The primary aim of this study was to compare different screening tools for problematic internet pornography use (IPU) and identify the most accurate measure. The reliability and validity of three scales, namely, the Problematic Pornography Consumption Scale (PPCS), Problematic Pornography Use Scale (PPUS), and Short Internet Addiction Test Adapted to Online Sexual Activities(s-IAT-sex), were examined using three homogeneous groups, respectively. A total of 972 adults (mean age = 24.8) from 28 provinces/regions in China participated in the quantitative part (QUAN). The Brief Pornography Screener served as the reference standard. The PPCS demonstrated stronger reliability and validity, including criterion validity, as well as greater sensitivity and acceptable specificity; therefore, it was considered to be the more accurate screening instrument. In the qualitative part (QUAL), we interviewed 22 volunteers and 11 therapists (who had worked with individuals with problematic IPU) to examine their perspectives on the core features of problematic IPU and dimensions of the PPCS. Almost all the interviewees endorsed the structure of the PPCS. These findings encourage the use of the PPCS in future research studies and underscore its screening applications because of its ability to classify IPU as problematic or nonproblematic.

No abstract

In help-or treatment-seeking people, there may be a portion of individuals with self-perceived addiction; however, how to distinguish these individuals from help-seeking patients with dysregulated pornography use remains unclear. The present study sought to examine the specific role of impaired control in identifying individuals with self-perceived problems when screening problematic pornography use (PPU) in a large help-seeking male sample (N = 8,845; M age = 25.82 years, SD = 7.83). Based on the results of latent profile analysis, three groups were identified in the help-seeking sample: Self-perceived PPU group (n = 2,089; 23.6%), impaired control group (n = 4,180; 47.3%), and PPU group (n = 2,576; 29.1%). The self-perceived PPU group was characterized by the highest moral incongruence, but not objectively dysregulated in pornography use. The other two groups met the criteria of impaired control, suggesting that, impaired control may distinguish between self-perceived PPU and dysregulated use in help-seeking men. Six months later, self-reported data were collected again from 972 of these help-seeking men. The longitudinal cross-lagged analysis showed that impaired control at baseline positively predicted PPU at the 6-month follow-up; simultaneously, the reverse association was also significant and positive. In sum, impaired control functioned as a criterion to differentiate between self-perceived PPU and dysregulated pornography use. Impaired control might be used as a robust and reliable predictor of PPU, but it may not be a sufficient criterion of PPU in itself. Public Health Significance StatementImpaired control is a reliable feature when screening for problematic pornography use (PPU). Impaired control is a robust predictor of PPU over time. Impaired control may distinguish between individuals with self-perceived PPU and dysregulated PPU in help-seeking samples.

No abstract

Background and aims Little data exist on exploring the subgroups and characteristics of problematic pornography use (PPU) in help-seeking adolescents. The aims of the study were to classify the subgroups among help-seeking male adolescents, explore their similarities and differences, and uncover their core symptoms. Methods A total of 3,468 Chinese male adolescents (M age = 16.64 years, SD = 1.24) who were distressed about their pornography use were recruited. The Problematic Pornography Consumption Scale, the Brief Pornography Screen Scale, and Moral Disapproval of Pornography Use were used to classify them. The General Health Questionnaire, the Pornography Craving Questionnaire, and the Sexual Compulsivity Scale were used to investigate participants' negative consequence related to their pornography use; and the Online Sexual Activity Questionnaire (OSAs) and time spent on pornography use every week were considered as quantitative indicators. Results Help-seeking male adolescents could be divided into 3 profiles, namely, self-perceived problematic (SP, n = 755), impaired control (IC, n = 1,656), and problematic use groups (PPU, n = 1,057). Frequency of OSAs was important for the identification of SP individuals, while negative consequences were more effective in identifying individuals with objective dysregulated behavior. Salience and mood modification were shared by all groups; however, in addition to this, the SP and PPU groups also showed withdrawal symptoms. Discussion and conclusion This study's results provide support for the presence of different profiles of help-seeking individuals and information on potential intervention targets among adolescents which is lacking in the literature.

No abstract

Background: Many studies have reported an association between observers' self-attractiveness and their preference for sexual dimorphism across different physical domains, including the face, voice, and body. However, the results of these studies are inconsistent. Here, a meta-analysis was conducted to estimate the association between observers' own attractiveness and their dimorphic preference.Methods: Major electronic databases including PsycINFO, Web of Science, PubMed, ProQuest, and Google Scholar were searched during April 2017 (the first time) and April 2018 (the second time). The effect size computation and moderating effect analyses were conducted separately for masculine and feminine preferences.Results: We identified 5,359 references, of which we included 25 studies (x = 55, x = number of the effect size) with 6,853 participants in the meta-analysis. Across these studies, the correlation between observers' own attractiveness and their sexual dimorphic preference was 0.095 (x = 55) and that for preference for masculinity (x = 39) and femininity (x = 16) were 0.102 and 0.076, respectively. The results of the funnel plot, Egger's regression method, and fail-safe number suggested that there was no obvious publication bias. The relationship depended on the relationship context (short or long-term), opposite or same sex (the gender of the observer and host), measures of observers' self-attractiveness (subject or objective), and preference task (e.g., attractiveness rating, forced-choice, and face sequence test). Furthermore, for female participants, using a hormonal contraceptive also influenced their masculinity preference. The effect size for the preference for a masculine body and voice was larger than that for facial masculinity.Conclusion: We found a small but significant correlation between self-attractiveness and physical dimorphic preference, the relationship was moderated by the relationship context, same/opposite-sex, and contraceptive using. These three moderating effects represented the observer's trade-off on good genes, good provider and good father (3Gs) consistent with the life history strategies. Besides, measurement of observers' attractiveness, type of preference task and stimuli may also involve the relationship.

Many researchers have considered whether online sexual activities (OSAs) increased over the course of the COVID-19 pandemic and whether these have led to an increase in problematic pornography use (PPU). This study investigated the impact of COVID-19 on PPU through pornography use motivations (PUMs) and OSAs to develop a better understanding of the mechanism and changes affecting PPU. Two groups of Chinese adults were recruited during the initial months of the pandemic (April 2020, n1 = 496) and the post-pandemic period (October 2021, n2 = 504). A network analysis was conducted to compare the structures of PPU symptoms among the two groups. The results showed that PUMs and OSAs were stronger predictors of PPU during the pandemic than post-pandemic (R2pandemic = 57.6% vs. R2post-pandemic = 28.7%). The motives of fantasy, sexual pleasure, stress reduction, and self-exploration were the prominent motivations during these two periods, but we found distinct PPU-related communities. PPU, sexual pleasure, and viewing sexually explicit materials (a type of OSAs) constituted a community during the pandemic but not in the post-pandemic’s network. The present study indicated that the pandemic may not have been the only factor impacting the higher rate of PPU. Instead, the higher frequency of OSAs during the pandemic may have been a strategy to cope with stress and to safely satisfy sexual desire.