Double trouble ‐ Examining the co‐occurrence of compulsive sexual behavior disorder and gambling disorder among two American samples

Background and Objectives Limited research has investigated the relationship between compulsive sexual behavior disorder (CSBD) and gambling disorder (GD). Therefore, the current study examined the co‐occurrence of those at a high risk for CSBD with GD in two samples of Americans. Methods Two samples were used to explore the comorbidity of high risk for CSBD in those with GD, as well as the demographic and psychopathology differences in those with and without high risk for CSBD. The first sample was 498 participants from the community with high risk for GD. The second sample was comprised of 606 veterans receiving GD inpatient treatment. Results The prevalence of high risk for CSBD was 28.9% in Sample 1 and 18.2% in Sample 2. High risk for CSBD was significantly related to being male, younger, sexually diverse, gambling for the first time at a younger age, feeling less recovered from gambling problems, and recently attending treatment for GD. Results indicated an increase in other co‐occurring psychopathology (Sample 1: anxiety, depression, alcohol use, and suicidal ideation; Sample 2: current substance use, anxiety, and psychotic disorder) in those with comorbid high risk for CSBD. Discussion and Conclusions GD and CSBD co‐occur, especially in those who are young, sexually diverse, and gamble at a younger age. This comorbidity appears connected to severe psychopathology. Scientific Significance Given the high prevalence of CSBD in those with GD, further research is needed to explore this relationship. Clinicians should be screening all GD patients for the presence of CSBD.