Problematic pornography use across countries, genders, and sexual orientations: Insights from the International Sex Survey and comparison of different assessment tools

Addiction, Journal Year: 2024, Volume and Issue: 119(5), P. 928 - 950

Published: Feb. 27, 2024

Abstract Background and aims Problematic pornography use (PPU) is a common manifestation of the newly introduced Compulsive Sexual Behavior Disorder diagnosis in 11th edition International Statistical Classification Diseases Related Health Problems. Although cultural, gender‐ sexual orientation‐related differences behaviors are well documented, there relative absence data on PPU outside Western countries among women as sexually‐diverse individuals. We addressed these gaps by (a) validating long short versions Pornography Consumption Scale (PPCS PPCS‐6, respectively) Brief Screen (BPS) (b) measuring risk across diverse populations. Methods Using from pre‐registered Sex Survey [ n = 82 243; mean age (M ) 32.4 years, standard deviation 12.5], study 42 five continents, we evaluated psychometric properties (i.e. factor structure, measurement invariance, reliability) PPCS, BPS examined their associations with relevant correlates (e.g. treatment‐seeking). also compared groups three genders). Results The demonstrated excellent [for example, comparative fit index 0.985, Tucker–Lewis Index 0.981, root square error approximation 0.060 (90% confidence interval 0.059–0.060)] confirmatory analysis, all PPCS’ inter‐factor correlations positive strong ( r s 0.72–0.96). A total 3.2% participants were at experiencing (PPU+) based significant country‐ gender‐based men reported highest levels PPU). No orientation‐based observed. Only 4–10% individuals PPU+ group had ever sought treatment for PPU, while an additional 21–37% wanted to, but did not do so specific reasons unaffordability). Conclusions This validated measures to assess severity problematic languages, countries, genders, orientations 26 languages: (PPCS, respectively), (BPS). estimated be 3.2–16.6% population varies different genders) measure used.

Language: Английский

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Who feels affected by “out of control” sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

Journal of Behavioral Addictions, Journal Year: 2022, Volume and Issue: 11(3), P. 900 - 911

Published: Aug. 25, 2022

The purpose of this study was to examine the prevalence and correlates indicators consistent with Compulsive Sexual Behavior Disorder (CSBD)-defined operationalized according ICD-11 guidelines-in a large (n = 4,633; 50.5% male; 49,5% female) probability-based German national sample.Participants were asked if they had ever experienced "intense recurring sexual impulses or urges that I difficulty controlling resulted in behavior" over period several months. Those who reported experience queried about associated distress.Overall, 4.9% men [95% CI 3.9-6.1] 3.0% women 2.3-3.9] experiences diagnostic requirements for lifetime diagnosis. In 12 months preceding study, 3.2% 2.4-4.2] 1.8% 1.2-2.5] CSBD requirements. Compared controls participants elements compulsive sexuality but without accompanying distress, strict religious upbringing most prevalent group. group more likely view practices like having sex as unacceptable report belief pornography has negative impacts on their life general. other two groups, significantly have received psychiatric treatment depression another mental health problem during past months.The current provides novel important insights into characteristics general population.

Language: Английский

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Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools

Journal of Behavioral Addictions, Journal Year: 2023, Volume and Issue: 12(2), P. 393 - 407

Published: June 23, 2023

Despite its inclusion in the 11th revision of International Classification Diseases, there is a virtual paucity high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, orientations, validated original (CSBD-19) short (CSBD-7) versions Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research clinical practice.

Language: Английский

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Prevalence of problematic Internet use and problematic gaming in Spanish adolescents

Psychiatry Research, Journal Year: 2023, Volume and Issue: 326, P. 115317 - 115317

Published: June 18, 2023

Epidemiological studies on problematic Internet use and gaming conducted so far have mainly been carried out with unrepresentative self-selected convenience samples, resulting in unreliable prevalence rates. This study estimates the of a large sample Spanish adolescents (N = 41,507) identifies risk protective factors for these risky behaviours. Data were collected online using Adolescent Problem Use Scale Gaming Addiction Scale. Using cut-off approach measurement instruments inspired by DSM-5 framework, we found 33% 3.1% gaming. With more conservative ICD-11 rates decreased to 2.98% 1.8% Female gender, higher parents' education, elevated connection time, reporting being after midnight mobile phone class predicted use; whereas male "living situation" where families do not traditional structure or stable environment, time A involving scales that recycle substance criteria (as DSM-5) over-pathologize In contrast, seems provide realistic reliable

Language: Английский

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The memory and identity theory of ICD-11 complex posttraumatic stress disorder.

Psychological Review, Journal Year: 2023, Volume and Issue: 130(4), P. 1044 - 1065

Published: June 20, 2023

The 11th version of the International Classification Diseases (ICD-11) includes complex posttraumatic stress disorder (CPTSD) as a separate diagnostic entity alongside (PTSD).ICD-11 CPTSD is defined by six sets symptoms, three that are shared with PTSD (reexperiencing in here and now, avoidance, sense current threat) (affective dysregulation, negative selfconcept, disturbances relationships) representing pervasive "disturbances self-organization" (DSO).There considerable evidence supporting construct validity ICD-11 CPTSD, but no theoretical account its development has thus far been presented.A theory needed to explain several phenomena especially relevant such role played prolonged repeated trauma exposure, functional independence between DSO heterogeneity following exposure.The memory identity states single multiple exposure occur context individual vulnerability which interact give rise intrusive, sensation-based traumatic memories identities which, together, produce symptoms define CPTSD.The model emphasizes two major related causal processes intrusive exist on continuum from prereflective experience full self-awareness.Theoretically derived implications for assessment treatment discussed, well areas future research testing.

Language: Английский

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Gaming passion contributes to the definition and identification of problematic gaming

Addictive Behaviors, Journal Year: 2023, Volume and Issue: 147, P. 107805 - 107805

Published: July 16, 2023

Even if for most people playing video games is a healthy leisure activity, minority of vulnerable users present an excessive use associated to negative consequences (e.g., psychosocial maladjustment, sleep interference) and functional impairment. The current study first aims identify psychological factors that contribute discriminate highly involved (but healthy) gamers from problematic gamers. For purpose, we used cluster analysis approach different groups based on their profiles passion towards gaming (using the Dualistic Model Passion). Another objective explore, using supervised machine-learning, how disorder symptoms, assessed within substance framework tolerance, withdrawal), might be linked harmonious and/or obsessive gaming. Three distinct clusters were identified profiles, including risky gamers, engaged casual Supervised machine-learning algorithms specific symptoms (salience, mood modification, low level conflict) predominantly related passion, whereas others (withdrawal, high conflict, relapse) more directly passion. Our results support relevance person-centered approaches treatment

Language: Английский

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Problematic gaming, social withdrawal, and Escapism: The Compensatory-Dissociative Online Gaming (C-DOG) model

Computers in Human Behavior, Journal Year: 2024, Volume and Issue: 155, P. 108187 - 108187

Published: Feb. 26, 2024

In this article, we critically overview existing studies on compensatory and dissociative mechanisms associated with problematic gaming a focus escapism, present theoretical model integrating current research. the first section, link processes related to continuum that corresponds degree of connection/rupture between physical virtual environments individual. second discuss strengths limitations conceptualizations measures escapism. We contend escapism in represents key dimension compensation for difficulties psychological needs satisfaction environment, differently from escape (avoidance) general immersion video games. last elaborate compensatory-dissociative online (C-DOG) model, which defines set interconnected operationalizing adaptive pathological gaming: relaxation, body-mind detachment, active escape, dissociation. This provides an unprecedented way consider meaningful clinical evaluation treatment gaming, as well association emerging social withdrawal conditions, such hikikomori).

Language: Английский

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A comprehensive model to understand and assess the motivational background of video game use: The Gaming Motivation Inventory (GMI)

Journal of Behavioral Addictions, Journal Year: 2022, Volume and Issue: 11(3), P. 796 - 819

Published: Aug. 8, 2022

Abstract Background and aims The popularity of video gaming has generated significant interest in research methods to examine motivations for gaming. Current measures motives are limited by lack scope and/or their applicability specific game genres only. We aimed create a comprehensive motivation inventory applicable any genre evaluate its psychometric properties large sample highly engaged gamers. Methods Stage 1 this project involved systematic review that the items Gaming Motivation Inventory (GMI). Stages 2–4 an evaluation GMI. A 14,740 gamers (89.3% male; mean age 24.1 years) were recruited via online survey promoted popular magazine. Results In 2, twenty-six identified, which clustered into six higher-order dimensions (Mastery, Immersion/Escapism, Competition, Stimulation, Social, Habit/Boredom). 3, construct validity was assessed associations with gaming-related, personality, psychological variables. 4, relationships between depression symptoms disorder explored. Although had weak genres, they moderately related variables such as competitiveness, sociability, positive negative affect. directly predicted indirectly Habit/Boredom, Competition motives. Discussion conclusions These findings support notion one primary causes behavior play important role predicting problematic nature. GMI is psychometrically valid tool will be useful gaining insights factors underlying behaviors.

Language: Английский

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A trauma model of substance use: Elaboration and preliminary validation

Addictive Behaviors, Journal Year: 2022, Volume and Issue: 134, P. 107431 - 107431

Published: July 16, 2022

Language: Английский

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Symptoms and levels of ICD-11 Prolonged Grief Disorder in a representative community sample of UK adults

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2023, Volume and Issue: 58(10), P. 1535 - 1547

Published: April 11, 2023

Prolonged Grief Disorder (PGD) is a new disorder included in ICD-11 (WHO, 2018). There growing body of literature surrounding the prevalence and correlates PGD symptoms as assessed using various measures. This study was first to assess levels measured by International Scale (IPGDS), self-report scale directly aligned with definition PGD, among United Kingdom adult general population, identify correlates.Participants 2025 adults who participated Wave 5 COVID-19 Psychological Research Consortium Study (C19PRC-UK). Prevalence rates were estimated based on two commonly used algorithms defined 'strict' 'moderate'. Sociodemographic, loss-related, mental health (i.e., anxiety, depression, treatment seeking, loneliness) strict moderate then examined multinomial logistic regressions.It found that 2.4% (n = 43) participants met probable caseness for criteria while 7.9% 140) criteria. Multinomial regression analysis results showed, predicted, income, time since bereavement, death child, religiosity, depression associated both PGD. Correlates country residence, urbanicity, younger age bereaved, loneliness.This highlights some are reported although relatively few meet clinical significance. The routine assessment following bereavement discussed development appropriate interventions recommended.

Language: Английский

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