MARCO DE TUBINO SCANAVINO
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/49 - Laboratório de Protozoologia, Hospital das Clínicas, Faculdade de Medicina
LIM/49 - Laboratório de Protozoologia, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Treatment effects and adherence of sexually compulsive men in a randomized controlled trial of psychotherapy and medication(2023) SCANAVINO, Marco D. T.; GUIRADO, Alia Garrudo; MARQUES, Joao Miguel; AMARAL, Maria Luiza Sant'Ana Do; MESSINA, Bruna; REIS, Sirlene Caramello Dos; BARROS, Vivian Boschesi; ABDO, Carmita Helena Najjar; TAVARES, Hermano; PARSONS, Jeffrey T.Background: Little attention has been given to efficacious treatment and adherence to treatment of compulsive sexual behavior (CSB). Aims: Randomized controlled trial investigated short-term psycho -dynamic group therapy followed by relapse prevention group (STPGP-RPGT) and pharmacological treatment (PT) for CSB men on sexual compulsivity and adherence. Method: 135 men, 38 (SD = 9) years old on average, were randomly assigned to 1) STPGP-RPGT; 2) PT; 3) Both. Participants completed measures at baseline, 25th, and 34th week. 57 (42.2%) participants dropped out between baseline and 25th week, and 68 (50.4%) between baseline and 34th week. 94 (69.6%) did not adhere (80% pills taken or attended 75% therapy sessions). Results: A significant interaction effect was found between time and group (F (4, 128) = 2.62, P = 0.038, ES = 0.08), showing who received PT improved less in sexual compulsivity than those who received STPGP-RPGT (t = 2.41; P = 0.038; ES = 0.60) and PT thorn STPGP-RPGT (t = 3.15; P = 0.007, ES = 0.74). Adherent participants improved more in sexual compulsivity than non-adherent at the 25th week (t = 2.82; P = 0.006, ES = 0.65) and 34th week (t = 2.26; P = 0.027, ES = 0.55), but there was no interaction effect, F (2, 130) = 2.88; P = 0.06; ES = 0.04). The most reported behavior (masturbation) showed greater risk of non-adherence (72.6%). Discussion and conclusions: Adherent participants improved better than non-adherent. Participants who received psychotherapy improved better than those who received PT. Methodological limitations preclude conclusions on efficacy.
- Symptoms of depression (not anxiety) mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in men(2023) REIS, Sirlene C.; PARK, Katey E.; DIONNE, Michelle M.; KIM, Hyoun S.; SCANAVINO, Marco D. T.Objective: Childhood sexual abuse is associated with compulsive sexual behavior, depression, and anxiety in men. Furthermore, both depression and anxiety have been linked to compulsive sexual behaviors. However, whether anxiety and depression mediate the relationship between childhood sexual abuse and compulsive sexual behaviors has yet to be tested. We investigated whether symptoms of depression and anxiety mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in 222 men seeking treatment for such behaviors. Methods: Participants completed the Sexual Compulsivity Scale, Childhood Trauma Questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory. A cross-sectional parallel mediation analysis was conducted. Results: The prevalence of childhood sexual abuse in our sample was 57%. Significant correlations were found between childhood sexual abuse and compulsive sexual behaviors, depression, and anxiety. The results of the mediation analyses suggested that depression (B = 0.07, standard error [SE] = 0.03, 95%CI 0.02 to 0.15), but not anxiety (B = 0.02, SE = 0.02, 95%CI-0.2 to 0.07), mediated the link between childhood sexual abuse and compulsive sexual behaviors. The pattern of our results remained the same when controlling for other types of childhood trauma. Conclusions: Depression, not anxiety, appears to mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in men. Future research that tests our mediation analyses using a prospective longitudinal study would be highly informative.
conferenceObject CHILD AND ADOLESCENCE SEXUAL ABUSE AND COMPULSIVE SEXUAL BEHAVIOR(2017) REIS, Sirlene Caramello dos; SCANAVINO, Marco de Tubino- Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools(2023) BOTHE, Beata; KOOS, Monika; NAGY, Lena; KRAUS, Shane W.; DEMETROVICS, Zsolt; POTENZA, Marc N.; MICHAUD, Aurelie; BALLESTER-ARNAL, Rafael; BATTHYANY, Dominik; BERGERON, Sophie; BILLIEUX, Joel; BRIKEN, Peer; BURKAUSKAS, Julius; CARDENAS-LOPEZ, Georgina; CARVALHO, Joana; CASTRO-CALVO, Jesus; CHEN, Lijun; CIOCCA, Giacomo; CORAZZA, Ornella; CSAKO, Rita; FERNANDEZ, David P.; FERNANDEZ, Elaine F.; FOURNIER, Lois; FUJIWARA, Hironobu; FUSS, Johannes; GABRHELIK, Roman; GEWIRTZ-MEYDAN, Ateret; GJONESKA, Biljana; GOLA, Mateusz; GRUBBS, Joshua B.; HASHIM, T. Hashim; ISLAM, Md. Saiful; ISMAIL, Mustafa; JIMENEZ-MARTINEZ, Martha C.; JURIN, Tanja; KALINA, Ondrej; KLEIN, Verena; KOLTO, Andras; LEE, Chih-Ting; LEE, Sang-Kyu; LEWCZUK, Karol; LIN, Chung-Ying; LOCHNER, Christine; LOPEZ-ALVARADO, Silvia; LUKAVSKA, Katerina; MAYTA-TRISTAN, Percy; MILEA, Ionut; MILLER, Dan J.; OROSOVA, Olga; OROSZ, Gabor; PONCE, Fernando P.; QUINTANA, Gonzalo R.; GARZOLA, Gabriel C. Quintero; RAMOS-DIAZ, Jano; RIGAUD, Kevin; ROUSSEAU, Ann; SCANAVINO, Marco De Tubino; SCHULMEYER, Marion K.; SHARAN, Pratap; SHIBATA, Mami; SHOIB, Sheikh; LEIROS, Vera L. Sigre; SNIEWSKI, Luke; SPASOVSKI, Ognen; STEIBLIENE, Vesta; STEIN, Dan J.; STRIZEK, Julian; STULHOFER, Aleksandar; UNSAL, Berk C.Background and aims: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice. Method: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD. Results: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country-and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability. Discussion and conclusions: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.
- Cardiovascular and psychopathological factors among non-sexually compulsive, sexually compulsive, and hypersexual individuals in Sao Paulo, Brazil(2020) SCANAVINO, Marco D. T.; VENTUNEAC, Ana; CARAMELLI, Bruno; NAUFAL, Lucas; SANTOS FILHO, Carlos S. D.; NISIDA, Isabelle V. V.; AMARAL, Maria L. S.; VIEIRA, Julie C.; PARSONS, Jeffrey T.We decided to explore the frequency of cardiovascular risk factors, according to three levels of severity of compulsive sexual behavior (CSB), namely, non-sexually compulsive (1), sexually compulsive (2), and sexually compulsive, and hypersexual (3). We also investigated the impact of a psychiatric co-morbidity on the Framingham heart risk score (FRS). 94 non-sexually compulsive, 57 sexually compulsive, and 60 hypersexual individuals underwent psychiatric interview, blood collection, self-responsiveness, and anthropometric measurement. The analyses were repeated with individuals aged up to 44 and aged more than 44 years old. Regarding the total sample, we observed significant association among those sexually compulsive, and hypersexual participants with presenting the HIV serologic status, and a greater proportion of psychiatric conditions as much as the severity of CSB increases. Individuals with substance-related disorder predicted higher Framingham scores. The analyses with people aged more than 44 years old presented some different results, such as association among presenting low FRS and the sexually compulsive participants, and sexual compulsivity predicted lower scores of the Framingham. The study points out to the relevance of comprehensive psychiatric examination of whom presenting CSB and opens an avenue forward investigation of the effect of high rates of sexual activity on cardiovascular risk.
conferenceObject Validation of family functioning scales in sexually compulsive patients in Brazil(2022) SCANAVINO, Marco De Tubino; PARK, Lucas Yongsoo