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      Sexual Desire, Mood, Attachment Style, Impulsivity, and Self-Esteem as Predictive Factors for Addictive Cybersex

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          Abstract

          Background

          An increasing number of studies are concerned with various aspects of cybersex addiction, the difficulty some persons have in limiting cybersex use despite a negative impact on everyday life.

          Objective

          The aim of this study was to assess potential links between the outcome variable cybersex addiction, assessed with the Compulsive Internet Use Scale (CIUS) adapted for cybersex use, and several psychological and psychopathological factors, including sexual desire, mood, attachment style, impulsivity, and self-esteem, by taking into account the age, sex, and sexual orientation of cybersex users.

          Methods

          A Web-based survey was conducted in which participants were assessed for sociodemographic variables and with the following instruments: CIUS adapted for cybersex use, Sexual Desire Inventory, and Short Depression-Happiness Scale. Moreover, attachment style was assessed with the Experiences in Close Relationships-Revised questionnaire (Anxiety and Avoidance subscales). Impulsivity was measured by using the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, Positive Urgency Impulsive Behavior Scale. Global self-esteem was assessed with the 1-item Self-Esteem Scale.

          Results

          A sample of 145 subjects completed the study. Addictive cybersex use was associated with higher levels of sexual desire, depressive mood, avoidant attachment style, and male gender but not with impulsivity.

          Conclusions

          Addictive cybersex use is a function of sexual desire, depressive mood, and avoidant attachment.

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          Most cited references83

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          The Compulsive Internet Use Scale (CIUS): some psychometric properties.

          The present study aimed to develop a short, easily administered, psychometrically sound, and valid instrument to assess the severity of compulsive Internet use. A set of criteria was determined based on the addiction literature. Next, the internal consistency and convergent validity were determined, and the set was tested as a one-factor solution in two representative samples of heavy Internet users (n = 447 and n = 229) and in one large convenience sample of regular Internet users (n = 16,925). In these three studies, respondents were asked about their online behavior and about problems related to Internet use. In the first study, the Online Cognition Scale (OCS) was included to determine concurrent validity. The newly developed Compulsive Internet Use Scale (CIUS) contains 14 items ratable on a 5-point Likert scale. The instrument showed good factorial stability across time and across different samples and subsamples. The internal consistency is high, and high correlations with concurrent and criterion variables demonstrate good validity.
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            Sex and gender differences in substance use disorders

            The gender gap in substance use disorders (SUDs), characterized by greater prevalence in men, is narrowing, highlighting the importance of understanding sex and gender differences in SUD etiology and maintenance. In this critical review, we provide an overview of sex/gender differences in the biology, epidemiology and treatment of SUDs. Biological sex differences are evident across an array of systems, including brain structure and function, endocrine function, and metabolic function. Gender (i.e., environmentally and socioculturally defined roles for men and women) also contributes to the initiation and course of substance use and SUDs. Adverse medical, psychiatric, and functional consequences associated with SUDs are often more severe in women. However, men and women do not substantively differ with respect to SUD treatment outcomes. Although several trends are beginning to emerge in the literature, findings on sex and gender differences in SUDs are complicated by the interacting contributions of biological and environmental factors. Future research is needed to further elucidate sex and gender differences, especially focusing on hormonal factors in SUD course and treatment outcomes; research translating findings between animal and human models; and gender differences in understudied populations, such as those with co-occurring psychiatric disorders and gender-specific populations, such as pregnant women.
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              Internet gaming disorder and the DSM-5.

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                Author and article information

                Contributors
                Journal
                JMIR Ment Health
                JMIR Ment Health
                JMH
                JMIR Mental Health
                JMIR Publications (Toronto, Canada )
                2368-7959
                January 2019
                21 January 2019
                : 6
                : 1
                : e9978
                Affiliations
                [1 ] Geneva University Hospitals Geneve Switzerland
                Author notes
                Corresponding Author: Yasser Khazaal yasser.khazaal@ 123456hcuge.ch
                Author information
                http://orcid.org/0000-0003-4824-5317
                http://orcid.org/0000-0003-3891-277X
                http://orcid.org/0000-0001-8519-2870
                http://orcid.org/0000-0001-7586-1292
                http://orcid.org/0000-0002-2692-3845
                http://orcid.org/0000-0002-8549-6599
                Article
                v6i1e9978
                10.2196/mental.9978
                6360388
                30664470
                2e16afd6-0249-4f6f-8d2c-d75f86ec451e
                ©Nektaria Varfi, Stephane Rothen, Katarzyna Jasiowka, Thibault Lepers, Francesco Bianchi-Demicheli, Yasser Khazaal. Originally published in JMIR Mental Health (http://mental.jmir.org), 21.01.2019.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on http://mental.jmir.org/.as well as this copyright and license information must be included.

                History
                : 1 February 2018
                : 28 July 2018
                : 1 November 2018
                : 12 December 2018
                Categories
                Original Paper
                Original Paper

                sex,internet,addictive behavior,impulsivity
                sex, internet, addictive behavior, impulsivity

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