{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:04:37Z","timestamp":1777914277871,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"abstract":"\n Background:<\/jats:title>\n Pornography addiction is a growing public health concern worldwide, with increasing recognition of its prevalence and consequences in India. This study explores the onset, manifestation, and impact of pornography addiction within the Indian context, addressing the need for culturally relevant research.<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n A retrospective, observational, cross-sectional study was conducted using data from 589 individuals who sought treatment for pornography addiction through online and offline healthcare platforms. Patients aged 18 and older were included based on the International Classification of Diseases, 11th Revision (ICD-11) diagnostic criteria for Compulsive Sexual Behavior Disorder (CSBD) (6C72). Data on demographic factors, clinical diagnoses, and treatment outcomes were analyzed using International Business Machines Statistical Package for the Social Sciences (IBM SPSS). Participants received either pharmacological treatment, psychotherapy, or a combination of both.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The sample included 589 participants, predominantly male (\n n<\/jats:italic>\n = 583; 98.98%), with a mean age of 28.98 years; 374 (63.5%) were under 30, and 287 (48.7%) were single. Most identified as heterosexual (\n n<\/jats:italic>\n = 568; 96.4%) and had no prior treatment history (\n n<\/jats:italic>\n = 465; 78.9%). Common co-morbid sexual dysfunctions included erectile dysfunction (\n n<\/jats:italic>\n = 232; 39.4%), premature ejaculation (\n n<\/jats:italic>\n = 198; 33.6%), and low sexual desire (\n n<\/jats:italic>\n = 109; 18.5%). Pharmacological treatment was most common (\n n<\/jats:italic>\n = 338; 57.4%), followed by psychotherapy (\n n<\/jats:italic>\n = 207; 35.2%) and combined treatment (\n n<\/jats:italic>\n = 44; 7.4%). Age showed significant associations with addiction severity (\n \u03c7<\/jats:italic>\n \u00b2 = 17.07,\n p<\/jats:italic>\n = .01), relationship status (\n \u03c7<\/jats:italic>\n \u00b2 = 190.11,\n p<\/jats:italic>\n < .01), and treatment modality (\n \u03c7<\/jats:italic>\n \u00b2 = 12.25,\n p<\/jats:italic>\n = .01), with younger individuals more often receiving psychotherapy. Severity was weakly but significantly correlated with both age (\n r<\/jats:italic>\n = 0.149,\n p<\/jats:italic>\n < .01) and number of psychiatric diagnoses (\n r<\/jats:italic>\n = 0.098,\n p<\/jats:italic>\n < .05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Pornography addiction in India is shaped by age, relationship status, and cultural context. These findings underscore the need for age-targeted, culturally informed interventions. Future research should examine longitudinal trends and psychiatric comorbidities to guide comprehensive treatment planning.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/02537176251381219","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T03:00:56Z","timestamp":1761534056000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Demographic Correlates of Pornography Addiction: A Cross-sectional Study from India"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4837-5032","authenticated-orcid":false,"given":"Nikunj","family":"Gokani","sequence":"first","affiliation":[{"name":"Allo Health Sexual Medicine Research Group, Mumbai, Maharashtra, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanha","family":"Gowande","sequence":"additional","affiliation":[{"name":"Allo Health Sexual Medicine Research Group, Mumbai, Maharashtra, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashima","family":"Sahore","sequence":"additional","affiliation":[{"name":"Allo Health Sexual Medicine Research Group, Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3027-7817","authenticated-orcid":false,"given":"Sandip","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Allo Health Sexual Medicine Research Group, Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision (ICD-11)","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision (ICD-11). Geneva: WHO; 2022. Available from: https:\/\/icd.who.int\/"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.13297"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-018-1248-x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/bs5030388"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2016.1143441"},{"issue":"2","key":"e_1_3_3_7_2","first-page":"192","article-title":"Cultural context and sexual behaviour among young adults in India: Implications for understanding and addressing sexual addiction","volume":"60","author":"Kumar S","year":"2017","unstructured":"Kumar S, and Prakash J. Cultural context and sexual behaviour among young adults in India: Implications for understanding and addressing sexual addiction. J Adolesc Health, 2017; 60(2): 192\u2013199.","journal-title":"J Adolesc Health"},{"issue":"6","key":"e_1_3_3_8_2","first-page":"684","article-title":"Internet pornography and sexual behavior among adolescents: A cross-sectional study in North India","volume":"62","author":"Bansal S","year":"2020","unstructured":"Bansal S, , Barman A, , Oinam AS, . Internet pornography and sexual behavior among adolescents: A cross-sectional study in North India. Indian J Psychol Med, 2020; 62(6): 684\u2013690.","journal-title":"Indian J Psychol Med"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"1595","article-title":"A study of depression, anxiety, stress and pornography craving among Indian men","volume":"11","author":"Bhat Kallahalla A","year":"2023","unstructured":"Bhat Kallahalla A, and Asokan R. A study of depression, anxiety, stress and pornography craving among Indian men. Int J Indian Psychol, 2023; 11(1): 1595\u20131601.","journal-title":"Int J Indian Psychol"},{"issue":"1","key":"e_1_3_3_10_2","first-page":"40","article-title":"Internet pornography use among medical students in India: Extent and effect","volume":"4","author":"Kumar V","year":"2022","unstructured":"Kumar V, , Sachdeva A, , Khullar S, . Internet pornography use among medical students in India: Extent and effect. J Psychosex Health, 2022; 4(1): 40\u201346.","journal-title":"J Psychosex Health"},{"key":"e_1_3_3_11_2","first-page":"102611","article-title":"Problematic pornography use among college students: Prevalence, correlates, and comorbidity","volume":"58","author":"Bhambhani Y","year":"2021","unstructured":"Bhambhani Y, , Das S, , Avasthi A, . Problematic pornography use among college students: Prevalence, correlates, and comorbidity. Asian J Psychiatr, 2021; 58: 102611.","journal-title":"Asian J Psychiatr"},{"key":"e_1_3_3_12_2","volume-title":"Behavioral addictions in India: A multicity survey report","author":"Indian Council of Medical Research","year":"2021","unstructured":"Indian Council of Medical Research. Behavioral addictions in India: A multicity survey report. Bengaluru: ICMR-NIMHANS, 2021."},{"issue":"6","key":"e_1_3_3_13_2","first-page":"448","article-title":"Pharmacologic treatment for paraphilic and nonparaphilic hypersexuality","volume":"12","author":"Kafka MP","year":"2010","unstructured":"Kafka MP. Pharmacologic treatment for paraphilic and nonparaphilic hypersexuality. 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Online sexual activities: An exploratory study of problematic and non-problematic usage patterns in a sample of men. Comput Hum Behav, 2017; 75: 427\u2013436.","journal-title":"Comput Hum Behav"},{"issue":"2","key":"e_1_3_3_18_2","first-page":"123","article-title":"Help-seeking barriers in Indian men with sexual health concerns","volume":"46","author":"Sharma R","year":"2024","unstructured":"Sharma R, and Kumar S. Help-seeking barriers in Indian men with sexual health concerns. Indian J Psychol Med, 2024; 46(2):123\u2013130.","journal-title":"Indian J Psychol Med"},{"issue":"4","key":"e_1_3_3_19_2","first-page":"345","article-title":"Shame and pornography use in South Asia","volume":"25","author":"Jha A","year":"2022","unstructured":"Jha A, and Banerjee D. Shame and pornography use in South Asia. Asian J Soc Psychol, 2022;25(4): 345\u2013356.","journal-title":"Asian J Soc Psychol"},{"issue":"1","key":"e_1_3_3_20_2","first-page":"76","article-title":"Compulsive sexual behavior disorder: Prevalence and diagnostic utility of ICD-11 guidelines","volume":"10","author":"B\u0151the B","year":"2023","unstructured":"B\u0151the B, , Ko\u00f3s M, , Demetrovics Z, . Compulsive sexual behavior disorder: Prevalence and diagnostic utility of ICD-11 guidelines. Curr Addict Rep, 2023;10(1): 76\u201388.","journal-title":"Curr Addict Rep"}],"container-title":["Indian Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176251381219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02537176251381219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02537176251381219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:46:44Z","timestamp":1777654004000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02537176251381219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,26]]},"references-count":19,"alternative-id":["10.1177\/02537176251381219"],"URL":"https:\/\/doi.org\/10.1177\/02537176251381219","relation":{},"ISSN":["0253-7176","0975-1564"],"issn-type":[{"value":"0253-7176","type":"print"},{"value":"0975-1564","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,26]]},"article-number":"02537176251381219"}}