Masked liking of pornography: implicit associations in men with compulsive sexual behavior.

IF 2.6 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine Pub Date : 2025-01-15 eCollection Date: 2024-12-01 DOI:10.1093/sexmed/qfae083

Jannis Engel, Antonia Waechter, Maria Veit, Jonas Kneer, Christopher Sinke, Matthias Brand, Tillmann H C Krueger

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引用次数: 0

Abstract

Background: Compulsive Sexual Behavior Disorder is a new category in the 11th version of the International Classification of Diseases and is showing neuropsychological similarities to substance dependencies and behavioral addictions.

Aims: This experimental study aims to further our knowledge on implicit associations in Compulsive Sexual Behavior (CSB) with a clinical sample.

Methods: Participants completed an Implicit Association Test modified with pornographic pictures. In addition, problematic sexual behavior and sensitivity toward sexual excitation were assessed.

Outcomes: We collected data on implicit associations from 47 heterosexual men with CSB (age, M = 36.51, SD = 11.47) and a control group of 38 men without the condition (age: M = 37.92, SD = 12.33).

Results: Results show significantly more positive relationships between implicit associations of pornographic pictures with positive emotions, as well as with problematic sexual behavior and sensitivity toward sexual excitation, in men with CSB vs. men without CSB. Furthermore, implicit associations, sexual excitation, and sexual inhibition due to threat of performance consequences differentiated significantly between groups using a binary stepwise logistic regression analysis. The findings are in line with those of previous subclinical investigations and support the assumption of pronounced positive implicit associations in CSB. Moreover, as suggested by the I-PACE model of addictive behaviors, implicit associations may be crucial to the maintenance of behavioral addictions.

Clinical implications: Implicit associations could be addressed in therapy to illustrate cognitive processes of those affected and as an outcome measure in research on treatment efficiency.

Strengths & limitations: The present study is the first to investigate implicit associations in CSB in a clinical sample. Findings are limited to heterosexual men.

Conclusion: Findings can be seen in accordance with a proposed classification of CSB as a behavioral addiction.

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隐藏的色情喜好：男性强迫性性行为的内在联系。

背景：强迫性性行为障碍是第11版《国际疾病分类》中的一个新类别，在神经心理学上与物质依赖和行为成瘾有相似之处。目的：本实验旨在通过临床样本进一步了解强迫性性行为（CSB）的内隐联想。方法：被试完成含有色情图片的内隐联想测验。此外，还评估了有问题的性行为和对性兴奋的敏感性。结果：我们收集了47名患有CSB的异性恋男性（年龄，M = 36.51, SD = 11.47）和38名未患有CSB的男性（年龄：M = 37.92, SD = 12.33）的内隐联想数据。结果：色情图片内隐联想与积极情绪、问题性行为和性兴奋敏感性之间存在显著正相关关系。此外，使用二元逐步逻辑回归分析，内隐联想、性兴奋和由于表现后果威胁而引起的性抑制在两组之间存在显著差异。这些发现与以前的亚临床研究一致，并支持CSB中明显的积极内隐关联的假设。此外，正如成瘾行为的I-PACE模型所表明的那样，内隐联想可能对行为成瘾的维持至关重要。临床意义：内隐关联可以在治疗中解决，以说明受影响者的认知过程，并作为治疗效率研究的结果衡量标准。优势与局限性：本研究首次在临床样本中调查CSB中的内隐关联。研究结果仅限于异性恋男性。结论：研究结果符合CSB作为一种行为成瘾的分类。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexual Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.40

自引率

0.00%

发文量

103

审稿时长

22 weeks

期刊介绍： Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.