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Recently, the American Psychiatric Association Board of Trustees rejected several proposals for the new disorder and therefore sexual addiction does not appear in the DSM-5.

Even though clinicians have been treating the disorder, the Board of Trustees estimated that there was not enough research to consider adding the disorder to Section 3 (disorders that require further research) of the DSM-5 (5).

Cognitive and emotional symptoms include obsessive thoughts of sex, feelings of guilt about excessive sexual behavior, the desire to escape from or suppress unpleasant emotions, loneliness, boredom, low self-esteem, shame, secrecy regarding sexual behaviors, rationalization about the continuation of sexual behaviors, indifference toward a regular sexual partner, a preference for anonymous sex, a tendency to disconnect intimacy from sex, and an absence of control in many aspects of life (7, 8, 10, 11).

Finally, some studies find that sexual addiction is associated with or in response to dysphoric affect (9, 12–16) or stressful life events (17).

Sexual addiction otherwise known as compulsive sexual behavior is associated with serious psychosocial problems and risk-taking behavior.

This study used the Cybersex addiction test, Craving for pornography questionnaire, and a Questionnaire on intimacy among 267 participants (192 males and 75 females) mean age for males 28.16 (SD = 6.8) and for females 25.5 (SD = 5.13) who were recruited from special sites that are dedicated to pornography and cybersex on the Internet.

It is important to investigate the relationship between pornography and cybersex and to ascertain their effects on the ability to form intimate relationships in men and women.

Despite of efforts to reduce or stop excessive sexual behaviors individuals with sex addiction find it difficult to stop and they engage in risky sexual activities, pay for sexual services, and resist behavioral changes to avert risk of HIV (6–9).

Men and women were approached on the websites and were asked to fill in questionnaires and send them by mail to the investigators.

Questionnaires were anonymous and there were no means for assessing deception by the participants.

Third, men had higher scores of frequency of using cybersex than women [t(2,224) = 1.97, p Sex addiction otherwise known as Compulsive sexual behavior, has been associated with serious psychosocial problems and risk-taking behaviors.

This behavior has not been recognized as a disorder that merits inclusion in the DSM (1) see Ref. Despite different views about pathological characteristics of sexual addiction there is an agreement that this is a progressive relapsing condition, which does not merely refer to sexual lifestyle that is socially deviant (2–4).

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