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instance, internalized homonegativity bears similarities to the moral incongruence rule-out for CSBD. This rule-out states that distress arising entirely from moral disapproval of one's own sexual behavior does not qualify for a diagnosis of CSBD ( Grubbs

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Another failure of the latent disease model? The case of compulsive sexual behavior disorder •

Commentary to the debate: “Behavioral addictions in the ICD-11”

Journal of Behavioral Addictions
Authors:
Nicholas C. Borgogna
and
Stephen L. Aita

). Pornography problems due to moral incongruence: An integrative model with a systematic review and meta-analysis . Archives of Sexual Behavior , 48 , 397 – 415 . https://doi.org/10.1007/s10508-018-1248-x . 30076491 Hayes , S. C. , Hofmann , S. G

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Journal of Behavioral Addictions
Authors:
Todd L. Jennings
,
Neil Gleason
, and
Shane W. Kraus

in CSBD measurement. Minority stress and CSBD differential diagnosis Thus far, differential diagnosis considerations for CSBD have focused on the moral incongruence (MI) rule-out, which states that distress

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); ↓ behavior engagement [freq] (post-BL: TG < CG); ↔ behavior engagement [dur] (post-BL: TG = CG); ↓ craving (post-BL: TG < CG) ↔ moral incongruency (post-BL: TG = CG); ↑ pornography-related self-efficacy (post-BL: TG > CG) Web-based self-help tool including

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Journal of Behavioral Addictions
Authors:
Beáta Bőthe
,
Marc N. Potenza
,
Mark D. Griffiths
,
Shane W. Kraus
,
Verena Klein
,
Johannes Fuss
, and
Zsolt Demetrovics

consideration of moral incongruence, reflecting previous criticism regarding the HD diagnosis ( Kafka, 2014 ) ( Appendix 1 ). Although several scales were developed in the past few decades aiming to assess CSB ( Bőthe, Kovács, et al., 2019b ; Montgomery

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Journal of Behavioral Addictions
Authors:
Beáta Bőthe
,
Mónika Koós
,
Léna Nagy
,
Shane W. Kraus
,
Zsolt Demetrovics
,
Marc N. Potenza
,
Aurélie Michaud
,
Rafael Ballester-Arnal
,
Dominik Batthyány
,
Sophie Bergeron
,
Joël Billieux
,
Peer Briken
,
Julius Burkauskas
,
Georgina Cárdenas-López
,
Joana Carvalho
,
Jesús Castro-Calvo
,
Lijun Chen
,
Giacomo Ciocca
,
Ornella Corazza
,
Rita Csako
,
David P. Fernandez
,
Elaine F. Fernandez
,
Loïs Fournier
,
Hironobu Fujiwara
,
Johannes Fuss
,
Roman Gabrhelík
,
Ateret Gewirtz-Meydan
,
Biljana Gjoneska
,
Mateusz Gola
,
Joshua B. Grubbs
,
Hashim T. Hashim
,
Md. Saiful Islam
,
Mustafa Ismail
,
Martha C. Jiménez-Martínez
,
Tanja Jurin
,
Ondrej Kalina
,
Verena Klein
,
András Költő
,
Chih-Ting Lee
,
Sang-Kyu Lee
,
Karol Lewczuk
,
Chung-Ying Lin
,
Liverpool John Moores University's research team † Liverpool John Moores University's research team
,
Christine Lochner
,
Silvia López-Alvarado
,
Kateřina Lukavská
,
Percy Mayta-Tristán
,
Ionut Milea
,
Dan J. Miller
,
Oľga Orosová
,
Gábor Orosz
,
Sungkyunkwan University's research team †† Sungkyunkwan University's research team
,
Fernando P. Ponce
,
Gonzalo R. Quintana
,
Gabriel C. Quintero Garzola
,
Jano Ramos-Diaz
,
Kévin Rigaud
,
Ann Rousseau
,
Marco De Tubino Scanavino
,
Marion K. Schulmeyer
,
Pratap Sharan
,
Mami Shibata
,
Sheikh Shoib
,
Vera L. Sigre Leirós
,
Luke Sniewski
,
Ognen Spasovski
,
Vesta Steibliene
,
Dan J. Stein
,
Julian Strizek
,
Aleksandar Štulhofer
,
Berk C. Ünsal
, and
Marie-Pier Vaillancourt-Morel

relation to CSBD is also an area that warrants further investigation ( Bőthe et al., 2018 ; Grubbs et al., 2020 ; Klein et al., 2021 ). Future studies are also necessary to clarify the complex roles that religiosity and moral incongruence may play in the

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pornography in a nationally representative sample: The roles of use habits, religiousness, and moral incongruence . Journal of Behavioral Addictions , 8 ( 1 ), 88 – 93 . https://doi.org/10.1556/2006.7.2018.134 . 10.1556/2006.7.2018.134 Grubbs , J. B

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, religiousness, and moral incongruence . Journal of Behavioral Addictions , 8 ( 1 ), 88 – 93 . https://doi.org/10.1556/2006.7.2018.134 . Grubbs , J. B. , Perry , S. L. , Grant Weinandy , J. T. , & Kraus , S. W. ( 2022 ). Porndemic? A longitudinal

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pornography use (PPCS) X X X X  Self-reported perceived addiction to pornography use X X X X  Moral incongruence regarding pornography use X X X X  Pornography craving (PCQ) X X X X  Pornography avoidance self-efficacy (PASS) X X X X Sexuality-related measures

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and subjective religiosity, we did not control another relevant variable in the context of CSBD, i.e., moral incongruence. Having said that, for many individuals, moral incongruence may stem from religiosity ( Lewczuk, Glica, Nowakowska, Gola, & Grubbs

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