Abstract

There is no consensus regarding the phenomenology, classification, and diagnostic criteria of cybersex addiction. Some approaches point toward similarities to substance dependencies for which approach/avoidance tendencies are crucial mechanisms. Several researchers have argued that within an addiction-related decision situation, individuals might either show tendencies to approach or avoid addiction-related stimuli. In the current study 123 heterosexual males completed an Approach-Avoidance-Task (AAT; Rinck and Becker, 2007) modified with pornographic pictures. During the AAT participants either had to push pornographic stimuli away or pull them toward themselves with a joystick. Sensitivity toward sexual excitation, problematic sexual behavior, and tendencies toward cybersex addiction were assessed with questionnaires. Results showed that individuals with tendencies toward cybersex addiction tended to either approach or avoid pornographic stimuli. Additionally, moderated regression analyses revealed that individuals with high sexual excitation and problematic sexual behavior who showed high approach/avoidance tendencies, reported higher symptoms of cybersex addiction. Analogous to substance dependencies, results suggest that both approach and avoidance tendencies might play a role in cybersex addiction. Moreover, an interaction with sensitivity toward sexual excitation and problematic sexual behavior could have an accumulating effect on the severity of subjective complaints in everyday life due to cybersex use. The findings provide further empirical evidence for similarities between cybersex addiction and substance dependencies. Such similarities could be retraced to a comparable neural processing of cybersex- and drug-related cues.

Highlights

  • In the last decade it has been discussed to extent the concept of addiction from substance-related to non-substance-related behaviors, which are frequently referred to as behavioral addictions (Jovicand Ðindic, 2011; Olsen, 2011; Wölfling et al, 2013)

  • Regarding the evaluation of sexual arousal and the need to masturbate before (t1) and after (t2) the pornographic picture rating, two t-tests for dependent samples revealed higher subjective sexual arousal, t(122) = −9.05; p = 0.001; dz = 0.85, and a higher need to masturbate, t(122) = −7.30; p < 0.001; dz = 0.61, at t2 compared to t1. These results indicate that due to watching pornographic pictures, participants experienced a state of being sexually aroused before starting the AAT

  • This is of particular importance since sexual arousal and the need to masturbate are operationalized as craving measures, which are supposed to be linked to tendencies to approach or avoid pornographic stimuli

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Summary

Introduction

In the last decade it has been discussed to extent the concept of addiction from substance-related to non-substance-related behaviors, which are frequently referred to as behavioral addictions (Jovicand Ðindic, 2011; Olsen, 2011; Wölfling et al, 2013). One domain of this field, which is receiving growing attention, is Internet addiction. A working definition of cybersex addiction should include symptoms like loss of control, preoccupation, withdrawal, and continuous engagement in online sexual activities despite negative consequences. Cybersex addiction is viewed to be different from hypersexuality (Kafka, 2010) or sex addiction (Reay et al, 2013) since for cybersex addiction only online sexual activities are taken into account which are not related to physical sexual intercourse in real life

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