Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
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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.
in: J BEHAV ADDICT, Jahrgang 11, Nr. 3, 26.09.2022, S. 643-666.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review
AU - Antons, Stephanie
AU - Engel, Jannis
AU - Briken, Peer
AU - Krüger, Tillmann H. C.
AU - Brand , Matthias
AU - Stark, Rudolf
PY - 2022/9/26
Y1 - 2022/9/26
N2 - Background and aimsCompulsive 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.MethodsThe 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.ResultsOverall 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 conclusionsThere 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.
AB - Background and aimsCompulsive 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.MethodsThe 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.ResultsOverall 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 conclusionsThere 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.
U2 - 10.1556/2006.2022.00061
DO - 10.1556/2006.2022.00061
M3 - SCORING: Review article
C2 - 36083776
VL - 11
SP - 643
EP - 666
JO - J BEHAV ADDICT
JF - J BEHAV ADDICT
SN - 2062-5871
IS - 3
ER -