Stress Susceptibility, Affective Responses toward Acute Stressors and Emotion Regulation Strategies in the Context of Problematic Pornography Use

Abstract The problematic use of pornography (PPU) is one phenotype of compulsive sexual behavior disorder. Stress has been identified as central factor involved in dysregulated behaviors, acting both as cause and consequence. Overall, 99 heterosexual males participated in an experimental study. Experience of early childhood trauma, chronic stress, acute responses toward a stressor, emotion regulation strategies, and coping were associated with symptoms of PPU. Alterations within neural stress circuits due to childhood trauma and chronic stress may interact with neural circuits of reward and executive control. Coping with acute, chronic and past stressors should be an essential component in treatment approaches.

[1]  M. Brand,et al.  Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review , 2022, Journal of behavioral addictions.

[2]  Z. Demetrovics,et al.  Contradicting classification, nomenclature, and diagnostic criteria of Compulsive Sexual Behavior Disorder (CSBD) and future directions • , 2022, Journal of behavioral addictions.

[3]  C. Montag,et al.  Where to put Compulsive Sexual Behavior Disorder (CSBD)? Phenomenology matters • , 2022, Journal of behavioral addictions.

[4]  J. Helgeland,et al.  Analysis of Thromboembolic and Thrombocytopenic Events After the AZD1222, BNT162b2, and MRNA-1273 COVID-19 Vaccines in 3 Nordic Countries , 2022, JAMA network open.

[5]  R. Stark,et al.  Individual cortisol response to acute stress influences neural processing of sexual cues , 2022, Journal of behavioral addictions.

[6]  M. Brand Can internet use become addictive? , 2022, Science.

[7]  C. Ramos,et al.  Predictors of Pornography Use: Difficulties in Emotion Regulation and Loneliness. , 2022, The journal of sexual medicine.

[8]  Mija Shin,et al.  The Effect of Stress on Compulsive Sexual Behavior Disorder: Active Coping Strategy and Self-Control as Mediators , 2021, Psychiatry investigation.

[9]  E. Rothman Problematic Pornography Use , 2021, Pornography and Public Health.

[10]  M. Brand,et al.  Diagnostic and Classification Considerations Related to Compulsive Sexual Behavior Disorder and Problematic Pornography Use , 2021, Current Addiction Reports.

[11]  Lile Jia,et al.  Don’t miss the forest for the trees: New recommendations for exploiting guilt and shame in self‐control conflicts , 2021, Social and Personality Psychology Compass.

[12]  Joshua B. Grubbs,et al.  What should be included in the criteria for compulsive sexual behavior disorder? , 2020, Journal of behavioral addictions.

[13]  R. Rossi,et al.  Hypersexuality and Trauma: a mediation and moderation model from psychopathology to problematic sexual behavior. , 2020, Journal of affective disorders.

[14]  Scott R Braithwaite,et al.  What Motives Drive Pornography Use? , 2020 .

[15]  G. Orosz,et al.  Why do people watch pornography? The motivational basis of pornography use. , 2020, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[16]  P. Briken An integrated model to assess and treat compulsive sexual behaviour disorder , 2020, Nature Reviews Urology.

[17]  S. Antons,et al.  Inhibitory control and problematic Internet-pornography use – The important balancing role of the insula , 2020, Journal of behavioral addictions.

[18]  Shane W. Kraus,et al.  Child Sexual Abuse and Compulsive Sexual Behavior: A Systematic Literature Review , 2020, Current Addiction Reports.

[19]  Joshua B. Grubbs,et al.  Evaluating Pornography Problems Due to Moral Incongruence Model. , 2019, The journal of sexual medicine.

[20]  G. Gmel,et al.  Cybersex use and problematic cybersex use among young Swiss men: Associations with sociodemographic, sexual, and psychological factors , 2019, Journal of behavioral addictions.

[21]  M. Brand,et al.  Interaction of craving and functional coping styles in heterosexual males with varying degrees of unregulated Internet-pornography use , 2019, Personality and Individual Differences.

[22]  Y. Khazaal,et al.  Contribution of sexual desire and motives to the compulsive use of cybersex , 2019, Journal of behavioral addictions.

[23]  T. Robbins,et al.  The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: Update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors , 2019, Neuroscience & Biobehavioral Reviews.

[24]  M. Gelkopf,et al.  Motives and Risk Factors of Problematic Engagement in Online Sexual Activities , 2019, Sexual Addiction & Compulsivity.

[25]  R. Stark,et al.  Prevalence and Determinants of Problematic Online Pornography Use in a Sample of German Women. , 2019, The journal of sexual medicine.

[26]  M. Gola,et al.  The Effect of Early Life Trauma on Compulsive Sexual Behavior among Members of a 12-Step Group. , 2019, The journal of sexual medicine.

[27]  Silke M. Mueller,et al.  Facets of impulsivity and related aspects differentiate among recreational and unregulated use of Internet pornography , 2019, Journal of behavioral addictions.

[28]  I. Heitland,et al.  Same Same but Different: A Clinical Characterization of Men with Hypersexual Disorder in the Sex@Brain Study , 2019, Journal of clinical medicine.

[29]  Joshua B. Grubbs,et al.  Self-reported addiction to pornography in a nationally representative sample: The roles of use habits, religiousness, and moral incongruence , 2019, Journal of behavioral addictions.

[30]  M. Draps,et al.  Ventral Striatal Reactivity in Compulsive Sexual Behaviors , 2018, Front. Psychiatry.

[31]  C. Giménez-García,et al.  Motives to Engage in Online Sexual Activities and Their Links to Excessive and Problematic Use: a Systematic Review , 2018, Current Addiction Reports.

[32]  R. Stark,et al.  A Current Understanding of the Behavioral Neuroscience of Compulsive Sexual Behavior Disorder and Problematic Pornography Use , 2018, Current Behavioral Neuroscience Reports.

[33]  Ryon C Mcdermott,et al.  Is scrupulosity behind the relationship between problematic pornography viewing and depression, anxiety, and stress? , 2018, Sexual Addiction & Compulsivity.

[34]  R. Stark,et al.  Tendencies toward Internet-pornography-use disorder: Differences in men and women regarding attentional biases to pornographic stimuli , 2018, Journal of behavioral addictions.

[35]  A. Moustafa,et al.  The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: An integrative review , 2018, Current Psychology.

[36]  Y. Khazaal,et al.  Factor structure of the Cybersex Motives Questionnaire , 2018, Journal of behavioral addictions.

[37]  Sally Melissa Gainsbury,et al.  Technology-Mediated Addictive Behaviors Constitute a Spectrum of Related Yet Distinct Conditions: A Network Perspective , 2018, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[38]  Ewelina Kowalewska,et al.  “Pornographic binges” as a key characteristic of males seeking treatment for compulsive sexual behaviors: Qualitative and quantitative 10-week-long diary assessment , 2018, Journal of behavioral addictions.

[39]  M. Brand,et al.  Trait and state impulsivity in males with tendency towards Internet-pornography-use disorder. , 2018, Addictive behaviors.

[40]  B. Collins,et al.  Predictors of Urge to Smoke Under Stressful Conditions: An Experimental Investigation Utilizing the PASAT-C Task to Induce Negative Affect in Smokers , 2017, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[41]  N. Singewald,et al.  Individual differences in stress susceptibility and stress inhibitory mechanisms , 2017, Current Opinion in Behavioral Sciences.

[42]  M. Brand,et al.  Mood changes after watching pornography on the Internet are linked to tendencies towards Internet-pornography-viewing disorder , 2016, Addictive behaviors reports.

[43]  M. Brand,et al.  Neuroscience and Biobehavioral Reviews Integrating Psychological and Neurobiological Considerations regarding the Development and Maintenance of Specific Internet-use Disorders: an Interaction of Person-affect-cognition-execution (i-pace) Model , 2022 .

[44]  N. Volkow,et al.  Neurobiology of addiction: a neurocircuitry analysis. , 2016, The lancet. Psychiatry.

[45]  M. Brand,et al.  Subjective Craving for Pornography and Associative Learning Predict Tendencies Towards Cybersex Addiction in a Sample of Regular Cybersex Users , 2016 .

[46]  Joël Billieux,et al.  The Short French Internet Addiction Test Adapted to Online Sexual Activities: Validation and Links With Online Sexual Preferences and Addiction Symptoms , 2016, Journal of sex research.

[47]  Matthias Brand,et al.  Ventral striatum activity when watching preferred pornographic pictures is correlated with symptoms of Internet pornography addiction , 2016, NeuroImage.

[48]  Katrin Starcke,et al.  Effects of Acute Laboratory Stress on Executive Functions , 2016, Front. Psychol..

[49]  T. Robbins,et al.  Drug Addiction: Updating Actions to Habits to Compulsions Ten Years On. , 2016, Annual review of psychology.

[50]  Matthias Brand,et al.  Sexual Excitability and Dysfunctional Coping Determine Cybersex Addiction in Homosexual Males , 2015, Cyberpsychology Behav. Soc. Netw..

[51]  R. Hunter,et al.  Neuroepigenetics of stress , 2014, Neuroscience.

[52]  Matthias Brand,et al.  Cybersex Addiction in Heterosexual Female Users of Internet Pornography Can Be Explained by Gratification Hypothesis , 2014, Cyberpsychology Behav. Soc. Netw..

[53]  Ariana E. Anderson,et al.  Mindfulness, emotional dysregulation, impulsivity, and stress proneness among hypersexual patients. , 2014, Journal of clinical psychology.

[54]  G. Koob,et al.  Addiction as a stress surfeit disorder , 2014, Neuropharmacology.

[55]  M. Brand,et al.  Cybersex addiction: Experienced sexual arousal when watching pornography and not real-life sexual contacts makes the difference. , 2013, Journal of behavioral addictions.

[56]  J. Parsons,et al.  Exploring the role of child sexual abuse and posttraumatic stress disorder symptoms in gay and bisexual men reporting compulsive sexual behavior. , 2012, Child abuse & neglect.

[57]  Christin Polzer,et al.  Does stress alter everyday moral decision-making? , 2011, Psychoneuroendocrinology.

[58]  L. Schwabe,et al.  Stress, habits, and drug addiction: a psychoneuroendocrinological perspective. , 2011, Experimental and clinical psychopharmacology.

[59]  C. Spitzer1,et al.  Die deutsche Version des Childhood Trauma Questionnaire (CTQ): Erste Befunde zu den psychometrischen Kennwerten , 2010 .

[60]  Rajita Sinha,et al.  Modeling stress and drug craving in the laboratory: implications for addiction treatment development , 2009, Addiction biology.

[61]  Bryant Paul,et al.  Gender, Sexual Affect, and Motivations for Internet Pornography Use , 2008 .

[62]  Matthew S Stanford,et al.  The physiological experience of the Paced Auditory Serial Addition Task (PASAT): does the PASAT induce autonomic arousal? , 2004, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[63]  O. John,et al.  Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. , 2003, Journal of personality and social psychology.

[64]  G. Logan On the ability to inhibit thought and action , 1984 .

[65]  Stéphane Sabourin,et al.  Profiles of Cyberpornography Use and Sexual Well-Being in Adults. , 2017, The journal of sexual medicine.

[66]  G. Logan,et al.  Latencies Fictitious Inhibitory Differences : How Skewness and Slowing Distort the Estimation of Stopping , 2013 .

[67]  C. Spitzer,et al.  [The German version of the Childhood Trauma Questionnaire (CTQ): preliminary psychometric properties]. , 2010, Psychotherapie, Psychosomatik, medizinische Psychologie.

[68]  P. Stanković,et al.  [Phoniatricians aspect of international statistical classification of diseases and related health problems]. , 2009, Acta chirurgica Iugoslavica.

[69]  Richard A. Brown,et al.  A modified computer version of the Paced Auditory Serial Addition Task (PASAT) as a laboratory-based stressor. , 2003 .

[70]  Peter Schulz,et al.  Trierer Inventar zur Erfassung von chronischem Streß (TICS): Skalenkonstruktion, teststatistische Überprüfung und Validierung der Skala Arbeitsüberlastung , 1999 .

[71]  C. Spielberger,et al.  Measuring anxiety and anger with the State-Trait Anxiety Inventory (STAI) and the State-Trait Anger Expression Inventory (STAXI). , 1999 .

[72]  C. Carver You want to measure coping but your protocol’ too long: Consider the brief cope , 1997, International journal of behavioral medicine.