{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:08:43Z","timestamp":1786118923943,"version":"build-2736575974"},"reference-count":106,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,2,21]],"date-time":"2027-02-21T00:00:00Z","timestamp":1803168000000},"content-version":"am","delay-in-days":265,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["2140745"],"award-info":[{"award-number":["2140745"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jad.2026.121459","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T07:41:28Z","timestamp":1771400488000},"page":"121459","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Transdiagnostic psychopathology among individuals with co-occurring problematic pornography use and alcohol use problems"],"prefix":"10.1016","volume":"403","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3554-3259","authenticated-orcid":false,"given":"Evan J.","family":"Moon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5572-2236","authenticated-orcid":false,"given":"Sheila","family":"Garos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5682-6130","authenticated-orcid":false,"given":"Kyle M.","family":"Brasil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0404-9480","authenticated-orcid":false,"given":"Shane W.","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2840-4037","authenticated-orcid":false,"given":"Samuel D.","family":"Spencer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5085-3656","authenticated-orcid":false,"given":"Nicholas C.","family":"Borgogna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.121459_bb0005","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.4143","article-title":"Multiple comorbidities of 21 psychological disorders and relationships with psychosocial variables: a study of the online assessment and diagnostic system within a web-based population","volume":"17","author":"Al-Asadi","year":"2015","journal-title":"J. Med. Internet Res."},{"key":"10.1016\/j.jad.2026.121459_bb0010","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s12888-023-04632-z","article-title":"Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors","volume":"23","author":"Andersson","year":"2023","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0015","article-title":"Co-occurring alcohol use disorder and anxiety: bridging psychiatric, psychological, and neurobiological perspectives","volume":"40","author":"Anker","year":"2019","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0020","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1080\/26929953.2023.2220003","article-title":"Stress susceptibility, affective responses toward acute stressors and emotion regulation strategies in the context of problematic pornography use","volume":"30","author":"Antons","year":"2023","journal-title":"Sex. Health Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2020.106384","article-title":"Psychiatric comorbidity in compulsive sexual behavior disorder (CSBD)","volume":"107","author":"Ballester-Arnal","year":"2020","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0035","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.drugalcdep.2013.04.016","article-title":"Comorbidity of posttraumatic stress disorder with alcohol dependence among US adults: results from National Epidemiological Survey on alcohol and related conditions","volume":"132","author":"Blanco","year":"2013","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2026.121459_bb0040","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/jts.22059","article-title":"The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation","volume":"28","author":"Blevins","year":"2015","journal-title":"J. Trauma. Stress."},{"key":"10.1016\/j.jad.2026.121459_bb0045","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1093\/jsxmed\/qdae101","article-title":"Pornography use, problematic pornography use, impulsivity, and sensation seeking: a meta-analysis","volume":"21","author":"Bocci Benucci","year":"2024","journal-title":"J. Sex. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0050","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1080\/10720162.2019.1567410","article-title":"Is scrupulosity behind the relationship between problematic pornography viewing and depression, anxiety, and stress?","volume":"25","author":"Borgogna","year":"2018","journal-title":"Sex. Addict. Compuls."},{"key":"10.1016\/j.jad.2026.121459_bb0055","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jcbs.2023.10.001","article-title":"The development and validation of the experiential avoidance rating scale (EARS): a self-report questionnaire that might actually measure experiential avoidance","volume":"30","author":"Borgogna","year":"2023","journal-title":"J. Contextual Behav. Sci."},{"key":"10.1016\/j.jad.2026.121459_bb0060","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1089\/cyber.2023.0493","article-title":"Multicultural considerations for the psychometrics of the brief pornography screen","volume":"27","author":"Borgogna","year":"2024","journal-title":"Cyberpsychol. Behav. Soc. Netw."},{"key":"10.1016\/j.jad.2026.121459_bb0065","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1037\/adb0000603","article-title":"Why do people watch pornography? The motivational basis of pornography use","volume":"35","author":"B\u0151the","year":"2021","journal-title":"Psychol. Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0070","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1111\/add.16431","article-title":"Problematic pornography use across countries, genders, and sexual orientations: insights from the international sex survey and comparison of different assessment tools","volume":"119","author":"B\u0151the","year":"2024","journal-title":"Addiction"},{"key":"10.1016\/j.jad.2026.121459_bb0075","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1037\/abn0000913","article-title":"Uncovering the most robust predictors of problematic pornography use: a large-scale machine learning study across 16 countries","volume":"133","author":"B\u0151the","year":"2024","journal-title":"J. Psychopathol. Clin. Sci."},{"key":"10.1016\/j.jad.2026.121459_bb0080","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1002\/cpp.2085","article-title":"Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: the role of experiential avoidance","volume":"24","author":"Brem","year":"2017","journal-title":"Clin. Psychol. Psychother."},{"key":"10.1016\/j.jad.2026.121459_bb0085","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1002\/cpp.2300","article-title":"Does experiential avoidance explain the relationships between shame, PTSD symptoms, and compulsive sexual behaviour among women in substance use treatment?","volume":"25","author":"Brem","year":"2018","journal-title":"Clin. Psychol. Psychother."},{"key":"10.1016\/j.jad.2026.121459_bb0090","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.comppsych.2013.10.007","article-title":"Comorbidity between major depression and alcohol use disorder from adolescence to adulthood","volume":"55","author":"Bri\u00e8re","year":"2014","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0095","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1080\/0092623X.2017.1321601","article-title":"Pornography use and loneliness: a bidirectional recursive model and pilot investigation","volume":"44","author":"Butler","year":"2018","journal-title":"J. Sex Marital Ther."},{"key":"10.1016\/j.jad.2026.121459_bb0100","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2020.613244","article-title":"Compulsive internet pornography use and mental health: a cross-sectional study in a sample of university students in the United States","volume":"11","author":"Camilleri","year":"2021","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0105","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2023.107672","article-title":"Social anxiety and alcohol consumption: the role of social context","volume":"143","author":"Caumiant","year":"2023","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0110","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.jsat.2008.11.007","article-title":"Meta-analysis of depression and substance use among individuals with alcohol use disorders","volume":"37","author":"Conner","year":"2009","journal-title":"J. Subst. Abus. Treat."},{"key":"10.1016\/j.jad.2026.121459_bb0115","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1037\/pas0001396","article-title":"Measurement invariance of the PTSD checklist for the DSM-5 (PCL-5) in a veteran sample","volume":"37","author":"Crowe","year":"2025","journal-title":"Psychol. Assess."},{"key":"10.1016\/j.jad.2026.121459_bb0120","first-page":"1","article-title":"Motivational pathways diverge between frequent and problematic pornography use","author":"Cs\u00e1nyi","year":"2025","journal-title":"Int. J. Sex. Health"},{"key":"10.1016\/j.jad.2026.121459_bb0125","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1007\/s00127-023-02472-6","article-title":"Predictors of alcohol and substance use among people with post-traumatic stress disorder (PTSD): findings from the NESARC-III study","volume":"58","author":"Dell'Aquila","year":"2023","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"10.1016\/j.jad.2026.121459_bb0130","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.drugalcdep.2014.12.028","article-title":"Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving","volume":"148","author":"Di Nicola","year":"2015","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2026.121459_bb0135","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1037\/bul0000387","article-title":"The daily association between affect and alcohol use: a meta-analysis of individual participant data","volume":"149","author":"Dora","year":"2023","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.jad.2026.121459_bb5000","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1080\/14681994.2021.1976403","article-title":"Secrecy and deception: values, shame, and endorsement of hiding one\u2019s pornography viewing","volume":"39","author":"Droubay","year":"2024","journal-title":"Sex. Relation. Ther."},{"key":"10.1016\/j.jad.2026.121459_bb0145","first-page":"1175","article-title":"Is alcohol consumption associated with poor academic achievement in university students?","volume":"4","author":"El Ansari","year":"2013","journal-title":"Int. J. Prev. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0150","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2025.108398","article-title":"Problematic pornography use and psychological distress: a longitudinal study in a large US sample","volume":"169","author":"Engelhardt","year":"2025","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0155","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/s40429-025-00623-0","article-title":"Screening for problematic pornography use with the brief pornography screen: a scoping review (current addiction reports)","volume":"12","author":"Engelhardt","year":"2025","journal-title":"Curr. Addict. Rep."},{"key":"10.1016\/j.jad.2026.121459_bb0160","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1037\/a0015808","article-title":"An effect size primer: a guide for clinicians and researchers","volume":"40","author":"Ferguson","year":"2009","journal-title":"Prof. Psychol. Res. Pract."},{"key":"10.1016\/j.jad.2026.121459_bb0165","first-page":"110","article-title":"The posttraumatic stress disorder (PTSD) checklist for DSM-5: a systematic review of existing psychometric evidence","volume":"30","author":"Forkus","year":"2023","journal-title":"Clin. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0170","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1177\/10775595221148425","article-title":"Traumatized sexuality: understanding and predicting profiles of sexual behaviors using childhood abuse and trauma measures","volume":"29","author":"Gewirtz-Meydan","year":"2024","journal-title":"Child Maltreat."},{"key":"10.1016\/j.jad.2026.121459_bb0175","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1038\/npp.2017.78","article-title":"Can pornography be addictive? An fMRI study of men seeking treatment for problematic pornography use","volume":"42","author":"Gola","year":"2017","journal-title":"Neuropsychopharmacology"},{"key":"10.1016\/j.jad.2026.121459_bb0180","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.beth.2022.01.005","article-title":"Motives and consequences of alcohol use in people with social anxiety disorder: a daily diary study","volume":"53","author":"Goodman","year":"2022","journal-title":"Behav. Ther."},{"key":"10.1016\/j.jad.2026.121459_bb0185","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/00224499.2018.1427204","article-title":"Moral incongruence and pornography use: a critical review and integration","volume":"56","author":"Grubbs","year":"2019","journal-title":"J. Sex Res."},{"key":"10.1016\/j.jad.2026.121459_bb0190","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s10508-018-1248-x","article-title":"Pornography problems due to moral incongruence: an integrative model with a systematic review and Meta-analysis","volume":"48","author":"Grubbs","year":"2019","journal-title":"Arch. Sex. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0195","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpr.2020.101925","article-title":"Sexual addiction 25 years on: a systematic and methodological review of empirical literature and an agenda for future research","volume":"82","author":"Grubbs","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"10.1016\/j.jad.2026.121459_bb0200","first-page":"05","article-title":"The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women","volume":"40","author":"Guinle","year":"2020","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0205","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1556\/2006.5.2016.022","article-title":"Examining correlates of problematic internet pornography use among university students","volume":"5","author":"Harper","year":"2016","journal-title":"J. Behav. Addict."},{"key":"10.1016\/j.jad.2026.121459_bb0210","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1037\/adb0000552","article-title":"Trauma-related drinking to cope: a novel approach to the self-medication model","volume":"34","author":"Hawn","year":"2020","journal-title":"Psychol. Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb5005","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s11920-023-01421-z","article-title":"Sex-based contributors to and consequences of post-traumatic stress disorder","volume":"25","author":"Hiscox","year":"2023","journal-title":"Curr. Psychiatry Rep."},{"key":"10.1016\/j.jad.2026.121459_bb0220","first-page":"1","article-title":"Exploring the clinical profile of problematic pornography use","author":"Ince","year":"2021","journal-title":"CNS Spectr."},{"key":"10.1016\/j.jad.2026.121459_bb0225","doi-asserted-by":"crossref","DOI":"10.1016\/j.drugalcdep.2024.111115","article-title":"Clinical cutoffs of the alcohol use disorder identification test for identification of DSM-5 alcohol use disorder: a psychometric evaluation in treatment-seeking patients","volume":"256","author":"Ingesson-Hammarberg","year":"2024","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2026.121459_bb0230","first-page":"88","article-title":"Treatment for substance use disorder with co-occurring mental illness","volume":"17","author":"Iqbal","year":"2019","journal-title":"Focus (Am. Psychiatr. Publ.)"},{"key":"10.1016\/j.jad.2026.121459_bb0235","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.3389\/fpsyg.2019.01713","article-title":"Psychometric properties of the general anxiety disorder 7-item (GAD-7) scale in a heterogeneous psychiatric sample","volume":"10","author":"Johnson","year":"2019","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0240","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jesp.2015.10.003","article-title":"Interpretations and methods: towards a more effectively self-correcting social psychology","volume":"66","author":"Jussim","year":"2016","journal-title":"J. Exp. Soc. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0245","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1080\/08039488.2019.1642382","article-title":"Concurrent validity of the alcohol use disorders identification test (AUDIT) in relation to alcohol use disorder (AUD) severity levels according to the brief DSM-5 AUD diagnostic assessment screener","volume":"73","author":"K\u00e4llm\u00e9n","year":"2019","journal-title":"Nord. J. Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0250","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1080\/00224499.2024.2359641","article-title":"Why do people watch pornography? Cross-cultural validation of the pornography use motivations scale (PUMS) and its short form (PUMS-8)","volume":"62","author":"Ko\u00f3s","year":"2025","journal-title":"J. Sex Res."},{"key":"10.1016\/j.jad.2026.121459_bb0255","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1037\/abn0000258","article-title":"The hierarchical taxonomy of psychopathology (HiTOP): a dimensional alternative to traditional nosologies","volume":"126","author":"Kotov","year":"2017","journal-title":"J. Abnorm. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0260","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.comppsych.2015.02.007","article-title":"Examining the psychometric properties of the Yale-Brown obsessive-compulsive scale in a sample of compulsive pornography users","volume":"59","author":"Kraus","year":"2015","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0265","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.1111\/add.13297","article-title":"Should compulsive sexual behavior be considered an addiction?","volume":"111","author":"Kraus","year":"2016","journal-title":"Addiction"},{"key":"10.1016\/j.jad.2026.121459_bb0270","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1556\/2006.2020.00038","article-title":"Validation of a brief pornography screen across multiple samples","volume":"9","author":"Kraus","year":"2020","journal-title":"J. Behav. Addict."},{"key":"10.1016\/j.jad.2026.121459_bb0275","doi-asserted-by":"crossref","first-page":"23","DOI":"10.35946\/arcr.v39.1.05","article-title":"The epidemiology of binge drinking among college-age individuals in the United States","volume":"39","author":"Krieger","year":"2018","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0280","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0285","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.genhosppsych.2010.03.006","article-title":"The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review","volume":"32","author":"Kroenke","year":"2010","journal-title":"Gen. Hosp. Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0290","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.drugalcdep.2015.05.031","article-title":"Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990-2014: a systematic review and meta-analysis","volume":"154","author":"Lai","year":"2015","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2026.121459_bb0295","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jsxm.2019.11.259","article-title":"Evaluating pornography problems due to moral incongruence model","volume":"17","author":"Lewczuk","year":"2020","journal-title":"J. Sex. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0300","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5334\/irsp.289","article-title":"How to classify, detect, and manage univariate and multivariate outliers, with emphasis on pre-registration","volume":"32","author":"Leys","year":"2019","journal-title":"Int. rev. Soc. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0305","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/10720162.2019.1645061","article-title":"What is the relationship among religiosity, self-perceived problematic pornography use, and depression over time?","volume":"26","author":"Maddock","year":"2019","journal-title":"Sex. Addict. Compuls."},{"key":"10.1016\/j.jad.2026.121459_bb0310","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1016\/j.jsxm.2021.08.003","article-title":"Frequency of pornography use and sexual health outcomes in Sweden: analysis of a National Probability Survey","volume":"18","author":"Malki","year":"2021","journal-title":"J. Sex. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0315","doi-asserted-by":"crossref","first-page":"412","DOI":"10.15288\/jsad.2008.69.412","article-title":"The roles of negative affect and coping motives in the relationship between alcohol use and alcohol-related problems among college students","volume":"69","author":"Martens","year":"2008","journal-title":"J. Stud. Alcohol Drugs"},{"key":"10.1016\/j.jad.2026.121459_bb0320","doi-asserted-by":"crossref","DOI":"10.1017\/S2045796020000633","article-title":"Comorbidity within mental disorders: a comprehensive analysis based on 145 990 survey respondents from 27 countries","volume":"29","author":"McGrath","year":"2020","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"10.1016\/j.jad.2026.121459_bb0325","article-title":"Alcohol use disorder and depressive disorders","volume":"40","author":"McHugh","year":"2019","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0330","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1016\/j.jad.2013.08.011","article-title":"Psychometric properties of positive and negative affect schedule (PANAS) original and short forms in an African American community sample","volume":"151","author":"Merz","year":"2013","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.121459_bb0335","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s10899-023-10274-3","article-title":"Understanding the co-occurrence of gambling disorder and problematic pornography use: exploring sociodemographic and clinical factors","volume":"40","author":"Mestre-Bach","year":"2024","journal-title":"J. Gambl. Stud."},{"key":"10.1016\/j.jad.2026.121459_bb0340","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1177\/00912174251329440","article-title":"Prevalence and correlates of problematic pornography use among undergraduate medical students in Egypt","volume":"60","author":"Mohamed","year":"2025","journal-title":"Int. J. Psychiatry Med."},{"key":"10.1016\/j.jad.2026.121459_bb0345","doi-asserted-by":"crossref","DOI":"10.1080\/20008198.2017.1398001","article-title":"Exploring optimum cut-off scores to screen for probable posttraumatic stress disorder within a sample of UK treatment-seeking veterans","volume":"8","author":"Murphy","year":"2017","journal-title":"Eur. J. Psychotraumatol."},{"key":"10.1016\/j.jad.2026.121459_bb0350","first-page":"1","article-title":"Does the sexual nature of trauma moderate the relationship between post-traumatic stress and compulsive sexual behaviors? Investigating trauma experiences in the light of compulsive sexual behavior and problematic pornography use","author":"Nagy","year":"2025","journal-title":"Sex. Health Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb5010","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1080\/10720162.2014.938849","article-title":"A brief scale to measure problematic sexually explicit media consumption: psychometric properties of the compulsive pornography consumption (CPC) scale among men who have sex with men","volume":"21","author":"Noor","year":"2014","journal-title":"Sex. Addict. Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb0355","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2021.638354","article-title":"Problematic pornography use in Japan: a preliminary study among university students","volume":"12","author":"Okabe","year":"2021","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0360","first-page":"184","article-title":"Complexity in emerging adults\u2019 emotional reactions to pornography use: it is not all good or bad","volume":"19","author":"Olmstead","year":"2023","journal-title":"Am. J. Sex. Educ."},{"key":"10.1016\/j.jad.2026.121459_bb0365","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2020.106781","article-title":"Difficulties regulating positive and negative emotions in relation to coping motives for alcohol use and alcohol problems among hazardous drinkers","volume":"115","author":"Paulus","year":"2021","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0370","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/26929953.2022.2101168","article-title":"The role of scrupulosity, experiential avoidance, and the dark tetrad in problematic pornography use","volume":"29","author":"Perez del Valle","year":"2022","journal-title":"Sex. Health Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb0375","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1186\/s12978-024-01841-x","article-title":"Pornography use, demographic and sexual health characteristics among university students: a gender-based comparative study of non-users, non-problematic users, and problematic users","volume":"21","author":"Pouralijan","year":"2024","journal-title":"Reprod. Health"},{"key":"10.1016\/j.jad.2026.121459_bb0380","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/NMD.0000000000001669","article-title":"Pornography consumption and cognitive-affective distress","volume":"211","author":"Privara","year":"2023","journal-title":"The J. Nerv. Ment. Dis."},{"key":"10.1016\/j.jad.2026.121459_bb0390","doi-asserted-by":"crossref","first-page":"3443","DOI":"10.1007\/s10508-023-02690-8","article-title":"Identifying relationships between difficulties with emotion regulation and compulsive sexual behavior","volume":"52","author":"Rahm-Knigge","year":"2023","journal-title":"Arch. Sex. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0395","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2022.107452","article-title":"Prevalence of heavy episodic drinking and alcohol use disorder diagnosis among US college students: results from the national healthy minds study","volume":"135","author":"Ranker","year":"2022","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0400","first-page":"38","article-title":"Symptoms of depression (not anxiety) mediate the relationship between childhood sexual abuse and compulsive sexual behaviors in men","volume":"45","author":"Reis","year":"2023","journal-title":"Braz. J. Psychiatry."},{"key":"10.1016\/j.jad.2026.121459_bb0405","doi-asserted-by":"crossref","DOI":"10.1016\/j.paid.2025.113357","article-title":"High risk for high reward? Latent profiles of impulsivity and reward sensitivity in relation to alcohol use outcomes among college students","volume":"246","author":"Rothstein","year":"2025","journal-title":"Personal. Individ. Differ."},{"key":"10.1016\/j.jad.2026.121459_bb0410","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2021.107031","article-title":"Associations between symptoms of posttraumatic stress disorder, pain, and alcohol use disorder among OEF\/OIF\/OND veterans","volume":"122","author":"Saba","year":"2021","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0415","first-page":"166","article-title":"Should compulsive sexual behavior (CSB) be considered as a behavioral addiction? A debate paper presenting the opposing view","volume":"11","author":"Sassover","year":"2020","journal-title":"J. Behav. Addict."},{"key":"10.1016\/j.jad.2026.121459_bb0420","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"10.1016\/j.jad.2026.121459_bb0425","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1186\/s12888-023-04804-x","article-title":"Measurement invariance of the PHQ-9 and GAD-7 across males and females seeking treatment for common mental health disorders","volume":"23","author":"Saunders","year":"2023","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.jad.2026.121459_bb0430","doi-asserted-by":"crossref","first-page":"203","DOI":"10.3109\/00952990.2015.1133632","article-title":"Psychometric properties of the positive and negative affect schedule (PANAS) in a heterogeneous sample of substance users","volume":"42","author":"Serafini","year":"2016","journal-title":"Am. J. Drug Alcohol Abuse"},{"key":"10.1016\/j.jad.2026.121459_bb0435","doi-asserted-by":"crossref","first-page":"202","DOI":"10.34172\/ahj.2023.1395","article-title":"Biopsychosocial determinants of problematic pornography use: a systematic review","volume":"15","author":"Seyedzadeh Dalooyi","year":"2023","journal-title":"Addict. Health."},{"key":"10.1016\/j.jad.2026.121459_bb0440","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1080\/26929953.2024.2432679","article-title":"The association between sexual violence, compulsive sexual behavior and problematic pornography use","volume":"32","author":"Shegedin","year":"2024","journal-title":"Sex. Health Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb0445","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2020.106647","article-title":"Predicting problematic pornography use among male returning US veterans","volume":"112","author":"Shirk","year":"2021","journal-title":"Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0450","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.drugalcdep.2019.06.002","article-title":"Evidence for essential unidimensionality of AUDIT and measurement invariance across gender, age and education. Results from the WIRUS study","volume":"202","author":"Skogen","year":"2019","journal-title":"Drug Alcohol Depend."},{"key":"10.1016\/j.jad.2026.121459_bb0455","doi-asserted-by":"crossref","first-page":"414","DOI":"10.35946\/arcr.v34.4.06","article-title":"Anxiety and alcohol use disorders: comorbidity and treatment considerations","volume":"34","author":"Smith","year":"2012","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0460","doi-asserted-by":"crossref","first-page":"113","DOI":"10.35946\/arcr.v39.2.02","article-title":"The epidemiology of post-traumatic stress disorder and alcohol use disorder","volume":"39","author":"Smith","year":"2018","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0465","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1556\/2006.2024.00035","article-title":"Co-occurring compulsive sexual behaviour in an inpatient substance use population: clinical correlates and influence on treatment outcomes","volume":"13","author":"Snaychuk","year":"2024","journal-title":"J. Behav. Addict."},{"key":"10.1016\/j.jad.2026.121459_bb0470","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"10.1016\/j.jad.2026.121459_bb0475","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1556\/2006.2024.00037","article-title":"Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder","volume":"13","author":"Stefanovics","year":"2024","journal-title":"J. Behav. Addict."},{"key":"10.1016\/j.jad.2026.121459_bb0480","doi-asserted-by":"crossref","first-page":"121","DOI":"10.35946\/arcr.v39.2.03","article-title":"Functional and psychiatric correlates of comorbid post-traumatic stress disorder and alcohol use disorder","volume":"39","author":"Straus","year":"2018","journal-title":"Alcohol Res."},{"key":"10.1016\/j.jad.2026.121459_bb0485","doi-asserted-by":"crossref","first-page":"3682","DOI":"10.3390\/ijerph19063682","article-title":"Problematic internet pornography use and psychological distress among emerging adults in Malaysia: gender as a moderator","volume":"19","author":"Tan","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"Pt A","key":"10.1016\/j.jad.2026.121459_bb0490","article-title":"Generational analyses of prevalence, relative risks and protective factors of anxiety and depression symptoms among adult Chinese in Hong Kong","volume":"393","author":"Tang","year":"2026","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.121459_bb0495","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1037\/a0035770","article-title":"College drinking problems and social anxiety: the importance of drinking context","volume":"28","author":"Terlecki","year":"2014","journal-title":"Psychol. Addict. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0500","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s40429-024-00548-0","article-title":"Emotional dysregulation and coping strategies in the context of problematic pornography use: a narrative review","volume":"11","author":"Testa","year":"2024","journal-title":"Curr. Addict. Rep."},{"key":"10.1016\/j.jad.2026.121459_bb0505","first-page":"5","article-title":"Pornography, problematic use and academic outcomes in college students: a cross-sectional analysis","volume":"6","author":"Tewogbola","year":"2025","journal-title":"J. Grad. Educ. Res."},{"key":"10.1016\/j.jad.2026.121459_bb0510","article-title":"Loneliness and problematic pornography use: what is the role of emotion regulation and interaction with content creators?","volume":"19","author":"Vescan","year":"2024","journal-title":"Addict. Behav. Rep."},{"key":"10.1016\/j.jad.2026.121459_bb0515","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1080\/26929953.2024.2348624","article-title":"Problematic pornography use and mental health: a systematic review","volume":"31","author":"Vieira","year":"2024","journal-title":"Sex. Health Compulsivity"},{"key":"10.1016\/j.jad.2026.121459_bb0520","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1002\/jts.22807","article-title":"Gender differences in disorders comorbid with posttraumatic stress disorder among U.S. sailors and marines","volume":"35","author":"Walter","year":"2022","journal-title":"J. Trauma. Stress."},{"key":"10.1016\/j.jad.2026.121459_bb0525","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1037\/0022-3514.54.6.1063","article-title":"Development and validation of brief measures of positive and negative affect: the PANAS scales","volume":"54","author":"Watson","year":"1988","journal-title":"J. Pers. Soc. Psychol."},{"key":"10.1016\/j.jad.2026.121459_bb0530","doi-asserted-by":"crossref","first-page":"3419","DOI":"10.1007\/s10508-024-02904-7","article-title":"The associations between attachment insecurity and compulsive sexual behavior disorder or problematic pornography use: the mediating role of emotion regulation difficulties","volume":"53","author":"Wiz\u0142a","year":"2024","journal-title":"Arch. Sex. Behav."},{"key":"10.1016\/j.jad.2026.121459_bb0535","author":"World Health Organization"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726003101?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726003101?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T17:08:52Z","timestamp":1786036132000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726003101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":106,"alternative-id":["S0165032726003101"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.121459","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Transdiagnostic psychopathology among individuals with co-occurring problematic pornography use and alcohol use problems","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.121459","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"121459"}}