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 al., 2016 ). How best to conceptualize problematic pornography use (PPU) and intervene most effectively remain debated, with obsessive–compulsive disorder (OCD) and addiction frameworks ( Gola, 2016 ; Kor, Fogel, Reid, & Potenza, 2013 ; Kraus, Voon

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Compulsive Sexual Behavior Disorder (CSBD) in the 11th version of International Statistical Classification of Diseases and Related Health Problems (ICD-11) ( World Health Organization, 2019 ), there is no official diagnosis for problematic pornography use

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. , Lewczuk , K. , & Skorko , M. ( 2016 ). What matters: Quantity or quality of pornography use? Psychological and behavioral factors of seeking treatment for problematic pornography use . Journal

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Promoting educational, classification, treatment, and policy initiatives

Commentary on: Compulsive sexual behaviour disorder in the ICD-11 (Kraus et al., 2018)

Journal of Behavioral Addictions
Authors: Mateusz Gola and Marc N. Potenza

treatment for one form of CSB disorder, problematic pornography use, do not differ in terms of impulsivity from the general population. They are instead presented with increased anxiety ( Gola, Miyakoshi, & Sescousse, 2015 ; Gola et al., 2017 ), and

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Journal of Behavioral Addictions
Authors: Skyler Sklenarik, Marc N. Potenza, Mateusz Gola, Ariel Kor, Shane W. Kraus and Robert S. Astur

extent to which frequent or problematic pornography use may exhibit clinically relevant similarities with or differences from other addictive behaviors. The use of experimental designs may help illuminate clinical features or behavioral tendencies

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-use behaviors. Alternate explanations (e.g., viewing pornography secretively after a partner goes to sleep, as is reported by people in treatment for problematic pornography use (PPU)) also warrant consideration based on clinical experience ( Brand, Blycker

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Journal of Behavioral Addictions
Authors: Shane W. Kraus, Mateusz Gola, Joshua B. Grubbs, Ewelina Kowalewska, Rani A. Hoff, Michał Lew-Starowicz, Steve Martino, Steven D. Shirk and Marc N. Potenza

, & Potenza, 2013 ). Problematic pornography use (PPU) may be grouped with other sexual behaviors meeting diagnostic criteria for CSBD as defined in the ICD-11 ( Kraus et al., 2018 ). CSBD is described as a persistent pattern of failure to control intense

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sessions of treatment for CSB after being enrolled to this study, which demonstrates their real intent of limiting problematic pornography use. Measures We conducted an hour-long semi-structured interview (Supplementary

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compulsivity were weakly related to problematic pornography use among men and women, respectively. Furthermore, impulsivity had a stronger relationship with hypersexuality than did compulsivity among men and women, respectively. The authors have argued based on

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Journal of Behavioral Addictions
Authors: Matthias Brand, Hans-JÜrgen Rumpf, Zsolt Demetrovics, Astrid MÜller, Rudolf Stark, Daniel L. King, Anna E. Goudriaan, Karl Mann, Patrick Trotzke, Naomi A. Fineberg, Samuel R. Chamberlain, Shane W. Kraus, Elisa Wegmann, JoËl Billieux and Marc N. Potenza

central to problematic pornography use ( Brand, Blycker, et al., 2019 ) and appear to fit appropriately the basic considerations ( Fig. 1 ). Several studies have demonstrated the clinical relevance (criterion 1) of problematic pornography use, leading to

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