", "native_id": "10.3389/fpsyt.2026.1807692", "source": "crossref", "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1807692/full" } ], "subjects": [ { "field": "medicine", "origin": "openalex:3203|Sexuality, Behavior, and Technology", "subfield": "psychiatry" } ], "title": "Compulsive sexual behavior disorder and paraphilic disorders in a large Brazilian community sample: an online investigation.", "title_text": "Compulsive sexual behavior disorder and paraphilic disorders in a large Brazilian community sample: an online investigation.", "type": "peer-reviewed", "updated_at": "2026-10-30T12:20:18Z", "url": "https://research.draconitic.com/paper/5f987fx632pgv", "venue": "Frontiers in psychiatry", "versions": [] }