Compulsive sexual behavior: A twelve-step therapeutic approach

Yaniv Efrati, Mateusz Gola

Research output: Contribution to journalArticlepeer-review

48 Scopus citations


Background and aims: Sexuality is natural to human life and inseparable from it, yet some individuals develop compulsive sexual behavior (CSB). Many individuals with CSB seek treatment in free self-support groups based on the twelve-step program. This program was extensively studied in substance abuse disorders (e.g., Alcoholics Anonymous), but little is known about its efficiency in CSB. Methods: We “assesed” questionnaire data on sociodemographical-, psychological-, and recovery-related factors from 97 male participants of Sexaholics Anonymous (SA) programs in Israel. Results: Our results indicated that advancement in the SA program, measured as a current step of the program, is significantly related to lower levels of sexual-related overall sense of helplessness, avoidant help-seeking, self-control, overall CSB, and sexual suppression. It is also related to the higher well-being. Discussion: This is the first study to examine psychological factors of CSB recovery process in twelve-step groups, and future research is needed to replicate our results within a longitudinal study.

Original languageEnglish
Pages (from-to)445-453
Number of pages9
JournalJournal of Behavioral Addictions
Issue number2
StatePublished - 1 Jun 2018
Externally publishedYes

Bibliographical note

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© 2018 The Author(s)


  • 12-step groups
  • Compulsive sexual behavior
  • Recovery
  • Sexaholics Anonymous


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