Table 2.

Comparison of criteria for Compulsive Sexual Behavior (CSBD): Griffiths (2005), DSM-5 and ICD-11

Criterion	Griffiths (2005)	DSM-5 for GD	ICD-11 for CSBD
Salience	When the particular activity becomes the most important activity in the person's life and dominates their thinking, feelings and behavior	Is often preoccupied with gambling	Repetitive sexual activities becoming a central focus of the person's life
Mood modification	The subjective experience that people report as a consequence of engaging in the particular activity	Often gambles when feeling distressed
Tolerance	The process whereby increasing amounts of the particular activity are required to achieve the former effects	Needs to gamble with increasing amounts of money in order to achieve the desired excitement
Withdrawal	The unpleasant feeling states and/or physical effects which occur when the particular activity is discontinued or suddenly reduced	Is restless or irritable when attempting to cut down or stop gambling
Conflict	Conflicts between the addict and those around them (interpersonal conflict) or from within the individual themselves (intrapsychic conflict) which are concerned with the particular activity	Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling	Neglecting health and personal care or other interests, activities, responsibilities and continued repetitive sexual behavior despite adverse consequences.
Relapse	The tendency for repeated reversions to earlier patterns of the particular activity to recur and for even the most extreme patterns typical of the height of the addiction to be quickly restored after many years of abstinence or control	Has made repeated unsuccessful efforts to control, cut back, or stop gambling	Numerous unsuccessful efforts to significantly reduce repetitive sexual behavior
Chasing losses		After losing money gambling, often returns another day to get even
Lack of control			Pattern of failure to control intense, sexual impulses or urges and resulting repetitive sexual behavior
Diminished satisfaction			Deriving little or no satisfaction from it

Note. GD, Gambling disorder; CSBD, compulsive sexual behavior disorder; DSM-5, Diagnostic and Statistical Manual, 5th ed.; ICD-11, International Classification of Diseases, 11th.