Controversies and Clinical Recommendations for the Treatment of Compulsive Sexual Behavior Disorder

Griffin, Kaelyn R; Way, Bailey M.; Kraus, Shane W.

doi:10.1007/s40429-021-00393-5

Cited by 28 publications

(22 citation statements)

References 68 publications

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“…for PPU using rigorous methods (Griffin et al, 2021;Grubbs et al, 2020;Grubbs & Kraus, 2021). We examined the feasibility and initial efficacy of an online PPU intervention using a randomized controlled trial study design (Rounsaville et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…Despite PPU being prevalent, no previous study has examined the effectiveness of evidence-based, online interventions for PPU using rigorous methods ( Griffin et al, 2021 ; Grubbs et al, 2020 ; Grubbs & Kraus, 2021 ). We examined the feasibility and initial efficacy of an online PPU intervention using a randomized controlled trial study design ( Rounsaville et al, 2001 ).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the prevalence of PPU and related treatment-seeking ( Bőthe et al, 2021 ; Gola, Lewczuk, & Skorko, 2016 ; Kraus, Martino, & Potenza, 2016 ; Lewczuk, Szmyd, Skorko, & Gola, 2017 ), and proliferation of research in compulsive sexual behaviors and PPU in the past 25 years, there is still a virtual absence of rigorous, systematic, high-quality treatment-related research in PPU, resulting in the absence of effective treatment protocols for health care professionals and treatment-seeking individuals ( Griffin, Way, & Kraus, 2021 ; Grubbs et al, 2020 ). Thus, the objective of the present study was to evaluate the feasibility and report the preliminary effectiveness of a new online intervention reducing PPU, using a two-armed randomized controlled trial (RCT) study design ( Bőthe, Baumgartner, Schaub, Demetrovics, & Orosz, 2020 ; Rounsaville, Carroll, & Onken, 2001 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although these studies demonstrated the potential efficacy and usefulness of CBT and ACT-based methods in reducing PPU, they were still limited by their small, homogenous samples (e.g., only men, only US samples), probably due to the interventions’ offline nature (i.e., individual sessions with a therapist). Thus, rigorous, inclusive investigations are necessary to move the field forward ( Griffin et al, 2021 ; Grubbs et al, 2020 ; Klein, Savaş, & Conley, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, online interventions have already demonstrated their abilities to reduce other individual and social treatment barriers, given that they can be used any time privately the treatment-seeking individual feels the need for help, they are cost-effective or free, and easy-to-use ( Baumgartner et al, 2019 ; Haug et al, 2018 ; Herrero et al, 2019 ; Weisel et al, 2018 ). Despite recent calls for randomized controlled trials to examine the effectiveness of interventions for PPU ( Griffin et al, 2021 ; Grubbs et al, 2020 ) and the advantages of online interventions, compared to traditional interventions, no prior study examined the efficacy of online interventions for PPU.…”

Section: Introductionmentioning

confidence: 99%

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Hands-off: Feasibility and preliminary results of a two-armed randomized controlled trial of a web-based self-help tool to reduce problematic pornography use

Bőthe

Baumgartner

Schaub

et al. 2021

JBA

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Background and Aims Despite problematic pornography use (PPU) being prevalent, no previous study has examined the effectiveness of evidence-based interventions for PPU, using rigorous methods. Using a two-armed randomized controlled trial study design, we examined the feasibility and initial effectiveness of a six-week online PPU intervention. Methods We recruited 264 participants (3.8% women, M age = 33.2, SD = 10.6) who were randomized and assigned to either the self-help intervention (n = 123) or waitlist control condition (n = 141), and completed self-report questionnaires at baseline and after the end of the intervention (six-week follow-up). Multivariable linear regression models were generated and tested on a complete case basis to investigate possible treatment effects. Participants provided quantitative and qualitative feedback regarding the intervention’s content and appearance. Results Participants evaluated all modules positively in the intervention in general. There were differential dropout rates (89.4% in intervention vs. 44.7% in control group) with an overall follow-up rate of 34.5%. The intervention group reported significantly lower levels of PPU (P < 0.001, d = 1.32) at the six-week follow-up. Moreover, they reported lower pornography use frequency (P < 0.001, d = 1.65), self-perceived pornography addiction (P = 0.01, d = 0.85), pornography craving (P = 0.02, d = 0.40), and higher pornography avoidance self-efficacy (P = 0.001, d = 0.87) at the six-week follow-up. Discussion and Conclusions The present study was only a first step in rigorous treatment studies for PPU, but the findings are promising and suggest that online interventions for PPU might help reduce PPU in some cases, even without the guidance of therapists, by reducing treatment barriers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hands-off: Feasibility and preliminary results of a two-armed randomized controlled trial of a web-based self-help tool to reduce problematic pornography use

Bőthe

Baumgartner

Schaub

et al. 2021

JBA

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Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

et al. 2022

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Among the important changes in the ICD-11 is the addition of 21 new mental disorders. New categories are typically proposed to: a) improve the usefulness of morbidity statistics; b) facilitate recognition of a clinically important but poorly classified mental disorder in order to provide appropriate management; and c) stimulate research into more effective treatments. Given the major implications for the field and for World Health Organization (WHO) member states, it is important to examine the impact of these new categories during the early phase of the ICD-11 implementation. This paper focuses on four disorders: complex post-traumatic stress disorder, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder. These categories were selected because they have been the focus of considerable activity and/or controversy and because their inclusion in the ICD-11 represents a different decision than was made for the DSM-5. The lead authors invited experts on each of these disorders to provide insight into why it was considered important to add it to the ICD-11, implications for care of not having that diagnostic category, important controversies about adding the disorder, and a review of the evidence generated and other developments related to the category since the WHO signaled its intention to include it in the ICD-11. Each of the four diagnostic categories appears to describe a population with clinically important and distinctive features that had previously gone unrecognized as well as specific treatment needs that would otherwise likely go unmet. The introduction of these categories in the ICD-11 has been followed by a substantial expansion of research in each area, which has generally supported their validity and utility, and by a significant increase in the availability of appropriate services.

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Tolerability and efficacy of paroxetine and naltrexone for treatment of compulsive sexual behaviour disorder

et al. 2022

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Controversies and Clinical Recommendations for the Treatment of Compulsive Sexual Behavior Disorder

Cited by 28 publications

References 68 publications

Hands-off: Feasibility and preliminary results of a two-armed randomized controlled trial of a web-based self-help tool to reduce problematic pornography use

Hands-off: Feasibility and preliminary results of a two-armed randomized controlled trial of a web-based self-help tool to reduce problematic pornography use

Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

Tolerability and efficacy of paroxetine and naltrexone for treatment of compulsive sexual behaviour disorder

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