Problematic pornography use (PPU) is a complex and growing area of research. However, knowledge of the PPU lived experience is limited. To address this gap, we conducted an online qualitative study with 67 individuals who self-identified as having problematic pornography use (76% male; M_age = 24.70 years, SD = 8.54). Results indicated several dimensions that have not been fully explored in the literature. These included various mental and physical complaints following periods of heavy pornography use, sexual functioning deficits with real partners, and a subjectively altered state of sexual arousal while using pornography. Moreover, we expanded on current knowledge regarding the inner conflict associated with PPU and clarified the ways that users can progress to increasingly intensified patterns of pornography use, such as tolerance/escalation and pornographic binges. Our study highlights the complex and nuanced nature of PPU and provides suggestions for future research and clinical practice.

Background: Although problematic pornography use (PPU) will soon be diagnosable through the International Classification for Diseases, 11th revision, its clinical profile remains contentious. The current study assessed whether PPU may be characterized by various symptoms sometimes observed among online recovery forums that currently lack empirical assessment, such as heightened cognitive-affective issues following pornography use and sexual dysfunction with partners as a result of escalating use.Method: Cross-sectional surveys were completed by male PPUs (N = 138, mean age = 31.75 years, standard deviation = 10.72) recruited via online recovery communities and Amazon Mechanical Turk. Multiple regression analysis was performed using the Problematic Pornography Use Scale as the dependent variable and variables of interest (Arizona Sexual Experiences Scales modified for partnered sex and pornography use, Brunel Mood Scale, Social Interaction Anxiety Scale, and the Tolerance subscale from the Problematic Pornography Consumption Scale) and potential confounders (eg, comorbid psychopathology) as independent variables.Results: Current levels of pornography use, indicators of tolerance and escalation, greater sexual functioning with pornography, and psychological distress were uniquely associated with PPU severity, while cognitive-affective issues after pornography use, impulsivity and compulsivity were not. Although sexual dysfunction did not predict PPU severity, nearly half the sample indicated sexual dysfunction with intimate partners.Conclusions: The present findings suggest that PPU may be characterized by tolerance and escalation (as per substance addiction models), greater sexual responsivity toward pornography, and psychological distress. Meanwhile, the high rate of partnered sexual dysfunction observed suggests that PPU might be somewhat separable from other forms of compulsive sexual behavior.

Modern internet pornography allows users to harness sexual novelty in numerous ways, which can be used to overcome desensitisation through increasing volume of use (quantitative tolerance), progressing to more stimulating genres (qualitative escalation), skipping between stimuli (tab-jumping), delaying orgasm ('edging'), and engaging in pornographic binges. However, existing research has not yet evaluated how these potentially reciprocal consumption patterns relate to problematic pornography use (PPU). To this end, we recruited two independent samples of male pornography users (N₁ = 1,356, M_age = 36.86, SD = 11.26; N₂ = 944, M_age = 38.69, SD = 12.26) and examined the relationships between these behavioural dimensions and self-reported difficulties in controlling one's pornography use. Data were analysed through the network analysis approach (using Gaussian graphical models). As hypothesised, i) quantitative tolerance was centrally placed within the overall network, and ii) acted as a statistical bridge node between other patterns of pornography use (e.g., pornographic binges), and all measured facets of PPU. Our results are consistent with other emerging literature suggesting that tolerance, pornographic binges, tab-jumping, and edging behaviours as relevant features ofPPU, and that upscaling overall usage may connect broader patterns of use with problematic engagement. Clinical and theoretical implications, as well as future research directions, are discussed.

Background and aims: The nature and classification of dysregulated sexual behaviors remain widely debated. Compulsive Sexual Behavior Disorder (CSBD) and Problematic Pornography Use (PPU) are the two most commonly studied constructs in this area, each carrying significant implications for mental health, interpersonal functioning, and broader well-being. Although scientific output on these topics has expanded rapidly in the past decade, recent reviews have tended to focus on specific subthemes, single constructs, or narrow disciplinary perspectives. Accordingly, this review provides an updated and interdisciplinary overview of empirical and theoretical knowledge. Methods: In this narrative review, we summarize current knowledge regarding CSBD and PPU, with contributions from diverse experts across multiple disciplines (e.g., psychology, psychiatry, sexology, addiction science, neuroscience). We provide research and clinical perspectives to ensure a comprehensive and balanced discussion. Results: We extensively summarize eleven key areas, namely historical context, conceptualization and symptomatology, assessment and measurement, epidemiology, co-occurring disorders, etiology, potential negative consequences, intervention, treatment, and policy considerations. Additionally, we consider underrepresented populations and contexts, including adolescents, LGBTQ+ (i.e., lesbian, gay, bisexual, trans, queer, and other diverse identities) individuals, women, and cultural factors. The review concludes with a critical discussion of prevailing controversies, methodological challenges, and key directions for future research. Discussion and Conclusions: By providing a comprehensive and integrative overview, this work aims to advance scientific discourse, promote interdisciplinary collaborations, inform clinical practice, and support public health initiatives in the field of CSBD and PPU.

Background and Aims: Recent taxonomies propose that pornography-related problems may arise from problematic pornography use (PPU) and/or moral incongruence (MI). Although religiosity is often viewed as a key factor in MI, religious-based MI has not yet been explicitly examined within these taxonomies, which we address herein. Methods: Using latent profile analysis of self-report data obtained, we examined distinct and overlapping profiles of PPU and religiosity-based MI in two online samples of male pornography users from the United States ( N = 1,356, M _age = 36.86, SD = 11.26) and United Kingdom ( N = 944, M _age = 38.69, SD = 12.26). Results: Three classes (15–25% of each sample) showed elevated PPU and/or religiosity-based MI: ‘At risk for religiosity-based MI’ (4–8%), ‘At risk for PPU’ (6–10%), and ‘At risk for co-occurring PPU and religiosity-based MI’ (6–8%). Unlike the two groups with elevated PPU, the group with religious-based MI group did not report heightened psychological distress or treatment-seeking tendencies. Respondents were otherwise classified as “not at risk” (40–47%) “low risk” (27–28%), or moderate-severity PPU (14%, Sample 2 only). Discussion and Conclusions: Although the observed heterogeneity validates a taxonomy of PPU and religiosity-based MI, our findings challenge the assumption of elevated psychological distress and treatment-seeking tendencies among individuals with religiosity-based MI. Future research should further examine the clinical relevance of religiosity-based MI and extend these findings to broader (e.g., clinical, culturally diverse) samples.

Comments on the article by J. B. Grubbs and C. L. Boness (see record 2025-66167-001). Grubbs and Boness provide a compelling critique for behavioral addiction (BA) research, particularly the uncritical application of substance use disorder (SUD) frameworks to excessive engagement in nonsubstance behaviors. We agree that borrowing SUD criteria might have led to conceptual and methodological shortcomings that hinder diagnostic precision, treatment approaches, and policy decisions. Expanding their critique, we suggest that unmapped heterogeneity-across individuals as well as different behaviors-represents a fundamental imprecision problem in BA research. Rather than forcing BAs into existing frameworks or abandoning addiction models entirely, we advocate for an integrative approach that carefully combines established addiction paradigms with behavior-specific insights. Critically, we emphasize the importance of distinguishing addiction from nonaddictive dysregulation driven by impulsivity, compulsivity, emotional dysregulation, or other mechanisms behind excessive and problematic engagement. (PsycInfo Database Record (c) 2025 APA, all rights reserved).