Collecting behavioural addiction treatment data using Freedom of Information requests

There is now a growing movement that views a number of behaviours as potentially addictive including many that do not involve the ingestion of a drug (i.e., behavioural addictions such as gambling addiction and sex addiction). As a consequence of being ‘medicalised’ and ‘pathologised’, such disorders have led individuals to seek treatment for their particular behavioural addiction. This case study examines a new method of collecting data on behavioural addiction treatment via the use of Freedom of Information (FOI) requests. More specifically, this case study briefly overviews two published studies that have used FOI requests to collate data on treatment of gambling addiction and sex addiction within the British National Health Service. It is argued that FOI requests for data have many advantages including almost 100% response rates (as organisations are legally required to respond to information requests), and nationally representative data that are highly objective

Treatment of Sexual Addiction Within the British National Health Service

At present, the prevalence of rates of sexual addiction in the UK is unknown. This study investigated what treatment services were available within British Mental Health Trusts (MHTs) that are currently provided for those who experience compulsive and/or addictive sexual behaviours within the National Health Service (NHS) system. In March and April 2013, a total of 58 letters were sent by email to all Mental Health Trusts in the UK requesting information about (i) sexual addiction services and (ii) past five-year treatment of sexual addiction. The request for information was sent to all MHTs under the Freedom of Information Act (2001). Results showed that 53 of the 58 MHTs (91%) did not provide any service (specialist or otherwise) for treating those with problematic sexual behaviours. Based on the responses provided, only five MHTs reported having had treated sexual addiction as a disorder that took primacy over the past five years. There was also some evidence to suggest that the NHS may potentially treat sexual addiction as a secondary disorder that is intrinsic and/or co-morbid to the initial referral made by the GP. As it stands, treatment for problematic sexual behaviours in Great Britain is often delivered within a private sector. While Foundation Trusts have more flexibility with their funding, implementing specialist treatment for sexual addiction at this point in time is very limited. In implications for treatment in a British context is discussed

The role of negative mood states and consequences of hypersexual behaviours in predicting hypersexuality among university students

Background and Aims: The issue of whether hypersexual behaviours exist among university students is controversial because many of these individuals engage in sexual exploration during their time at university. To date, little is known about the correlates of hypersexual behaviours among university students in the UK. Therefore, the aims of this exploratory study were two-fold. Firstly, to explore and establish the correlates of hypersexual behaviours, and secondly, to investigate whether hypersexuality among university students can be predicted by variables relating to negative mood states (i.e., emotional dysregulation, loneliness, shame, and life satisfaction) and consequences of hypersexual behaviour. Methods: Survey data from 165 British university students was analysed using regression analyses. Results: The full regression model significantly predicted hypersexual behaviours. However, only a small number of predictor variables (i.e., gender, consequences of hypersexual behaviours, life satisfaction and emotional dysregulation) accounted for the significant unique influence on hypersexual behaviours among the sample. Conclusions: The study empirically supported the concept of hypersexual disorder. The implications of these findings are also discussed

Does Resilience Play a Mediating Role in the Link Between the Earliest Memory and Personality Traits? Analysis of the Positive Cognition in a Chinese Sample

Relatively little research has been carried out into female sex addiction. There is even less regarding understandings of lived experiences of sex addiction among females. Consequently, the purpose of the present study was to examine the experiences of female sex addiction (from onset to recovery). This was done by investigating the experiences and conceptualisations of three women who self-reported as having had a historical problem with sex addiction. An interpretative phenomenological analysis (IPA) methodology was applied in the current research process in which three female participants shared their journey through the onset, progression, and recovery of sex addiction. The IPA produced five superordinate themes that accounted for the varying degrees of sexual addiction among a British sample of females: (1) "Focus on self as a sex addict"; (2) "Uncontrollable desire"; (3) "Undesirable feelings"; (4) "Derision"; and (5) "Self help, treatment and recovery". The implications of these findings towards the understanding and the need for the implementation of treatment are discussed

The role of shame in sexual addiction: a review of empirical research

Researchers have suggested shame is a complex emotion experienced as a painful, self-focused affect and is distinct from guilt. Additionally, research on the role of shame in sexually addictive behaviours has generally focused on individuals who exhibit ‘traditional’ forms of sexual addiction (such as men with a history of sexual abuse or attachment issues). However, very little is known about the role of shame in ‘contemporary’ sexual addictions with the increasing developments in technology. Therefore, the aim of this review is to provide an overview of the empirical studies that have investigated the role of shame in sexual addiction and/or hypersexuality in adults

Barriers to female sex addiction treatment in the UK

Background Over the last 20 years, behavioral addictions (e.g., addictions to gambling, playing video games, work, etc.) have become more accepted among both public and scientific communities. Addiction to sex is arguably a more controversial issue, but this does not take away from the fact that some individuals seek professional help for problematic excessive sex, irrespective of how the behavior is conceptualized. Empirical evidence suggests that among treatment seekers, men are more likely than women to seek help for sex addiction (SA). Methods Using the behavioral addiction literature and the authors’ own expertise in researching female SA, this paper examines potential barriers to the treatment for female sex addicts. Results Four main types of barriers for female sex addicts not seeking treatment were identified. These comprised (a) individual barriers, (b) social barriers, (c) research barriers, and (d) treatment barriers. Conclusions Further research is needed to either confirm or disconfirm the identified barriers that female sex addicts face when seeking treatment, and if conformation is found, interested stakeholders should provide better awareness and/or see ways in which such barriers can be overcome to aid better uptake of SA services

Compulsive sexual behaviour as a behavioural addiction: the impact of the internet and other issues

Commentary to: Should compulsive sexual behavior be considered an addiction? "The issue of sex addiction as a behavioural addiction has been much debated. However, there is little face validity for co-occurring behavioural addictions, and more emphasis is needed on the characteristics of the internet as these may facilitate problematic sexual behaviour"

The development and validation of the Bergen–Yale Sex Addiction Scale with a large national sample

The view that problematic excessive sexual behavior (“sex addiction”) is a form of behavioral addiction has gained more credence in recent years, but there is still considerable controversy regarding operationalization of the concept. Furthermore, most previous studies have relied on small clinical samples. The present study presents a new method for assessing sex addiction—the Bergen–Yale Sex Addiction Scale (BYSAS)—based on established addiction components (i.e., salience/craving, mood modification, tolerance, withdrawal, conflict/problems, and relapse/loss of control). Using a cross-sectional survey, the BYSAS was administered to a broad national sample of 23,533 Norwegian adults [aged 16–88 years; mean (± SD) age = 35.8 ± 13.3 years], together with validated measures of the Big Five personality traits, narcissism, self-esteem, and a measure of sexual addictive behavior. Both an exploratory and a confirmatory factor analysis (RMSEA = 0.046, CFI = 0.998, TLI = 0.996) supported a one-factor solution, although a local dependence between two items (Items 1 and 2) was detected. Furthermore, the scale had good internal consistency (Cronbach’s α = 0.83). The BYSAS correlated significantly with the reference scale (r = 0.52), and demonstrated similar patterns of convergent and discriminant validity. The BYSAS was positively related to extroversion, neuroticism, intellect/imagination, and narcissism, and negatively related to conscientiousness, agreeableness, and self-esteem. High scores on the BYSAS were more prevalent among those who were men, single, of younger age, and with higher education. The BYSAS is a brief, and psychometrically reliable and valid measure for assessing sex addiction. However, further validation of the BYSAS is needed in other countries and contexts

Feedback models for gambling control: the use and efficacy of online responsible gambling tools

Social responsibility in gambling has become a major issue for the gaming industry. This has been coupled with the rise of behavioural tracking technologies that allow companies to track every behavioural decision and action made by gamblers on online gambling sites, slot machines, and/or any type of gambling that utilizes player cards. This chapter has a number of distinct but related aims including: (a) a brief overview of behavioral tracking technologies accompanied by a critique of both advantages and disadvantages of such technologies for both the gaming industry and researchers; and (b) results from a series of studies completed using behavioral tracking data to evaluate the efficacy of online responsible gambling tools (particularly in relation to data concerning the use of social responsibility tools such as limit setting, pop-up messaging, and personalized feedback to gamblers)