YBOP Comments: The study compared a treatment-seeking group of primarily compulsive porn users to the general population. Consistent with other studies this one reported that compulsive porn users:
- used porn at far higher levels than controls
- were more depressed about sex lives
- were less satisfied with their sex lives
- had greater fear of sexual relationships
- experienced greater sexual anxiety
- had lower sexual esteem
- had less sexual motivation
- had less sexual assertiveness
J Sex Med. 2019 Jun 13. pii: S1743-6095(19)31177-4. doi: 10.1016/j.jsxm.2019.05.006.
Kowalewska E1, Kraus SW2, Lew-Starowicz M3, Gustavsson K4, Gola M5.
Abstract
INTRODUCTION:
Human sexuality is a multidimensional phenomenon related to several factors, such as self-esteem, awareness of sexual needs, and ability to communicate them to others.
AIM:
To examine the sexual characteristics of patients seeking treatment for compulsive sexual behavior disorder (CSBD)-a clinical diagnosis recently included in the 11th edition of the International Classification of Diseases classification.
METHODS:
We have investigated the sexual characteristics of 72 Polish men seeking treatment for CSBD compared with 208 men from the Polish general population.
MAIN OUTCOME MEASURES:
The Multidimensional Sexual Questionnaire-PL was used to examine 12 sexual aspects of human sexuality. The severity of CSBD symptoms was assessed using Sexual Addiction Screening Test-PL, and the severity of problematic pornography use was measured by Brief Pornography Screener.
RESULTS:
Results show that CSBD patients (when compared with the general population) exhibit higher sexual anxiety, sexual depression, external sexual control, and fear of sexual relationship. Furthermore, CSBD severity is negatively related to sexual esteem, internal sexual control, sexual consciousness, sexual assertiveness, and sexual satisfaction.
CLINICAL IMPLICATIONS:
Our findings suggest that the impairment of the above mentioned dimensions warrant attention during clinical work and future studies on CSBD.
STRENGTHS & LIMITATIONS:
This study was limited to men, most of whom self-identified as heterosexual. Future research should include women and non-heterosexual identified individuals.
CONCLUSION:
Sexual esteem, consciousness, assertiveness, satisfaction and internal sexual control are commonly affected among CSBD individuals and should be properly addressed during the clinical interview and treatment intervention.
KEYWORDS: Compulsive Sexual Behavior Disorder; Human Sexuality; Multidimensional Sexuality Questionnaire; Psychological Tendencies; Sexual Satisfaction
PMID: 31204265
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