Withdrawal-like Symptoms in Problematic Pornography Use: A Scoping Review.

Autor: Roza TH; From the Laboratory of Molecular Psychiatry, Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil (THR, LTN, AOS, ICP); Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil (THR, AOS, FHPK, ICP); and Department of Psychiatry, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil (THR, RM)., Noronha LT, Shintani AO, Massuda R, Kessler FHP, Passos IC
Jazyk: angličtina
Zdroj: Journal of addiction medicine [J Addict Med] 2024 Jan-Feb 01; Vol. 18 (1), pp. 19-27. Date of Electronic Publication: 2023 Oct 02.
DOI: 10.1097/ADM.0000000000001227
Abstrakt: Objectives: There is still debate whether problematic pornography use (PPU) can be understood as an addictive disorder, and little is known about withdrawal-like symptoms in these patients. Therefore, our aim was to summarize the existing scientific literature about this topic in the format of a scoping review.
Methods: Potentially eligible references were retrieved from 6 databases (MEDLINE/PubMed, Web of Science, Embase, PsycINFO, LILACS, and SciELO) up to February 7, 2023. Studies were included if they reported original data about withdrawal-like symptoms in individuals with PPU. Studies investigating child pornography use, or in which it was not possible to extract data of interest were excluded. Data extracted from included studies and their quality assessment were described narratively.
Results: A total of 937 references were retrieved, and 14 studies were included (n = 31,009 participants). According to our results, cravings were intense in most cases and frequent reasons for relapse. The proportion of participants experiencing other withdrawal-like symptoms (mental, sexual, and physical symptoms) reached up to 72.2% in the cross-sectional studies with this information available. Severity of withdrawal symptoms was associated with severity of PPU and frequency of pornography use. In some studies, measures of withdrawal symptoms were considered central symptoms of PPU and were significantly higher in individuals considering treatment. Masturbation was reported to alleviate withdrawal-like symptoms in some cases.
Conclusions: There is preliminary evidence for the existence of withdrawal-like symptoms in PPU. Future studies should investigate onset, characteristics, duration, and proportion of withdrawal-like symptoms in PPU with robust methodology, also investigating potential confounding variables.
Competing Interests: RM reported personal fees from Janssen and Daiichi Sankyo. ICP has received research support from or served as consultant, adviser, or speaker for Lundbeck, EMS, and Libbs, and receives authorship royalties from Springer Nature and ArtMed. The other authors report no conflicts of interest.
(Copyright © 2023 American Society of Addiction Medicine.)
Databáze: MEDLINE