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Paroxetine Treatment of Problematic Pornography Use: A Case Series

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Author(s): Mateusz Gola ¹ ^, ² ^, ^* ^, , Marc N. Potenza ³ ^, ⁴ ^, ⁵

Publication date (Electronic, epub): 20 July 2016

Journal: Journal of Behavioral Addictions

Publisher: Akadémiai Kiadó

Keywords: problematic pornography use, case series, pharmacotherapy, paroxetine

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Abstract

Background

How best to conceptualize problematic pornography use (PPU) and intervene most effectively remain debated, with obsessive–compulsive disorder (OCD) and addiction frameworks. We investigated the efficacy of the serotonin-reuptake inhibitor paroxetine in combination with cognitive-behavioral therapy in the treatment of problematic pornography use (PPU).

Case presentation

Three heterosexual males with PPU were treated with cognitive-behavioral therapy and paroxetine. Frequency of pornography use, other sexual behaviors, and anxiety were assessed during treatment.

Discussion

Paroxetine treatment, although seemingly initially effective in reducing pornography use and anxiety, appeared related to new compulsive sexual behaviors after 3 months.

Conclusions

Paroxetine may hold promise for short-term reduction of PPU and related anxiety, but new potentially distressing sexual behaviors may emerge. The cases suggest that PPU may arise from multiple domains. We propose an explanation of the effects based on recent neuroscientific research on sexual behaviors and alcohol use.

Related collections

Most cited references 24

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Gender differences in pornography consumption among young heterosexual Danish adults.

Gert Hald (2006)

The aims of the study were (1) to investigate gender differences in pornography consumption among Danish adults aged 18-30 and (2) to examine gender differences in situational, interpersonal, and behavioral characteristics of pornography consumption. A national survey study was conducted using a representative sample of 688 young heterosexual Danish adult men and women. The study found large gender differences in prevalence rates of pornography consumption and consumption patterns. Compared to women, men were exposed to pornography at a younger age, consumed more pornography as measured by time and frequency, and used pornography more often during sexual activity on their own. Gender differences in the interpersonal context of use were also evident, with women using pornography more often with a regular sexual partner than men. In turn, men were found to use pornography more often on their own or with friends (non-sexual partners) than women. For both men and women, the usual place of use was home and no significant gender difference was found in this regard. Men and women were found to vary in their preferences in pornographic materials, with men both preferring a wider range of hardcore pornography and less softcore pornography than women. Gender differences in sexual behavioral factors were limited to masturbation patterns with men masturbating more than women. Male gender, higher frequency of masturbation, lower age at first exposure, and younger age were found to account for 48.8% of the total variance of pornography consumption. The results were discussed in relation to the sociocultural environment and evolutionary theory. It is argued that gender differences in social acceptability, adherence to gender stereotypes, traditions of gender sexuality, gender norms, and mating strategies are key factors in understanding gender differences in pornography consumption.

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Should compulsive sexual behavior be considered an addiction?

Shane W Kraus, Valerie Voon, Marc Potenza (2016)

To review the evidence base for classifying compulsive sexual behavior (CSB) as a non-substance or 'behavioral' addiction.

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What Matters: Quantity or Quality of Pornography Use? Psychological and Behavioral Factors of Seeking Treatment for Problematic Pornography Use.

Mateusz Gola, Karol Lewczuk, Maciej Skorko (2016)

Pornography has become popular with Internet technology. For most people, pornography use (PU) is entertainment; for some, it can result in seeking treatment for out-of-control behavior. Previous studies have suggested that PU can influence sexual behaviors, but the direct relation between frequency of PU and treatment-seeking behaviors has not been examined.

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Author and article information

Journal

Journal ID (pmc): jba

Journal ID (publisher-id): 2006

Title: Journal of Behavioral Addictions

Abbreviated Title: J Behav Addict

Publisher: Akadémiai Kiadó (Budapest )

ISSN (Print): 2062-5871

ISSN (Electronic): 2063-5303

Publication date (Electronic, epub): 20 July 2016

Publication date (Print, ppub): September 2016

Volume: 5

Issue: 3

Pages: 529-532

Affiliations

[ ¹ ]Swartz Center for Computational Neuroscience, Institute for Neural Computations, University of California San Diego , San Diego, CA, USA

[ ² ]Institute of Psychology, Polish Academy of Sciences , Warsaw, Poland

[ ³ ]Department of Psychiatry, Child Study Center and CASAColumbia, Yale School of Medicine , New Haven, CT, USA

[ ⁴ ]Department of Neurobiology, Child Study Center and CASAColumbia, Yale School of Medicine , New Haven, CT, USA

[ ⁵ ] Connecticut Mental Health Center , New Haven, CT, USA

Author notes

[* ]Corresponding author: Mateusz Gola, PhD; Swartz Center for Computational Neuroscience, Institute for Neural Computations, University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093-0559, USA; Phone: +1 858 500 2554; E-mail: mgola@ 123456ucsd.edu

Article

DOI: 10.1556/2006.5.2016.046

PMC ID: 5264421

PubMed ID: 27440474

SO-VID: d2d08675-0af8-49f6-8715-351101695fca

Copyright © © 2016 The Author(s)

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited.

History

Date received : 15 February 2016

Date revision received : 11 May 2016

Date accepted : 15 May 2016

Page count

Figures: 1, Tables: 1, Equations: 0, References: 22, Pages: 4

Funding

Funding sources: This case report was supported by the Polish National Science Centre, OPUS grant, number 2014/15/B/HS6/03792 (M. Gola). M. Gola was also supported by Polish Ministry of Science scholarships (1057/MOB/2013/0 and 469/STYP/10/2015) and scholarship from Start of Foundation for Polish Science. M. N. Potenza was supported by CASAColumbia and the National Center for Responsible Gaming. The views presented in the article do not necessarily reflect those of the funding agencies and rather reflect those of the authors.

Categories

Subject: Case Report

ScienceOpen disciplines: Medicine,Psychology,Social & Behavioral Sciences,Clinical Psychology & Psychiatry

Keywords: case series,paroxetine,pharmacotherapy,problematic pornography use

Data availability:

ScienceOpen disciplines: Medicine, Psychology, Social & Behavioral Sciences, Clinical Psychology & Psychiatry

Keywords: case series, paroxetine, pharmacotherapy, problematic pornography use

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