“…Even though self-reported feelings of addiction may not wholly map onto actual behavior patterns, there is evidence that they may be a clinical concern. Specifically, self-reported feelings of addiction are likely a source of meaningful clinical impairment, as prior works have linked them cross-sectionally with psychological distress (using the CPUI-9; Grubbs, Volk, Exline, & Pargament, 2015), religious and spiritual difficulties (using the Perceived Compulsivity subscale of the CPUI-9; Wilt, Cooper, Grubbs, Exline, & Pargament, 2016), relational difficulties (using a modified version of the Kalichman Sexual Compulsivity Scale focused on pornography; Leonhardt, Willoughby, & Young-Petersen, 2018), alcohol consumption (using a translation of the Cyber Pornography Use Inventory; Morelli, Bianchi, Baiocco, Pezzuti, & Chirumbolo, 2017), problematic gaming (using a Hungarian version of the CPUI-9; Bőthe, Tóth-Király, & Orosz, 2015), and sexual distress (using the Perceived Compulsivity subscale of the CPUI-9;Vaillancourt-Morel et al, 2017;Volk, Thomas, Sosin, Jacob, & Moen, 2016). Prior works have also shown that self-reported feelings of addiction to pornography predict both general psychological distress (using a latent variable estimation of the CPUI-9; Grubbs, Stauner, Exline, Pargament, & Lindberg, 2015) and religious and spiritual difficulties over time (using the CPUI-9 full score; Grubbs, Exline, Pargament, Volk, & Lindberg, 2017).…”