CClinicalTrials.gg
CompletedNCT02300051Updated Dec 9, 2015

Intervention Study for Individuals With Compulsive Sexual Behavior

An interventional study of STPGP and RPGT and TAU in Compulsive Sexual Behavior, sponsored by University of Sao Paulo General Hospital. Completed at 1 site in Brazil. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-12-09.

Sponsored by University of Sao Paulo General Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
135
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is compare three interventions (short-term psychodynamic psychotherapeutic group and relapse prevention group therapy vs. treatment as usual, namely, psychiatric follow up including prescription of medication vs. both interventions combined) to individuals presenting compulsive sexual behavior.

Read the detailed description

We will compare three groups of patients under the three interventions, namely, (1) Short-Term Psychodynamic Group Psychotherapy (STPGP) followed by Relapse Prevention Group Therapy (RPGT) (n = 48) vs. (2) Treatment as Usual (TAU) (n = 42) vs. (3) both previous interventions combined (n = 45).

The STPGP is a 16 weekly session's group psychotherapy. Each session lasts 90 minutes. Each group will consist of around 10 participants. All the groups of STPGP will be conducted by the same psychotherapist.

The RPGT is an eight weekly therapy group. The sessions are structured and will last 90 minutes.

The medication used by those who are under TAU will be introduced through psychiatric care. Initially three visits will occur at intervals of 30 days and the followings will occur with an interval of 60 days. The medication protocol includes serotonin reuptake inhibitors (fluoxetine, paroxetine, sertraline) or mood stabilizers (topiramate, divalproex sodium, oxcarbazepine) or both type of medications combined.

All patients will be assessed on the outcomes and independent variables in the baseline (time 0); in the 25th week (time 1); and 34th week (time 2) of treatment.

02

Conditions studied

  • Compulsive Sexual Behavior

Keywords

  • Compulsive sexual behavior
  • Intervention
  • Short term psychodynamic group psychotherapy
  • Sexual addiction
  • Hypersexual behavior
03

In context

Lead sponsor

University of Sao Paulo General Hospital is the lead sponsor of 595 studies on the registry; 98 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. meeting the criteria for "excessive sexual drive" (ICD-10 F52.7) which corresponds to complain of an excessive sexual drive that often leads to out of control sexual behaviors AND meeting the criteria for "sex addiction" by Goodman (2001), which is characterized as a maladaptive pattern of sexual behavior leading to clinically impairment or distress as manifested in the same 12-month period by three or more of the following: tolerance (process of engaging in increasingly sexual behavior, in terms of intensity and frequency to obtain the same satisfaction than before); withdrawal (experience of abstinence, characterized by the presence of physical and/or psychological symptoms, when the behavior is diminished or discontinued); frequent sexual behavior; unsuccessful efforts to control it; many time spent in preparation for it; social or occupational activities are diminished because of it; it goes on despite negative outcomes;
  2. being literate in Portuguese;
  3. cognitive ability to answer self-responsive measures.

Exclusion Criteria: - individuals who met criteria for:

  1. sexual preference disorders (ICD-10 F65);
  2. manic or hypomanic state of bipolar disorder (ICD-10 F30.0, F31.0, 31.1, and 31.2);
  3. schizophrenia, schizotypal, and delusional disorders (ICD-10 F20 - F29);
  4. other mental disorders due to brain dysfunction, injury or physical disease (ICD-10 F06);
  5. gender identity disorder (ICD-10 F64).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
135 participants (actual)

Study arms

  • Experimental
    STPGP and RPGT

    16 weekly sessions of 90 minutes of Short-Term Psychodynamic Group Psychotherapy (STPGP) followed by 8 weekly sessions of 90 minutes of Relapse Prevention Group Therapy (RPGT)

    Behavioral: STPGP and RPGT

  • Active comparator
    TAU

    Treatment as usual (TAU) will be introduced through psychiatric follow up, in which the three first visits will occur at intervals of 30 days and the followings will occur with an interval of 60 days. The medication protocol includes serotonin reuptake inhibitors (fluoxetine 20 - 80 mg/day, paroxetine 20 - 60 mg/day, sertraline 50 - 200 mg/day) or mood stabilizers (topiramate 25 - 200 mg/day, divalproex sodium (500 - 1500 mg/day, oxcarbazepine (300 - 1200 mg/day, and lamotrigine 50 - 200 mg/day).

    Drug: TAU

  • Experimental
    STPGP and RPGT + TAU

    Participants undergo both interventions: 1) 16 weekly sessions of 90 minutes of Short-Term Psychodynamic Group Psychotherapy (STPGP) followed by 8 weekly sessions of 90 minutes of Relapse Prevention Group Therapy (RPGT); 2)Treatment as usual (TAU) will be introduced through psychiatric follow up, in which the three first visits will occur at intervals of 30 days and the followings will occur with an interval of 60 days. The medication protocol includes serotonin reuptake inhibitors (fluoxetine 20 - 80 mg/day, paroxetine 20 - 60 mg/day, sertraline 50 - 200 mg/day) or mood stabilizers (topiramate 25 - 200 mg/day, divalproex sodium (500 - 1500 mg/day, oxcarbazepine (300 - 1200 mg/day, and lamotrigine 50 - 200 mg/day).

    Behavioral: STPGP and RPGT · Drug: TAU

Interventions

  • BehavioralSTPGP and RPGT
  • DrugTAU
06

What researchers measure

Primary outcomes

  1. Sexual Compulsivity Scale (SCS)

    Changes in the total score of SCS

    Time frame: Baseline, 25th and 34th week

Secondary outcomes

  1. World Health Organization Quality of Life (WHOQOL-bref)

    Changes in the WHOQOL-bref scores.

    Time frame: Baseline and 25th week

Other outcomes

  1. Beck Depression Inventory (BDI)

    Changes in BDI scores

    Time frame: Baseline and 25th week

  2. Proportion of use of condom when engaging in anal and vaginal sexual intercourse, number of casual partners

    Changes in proportions of use of condom when engaging in anal and vaginal sexual intercourse, and number of casual partners reported

    Time frame: Baseline, 25th, and 34th week

  3. Beck Anxiety Inventory (BAI)

    Changes in BAI scores

    Time frame: Baseline and 25th week

  4. Barratt Impulsivity Scale (BIS) 11

    Changes in BIS 11 scores

    Time frame: Baseline, 25th, and 34th week

  5. Adult Attachment Scale (AAS)

    Changes in AAS scores

    Time frame: Baseline, and 25th week

  6. Knowledge and Perceptions regarding HIV transmission

    Changes in proportion of knowledge and perceptions on HIV transmission.

    Time frame: Baseline, 25th week, and 34th week.

  7. Wisconsin Card Sorting Test (WCST)

    Changes in scores of the neurocognitive task.

    Time frame: Baseline, and 25th week

  8. Continuous Performance Test (CPT)

    Changes in scores of the neurocognitive task.

    Time frame: Baseline, and 25th week

  9. Medication adverse effect record

    Investigation of medical records on adverse effect

    Time frame: 25th week

07

Study locations

1 site
  • Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo[University of Sao Paulo General Hospital]
    São Paulo, 05403010, Brazil
08

References and documents

Publications

  • Scanavino Mde T, Ventuneac A, Rendina HJ, Abdo CH, Tavares H, Amaral ML, Messina B, Reis SC, Martins JP, Gordon MC, Vieira JC, Parsons JT. Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory, and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil. Arch Sex Behav. 2016 Jan;45(1):207-17. doi: 10.1007/s10508-014-0356-5. Epub 2014 Oct 28. PubMed 25348356 ↗
  • Scanavino Mde T, Ventuneac A, Abdo CH, Tavares H, do Amaral ML, Messina B, dos Reis SC, Martins JP, Parsons JT. Compulsive sexual behavior and psychopathology among treatment-seeking men in Sao Paulo, Brazil. Psychiatry Res. 2013 Oct 30;209(3):518-24. doi: 10.1016/j.psychres.2013.01.021. Epub 2013 Feb 15. PubMed 23415890 ↗
  • Amaral ML, Scanavino Mde T. Severe compulsive sexual behaviors: a report on two cases under treatment. Braz J Psychiatry. 2012 Jun;34(2):213-4. doi: 10.1590/s1516-44462012000200015. No abstract available. English, Portuguese. PubMed 22729419 ↗
  • Scanavino Mde T, Torres RR, Abdo CH, Rego MA, Fernandez FM. Sexual compulsion and HIV transmission: a case report. Braz J Psychiatry. 2009 Jun;31(2):189-90. doi: 10.1590/s1516-44462009000200022. No abstract available. PubMed 19578698 ↗
  • Kafka MP. Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav. 2010 Apr;39(2):377-400. doi: 10.1007/s10508-009-9574-7. PubMed 19937105 ↗
  • Wainberg ML, Muench F, Morgenstern J, Hollander E, Irwin TW, Parsons JT, Allen A, O'Leary A. A double-blind study of citalopram versus placebo in the treatment of compulsive sexual behaviors in gay and bisexual men. J Clin Psychiatry. 2006 Dec;67(12):1968-73. doi: 10.4088/jcp.v67n1218. PubMed 17194276 ↗
  • Kaplan MS, Krueger RB. Diagnosis, assessment, and treatment of hypersexuality. J Sex Res. 2010 Mar;47(2):181-98. doi: 10.1080/00224491003592863. PubMed 20358460 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02300051
Lead sponsor
University of Sao Paulo General Hospital
Responsible party
Marco de Tubino Scanavino (assistant physician, University of Sao Paulo General Hospital) — Principal investigator
First posted
Nov 24, 2014
Start date
Feb 2011
Primary completion
Apr 2015
Completion
Jul 2015
Last update
Dec 9, 2015

Study contacts

Marco Scanavino, PhD
principal investigator · USP

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2015. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion