As a response to the COVID-19 pandemic, many governments have introduced steps such as spatial distancing and “staying at home” to curb its spread and impact. The fear resulting from the disease, the ‘lockdown’ situation, high levels of uncertainty regarding the future, and financial insecurity raise the level of stress, anxiety, and depression experienced by people all around the world. Psychoactive substances and other reinforcing behaviors (e.g., gambling, video gaming, watching pornography) are often used to reduce stress and anxiety and/or to alleviate depressed mood. The tendency to use such substances and engage in such behaviors in an excessive manner as putative coping strategies in crises like the COVID-19 pandemic is considerable. Moreover, the importance of information and communications technology (ICT) is even higher in the present crisis than usual. ICT has been crucial in keeping parts of the economy going, allowing large groups of people to work and study from home, enhancing social connectedness, providing greatly needed entertainment, etc. Although for the vast majority ICT use is adaptive and should not be pathologized, a subgroup of vulnerable individuals are at risk of developing problematic usage patterns. The present consensus guidance discusses these risks and makes some practical recommendations that may help diminish them.

Introduction: Pornography consumption has increased exponentially in recent decades. Most studies conducted so far are focused on adult samples (typically, between 18 and 30 years old), limiting the generalizability of their results. This study aims to create a taxonomy that groups various pornographic contents and thus explore different aspects of its use (e.g., preference for different pornographic content, excessive and problematic use) in people at different life stages. Methods: Between 2016 and 2019, 8,040 individuals (71.3% men) between 12 and 85 years old (M = 33.25, SD = 14.31) completed a battery that explores pathological and non-pathological pornography use. Participants were distributed into five age groups (< 18 years old, between 18–25, 26–40, 41–60, and > 60) to perform the different analyses (ANOVA and chi-square tests for the differences between the groups, EFA for the analyses of categories of pornographic content, and hierarchical linear regressions to identify the factors related to problematic use). Results: Pornography use was highly prevalent (> 85%) in all age groups. Using a data-driven approach, we found that the pornographic content explored in this research can be classified within four categories. Using this taxonomy, we found differences according to the age for most of the pornographic content explored (e.g., sexual intercourse with opposite-sex partners [71.6–84.5% in males and 70.2–89.5% in females]). Finally, we found that age conditions the way in which preference for different pornographic content increases the risk of excessive and problematic use. Conclusions: Pornography consumption is frequent in different age groups, although it varies depending on age and content. In addition, some particular pornographic contents were identified that increase the risk of developing an addiction in different developmental stages. Policy Implications: This study provides a preliminary foundation for identifying the unique characteristics of pornography use in different age groups as well as content related to increased problematic use.

Background and aims: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice.Method: Using data from the International Sex Survey (N = 82,243; M_age = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD.Results: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability.Discussion and conclusions: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

The aim of this study was to determine the type and frequency of online sexual practices among Spanish college students, the prevalence of risk and pathological cybersex use profiles, and the correlates/predictors of this behavior. Participants were 1,557 males and females between 18 and 25 years old. Results showed that cybersex use is not as frequent as that documented in other Western countries. However, a significant percentage of participants with a risky (8.6%) or pathological (1.7% in men and 0.1% in women) profile was identified. Finally, we found a set of variables that, in interaction with gender, explains 58% of the variance for cybersex addiction scores.

Background and aims: Compulsive Sexual Behavior Disorder (CSBD) is characterized by a persistent failure to control intense and recurrent sexual impulses, urges, and/or thoughts, resulting in repetitive sexual behavior that causes a marked impairment in important areas of functioning. Despite its recent inclusion in the forthcoming ICD-11, concerns regarding its assessment, diagnosis, prevalence or clinical characteristics remain. The purpose of this study was to identify participants displaying CSBD through a novel data-driven approach in two independent samples and outline their sociodemographic, sexual, and clinical profile.Methods: Sample 1 included 1,581 university students (females = 56.9%; M_age = 20.58) whereas sample 2 comprised 1,318 community members (females = 43.6%; M_age = 32.37). First, we developed a new composite index to assess the whole range of CSBD symptoms based on three previously validated scales. Based on this new composite index, we subsequently identified individuals with CSBD through a cluster analytic approach.Results: The estimated occurrence of CSBD was 10.12% in sample 1 and 7.81% in sample 2. Participants with CSBD were mostly heterosexual males, younger than respondents without CSBD, reported higher levels of sexual sensation seeking and erotophilia, an increased offline and especially online sexual activity, more depressive and anxious symptoms, and poorer self-esteem.Conclusions: This research provides further evidence on the occurrence of CSBD based on an alternative data-driven approach, as well as a detailed and nuanced description of the sociodemographic, sexual, and clinical profile of adults with this condition. Clinical implications derived from these findings are discussed in detail.