%0 Journal Article
%T Relevance of Hypersexual Disorder to Family Medicine and Primary Care as a Complex Multidimensional Chronic Disease Construct
%A Liesbeth Borgermans
%A Bert Vrijhoef
%A Jan Vandevoorde
%A Jan De Maeseneer
%A Johan Vansintejan
%A Dirk Devroey
%J International Journal of Family Medicine
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/519265
%X Hypersexual disorder (HD) is not defined in a uniform way in the psychiatric literature. In the absence of solid evidence on prevalence, causes, empirically validated diagnostic criteria, instruments for diagnosis, consistent guidelines on treatment options, medical and psychosocial consequences, and type of caregivers that need to be involved, HD remains a controversial and relatively poorly understood chronic disease construct. The role of family medicine in the detection, treatment, and followup of HD is not well studied. The purpose of this paper is to describe the complexity of HD as a multidimensional chronic disease construct and its relevance to family medicine and primary care. 1. Introduction Hypersexual disorder (HD) [1], also previously known as out-of-control sexual behavior, impulse control disorders [2], sexual addiction, sexual compulsivity, and sexual desire dysregulation [3], is not defined in a uniform way in the psychiatric literature. Although the clinical presentation of the disorder is varied, HD is characterized by an increased frequency and intensity of sexually motivated fantasies, arousal, urges, and enacted behavior in association with an impulsivity component over a period of ¡Ý6 months [4]. It is estimated that 6% of the general population in the USA is afflicted [5], whereas to our knowledge no reliable estimates on the prevalence of HD in Europe are available. The usefulness of the term HD depends upon the degree to which it can be defined, measured, and distinguished from other psychiatric disorders and nonpathological sexual behaviour [6]. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), criteria for HD have been proposed by the Work Group on Sexual and Gender Identity Disorders to capture symptoms reported by patients seeking help for out-of-control sexual behavior [7, 8]. HD is nowadays not included in DSM-V as a distinct disorder as it requires more research and evidence to illuminate the cause, diagnosis, and treatment. In the absence of solid evidence on prevalence, causes, empirically validated diagnostic criteria, instruments for diagnosis, consistent guidelines on treatment options, medical and psychosocial consequences, and type of caregivers that need to be involved, HD remains a controversial and relatively poorly understood chronic disease construct. Whether or not HD will be considered as a distinct disorder in the next Diagnostic and Statistical Manual of Mental Disorders, we think it is important to outline its inherent complexity. In the light of the growing number of chronic
%U http://www.hindawi.com/journals/ijfm/2013/519265/