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- Title
Similarities and differences of compulsive sexual behavior disorder and pornography use disorder.
- Authors
ANTONS, STEPHANIE; POTENZA, MARC N.; BRAND, MATTHIAS
- Abstract
Background: The problematic use of pornography, also described as pornography use disorder (PUD), is listed in the ICD-11 as one phenotype of compulsive sexual behavior disorder (CSBD). Up to now, less is known about the similarities and differences between the problematic engagement in sexual behaviors in general and specifically in pornography use. The aim of the study was to identify potential similarities and differences. Method: We used an online survey and analysed data from 1,107 participants who used pornography within the prior 6 months based on self-reports. Participants answered questions regarding symptom severity of CSBD and PUD and questions regarding socio-demography, pornography use and other sexual behaviors, psychopathology, moral considerations, and craving for pornography-use. Cut-off scores for CSBD und PUD were used to identify groups of CSBD only, PUD only, CSBD with PUD, and none of these disorders. Results: The groups identified at risk of having CSBD and/or PUD were younger than the "no disorder" group, showed higher psychopathology (compulsivity, depression, anxiety, addictive tendencies) and reported more intense cravings, guilt and moral disapproval. The CSBD and PUD groups differed in gender and specific behavioral variables, e.g. pornography with sadomasochistic content and longer durations of use. Conclusions: The results indicate broad overlaps between CSBD and PUD. Differences could be identified with regard to variables that are specific for pornography use. Future studies should focus on psychological mechanisms such as cue-reactivity or inhibitory control that may differ due to the high availabilities of pornography and mobile devices.
- Subjects
SEX addiction; HUMAN sexuality; PORNOGRAPHY; DESIRE; RESPONSE inhibition; ENGAGEMENT (Philosophy)
- Publication
Journal of Behavioral Addictions, 2023, Vol 12, p113
- ISSN
2062-5871
- Publication type
Article