Journal of Behavioral Addictions,
Год журнала:
2024,
Номер
13(3), С. 854 - 870
Опубликована: Сен. 5, 2024
Abstract
Background
The
introduction
of
Compulsive
Sexual
Behavior
Disorder
(CSBD)
into
the
11th
International
Classification
Diseases
has
raised
expectations
for
better
treatment
options
CSBD.
Furthermore,
demand
increased,
particularly
pornography
use
disorder
(PUD),
a
subtype
Presumably
due
to
easy
access
Internet
an
increasing
prevalence
PUD
is
observed.
Consequently,
providing
tailored
and
effective
essential.
Methods
This
article
provides
overview
manualized
short-term
PornLoS
Treatment
Program
(
Porn
ografienutzungsstörung
effektiv
behandeln–
L
eben
o
hne
S
uchtdruck;
translation:
Treating
effectively
-
life
without
craving).
program
combines
24
individual
6
group
psychotherapy
sessions
with
interdisciplinary
approach
by
offering
novel
framework.
includes,
e.g.,
mobile
app,
establishment
self-help
groups,
other
social
services
such
as
couple
counseling.
cognitive-behavioral
contains
interventions
addressing
psychoeducation,
cue
exposure,
impulse
control,
cognitive
restructuring,
emotional
regulation,
relapse
management.
We
here
also
describe
study
protocol
ongoing
four-arm
randomized
controlled
trial.
aim
test
two
variants
differing
respect
their
goal
(abstinence
or
reduced
use)
against
usual
waitlist
control
group.
primary
outcome
absence
diagnosis
at
end
therapy.
total
target
sample
size
will
comprise
n
=
316
patients
across
eight
sites.
Results
results
be
presented
international
conferences
published
in
scientific
peer-reviewed
journal.
Addiction,
Год журнала:
2024,
Номер
119(5), С. 928 - 950
Опубликована: Фев. 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.
Sexual Medicine Reviews,
Год журнала:
2024,
Номер
12(3), С. 355 - 370
Опубликована: Март 25, 2024
The
addition
of
compulsive
sexual
behavior
disorder
(CSBD)
into
the
ICD-11
chapter
on
mental,
behavioral,
or
neurodevelopmental
disorders
has
greatly
stimulated
research
and
controversy
around
behavior,
what
been
termed
"hypersexual
disorder,"
"sexual
addiction,"
"porn
compulsivity,"
"out-of-control
behavior."
To
identify
where
concerns
exist
from
perspective
medicine
can
be
done
to
resolve
them.
A
scientific
review
committee
convened
by
International
Society
for
Sexual
Medicine
reviewed
pertinent
literature
discussed
clinical
experience
related
CSBD
diagnoses
misdiagnoses,
pathologizing
nonheteronormative
basic
potential
underlying
causes
CSBD,
its
relationship
paraphilic
disorder,
health
consequences.
panel
used
a
modified
Delphi
method
reach
consensus
these
issues.
was
differentiated
other
activity
basis
diagnostic
criteria,
issues
regarding
were
identified.
Concerns
raised
about
self-labeling
processes,
attitudes
hostile
pleasure,
high
desire,
mixing
normative
with
distress,
belief
that
masturbation
pornography
use
represent
"unhealthy"
behavior.
guide
case
formulation
care/treatment
recommendations
proposed.
Clinical
sexologic
expertise
diagnosis
treatment
in
psychiatric-psychotherapeutic
context
is
imperative
differentiate
understand
determinants
impact
behaviors"
mental
well-being,
detect
forensically
relevant
nonrelevant
forms,
refine
best
practices
care
treatment.
Evidence-based,
medicine-informed
therapies
should
offered
achieve
positive
respectful
approach
sexuality
possibility
having
pleasurable
safe
experiences.
BMJ Mental Health,
Год журнала:
2024,
Номер
27(1), С. e300998 - e300998
Опубликована: Янв. 1, 2024
Background
Hypersexuality
(HS)
accompanying
neurological
conditions
remains
poorly
characterized
despite
profound
psychosocial
impacts.
Objective
We
aimed
to
systematically
review
the
literature
on
HS
in
patients
with
disorders.
Study
selection
and
analysis
conducted
a
systematic
identify
studies
that
reported
was
defined
as
condition
by
excessive
persistent
preoccupation
sexual
thoughts,
urges,
behaviors
cause
significant
distress
or
impairment
personal,
social,
occupational
functioning.
Data
demographics,
assessment
techniques,
associated
elements,
phenotypic
manifestations,
management
strategies
were
also
extracted.
Findings
The
final
included
79
HS,
encompassing
32
662
across
81
cohorts
Parkinson's
disease
most
frequently
studied
(55.6%),
followed
various
types
of
dementia
(12.7%).
Questionnaires
common
approach
for
evaluating
although
techniques
varied
substantially.
Alterations
dopaminergic
pathways
have
emerged
contributing
mechanisms
based
effects
medication
cessation.
However,
standardized
treatment
protocols
still
need
be
improved,
heterogeneity
documented
approaches.
Critical
deficiencies
include
risks
bias
participant
sampling,
uncontrolled
residual
confounding
factors,
lack
blinded
evaluations
outcomes.
Conclusions
clinical
implications
Despite
growth
last
decade,
research
limited
conditions,
lingering
quality
methodological
standardization
deficits.
Key
priorities
advancing
tools,
elucidating
underlying
neurobiology,
formulating
guidelines.
PROSPERO
registration
number
CRD42017036478.
American Journal of Psychiatry,
Год журнала:
2024,
Номер
182(2), С. 155 - 163
Опубликована: Дек. 11, 2024
Gambling
disorder
is
the
only
behavioral
addiction
recognized
as
a
clinical
in
DSM-5,
and
Internet
gaming
included
condition
requiring
further
research.
ICD-11
categorizes
gambling
disorders
due
to
addictive
behaviors.
Additional
addictions
may
include
compulsive
sexual
behavior
disorder,
buying-shopping
problematic
use
of
social
media.
This
narrative
review
summarizes
current
state
knowledge
regarding
these
five
(potential)
All
are
clinically
relevant
prevalent.
Behavioral
frequently
co-occur
with
other
mental
problems,
such
depression,
anxiety,
attention
deficit
hyperactivity
disorder.
Validated
diagnostic
instruments
exist,
empirical
support
varying
across
conditions.
No
medications
have
approved
indications
from
regulatory
bodies
for
addictions,
cognitive-behavioral
therapy
has
most
efficacious
treatment.
Given
that
prevalent,
psychiatric
disorders,
often
go
undiagnosed
untreated,
been
linked
poorer
treatment
outcomes,
active
screening
indicated.
Public
health
considerations
should
be
expanded,
impacts
modern
technologies
investigated
more
intensively.
Treatment
optimization
involving
pharmacotherapy,
psychotherapy,
neuromodulation,
their
combination
warrants
additional
investigation.
Suchttherapie,
Год журнала:
2025,
Номер
26(01), С. 12 - 20
Опубликована: Фев. 1, 2025
Zusammenfassung
Die
Pornografie-Nutzungsstörung
kann
als
Variante
der
Störung
mit
zwanghaftem
Sexualverhalten
verstanden
werden,
für
die
in
ICD-11
spezifische
diagnostische
Kriterien
entwickelt
wurden.
Symptomatik
ist
Betroffene
teils
gravierenden
Beeinträchtigungen
und
Leid
verbunden.
Während
sie
bislang
zu
den
Impulskontrollstörungen
zählt,
gibt
es
einen
wissenschaftlichen
Diskurs
darüber,
ob
auch
Verhaltenssucht
werden
kann.
Bisher
mangelt
an
methodisch
hochwertig
durchgeführten
Therapiestudien,
um
effektive
Behandlungsmethoden
entwickeln.
Um
schlechte
Versorgungssituation
von
Betroffenen
Deutschland
nachhaltig
verbessern,
wird
multizentrische
Therapiestudie
„PornLoS“
durchgeführt.
Darin
eine
innovative
Intensivtherapie
einer
Standardtherapie
verglichen.
Zusätzlich
Frage
untersucht,
vollständige
Abstinenz
oder
reduzierte
Nutzung
Pornografie
das
geeignetere
Therapieziel
darstellen.
Der
Artikel
beschreibt
zunächst
klinische
Bild
Pornografie-Nutzungsstörung,
dann
vom
Gemeinsamen
Bundesausschuss
geförderte
Projekt
vorzustellen.
Journal of Psychopathology and Clinical Science,
Год журнала:
2024,
Номер
133(6), С. 489 - 502
Опубликована: Июнь 17, 2024
Problematic
pornography
use
(PPU)
is
the
most
common
manifestation
of
newly
introduced
compulsive
sexual
behavior
disorder
diagnosis
in
11th
revision
International
Classification
Diseases.
Research
related
to
PPU
has
proliferated
past
two
decades,
but
prior
studies
were
characterized
by
several
shortcomings
(e.g.,
using
homogenous,
small
samples),
resulting
crucial
knowledge
gaps
and
a
limited
understanding
concerning
empirically
based
risk
factors
for
PPU.
This
study
aimed
identify
robust
preregistered
design.
Independent
laboratories'
74
preexisting
self-report
data
sets
(
