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Compulsive Sexual Behavior in LGBTQ Individuals and Minority Stress Theory: A Literature Review and Theoretical Integration

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Abstract

Purpose of Review

This review summarizes research on compulsive sexual behavior (CSB) among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals and integrates this literature with minority stress theory.

Recent Findings

Research examining CSB in LGBTQ populations spans assessment, prevalence, etiology, comorbidity, and treatment domains. Assessment research presents concerns that CSB symptoms may be confused with aspects of an LGBTQ client’s sociocultural context, particularly minority stress processes (e.g., LGBTQ-related discrimination, internalized stigma). Due to assessment difficulties, it is unknown whether LGBTQ individuals exhibit a higher CSB prevalence than heterosexual and cisgender populations. Etiologically, minority stress may contribute to the development and maintenance of CSB and its comorbidities, including depression and anxiety. Lastly, LGBTQ-affirmative cognitive behavior therapy, an empirically supported treatment based on minority stress theory, is a promising intervention for CSB.

Summary

This review suggests that minority stress theory may enhance understanding, assessment, and treatment of CSB in LGBTQ populations.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Funding

No financial support was received for this study. SWK and JBG are supported by the Kindbridge Research Institute.

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Authors and Affiliations

  1. Department of Psychology, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Box 455030, Las Vegas, NV, 89154-5030, USA

    Todd L. Jennings & Shane W. Kraus

  2. Department of Psychology, University of Washington, Seattle, WA, USA

    Neil Gleason

  3. Department of Psychology, The University of New Mexico, Albuquerque, NM, USA

    Joshua B. Grubbs

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  1. Todd L. Jennings
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  2. Neil Gleason
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  4. Shane W. Kraus
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All authors contributed to the development of the manuscript concept and design. TLJ wrote the original manuscript. All authors revised the manuscript to improve clarity and ensure inclusion of intellectually important content.

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Correspondence to Todd L. Jennings.

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Jennings, T.L., Gleason, N., Grubbs, J.B. et al. Compulsive Sexual Behavior in LGBTQ Individuals and Minority Stress Theory: A Literature Review and Theoretical Integration. Curr Addict Rep 11, 256–264 (2024). https://doi.org/10.1007/s40429-024-00546-2

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