On the current psychotherapeutic situation for persons with pornography use disorder in Germany

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dc.contributor.authorMarkert, Charlotte
dc.contributor.authorStorz, Florian
dc.contributor.authorGolder, Sarah
dc.contributor.authorRechmann, Johanna
dc.contributor.authorRubel, Julian A.
dc.contributor.authorLalk, Christopher
dc.contributor.authorVogt, Rabea
dc.contributor.authorGlombiewski, Julia A.
dc.contributor.authorBraun, David
dc.contributor.authorPané-Farré, Christiane A.
dc.contributor.authorMichael, Tanja
dc.contributor.authorMattheus, Hannah K.
dc.contributor.authorDominick, Nanne
dc.contributor.authorWölfling, Klaus
dc.contributor.authorLutz, Wolfgang
dc.contributor.authorSchaffrath, Jana
dc.contributor.authorStangier, Ulrich
dc.contributor.authorKananian, Schahryar
dc.contributor.authorStrüwing, Dirk
dc.contributor.authorKlingelhöfer, Doerthe
dc.contributor.authorValbert, Frederik
dc.contributor.authorNeumann, Anja
dc.contributor.authorWalter, Bertram
dc.contributor.authorStark, Rudolf
dc.descriptionCited by: 0; All Open Access, Gold Open Access
dc.description.abstractBackground and aims: For the first time, the ICD-11 provides the diagnosis compulsive sexual behavior disorder (CSBD) that can be assigned for pornography use disorder (PUD). This study aimed to estimate the prevalence of PUD and associated consequences in Germany, to identify the psychotherapy demand among likely PUD (lPUD) cases and the treatment supply in different psychotherapeutic settings, to survey psychotherapists' level of expertise regarding PUD, and to identify predictors for psychotherapy demand. Methods: Four studies were conducted: 1. Online study in the general population (n = 2070; m = 48.9%, f = 50.8%, d = 0.2%), 2. Survey among practicing psychotherapists (n = 983), 3. Survey of psychotherapists in psychotherapeutic outpatient clinics (n = 185), 4. Interviews with psychotherapeutic inpatient clinics (n = 28). Results: The estimated prevalence of lPUD in the online study was 4.7% and men were 6.3 times more often affected than women. Compared to individuals without PUD, individuals with lPUD more often indicated negative consequences in performance-related areas. Among lPUD cases, 51.2% of men and 64.3% of women were interested in a specialized PUD treatment. Psychotherapists reported 1.2%-2.9% of lPUD cases among their patients. 43.2%-61.5% of psychotherapists stated to be poorly informed about PUD. Only 7% of psychotherapeutic inpatient clinics provided specific treatments to patients with PUD. While, among other factors, negative consequences attributed to lPUD were predictive for psychotherapy demand, weekly pornography consumption, subjective well-being, and religious attachment were not. Discussion and conclusions: Although PUD occurs quite often in Germany, availability of mental health care services for PUD is poor. Specific PUD treatments are urgently needed. © 2023 The Author(s).
dc.publisherAkademiai Kiado ZRt.
dc.relation.ispartofJournal of Behavioral Addictions
dc.subjectbehavioral addiction
dc.subjectcompulsive sexual behavior disorder
dc.subjectpornography use disorder
dc.subjectprevalence rate
dc.subjectproblematic pornography use
dc.titleOn the current psychotherapeutic situation for persons with pornography use disorder in Germany
dc.typejournal article
dcterms.isPartOf.abbreviationJ. Behav. Addict.
local.import.remainsaffiliations : Department of Psychotherapy and Systems Neuroscience, Justus Liebig University of Giessen, Germany; Bender Institute of Neuroimaging, Justus Liebig University of Giessen, Germany; Center of Mind Brain and Behavior, Universities of Marburg and Giessen, Germany; Clinical Psychology and Psychotherapy, University of Osnabrück, Germany; Department of Clinical Psychology and Psychotherapy, University Koblenz-Landau, Germany; Department of Clinical Psychology Experimental Psychopathology and Psychotherapy, Philipps University of Marburg, Germany; Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Germany; Outpatient Clinic for Behavioral Addictions, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Germany; Clinical Psychology and Psychotherapy, University of Trier, Germany; Clinical Psychology and Psychotherapy, Goethe University, Frankfurt, Germany; Aus-und Weiterbildungseinrichtung für Klinische Verhaltenstherapie (AWKV), Kassel, Germany; Institute for Healthcare Management and Research, University Duisburg-Essen, Essen, Germany
local.import.remainscorrespondence_address : C. Markert; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University of Giessen, Germany; email: Charlotte.Markert@psychol.uni-giessen.de
local.import.remainspmid : 37141047
local.import.remainspublication_stage : Article in press
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