Abstract
The Society for the Advancement of Sexual Health (SASH) has offered a list of outcomes that may occur if a person or behaviors are sexually compulsive. This outcomes-based understanding of sexual compulsivity would suggest that individuals and their behaviors (including behaviors that they do alone, such as masturbation, as well as those that they do with other people, such as having intercourse) could lead to negative consequences in various domains, including social, emotional, physical, legal, financial/occupational, and spiritual areas of life (Reece, Dodge, & McBride, 2006). The Cognitive and Behavioral Outcomes of Sexual Behavior Scale (CBOSBS) was developed to measure the extent to which an individual has experienced negative outcomes in one or more of the six domains identified by SASH. Items were generated by the researchers based on theoretical understandings of SC and guided by the outcomes suggested by SASH. The scale includes a cognitive outcomes component and a behavioral outcomes component to measure both the extent to which a person is concerned about negative outcomes resulting from their sexual behaviors, and the extent to which such outcomes are actually experienced. Pilot testing was conducted in a nonclinical sample of young adults (Perera, Reece, Monahan, Billingham, & Finn, 2009a, 2009b). Scale validation was performed in a nonclinical sample of young adults (N= 390; McBride, Reece, & Sanders, 2007, 2008).
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