Hyper-Active Women and DSM-V Hypersexual Disorder

Authors: Asiye Kocatürk1 and  Ümit Sayin2
1   Dept. of Midwife and Nursery, Health Sciences Institute, Marmara University, İstanbul-Turkey  
2 Institute of Forensic Sciences, İstanbul  University, Cerrahpaşa, İstanbul, Turkey
Corresponding  E-mail:            humitsayin@gmail.com
Abstract Title: A Comparison of Hyper-active Sexual Tendencies between Turkish and Global Women.

Kocatürk A, Sayın HÜ. A comparison of hyperactive sexual tendencies of global and Turkish women: Some lessons and aspects for HDSI criteria of DSM-V. 38th Annual Meeting of IASR (International Academy of Sex Research), Lisbon-Portual, July 8-11, 2012; Abtract Book, 38:81, 2012.

 Rationale and Introduction: In DSM-V, a new sexual disorder will be defined as “Hypersexual Disorder” (HD) in the human female according to a new scale called HDSI. Lately, there have been debates about the validity of HDSI. Recent publications point out that sexual response can be enhanced and expanded in the human female, a phenomenon coined as “Expanded Sexual Response” (ESR). Some internet surveys have been reported supporting the hypothesis that some normal or ESR cases maybe misdiagnosed as HD, after the legalization of HDSI in DSM-V.
Methods:  Using an internet survey, a simple 12 item questionnaire has been utilized to measure and score the hyper-active (HA) sexual tendencies of women such that the women who attained the top scores of 60-72 (Group A) would have a hyper-active sex life style. In the survey, the women, who got a score of 60 to 72, would also be likely to get high scores in HDSI, which might put them into the category of HD.  The survey was published as pools in four websites (of which language was English in two and Turkish in the other two of them) between May 2010 and April 2012. 603 international and 520 Turkish correspondents answered the pool (total: 1123). The scoring groups were as follows: A)60-72 B)50-60 C)40-50 D)30-40 E)20-30 F)Below 20.
 Results: In the international group, the frequencies of HA scores  were (N=603),  A)40.6%  B)26%  C)18.7% D)9.9%  E)2.9%  F)1.6%. In the Turkish group (N=520), the frequencies of HA scores were, A)16.5% B)16.7% C)25.3% D)21.7% E)10.2% F)9.4%. In the combined group the frequencies of HA scores were (N=1123), A)29% B)21.7% C)21.8% D)15.4% E)6.3% F)5.2%
Conclusions: 1) Consistent with the survey study of Winters et al., we concluded that  40.6% of international respondents and 29% of all respondents would be likely to be diagnosed as HD if HDSI criteria were applied on these women. 2) Turkish women seem to have a less tendency to be hyper active and to have a satisfactory sexual life style compared to other global women 3) A phenomenon called ESR may exist and the women with ESR can be misdiagnosed as hypersexual disorder, if the current HDSI criteria will be valid as it is proposed in DSM-V. More research should be performed on female sexual behavior to determine the “normals and limits” of women, before deriving certain pathological conclusions, such as HD, dependent on ambiguous scales or inventories. 


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