Can Pornography be Addictive? An fMRI Study of Men Seeking Treatment for Problematic Pornography Use

@article{Gola2017CanPB,
  title={Can Pornography be Addictive? An fMRI Study of Men Seeking Treatment for Problematic Pornography Use},
  author={Mateusz Gola and Małgorzata Wordecha and Guillaume Sescousse and Michał Lew-Starowicz and Bartosz Kossowski and Marek Wypych and Scott Makeig and Marc N. Potenza and Artur Marchewka},
  journal={Neuropsychopharmacology},
  year={2017},
  volume={42},
  pages={2021-2031}
}
Pornography consumption is highly prevalent, particularly among young adult males. For some individuals, problematic pornography use (PPU) is a reason for seeking treatment. Despite the pervasiveness of pornography, PPU appears under-investigated, including with respect to the underlying neural mechanisms. Using functional magnetic resonance imaging (fMRI), we examined ventral striatal responses to erotic and monetary stimuli, disentangling cue-related ‘wanting’ from reward-related ‘liking… 
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Although pornography can be a healthy expression of sexuality, some individuals report difficulty and distress regulating their pornography use. Self-perceived problematic pornography use (SPPPU)
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References

SHOWING 1-10 OF 92 REFERENCES
Paroxetine Treatment of Problematic Pornography Use: A Case Series
TLDR
Paroxetine may hold promise for short-term reduction of PPU and related anxiety, but new potentially distressing sexual behaviors may emerge, suggesting that PPU may arise from multiple domains.
Brain structure and functional connectivity associated with pornography consumption: the brain on porn.
TLDR
A negative association of self-reported pornography consumption with the right striatum (caudate) volume, left Striatum (putamen) activation during cue reactivity, and lower functional connectivity of the right caudate to the left dorsolateral prefrontal cortex could reflect change in neural plasticity as a consequence of an intense stimulation of the reward system.
What Matters: Quantity or Quality of Pornography Use? Psychological and Behavioral Factors of Seeking Treatment for Problematic Pornography Use.
TLDR
Negative symptoms associated with PU more strongly predict seeking treatment than mere quantity of pornography consumption, and treatment of problematic PU should address qualitative factors, rather than merely mitigating the frequency of the behavior.
Ventral striatum activity when watching preferred pornographic pictures is correlated with symptoms of Internet pornography addiction
TLDR
The results support the role for the ventral striatum in processing reward anticipation and gratification linked to subjectively preferred pornographic material and contribute to a neural explanation of why individuals with certain preferences and sexual fantasies are at-risk for losing their control over Internet pornography consumption.
The Emperor Has No Clothes: A Review of the ‘Pornography Addiction’ Model
The addiction model is rarely used to describe high-frequency use of visual sexual stimuli (VSS) in research, yet common in media and clinical practice. The theory and research behind ‘pornography
Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviours
TLDR
The greater engagement of corticostriatal limbic circuitry in CSB following exposure to sexual cues suggests neural mechanisms underlying CSB and potential biological targets for interventions.
Visual Sexual Stimuli—Cue or Reward? A Perspective for Interpreting Brain Imaging Findings on Human Sexual Behaviors
TLDR
A perspective article addressing the question of whether VSS should be considered as conditioned stimuli (cue) or unconditioned stimuli (reward), which is that in most laboratory settings VSS play a role of reward.
Decreased LPP for sexual images in problematic pornography users may be consistent with addiction models. Everything depends on the model. (Commentary on Prause, Steele, Staley, Sabatinelli, & Hajcak, 2015)
  • M. Gola
  • Psychology, Medicine
    Biological Psychology
  • 2016
TLDR
Its widespread popularity and conflicting clinical observations, ornography consumption is an important social issue, garnering attention in the media and from politicians and research as well as neuroscience research.
Enhanced Attentional Bias towards Sexually Explicit Cues in Individuals with and without Compulsive Sexual Behaviours
TLDR
Assessment of male CSB subjects compared to age-matched male healthy controls using a dot probe task to assess attentional bias to sexually explicit cues shows that compared to healthy volunteers, CSBSubjects have enhanced attentional biases to explicit cues but not neutral cues particularly for early stimuli latency.
Gender Differences in Pornography Consumption among Young Heterosexual Danish Adults
  • G. Hald
  • Psychology, Medicine
    Archives of sexual behavior
  • 2006
TLDR
It is argued that gender differences in social acceptability, adherence to gender stereotypes, traditions of gender sexuality, gender norms, and mating strategies are key factors in understandingGender differences in pornography consumption.
...
1
2
3
4
5
...