Reducing problematic pornography use with imaginal retraining–A randomized controlled trial
  • Metaadatok
Tartalom: https://real.mtak.hu/209990/
Archívum: REAL
Gyűjtemény: Status = Published
Subject = R Medicine / orvostudomány: RC Internal medicine / belgyógyászat: RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry / idegkórtan, neurológia, pszichiátria
Subject = B Philosophy. Psychology. Religion / filozófia, pszichológia, vallás: BF Psychology / lélektan: BF03 Sex psychology / szexuálpszichológia
Type = Article
Cím:
Reducing problematic pornography use with imaginal retraining–A randomized controlled trial
Létrehozó:
Baumeister, Anna
Gehlenborg, Josefine
Schuurmans, Lea
Moritz, Steffen
Briken, Peer
Kiadó:
Akadémiai Kiadó
Dátum:
2024
Téma:
BF03 Sex psychology / szexuálpszichológia
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry / idegkórtan, neurológia, pszichiátria
Tartalmi leírás:
Background and aim Problematic pornography use (PPU) can be a manifestation of compulsive sexual behavior disorder (CSBD). Studies investigating PPU confirm approach-avoidance tendencies in response to pornographic stimuli in this population. This study show indications of the significance of the efficacy of imaginal retraining, a variant of approach bias modification, as an intervention for PPU. Methods A total of 274 participants (86.5% male; mean age = 30.65, SD = 10.13) with self-reported PPU were randomized to imaginal retraining (instruction video) or a waitlist control group. Assessments were conducted online at baseline and after the six-week intervention period. The primary outcome was a reduction in problematic pornography use. Compulsive sexual behavior, sexual desire, depressiveness, and satisfaction with the intervention served as secondary outcomes. Results Retention was low (51.7%), but comparable between groups. The retraining was performed at least once a week (the per-protocol [PP] criterion) by 51.4% of participants. The PP analyses of 111 participants showed a significant reduction in problematic pornography use (primary outcome) in the intervention compared to the control group. The intention-to-treat analyses (ITT), however, did not corroborate this result. Despite low adherence, participants rated their satisfaction with the intervention positively. Discussion and Conclusion Imaginal retraining can function as a low-threshold self-help intervention for PPU to overcome help-seeking barriers and may reduce PPU in a subgroup of users. Low adherence limits the results of this trial. Given the need for low-threshold interventions for PPU and/or CSBD, further research should focus on increasing adherence and should evaluate retraining for clinical groups. Modifications to augment efficacy are suggested.
Nyelv:
angol
Típus:
Article
PeerReviewed
info:eu-repo/semantics/article
Formátum:
text
Azonosító:
Baumeister, Anna and Gehlenborg, Josefine and Schuurmans, Lea and Moritz, Steffen and Briken, Peer (2024) Reducing problematic pornography use with imaginal retraining–A randomized controlled trial. JOURNAL OF BEHAVIORAL ADDICTIONS, 13 (2). pp. 622-634. ISSN 2062-5871 (print); 2063-5303 (online)
Kapcsolat:
doi:10.1556/2006.2024.00018
Létrehozó:
cc_by_nc