Severity and Scoring of Hypersexual Disorder-DSM V-2013
Severity and Scoring of Hypersexual Disorder-DSM V-2013
SEVERITY AND SCORING OF HYPERSEXUAL DISORDER-DSM
Sunday, 16 May 2010 07:13
http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=415#
The Hypersexual Disorder Screening Inventory (HDSI)
Your name: Identification #: Date:
Part I:
Sexual behaviors can occur either by themselves or in combinations. In the Hypersexual Disorder Screening Inventory, we are examining the following sexual behaviors to see if they are causing you a problem:
Masturbation, either by itself or during other sexual activities
Pornography (some examples include: Internet video, images and webcasts, porno magazines, DVDs/videos, X-rated TV and films.)
Sexual Behavior with Consenting Adults (direct contact)
(some examples include: use of escort services, prostitutes, repeated "one-night stands", anonymous brief sexual encounters, repeated affairs, massage parlor visits that include sex.)
Cybersex activities (some examples include: Internet-related sexual talk, sexual behavior with web-cams, other ‘virtual' sexual behaviors.)
Telephone Sex
Strip Clubs
Other sexual behaviors:
Part II: Rate how often each item is true or how accurately it describes your sexual behavior:
A.1. During the past 6 months, I have spent a great amount of time consumed by sexual fantasies and urges as well as planning for and engaging in sexual behavior.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
A.2 During the past 6 months, I have used sexual fantasies and sexual behavior to cope with difficult feelings (for example, worry, sadness, boredom, frustration, guilt, or shame).
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
A.3 During the past 6 months, I have used sexual fantasies and sexual behavior to avoid, put off, or cope with stresses and other difficult problems or responsibilities in my life.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
A.4 During the past 6 months, I have tried to reduce or control the frequency of sexual fantasies, urges, and behavior but I have not been very successful.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
A.5 During the past 6 months, I have continued to engage in risky sexual behavior that could or has caused injury, illness, or emotional damage to myself, my sexual partner(s), or a significant relationship.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
B.1 During the past 6 months, frequent and intense sexual fantasies, urges and behavior have made me feel very upset or bad about myself (for example, feelings of shame, guilt, sadness, worry, or disgust) or I tried to keep my sexual behavior a secret.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
B.2 During the past 6 months, frequent and intense sexual fantasies, urges and behavior have caused significant problems for me in personal, social, work, or other important areas of my life.
0 = never true 1= rarely true 2 = sometimes true
3 = often true 4 = almost always true
your rating __________
HDSI total score ____________
Are criteria met for a probable diagnosis of Hypersexual Disorder? Y / N
C. 1 Place an "X" on the line to the left of each different kind of sexual behavior that you think has caused you to have problems with either bad feelings (as in B.1) and/or significant consequences (as in B.2) during the past 6 months.
____ Masturbation, either by itself or during other sexual activities
____ Pornography (some examples include: Internet video, images and webcasts, magazines, DVDs/ videos, X-rated TV and films)
____ Sexual Behavior with Consenting Adults (direct contact)
(some examples include: use of escort services, prostitutes, repeated "one-night stands", anonymous brief sexual encounters, repeated affairs, massage parlor visits that include sex.)
____ Cybersex activities (some examples include: Internet-related sexual talk, sexual behavior associated with web-cams, other ‘virtual' sexual behaviors)
____ Telephone Sex
____ Strip Clubs
____ Other sexual behaviors: (please specify_____________)
Total # of different sexual behaviors reported ______________ (0-7)
For the clinician scoring the HDSI:
In DSM-5, Hypersexual Disorder is proposed as a polythetic diagnosis requiring a time duration of 6 months or more.
The are seven core diagnostic criterion questions included in Part II of the HDSI (five A+ two B criteria). Each criterion item is rated on a 5 item severity index (0 - 4) so the total score can range from 0 to 28 points as a dimensional measure of the diagnostic criteria and associated adverse consequences.
To screen positive for a probable diagnosis of a Hypersexual Disorder, a person must:
-Score 3 or 4 points on least 4 of the 5 A criteria AND
-Score 3 or 4 points on at least 1 of the 2 B criteria.
Thus, the minimum total score to reach a probable diagnosis of Hypersexual Disorder in Part II would be 15 points gathered from at least four A plus one B criterion. The maximum summed score would be 28 points.
The HDSI provides a dimensional measure of Hypersexual Disorder based on the total summed score (0-28 points).
The HDSI provides an additional dimensional measure of Hypersexual Disorder severity based on the total number of different sexual behaviors affected (C.1; 1-7 different sexual behaviors)
Hypersexual Disorder: Current Assessment Scale (HD:CAS)
Your name: Identification #: Date:
A.1. Place an "X" mark on the line to the left of each different kind of sexual behavior that you think caused you to have significant problems during the past 2 weeks.
____ Masturbation, either by itself or during other sexual activities
____ Pornography (some examples include: Internet video, images and webcasts, magazines, DVDs/ videos, X-rated TV and films)
____ Sexual Behavior with Consenting Adults (direct contact)
(some examples include: use of escort services, prostitutes, repeated "one-night stands", anonymous brief sexual encounters, repeated affairs, massage parlor visits that include sex.)
____ Cybersex activities (some examples include: Internet-related sexual talk, sexual behavior associated with web-cams, other ‘virtual' sexual behaviors)
____ Telephone Sex
____ Strip Clubs
____ Other sexual behaviors: (please specify________________)
Total # of different sexual behaviors reported ______________ (0-7)
Total # of different sexual behaviors reported ___________ (0-7)
The next series of questions concern your problematic sexual behavior (marked above in A.1) during the past 2 weeks.
A.2 During the past 2 weeks (14 days), how many times per week did you have an orgasm (climax) while engaging in all of your problematic sexual behavior ?
0. none
1. up to 1 time per week
2. 2-4 times per week
3. 5-8 times per week
4. 9 or more times per week
your rating__________
A.3. During the past 2 weeks (14 days), on average, how much time per day was consumed by all of your problematic sexual fantasies, sexual urges or sexual behavior?
0. no time
1. up to 15 minutes in the average day
2. between 16 minutes and 1 hour in the average day
3. between 1 to 3 hours in the average day
4. more than 3 hours in the average day
your rating____________
A.4 During the past 2 weeks, how frequently did you use sexual fantasies and sexual behavior to cope with difficult feelings (for example, worry, sadness, boredom, frustration, guilt, or shame)?
0. never
1. only occasionally when I engaged in sexual behavior
2. some of the times that I engaged in sexual behavior
3. almost every time I engaged in sexual behavior
4. every time I engaged in sexual behavior
your rating___________
A.5 During the past 2 weeks, how frequently did you use sexual fantasies and sexual behavior to avoid, put off, or cope with stresses and other difficult problems or responsibilities?
0. never
1. only occasionally when I engaged in sexual behavior
2. some of the times that I engaged in sexual behavior
3. almost every time that I engaged in sexual behavior
4. every time that I engaged in sexual behavior
your rating____________
A.6 During the past 2 weeks, on the average how much control did you feel you had over sexual fantasies, urges and behavior?
0. in control all of the time
1. in control almost all the time
2. in control some of the time
3. rarely in control
4. never in control
your rating___________
A.7 During the past 2 weeks, how many times per week did you engage in sexual behavior that you would consider risky, harmful or even dangerous for yourself, your partner(s) or another significant relationship?
0. none
1. up to 1 time per week
2. 2-4 times per week
3. 5-8 times per week
4. 9 or more times per week
your rating____________
HD: CAS Total Score _____________
For the clinician rating the Hypersexual Disorder: Current Assessment Scale (HD:CAS)
The HD:CAS contains measures to quantify symptom change during the most recent 2 week time-frame of current Hypersexual Disorder behaviors.
A.1 is a list of the seven typical Hypersexual Disorder behavioral specifiers.
A. 2 (total sexual outlet associated with problematic sexual behavior only)
A. 3 (time consumed by problematic sexual behavior only)
A. 4 (sexual behavior in response to dysphoric moods and affects)
A. 5 (sexual behavior in response to stressful life events)
A. 6 (control/volitional impairment associated with sexual behavior) and
A. 7 (risk-taking sexual behavior)
These are item scores that can be summed.
Scoring and Dimensionality
Each criterion item (A.2 - A.7) is rated on a 5 point symptom intensity scale (0 - 4). The HD: CAS summed score could range from 0 - 24 points and this score is a dimensional measure of symptom intensity/severity of current Hypersexual Disorder.
The HD: CAS provides an additional dimensional measure of Hypersexual Disorder severity based on the total number of different sexual behaviors reported (A.1; 1-7 different sexual behaviors)
This disorder is not listed in DSM-IV; therefore, DSM-IV criteria for this disorder do not exist.
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