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Huang S, Nyman TJ, Jern P, Santtila P. Actual and Desired Masturbation Frequency, Sexual Distress, and Their Correlates. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:3155-3170. [PMID: 37365448 DOI: 10.1007/s10508-023-02641-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 06/28/2023]
Abstract
We investigated the prevalence of problematic masturbation using different criteria. We also investigated if masturbation-related distress was associated with sexual abuse history, family attitudes towards sexuality during childhood, and depression and anxiety symptoms. Here, 12,271 Finnish men and women completed a survey reporting masturbation frequency, desired masturbation frequency, sexual distress, childhood sexual abuse, sex-positive family background, as well as depression and anxiety symptoms. Among both sexes, those whose masturbation frequency did not match with desired frequency experienced more sexual distress. Different conceptualizations of problematic masturbation resulted in different proportions of individuals categorized as having it (i.e., 8.3% of men and 2.7% of women experienced self-perceived problematic masturbation, that is masturbating more than they desired and experiencing sexual distress; 2% of men and 0.6% of women masturbated more frequently than average and meanwhile experienced self-perceived problematic masturbation; 6.3% of men and 2.1% of women masturbated less frequently than average but still experienced self-perceived problematic masturbation). Moreover, among both sexes, self-perceived problematic masturbation was positively associated with childhood sexual abuse, depression, and anxiety, while negatively associated with a sex-positive family background. Our results point to the complexity of defining problematic masturbation. Causes of sexual distress related to masturbation need to be carefully examined case by case to choose an appropriate clinical approach.
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Affiliation(s)
- Sijia Huang
- Faculty of Arts and Sciences, NYU Shanghai, 1555 Century Avenue, Pudong New Area, Shanghai, 200122, China.
| | - Thomas J Nyman
- Faculty of Arts and Sciences, NYU Shanghai, 1555 Century Avenue, Pudong New Area, Shanghai, 200122, China
| | - Patrick Jern
- Department of Psychology, Faculty of Arts, Psychology, and Theology, Åbo Akademi University, Turku, Finland
| | - Pekka Santtila
- Faculty of Arts and Sciences, NYU Shanghai, 1555 Century Avenue, Pudong New Area, Shanghai, 200122, China
- NYU-ECNU Institute for Social Development, NYU Shanghai, Shanghai, China
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2
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Privara M, Bob P. Sexual development in ADHD and internet pornography consumption. Front Psychiatry 2023; 14:1240222. [PMID: 37614646 PMCID: PMC10442643 DOI: 10.3389/fpsyt.2023.1240222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 07/11/2023] [Indexed: 08/25/2023] Open
Abstract
Development of sexual identity during adolescence is a major process of transition in individual life which in cases of ADHD specifically interacts with other ontogenetic, pathological and psychosocial conditions. According to recent findings growing consumption of internet pornography mainly in male ADHD population is closely related to compulsive sexual behavior and hypersexuality. Recent findings also indicate that consumption of internet pornography in ADHD individuals and other sexual activities may serve as a mood-altering "self-medication" which may help to cope with stressful events and decrease depression and anxiety. Taken together recent findings indicate that internet pornography consumption mainly in ADHD individuals is closely related to stressful experiences, anxiety, depression and identity problems in partnerships which significantly increase their vulnerability to the so-called "problematic pornography use" and other forms of addictive sexual behavior. From this developmental perspective "problematic pornography use" in ADHD individuals represents significant epidemiological problem which requires further research mainly with focus on clinical diagnostics and treatment.
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Affiliation(s)
| | - Petr Bob
- Center for Neuropsychiatric Research of Traumatic Stress, Department of Psychiatry and UHSL, First Faculty of Medicine, Department of Psychiatry, Faculty of Medicine Pilsen, Charles University, Prague, Czechia
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3
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Jennings TL, Lyng T, Gleason N, Finotelli I, Coleman E. Compulsive sexual behavior, religiosity, and spirituality: A systematic review. J Behav Addict 2021; 10:854-878. [PMID: 34971357 PMCID: PMC8987424 DOI: 10.1556/2006.2021.00084] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 11/22/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND AIMS In recent years, increasing attention has been given to the relationship between compulsive sexual behavior (CSB), religiosity, and spirituality. This review summarizes research examining the relationship CSB has with religiosity and spirituality, clarifying how these constructs inform the assessment and treatment of this syndrome. METHODS The present paper reviews research published through August 1, 2021, using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Only studies providing quantitative analyses were included. RESULTS This review identified 46 articles, subsuming 59 studies, analyzing the relationship between CSB and religiosity or spirituality. Most studies used cross-sectional designs with samples primarily composed of heterosexual White men and women. Generally, the studies found small to moderate positive relationships between religiosity and CSB. Studies considering the mediating or moderating role of moral incongruence identified stronger, indirect relationships between religiosity and problematic pornography use (PPU), a manifestation of CSB. Few studies examined the association between spirituality and CSB, but those that did either reported negative relationships between indicators of spiritual well-being and CSB or positive relationships between CSB and aspects of spiritual struggles. DISCUSSION AND CONCLUSIONS Although research examining CSB and religiosity has flourished, such growth is hampered by cross-sectional samples lacking in diversity. Moral incongruence assists in explaining the relationship between religiosity and PPU, but future research should consider other manifestations of CSB beyond PPU. Attention should also be given to examining other religiosity and spirituality constructs and obtaining more diverse samples in research on CSB, religiosity, and spirituality.
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Affiliation(s)
- Todd L. Jennings
- Department of Psychology, University of Nevada, Las Vegas, United States
| | - Tayler Lyng
- Department of Psychology, Minnesota State University, Mankato, United States
| | - Neil Gleason
- Department of Psychology, University of Washington, United States
| | - Itor Finotelli
- The Institute for Sexual and Gender Health, University of Minnesota Medical School, University of Minnesota, United States
| | - Eli Coleman
- The Institute for Sexual and Gender Health, University of Minnesota Medical School, University of Minnesota, United States,Corresponding author. E-mail:
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Hall P. The moral maze of sex & porn addiction. Addict Behav 2021; 123:107054. [PMID: 34320446 DOI: 10.1016/j.addbeh.2021.107054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 03/30/2021] [Accepted: 07/12/2021] [Indexed: 11/28/2022]
Abstract
Sex addiction, a term first coined in the early 80s, has always been met with controversy. Some say the label of addiction is an excuse used by those who have lost their moral compass or refuse to accept responsibility for their sexual choices. Others claim the label is used to pass moral judgement on those whose sex lives or internet viewing habits do not fit societally prescribed norms. The acceptance by WHO of CSBD (Compulsive Sexual Behaviour Disorder) into ICD11 was heralded as a moral victory by the sex addiction naysayers who claimed WHO's position 'proved' it wasn't an addiction; conversely sex addiction professionals claimed victory saying that finally this was a step in the right direction. This paper will explore the divide and provide insight on how using a pure medical model of addiction has contributed and fueled the debate. An alternative model for conceptualization from a biopsychosocial perspective will be provided to suggest ways of moving forward that could ease the controversies as well as opening new areas for research and most importantly, greater understanding and empathy for clients.
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Affiliation(s)
- Paula Hall
- Sexual & Relationship Psychotherapist UKCP Reg, Acc COSRT(Snr), MBACP Accred, The Laurel Centre, London, UK.
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5
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Firoozikhojastehfar R, Asgari K, Kalantari M, Raisi F, Shahvari Z, Bayat Kharadmand A. Family Duty in Negligent Society: A Qualitative Study on Iranian Sex Addicts. SEXUAL HEALTH & COMPULSIVITY 2021. [DOI: 10.1080/26929953.2022.2037033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bőthe B, Vaillancourt-Morel MP, Bergeron S. Hypersexuality in Mixed-Sex Couples: A Dyadic Longitudinal Study. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:2139-2150. [PMID: 34189627 DOI: 10.1007/s10508-021-01959-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 02/09/2021] [Accepted: 02/12/2021] [Indexed: 06/13/2023]
Abstract
Emotion dysregulation and intimacy problems are theoretically underpinned correlates of hypersexuality (i.e., uncontrollable sexual urges, fantasies, and behaviors resulting in distress and impairment in different areas of functioning), but the directionality of these associations has not been established, as work in this area has relied on cross-sectional designs. Moreover, although hypersexuality may have significant adverse effects on romantic relationships and approximately half of treatment-seeking individuals are in a relationship, prior studies almost exclusively involved samples of men, regardless of their relationship status. The aim of the present study was to examine the directionality of associations between both partners' emotion dysregulation, physical (i.e., partnered sexual frequency) and relationship intimacy, and hypersexuality using a longitudinal, dyadic framework. Self-reported data of 267 mixed-sex couples (Mage_men = 29.9 years, SD = 8.2; Mage_women = 27.7 years, SD = 6.7) at baseline (T1) and six-month follow-up (T2) were analyzed using a crossed-lagged model within an actor-partner interdependence framework. Prior greater emotion dysregulation (T1) in both men and women was associated with their own later greater hypersexuality (T2). Women's prior greater hypersexuality (T1) was associated with their later lower relationship intimacy (T2). Lower levels of intimacy were not significantly associated with later hypersexuality. No partner effects were found in relation to hypersexuality. Findings suggest that men and women may use sexual behaviors to cope with negative emotions, which could, in turn, lead to hypersexuality. Intimacy problems did not precede hypersexuality, although women's hypersexuality may reduce their own relationship intimacy over time.
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Affiliation(s)
- Beáta Bőthe
- Département de Psychologie, Université de Montréal, C.P. 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada.
| | | | - Sophie Bergeron
- Département de Psychologie, Université de Montréal, C.P. 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada
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Youseflu S, Kraus SW, Afrashteh MY, Niroomand S, Niroomand S. The psychometric properties of the Bergen-Yale sex addiction scale for the Iranian population. BMC Psychiatry 2021; 21:126. [PMID: 33663448 PMCID: PMC7934249 DOI: 10.1186/s12888-021-03135-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 02/23/2021] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND The assessment of sex addiction among different populations requires a valid and reliable tool. Since the Bergen-Yale Sex Addiction Scale (BYSAS) was not available in Iran, this study aimed to evaluate the validity and reliability of the Persian version of the BYSAS. METHODS After translation/back-translation procedure, a total of 756 Iranian men and women completed the BYSAS. The structural validity of this tool was evaluated by exploratory and confirmatory factor analyses. An expert panel review also examined content validity of the items. Psychometric properties of the scale including validity, reliability (internal consistency [Cronbach's alpha]) and test-retest) and factor structure were assessed. RESULTS Content Validity Index (CVI) and Content Validity Ratio (CVR) scores for the BYSAS were 0.75 and 0.62, respectively. In the measure's structural validity, the results of exploratory and confirmatory factor analysis supported the One-factor structure. Data analysis demonstrated satisfactory internal consistency (Cronbach's alpha ranging from 0.88 to 0.89). DISCUSSION Study findings suggest that the BYSAS is a valid and reliable instrument for assessing sex addiction among Persian speaking adults. Replication of research findings is needed to expand the BYSAS for clinical and non-clinical Iranian populations.
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Affiliation(s)
- Samaneh Youseflu
- grid.469309.10000 0004 0612 8427Department of Midwifery, School of Nursing & Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Shane W. Kraus
- grid.272362.00000 0001 0806 6926University of Nevada, Las Vegas, Nevada USA
| | - Majid Yousefi Afrashteh
- grid.412673.50000 0004 0382 4160Department of psychology, University of Zanjan, Zanjan, Iran
| | - Soudabeh Niroomand
- Department of Midwifery, School of Nursing & Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
| | - Soudabeh Niroomand
- Department of Midwifery, School of Nursing & Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
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Levi G, Cohen C, Kaliche S, Sharaabi S, Cohen K, Tzur-Bitan D, Weinstein A. Sexual addiction, compulsivity, and impulsivity among a predominantly female sample of adults who use the internet for sex. J Behav Addict 2020; 9:83-92. [PMID: 32359233 PMCID: PMC8935197 DOI: 10.1556/2006.2020.00007] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND AIMS Compulsive sexual behavior is characterized by extensive sexual behavior and unsuccessful efforts to control excessive sexual behavior. The aim of the studies was to investigate compulsivity, anxiety and depression and impulsivity and problematic online sexual activities among adult males and females who use the Internet for finding sexual partners and using online pornography. METHODS Study 1- 177 participants including 143 women M = 32.79 years (SD = 9.52), and 32 men M = 30.18 years (SD = 10.79). The Sexual Addiction Screening Test (SAST), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Spielberger Trait-State Anxiety Inventory (STAI-T STAI-S) and Beck Depression Inventory (BDI). Study 2- 139 participants including 98 women M = 24 years (SD = 5) and 41 men M = 25 years (SD = 4). The impulsivity questionnaire (BIS/BAS), Problematic online sexual activities (s-IAT-sex) and Sexual Addiction Screening Test (SAST). RESULTS Study 1- Multiple regression analysis has indicated that a model which included BDI, Y-BOCS, and STAI scores contributed to the variance of sexual addiction rates, and explained 33.3% of the variance. Study 2- Multiple regression analysis indicated that BIS/BAS and s-IAT scores contributed to the variance of sexual addiction rates, and explained 33% of the variance. DISCUSSION AND CONCLUSIONS Obsessive-compulsive symptoms contributed to sexual addiction among individuals who use the Internet for finding sexual partners. Impulsivity and problematic online sexual activity contributed to ratings of sex addiction. These studies support the argument that sex addiction lies on the impulsive-compulsive scale and could be classified as a behavioral addiction.
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Affiliation(s)
- Gal Levi
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Chen Cohen
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Sigal Kaliche
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Sagit Sharaabi
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Koby Cohen
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Dana Tzur-Bitan
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel
| | - Aviv Weinstein
- Department of Behavioral Science, Ariel University, Science Park, Ariel, 40700, Israel,Corresponding author. Department of Behavioral Science and Integrative Brain and Cognition Center, University of Ariel, Ariel, Israel. Tel.: 972-3-9076555; fax: 972-3-9066629. E-mail: ;
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9
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The contribution of ADHD and attachment difficulties to online pornography use among students. Compr Psychiatry 2019; 93:56-60. [PMID: 31349137 DOI: 10.1016/j.comppsych.2019.07.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 07/07/2019] [Accepted: 07/07/2019] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND There is a high rate of ADHD among individuals with compulsive sexual behavior disorder (CSBD). There is also evidence for an association between compulsive sexual behavior disorder, sensation seeking and attachment difficulties. Problematic pornography use may be considered as a subtype of CSBD hence it merits investigation. The aim of the current study was to investigate the relationships between ADHD, attachment style, sensation seeking and problematic use of pornography online in the general population. METHODS The sample was comprised of 85 participants [38 men (44.7%) and 47 women (55.3%)] with mean age 25. 66 (SD = 4.63) and 26.42 (SD = 6.94) years, respectively. There were 30 participants (35%) with ADHD and 55 participants (65%) without ADHD. They were recruited on-line via social network sites. They filled in a demographic questionnaire, Zukerman's Sensation Seeking Scale, Experience in Close Relationship (ECR) questionnaire that assessed anxious and avoidant attachment and the Cyber Pornography Use Inventory (CPUI). RESULTS Individuals with self-reported ADHD had higher scores of avoidant attachment on the ECR and CPUI compared with individuals without ADHD. Multivariate linear regression analysis has indicated that male gender, ADHD and anxious attachment on the ECR contributed significantly to the variance of cyber pornography use, and explained 34% of the variance. CONCLUSIONS The results indicate that males with ADHD and anxious attachment show an extensive use of pornography online. Males with ADHD who have difficulties in close relationship may use online pornography excessively that in turn may exacerbate their difficulty in forming secure attachment at adult life, a finding that has major clinical implications.
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Shimoni L, Dayan M, Cohen K, Weinstein A. The contribution of personality factors and gender to ratings of sex addiction among men and women who use the Internet for sex purpose. J Behav Addict 2018; 7:1015-1021. [PMID: 30378460 PMCID: PMC6376399 DOI: 10.1556/2006.7.2018.101] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND AIMS Sex addiction is characterized by excessive sexual activity on the Internet. We have investigated the contribution of the Big Five personality factors and sex differences to sex addiction. METHODS A total of 267 participants (186 males and 81 females) were recruited from Internet sites that are used for finding sexual partners. Participants' mean age was 31 years (SD = 9.8). They filled in the Sexual Addiction Screening Test (SAST), the Big Five Index, and a demographic questionnaire. RESULTS Men have shown higher scores of sex addiction than women (Cohen's d = 0.40), they were more open to experiences (Cohen's d = 0.42), and they were less neurotic than women (Cohen's d = 0.67). Personality factors contributed significantly to the variance of sex addiction [F(5, 261) = 6.91, p < .001, R2 = .11]. Openness to experience (β = 0.18) and neuroticism (β = 0.15) had positive correlations with SAST scores, whereas conscientiousness (β = -0.21) had a negative correlation with SAST scores, and personality traits explained 11.7% of the variance. A parallel moderation model of the effect of gender and personality traits on sex addiction explained 19.6% of the variance and it has indicated that conscientiousness had a negative correlation with SAST scores. Greater neuroticism was associated with higher scores of SAST in men but not in women. DISCUSSION AND CONCLUSIONS This study confirmed higher scores of sex addiction among males compared to females. Personality factors together with gender contributed to 19.6% of the variance of ratings of sex addiction. Among men, neuroticism was associated with greater propensity for sex addiction.
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Affiliation(s)
- Lee Shimoni
- Department of Behavioral Sciences and Integrative Brain and Cognition Center, Ariel University, Ariel, Israel
| | - Moria Dayan
- Department of Behavioral Sciences and Integrative Brain and Cognition Center, Ariel University, Ariel, Israel
| | - Koby Cohen
- Department of Behavioral Sciences and Integrative Brain and Cognition Center, Ariel University, Ariel, Israel
| | - Aviv Weinstein
- Department of Behavioral Sciences and Integrative Brain and Cognition Center, Ariel University, Ariel, Israel,Corresponding author: Aviv Weinstein; Department of Behavioral Sciences and Integrative Brain and Cognition Center, Ariel University, Science Park, Ariel 40700, Israel; Phone: +972 3 9076555; Fax: +972 3 9066629; E-mails: ;
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Brem MJ, Shorey RC, Anderson S, Stuart GL. Experiential Avoidance as a Mediator of the Relationship between Dispositional Mindfulness and Compulsive Sexual Behaviors among Men in Residential Substance Use Treatment. ACTA ACUST UNITED AC 2017; 24:257-269. [PMID: 30740011 DOI: 10.1080/10720162.2017.1365315] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The present study sought to extend compulsive sexual behavior (CSB) and mindfulness research by testing whether dispositional mindfulness negatively related to CSB among men with substance use disorders (SUD) through experiential avoidance. Dispositional mindfulness is believed to decrease experiential avoidance, a correlate of CSB. We therefore hypothesized that dispositional mindfulness would relate to CSB indirectly through experiential avoidance. We reviewed medical records from 175 men in residential treatment for SUD. Results revealed significant indirect effects of dispositional mindfulness on CSB through experiential avoidance. Results provided preliminary support for developing mindfulness-based CSB interventions that target experiential avoidance.
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Affiliation(s)
- Meagan J Brem
- University of Tennessee - Knoxville, Knoxville, Tennessee
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Brem MJ, Shorey RC, Anderson S, Stuart GL. Dispositional Mindfulness, Shame, and Compulsive Sexual Behaviors among Men in Residential Treatment for Substance Use Disorders. Mindfulness (N Y) 2017; 8:1552-1558. [PMID: 29333201 PMCID: PMC5764544 DOI: 10.1007/s12671-017-0723-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Approximately 31% of men in treatment for a substance use disorders (SUD) engage in compulsive sexual behavior (CSB). Shame, a well-documented consequence of CSB, increases the likelihood of relapse following treatment for SUDs. Despite the risk of relapse, prior research has not investigated factors that may attenuate the relation between CSB and shame. Dispositional mindfulness is one such factor known to mitigate shame. However, researchers have yet to examine dispositional mindfulness as a moderator of the relationship between CSB and shame among a sample of men in treatment for SUDs. In an effort to inform intervention efforts, the present study aimed to investigate the hypothesis that CSB would not relate to shame among men with high, as opposed to low, levels of dispositional mindfulness. The present study reviewed medical records of 184 men in residential treatment for SUDs who completed cross-sectional measures of shame, CSB, dispositional mindfulness, and substance use problems. Results demonstrated a significant interaction between CSB and dispositional mindfulness such that CSB positively related to shame at low, but not mean or high, levels of dispositional mindfulness. These results support and extend previous mindfulness and CSB treatment research. Findings suggested that intervention efforts for CSB may benefit from increasing dispositional mindfulness in an effort to reduce shame-related cognitions.
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Brem MJ, Shorey RC, Anderson S, Stuart GL. Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: The role of experiential avoidance. Clin Psychol Psychother 2017; 24:1246-1253. [DOI: 10.1002/cpp.2085] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Revised: 01/18/2017] [Accepted: 03/10/2017] [Indexed: 11/05/2022]
Affiliation(s)
- Meagan J. Brem
- Psychology; University of Tennessee; Knoxville Tennessee USA
| | | | - Scott Anderson
- Clinical Director; Cornerstone of Recovery; Louisville Tennessee USA
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Bargeron AH, Hormes JM. Psychosocial correlates of internet gaming disorder: Psychopathology, life satisfaction, and impulsivity. COMPUTERS IN HUMAN BEHAVIOR 2017. [DOI: 10.1016/j.chb.2016.11.029] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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15
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Blais-Lecours S, Vaillancourt-Morel MP, Sabourin S, Godbout N. Cyberpornography: Time Use, Perceived Addiction, Sexual Functioning, and Sexual Satisfaction. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2017; 19:649-655. [PMID: 27831753 DOI: 10.1089/cyber.2016.0364] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Using pornography through the Internet is now a common activity even if associated sexual outcomes, including sexual satisfaction, are highly variable. The present study tested a two-step sequential mediation model whereby cyberpornography time use is related to sexual satisfaction through the association with, in a first step, perceived addiction to cyberpornography (i.e., perceived compulsivity, effort to access, and distress toward pornography) and with, in a second step, sexual functioning problems (i.e., sexual dysfunction, compulsion, and avoidance). These differential associations were also examined across gender using model invariance across men and women. A sample of 832 adults from the community completed self-report online questionnaires. Results indicated that 51 percent of women and 90 percent of men reported viewing pornography through the Internet. Path analyses showed indirect complex associations in which cyberpornography time use is associated with sexual dissatisfaction through perceived addiction and sexual functioning problems. These patterns of associations held for both men and women.
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Affiliation(s)
| | | | | | - Natacha Godbout
- 2 Département de Sexologie, Université du Québec à Montréal , Montréal, Canada
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Garcia FD, Assumpção AA, Malloy-diniz L, De Freitas AAC, Delavenne H, Thibaut F. A Comprehensive Review of Psychotherapeutic Treatment of Sexual Addiction. ACTA ACUST UNITED AC 2016. [DOI: 10.1080/1556035x.2015.1066726] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Giordano AL, Prosek EA, Cecil AL, Brown J. Predictors of Hypersexual Behavior Among College Men and Women: Exploring Self-Conscious Emotions. JOURNAL OF ADDICTIONS & OFFENDER COUNSELING 2015. [DOI: 10.1002/jaoc.12007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Amanda L. Giordano
- Department of Counseling and Higher Education; University of North Texas; Denton
| | - Elizabeth A. Prosek
- Department of Counseling and Higher Education; University of North Texas; Denton
| | - Audrey L. Cecil
- Department of Counseling and Higher Education; University of North Texas; Denton
| | - Joshua Brown
- Department of Counseling and Higher Education; University of North Texas; Denton
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Garofalo C, Velotti P, Zavattini GC. Emotion dysregulation and hypersexuality: review and clinical implications. SEXUAL AND RELATIONSHIP THERAPY 2015. [DOI: 10.1080/14681994.2015.1062855] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Coyne SM, Dyer WJ, Densley R, Money NM, Day RD, Harper JM. Physiological indicators of pathologic video game use in adolescence. J Adolesc Health 2015; 56:307-13. [PMID: 25586229 DOI: 10.1016/j.jadohealth.2014.10.271] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Revised: 10/07/2014] [Accepted: 10/09/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE Pathologic video game use (PVGU) has been associated with a host of negative psychological, physical, and social outcomes during adolescence; however, little research has examined physiological predictors of such use. The purpose of the study was to examine physiological predictors of the development of PVGU across adolescence. METHODS The article involves a 1-year longitudinal study across midadolescence. Participants were 374 adolescents and their parents from a large metropolitan area in the Northwest United States. PVGU was assessed via questionnaire, as were a number of control variables. A number of physiological indicators including respiratory sinus arrhythmia (RSA) and galvanic skin conductance (indices of parasympathetic and sympathetic nervous system activity, respectively) were measured during baseline, a cognitively stimulating task (Rubik's cube), and a family problem-solving task. RESULTS Less RSA withdrawal to a cognitively simulating task was related to greater pathologic video game symptoms, but less RSA withdrawal to a family problem-solving task was associated with the presence of pathologic video game symptoms (p < .05). For girls only, galvanic skin conductance activation during the family problem solving was related to greater pathologic video game symptoms (p < .01). CONCLUSIONS These findings suggest that adolescents who do not find cognitive tasks stimulating physiologically have a greater severity of PVGU. Additionally, adolescents who show physiological signs of stress in a family task were more likely to have PVGU symptoms and only girls have more severe PVGU levels. This study is the first to show that physiological indicators predict PVGU over time in adolescence and has important implications regarding the prevention and treatment of PVGU in adolescence.
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Affiliation(s)
- Sarah M Coyne
- School of Family Life, Brigham Young University, Provo, Utah.
| | - W Justin Dyer
- School of Family Life, Brigham Young University, Provo, Utah
| | - Rebecca Densley
- School of Family Life, Brigham Young University, Provo, Utah
| | - Nathan M Money
- Arizona College of Osteopathic Medicine, Midwestern University, Phoenix, Arizona
| | - Randal D Day
- School of Family Life, Brigham Young University, Provo, Utah
| | - James M Harper
- School of Family Life, Brigham Young University, Provo, Utah
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Giordano AL, Cecil AL. Religious Coping, Spirituality, and Hypersexual Behavior Among College Students. ACTA ACUST UNITED AC 2014. [DOI: 10.1080/10720162.2014.936542] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Stewart H, Fedoroff JP. Assessment and Treatment of Sexual People with Complaints of Hypersexuality. CURRENT SEXUAL HEALTH REPORTS 2014. [DOI: 10.1007/s11930-014-0017-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Petrican R, Burris CT, Moscovitch M. Shame, sexual compulsivity, and eroticizing flirtatious others: an experimental study. JOURNAL OF SEX RESEARCH 2013; 52:98-109. [PMID: 24299241 DOI: 10.1080/00224499.2013.829796] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Clinical observation and correlational studies with nonclinical samples suggest that a linkage between negative affective states (especially shame) and engagement in erotic pursuits typifies sexual compulsivity. The present study tested whether experimental induction of shame leads to increased interest in erotically suggestive targets among more sexually compulsive individuals. A total of 74 age-traditional heterosexual university students first recalled either an emotionally neutral or a shame-inducing personal experience, then completed a nonpredictive gaze-cueing task featuring flirtatious or emotionally neutral faces of the same or opposite sex. They also rated the faces' attractiveness and completed a validated sexual compulsivity scale and two control measures (executive control, sociosexuality). Higher (versus lower) sexual compulsivity predicted weaker gaze-triggered attentional orienting in response to the flirtatious opposite-sex face in the shame (versus neutral) condition, and this was accounted for by (higher) attractiveness ratings of the flirtatious opposite-sex face. Shame thus appears to increase sexualization (i.e., reduces salience of agentic features and increases appeal of physical attributes) of erotically suggestive targets among more sexually compulsive individuals.
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Spenhoff M, Kruger TH, Hartmann U, Kobs J. Hypersexual Behavior in an Online Sample of Males: Associations with Personal Distress and Functional Impairment. J Sex Med 2013; 10:2996-3005. [DOI: 10.1111/jsm.12160] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Berry MD, Berry PD. Mentalization-based therapy for sexual addiction: foundations for a clinical model. SEXUAL AND RELATIONSHIP THERAPY 2013. [DOI: 10.1080/14681994.2013.856516] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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