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Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review

BACKGROUND AND AIMS: Compulsive sexual behavior disorder (CSBD) which includes problematic pornography use (PPU) is a clinically relevant syndrome that has been included in the ICD-11 as impulse control disorder. The number of studies on treatments in CSBD and PPU increased in the last years. The cu...

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Autores principales: Antons, Stephanie, Engel, Jannis, Briken, Peer, Krüger, Tillmann H.C., Brand, Matthias, Stark, Rudolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Akadémiai Kiadó 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872540/
https://www.ncbi.nlm.nih.gov/pubmed/36083776
http://dx.doi.org/10.1556/2006.2022.00061
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author Antons, Stephanie
Engel, Jannis
Briken, Peer
Krüger, Tillmann H.C.
Brand, Matthias
Stark, Rudolf
author_facet Antons, Stephanie
Engel, Jannis
Briken, Peer
Krüger, Tillmann H.C.
Brand, Matthias
Stark, Rudolf
author_sort Antons, Stephanie
collection PubMed
description BACKGROUND AND AIMS: Compulsive sexual behavior disorder (CSBD) which includes problematic pornography use (PPU) is a clinically relevant syndrome that has been included in the ICD-11 as impulse control disorder. The number of studies on treatments in CSBD and PPU increased in the last years. The current preregistered systematic review aimed for identifying treatment studies on CSBD and PPU as well as treatment effects on symptom severity and behavior enactment. METHODS: The study was preregistered at Prospero International Prospective Register of Systematic Reviews (CRD42021252329). The literature search done in February 2022 at PubMed, Scopus, Web of Science, and PsycInfo, included original research published in peer-reviewed journals between 2000 to end 2021. The risk of bias was assessed with the CONSORT criteria. A quantitative synthesis based on effect sizes was done. RESULTS: Overall 24 studies were identified. Four of these studies were randomized controlled trials. Treatment approaches included settings with cognitive behavior therapy components, psychotherapy methods, and psychopharmacological therapy. Receiving treatment seems to improve symptoms of CSBD and PPU. Especially, evidence for the efficacy of cognitive behavior therapy is present. DISCUSSION AND CONCLUSIONS: There is first evidence for the effectiveness of treatment approaches such as cognitive behavior therapy. However, strong conclusions on the specificity of treatments should be drawn with caution. More rigorous and systematic methodological approaches are needed for future studies. Results may be informative for future research and the development of specific treatment programs for CSBD and PPU.
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spelling pubmed-98725402023-02-01 Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review Antons, Stephanie Engel, Jannis Briken, Peer Krüger, Tillmann H.C. Brand, Matthias Stark, Rudolf J Behav Addict Article BACKGROUND AND AIMS: Compulsive sexual behavior disorder (CSBD) which includes problematic pornography use (PPU) is a clinically relevant syndrome that has been included in the ICD-11 as impulse control disorder. The number of studies on treatments in CSBD and PPU increased in the last years. The current preregistered systematic review aimed for identifying treatment studies on CSBD and PPU as well as treatment effects on symptom severity and behavior enactment. METHODS: The study was preregistered at Prospero International Prospective Register of Systematic Reviews (CRD42021252329). The literature search done in February 2022 at PubMed, Scopus, Web of Science, and PsycInfo, included original research published in peer-reviewed journals between 2000 to end 2021. The risk of bias was assessed with the CONSORT criteria. A quantitative synthesis based on effect sizes was done. RESULTS: Overall 24 studies were identified. Four of these studies were randomized controlled trials. Treatment approaches included settings with cognitive behavior therapy components, psychotherapy methods, and psychopharmacological therapy. Receiving treatment seems to improve symptoms of CSBD and PPU. Especially, evidence for the efficacy of cognitive behavior therapy is present. DISCUSSION AND CONCLUSIONS: There is first evidence for the effectiveness of treatment approaches such as cognitive behavior therapy. However, strong conclusions on the specificity of treatments should be drawn with caution. More rigorous and systematic methodological approaches are needed for future studies. Results may be informative for future research and the development of specific treatment programs for CSBD and PPU. Akadémiai Kiadó 2022-09-09 2022-09 /pmc/articles/PMC9872540/ /pubmed/36083776 http://dx.doi.org/10.1556/2006.2022.00061 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/ Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.
spellingShingle Article
Antons, Stephanie
Engel, Jannis
Briken, Peer
Krüger, Tillmann H.C.
Brand, Matthias
Stark, Rudolf
Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title_full Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title_fullStr Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title_full_unstemmed Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title_short Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
title_sort treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: a preregistered systematic review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872540/
https://www.ncbi.nlm.nih.gov/pubmed/36083776
http://dx.doi.org/10.1556/2006.2022.00061
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