Pub Date : 2023-11-07DOI: 10.1080/26929953.2023.2272613
Luka Todorovic, Mark Huisman, B. D. Ostafin
Evidence-based treatments for problematic pornography use (PPU) are missing, so users seek help through online communities formed around their concerns. This study investigated the effectiveness of brief interventions in (I) reducing desire for pornography use and (II) increasing self-efficacy regarding pornography use, in a non-clinical online sample (n = 711). Participants’ craving for pornography was activated and then they were randomly assigned to one of the intervention conditions: life meaning, willpower, mindfulness, awe, or active control. The results indicated that life meaning could be effective in reducing craving for pornography. Future research should investigate the potential of similar interventions with clinical samples.
{"title":"Targeting Mechanisms for Problematic Pornography Use Interventions","authors":"Luka Todorovic, Mark Huisman, B. D. Ostafin","doi":"10.1080/26929953.2023.2272613","DOIUrl":"https://doi.org/10.1080/26929953.2023.2272613","url":null,"abstract":"Evidence-based treatments for problematic pornography use (PPU) are missing, so users seek help through online communities formed around their concerns. This study investigated the effectiveness of brief interventions in (I) reducing desire for pornography use and (II) increasing self-efficacy regarding pornography use, in a non-clinical online sample (n = 711). Participants’ craving for pornography was activated and then they were randomly assigned to one of the intervention conditions: life meaning, willpower, mindfulness, awe, or active control. The results indicated that life meaning could be effective in reducing craving for pornography. Future research should investigate the potential of similar interventions with clinical samples.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"312 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135474674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-24DOI: 10.1080/26929953.2023.2269921
Cordula Hunze, Mark Helle, Matthias Morfeld
AbstractThe data of 527 participants was collected in a German online survey to give an overview about hypersexuality (HYPE) and paraphilia (PARA) regarding preference, arousal, fantasies, pornography-use, and behavior of 15 sexual interests (SeIn) in a non-clinical sample. Legal SeIn reached high incidents. Participants with both PARA and HYPE (P+H) sought out more health care professionals, had more drastic negative sexual experiences (DSE) in adulthood and consisted of more males, while participants with exclusively PARA showed no gender difference. PARA and especially HYPE needs to be addressed proactively in clinical settings to foster a better understanding of current sexual norms. Data availability statementThe data that support the findings of this study are available from the corresponding author, upon reasonable request.
{"title":"Kinky Sex Anyone? Paraphilic Experiences & Hypersexuality in a Non-clinical Sample","authors":"Cordula Hunze, Mark Helle, Matthias Morfeld","doi":"10.1080/26929953.2023.2269921","DOIUrl":"https://doi.org/10.1080/26929953.2023.2269921","url":null,"abstract":"AbstractThe data of 527 participants was collected in a German online survey to give an overview about hypersexuality (HYPE) and paraphilia (PARA) regarding preference, arousal, fantasies, pornography-use, and behavior of 15 sexual interests (SeIn) in a non-clinical sample. Legal SeIn reached high incidents. Participants with both PARA and HYPE (P+H) sought out more health care professionals, had more drastic negative sexual experiences (DSE) in adulthood and consisted of more males, while participants with exclusively PARA showed no gender difference. PARA and especially HYPE needs to be addressed proactively in clinical settings to foster a better understanding of current sexual norms. Data availability statementThe data that support the findings of this study are available from the corresponding author, upon reasonable request.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"45 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-20DOI: 10.1080/26929953.2023.2270620
Samridhi Pareek, Gagan Jain, Rajnish Kumar Gupta
AbstractThe Internet makes accessibility to pornography just a click away. However, although most individuals watch porn for fun, a small percentage of porn users develop symptoms similar to addiction. This, in turn, generates interpersonal, occupational, or personal problems for the individual. The present study aims to study the efficacy of mindfulness meditation as a therapeutic tool in reducing problematic pornography use (PPU). Eight male problematic porn users practiced 20 mins mindfulness meditation daily for two weeks. The result showed that the mean score of the PPU scale during and post-intervention decreased significantly compared to the pretreatment levels. In conclusion it can be said that the practice of mindfulness meditation helps in reducing the PPU. Disclosure statementThe authors report there are no competing interests to declare.Data availabilityThe datasets generated during and/or analyzed during the current study are not publicly available due to the confidentiality regarding the responder’s pornography usage but are available from the corresponding author on reasonable request.
{"title":"Efficacy of Mindfulness Meditation as a Therapeutic Tool in Problematic Pornography Consumption","authors":"Samridhi Pareek, Gagan Jain, Rajnish Kumar Gupta","doi":"10.1080/26929953.2023.2270620","DOIUrl":"https://doi.org/10.1080/26929953.2023.2270620","url":null,"abstract":"AbstractThe Internet makes accessibility to pornography just a click away. However, although most individuals watch porn for fun, a small percentage of porn users develop symptoms similar to addiction. This, in turn, generates interpersonal, occupational, or personal problems for the individual. The present study aims to study the efficacy of mindfulness meditation as a therapeutic tool in reducing problematic pornography use (PPU). Eight male problematic porn users practiced 20 mins mindfulness meditation daily for two weeks. The result showed that the mean score of the PPU scale during and post-intervention decreased significantly compared to the pretreatment levels. In conclusion it can be said that the practice of mindfulness meditation helps in reducing the PPU. Disclosure statementThe authors report there are no competing interests to declare.Data availabilityThe datasets generated during and/or analyzed during the current study are not publicly available due to the confidentiality regarding the responder’s pornography usage but are available from the corresponding author on reasonable request.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.1080/26929953.2023.2254785
Francesca Palazzolo
AbstractSince the inclusion of Compulsive Sexual Behavior Disorder in the International Classification of Diseases, 11th Revision (ICD-11), there has been increased research in the area of problematic Internet Pornography (IP) use. Previous research has indicated that problematic IP users share similar experiences, neurobiological changes, and psychosocial effects to substance users. To date, there is no consensus in the research regarding diagnostic criteria, assessment tools or best practice treatment options for problematic IP use. This article builds on previous qualitative research on IP users and compares reported symptomatic behaviors with similar symptoms of substance use disorders. This may aid clinicians and services to recognize clients with problematic IP use. It also explores the case for the characterization of problematic IP Use as a distinct behavioral addiction. Disclosure statementNo potential conflict of interest was reported by the author(s).
{"title":"Internet Pornography Use Disorder: In Search of a Non-Pathologizing Description of an Evolving Clinical Issue","authors":"Francesca Palazzolo","doi":"10.1080/26929953.2023.2254785","DOIUrl":"https://doi.org/10.1080/26929953.2023.2254785","url":null,"abstract":"AbstractSince the inclusion of Compulsive Sexual Behavior Disorder in the International Classification of Diseases, 11th Revision (ICD-11), there has been increased research in the area of problematic Internet Pornography (IP) use. Previous research has indicated that problematic IP users share similar experiences, neurobiological changes, and psychosocial effects to substance users. To date, there is no consensus in the research regarding diagnostic criteria, assessment tools or best practice treatment options for problematic IP use. This article builds on previous qualitative research on IP users and compares reported symptomatic behaviors with similar symptoms of substance use disorders. This may aid clinicians and services to recognize clients with problematic IP use. It also explores the case for the characterization of problematic IP Use as a distinct behavioral addiction. Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136235483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study examines the connection between sexually dysfunctional beliefs, sexual well-being, and marital satisfaction among Iranian married women (N = 355, ages 18-65). Structural equation modeling (SEM) and mediation analyses were employed to explore these relationships. Results reveal that sexual dysfunctional beliefs negatively impact both sexual well-being and marital satisfaction. Furthermore, sexual cognitive schemas mediate this relationship, underscoring the importance of addressing negative beliefs and promoting healthy cognitive schemas in interventions. This research highlights the influence of cultural and societal factors on Iranian women’s sexual attitudes and behaviors, emphasizing the need for tailored interventions to enhance sexual and relational outcomes.
{"title":"Exploring the Structural Relationship between Sexual Dysfunctional Beliefs, Marital Satisfaction, and Sexual Well-Being in Iranian Women: The Role of Sexual Cognitive Schemas","authors":"Hosein Rezaii Aderyani, Maryam Moghadasin, Jafar Hasani","doi":"10.1080/26929953.2023.2250336","DOIUrl":"https://doi.org/10.1080/26929953.2023.2250336","url":null,"abstract":"This study examines the connection between sexually dysfunctional beliefs, sexual well-being, and marital satisfaction among Iranian married women (N = 355, ages 18-65). Structural equation modeling (SEM) and mediation analyses were employed to explore these relationships. Results reveal that sexual dysfunctional beliefs negatively impact both sexual well-being and marital satisfaction. Furthermore, sexual cognitive schemas mediate this relationship, underscoring the importance of addressing negative beliefs and promoting healthy cognitive schemas in interventions. This research highlights the influence of cultural and societal factors on Iranian women’s sexual attitudes and behaviors, emphasizing the need for tailored interventions to enhance sexual and relational outcomes.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-11DOI: 10.1080/26929953.2023.2252802
Özen İnam
Abstract The aim of the study was to measure quality of life, depression and sexual function in patients undergoing chronic hemodialysis treatment and to assess gender differences in these three variables. The sample consisted of 84 volunteer Turkish dialysis patients who had been on hemodialysis for at least 6 months. The results showed that 51.2% of the participants were currently experiencing sexual dysfunction. Sexual dysfunction was more common in women (66.7%) than in men (41.2%). We found that women had statistically lower quality of life scores than men (p = 0.02 < 0.05).
{"title":"Investigation of Sexual Dysfunction, Quality of Life, and Depression Variables in Turkish Hemodialysis Patients and Their Comparison Between Gender","authors":"Özen İnam","doi":"10.1080/26929953.2023.2252802","DOIUrl":"https://doi.org/10.1080/26929953.2023.2252802","url":null,"abstract":"Abstract The aim of the study was to measure quality of life, depression and sexual function in patients undergoing chronic hemodialysis treatment and to assess gender differences in these three variables. The sample consisted of 84 volunteer Turkish dialysis patients who had been on hemodialysis for at least 6 months. The results showed that 51.2% of the participants were currently experiencing sexual dysfunction. Sexual dysfunction was more common in women (66.7%) than in men (41.2%). We found that women had statistically lower quality of life scores than men (p = 0.02 < 0.05).","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-09DOI: 10.1080/26929953.2023.2256314
Travis Spencer, Ryan Seedall, Alexandra Gillespie
Marriage and family therapists report problematic pornography use (PPU) as a common concern seen while working with couples and families. However, the research regarding treatment of PPU is limited, particularly relational/systemic treatment has been underexplored. The present study utilized a phenomenological approach to understand the lived experience of 11 heterosexual, married, highly religious, American couples who have achieved significant recovery from PPU. The major themes that emerged from the interviews are Catalysts for Recovery, Foundation of Support, The Work, Healing Perspectives, and Hindrances and Cautions. Examples of themes and subthemes are discussed as well as implications for treatment of couples seeking healing from PPU.
{"title":"Couple Recovery from Problematic Pornography Use: A Foundational Phenomenological Inquiry","authors":"Travis Spencer, Ryan Seedall, Alexandra Gillespie","doi":"10.1080/26929953.2023.2256314","DOIUrl":"https://doi.org/10.1080/26929953.2023.2256314","url":null,"abstract":"Marriage and family therapists report problematic pornography use (PPU) as a common concern seen while working with couples and families. However, the research regarding treatment of PPU is limited, particularly relational/systemic treatment has been underexplored. The present study utilized a phenomenological approach to understand the lived experience of 11 heterosexual, married, highly religious, American couples who have achieved significant recovery from PPU. The major themes that emerged from the interviews are Catalysts for Recovery, Foundation of Support, The Work, Healing Perspectives, and Hindrances and Cautions. Examples of themes and subthemes are discussed as well as implications for treatment of couples seeking healing from PPU.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-03DOI: 10.1080/26929953.2023.2236607
T. Whelan, EM Cunnane, Donal Clifford, M. Davoren
Abstract This article examines the clinical aspects of Compulsive Sexual Behavior Disorder (CSBD) and psychotherapeutic approaches to the disorder. The aim of this narrative review is to define what components of an integrated group therapy approach are required when delivering treatment for CSBD. This is done by synthesizing the elements of theory, practice, and psychotherapeutic intervention required when delivering support in relation to CSBD within group settings. Although discussed in psychological literature for years, treatment literature on CSBD lacks sufficient evidence-based approaches to develop a clear framework for implementing therapy styles and continues to defy easy categorization. The literature review of the clinical aspects of CSBD demonstrates that there is substantial heterogeneity within the disorder.
{"title":"Defining a Framework for Those with Compulsive Sexual Behavior Disorder: A Narrative Synthesis","authors":"T. Whelan, EM Cunnane, Donal Clifford, M. Davoren","doi":"10.1080/26929953.2023.2236607","DOIUrl":"https://doi.org/10.1080/26929953.2023.2236607","url":null,"abstract":"Abstract This article examines the clinical aspects of Compulsive Sexual Behavior Disorder (CSBD) and psychotherapeutic approaches to the disorder. The aim of this narrative review is to define what components of an integrated group therapy approach are required when delivering treatment for CSBD. This is done by synthesizing the elements of theory, practice, and psychotherapeutic intervention required when delivering support in relation to CSBD within group settings. Although discussed in psychological literature for years, treatment literature on CSBD lacks sufficient evidence-based approaches to develop a clear framework for implementing therapy styles and continues to defy easy categorization. The literature review of the clinical aspects of CSBD demonstrates that there is substantial heterogeneity within the disorder.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"30 1","pages":"273 - 294"},"PeriodicalIF":0.3,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41734136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.1080/26929953.2023.2227170
Julie Fraumeni‐McBride
Abstract The present study included seven U.S. women, each interviewed twice. Thematic analysis resulted in seven themes: (a) discovering sexuality, masturbation, and sexual orientation; (b) pornography usage; (c) pornography as a coping mechanism; (d) pornography preferences; (e) distress and stigma; (f) conflict with religious beliefs and values; and (g) normalization of pornography usage and sexuality. All women reported problematic pornography use; they wanted to stop using but could not stop despite repeated and consistent efforts. Recommendations include reducing female stigma surrounding pornography use, making acceptance and commitment therapies specifically targeted toward women more widely available, and improving sexuality education for women.
{"title":"Women’s Lived Experiences with Self-Identified Problematic Pornography Use: A Qualitative Study","authors":"Julie Fraumeni‐McBride","doi":"10.1080/26929953.2023.2227170","DOIUrl":"https://doi.org/10.1080/26929953.2023.2227170","url":null,"abstract":"Abstract The present study included seven U.S. women, each interviewed twice. Thematic analysis resulted in seven themes: (a) discovering sexuality, masturbation, and sexual orientation; (b) pornography usage; (c) pornography as a coping mechanism; (d) pornography preferences; (e) distress and stigma; (f) conflict with religious beliefs and values; and (g) normalization of pornography usage and sexuality. All women reported problematic pornography use; they wanted to stop using but could not stop despite repeated and consistent efforts. Recommendations include reducing female stigma surrounding pornography use, making acceptance and commitment therapies specifically targeted toward women more widely available, and improving sexuality education for women.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"30 1","pages":"252 - 272"},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41847320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-12DOI: 10.1080/26929953.2023.2220003
S. Antons, Kjell Büsche, Lukas Mallon, O. Wolf, M. Diers, M. Brand
Abstract The problematic use of pornography (PPU) is one phenotype of compulsive sexual behavior disorder. Stress has been identified as central factor involved in dysregulated behaviors, acting both as cause and consequence. Overall, 99 heterosexual males participated in an experimental study. Experience of early childhood trauma, chronic stress, acute responses toward a stressor, emotion regulation strategies, and coping were associated with symptoms of PPU. Alterations within neural stress circuits due to childhood trauma and chronic stress may interact with neural circuits of reward and executive control. Coping with acute, chronic and past stressors should be an essential component in treatment approaches.
{"title":"Stress Susceptibility, Affective Responses toward Acute Stressors and Emotion Regulation Strategies in the Context of Problematic Pornography Use","authors":"S. Antons, Kjell Büsche, Lukas Mallon, O. Wolf, M. Diers, M. Brand","doi":"10.1080/26929953.2023.2220003","DOIUrl":"https://doi.org/10.1080/26929953.2023.2220003","url":null,"abstract":"Abstract The problematic use of pornography (PPU) is one phenotype of compulsive sexual behavior disorder. Stress has been identified as central factor involved in dysregulated behaviors, acting both as cause and consequence. Overall, 99 heterosexual males participated in an experimental study. Experience of early childhood trauma, chronic stress, acute responses toward a stressor, emotion regulation strategies, and coping were associated with symptoms of PPU. Alterations within neural stress circuits due to childhood trauma and chronic stress may interact with neural circuits of reward and executive control. Coping with acute, chronic and past stressors should be an essential component in treatment approaches.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"30 1","pages":"231 - 251"},"PeriodicalIF":0.3,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44455133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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