Evidence mapPaperPMID 41879870Full record

ReviewJournal of behavioral addictions2026

Compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU): A comprehensive, interdisciplinary, and expert-informed narrative review with suggested future directions.

Campbell Ince, Stephanie Antons, Sarah Ashton, Nicholas C Borgogna, Matthias Brand, Peer Briken, Jesús Castro-Calvo, Lijun Chen, Eli Coleman, Yaniv Efrati and 18 more

Abstract readReview
In one paragraph

Review in Journal of behavioral addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Campbell Ince1School of Psychological Sciences, Monash University, Australia.ORCID https://orcid.org/0000-0002-2072-5741
Stephanie Antons2General Psychology, Department of Psychology, University of Siegen, Siegen, Germany.ORCID https://orcid.org/0000-0003-3187-968X
Sarah Ashton3The Institute of Sexual Health Psychology Australia (ISHPA), Australia.ORCID https://orcid.org/0000-0002-0112-2304
Nicholas C Borgogna5Department of Psychology, University of Alabama at Birmingham, United States.ORCID https://orcid.org/0000-0002-5085-3656
Matthias Brand6Center for Behavioral Addiction Research (CeBAR), Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, University of Duisburg-Essen, Germany.ORCID https://orcid.org/0000-0002-4831-9542
Peer Briken9Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-1360-014X
Jesús Castro-Calvo10Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain.ORCID https://orcid.org/0000-0001-6611-9643
Lijun Chen11Department of Psychology, College of Humanity and Social Science, Fuzhou University, China.ORCID https://orcid.org/0000-0002-4327-8657
Eli Coleman12Eli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, USA.ORCID https://orcid.org/0000-0002-9803-2603
Yaniv Efrati13Faculty of Education, Bar-Ilan University, Israel.ORCID https://orcid.org/0000-0003-3176-3708
David P Fernández14Department of Psychology, Nottingham Trent University, UK.ORCID https://orcid.org/0000-0001-7645-9959
Johannes Fuss15Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0003-0445-5021
Neil Gleason16Department of Psychology, University of Washington, Seattle, United States.ORCID https://orcid.org/0000-0002-6076-5668
Mateusz Gola17Institute of Psychology, Polish Academy of Sciences, Poland.ORCID https://orcid.org/0000-0002-9691-1102
Todd L Jennings19Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA.ORCID https://orcid.org/0000-0003-1261-140X
Ewelina Kowalewska20Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland.ORCID https://orcid.org/0000-0002-2640-3778
Shane W Kraus19Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA.ORCID https://orcid.org/0000-0002-0404-9480
Karol Lewczuk19Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA.ORCID https://orcid.org/0000-0003-2437-2450
Joshua B Grubbs23Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA.ORCID https://orcid.org/0000-0002-2642-1351
Michal Lew-Starowicz20Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland.ORCID https://orcid.org/0000-0002-0283-0839
Todd Love25Independent Practice, USA.ORCID https://orcid.org/0009-0001-4056-6442
Gemma Mestre-Bach26Universidad Internacional de La Rioja, La Rioja, Spain.ORCID https://orcid.org/0000-0001-5345-0484
Marc N Potenza27Yale University School of Medicine, New Haven, CT, USA.ORCID https://orcid.org/0000-0002-6323-1354
Ryan L Rahm-Knigge12Eli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, USA.ORCID https://orcid.org/0000-0002-5598-5420
Marco De Tubino Scanavino30Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London Health Sciences Centre and St. Joseph's Health Care London, London, ON, Canada.ORCID https://orcid.org/0000-0003-3485-3805
Rudolf Stark34Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Germany.ORCID https://orcid.org/0000-0003-4299-5280
Zsolt Demetrovics21Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar.ORCID https://orcid.org/0000-0001-5604-7551
Beáta Bőthe38Département de Psychologie, Université de Montréal, Montréal, Canada.ORCID https://orcid.org/0000-0003-2718-4703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Behavior, AddictiveCompulsive BehaviorCompulsive Sexual Behavior DisorderEroticaHumansaddictionaddictive behaviorbehavioral addictioncompulsive behaviorcompulsive sexual behavior disordereroticahypersexual behaviorimpulsive behaviorout-of-control sexual behaviorproblematic pornography usesexual behavior

Identifiers

PMID41879870
PMCPMC13132360

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.