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Exploring the clinical profile of problematic pornography use

Published online by Cambridge University Press:  21 July 2020

Campbell Ince Open the ORCID record for Campbell Ince [Opens in a new window] ,
Murat Yücel ,
Lucy Albertella Open the ORCID record for Lucy Albertella [Opens in a new window]  and
Leonardo F. Fontenelle Open the ORCID record for Leonardo F. Fontenelle [Opens in a new window]
Campbell Ince
Affiliation:
Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
Murat Yücel
Affiliation:
Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
Lucy Albertella
Affiliation:
Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
Leonardo F. Fontenelle*
Affiliation:
Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia D’Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil Obsessive, Compulsive and Anxiety Spectrum Research Program, Institute of Psychiatry of the Federal University of Rio de Janeiro (IPUB/UFRJ), Rio de Janeiro, Brazil
*
*Author for correspondence: Leonardo F. Fontenelle Email: leo.fontenelle@monash.edu
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Abstract

Background

Although problematic pornography use (PPU) will soon be diagnosable through the International Classification for Diseases, 11th revision, its clinical profile remains contentious. The current study assessed whether PPU may be characterized by various symptoms sometimes observed among online recovery forums that currently lack empirical assessment, such as heightened cognitive-affective issues following pornography use and sexual dysfunction with partners as a result of escalating use.

Method

Cross-sectional surveys were completed by male PPUs (N = 138, mean age = 31.75 years, standard deviation = 10.72) recruited via online recovery communities and Amazon Mechanical Turk. Multiple regression analysis was performed using the Problematic Pornography Use Scale as the dependent variable and variables of interest (Arizona Sexual Experiences Scales modified for partnered sex and pornography use, Brunel Mood Scale, Social Interaction Anxiety Scale, and the Tolerance subscale from the Problematic Pornography Consumption Scale) and potential confounders (eg, comorbid psychopathology) as independent variables.

Results

Current levels of pornography use, indicators of tolerance and escalation, greater sexual functioning with pornography, and psychological distress were uniquely associated with PPU severity, while cognitive-affective issues after pornography use, impulsivity and compulsivity were not. Although sexual dysfunction did not predict PPU severity, nearly half the sample indicated sexual dysfunction with intimate partners.

Conclusions

The present findings suggest that PPU may be characterized by tolerance and escalation (as per substance addiction models), greater sexual responsivity toward pornography, and psychological distress. Meanwhile, the high rate of partnered sexual dysfunction observed suggests that PPU might be somewhat separable from other forms of compulsive sexual behavior.

Keywords

PornographyICD-11compulsive sexual behaviorbehavioral addictionsexual dysfunctionpornography addiction
Type
Original Research
Information
CNS Spectrums , Volume 26 , Issue 6: Special Issue: Functional Neurological Disorder , December 2021 , pp. 648 - 657
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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