{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:12:39Z","timestamp":1792807959632,"version":"4.5.0"},"reference-count":100,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"crossref","award":["411232260"],"award-info":[{"award-number":["411232260"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2022,9,26]]},"abstract":"Abstract<\/jats:title>\n \n Background and aims<\/jats:title>\n Compulsive sexual behavior disorder (CSBD) which includes problematic pornography use (PPU) is a clinically relevant syndrome that has been included in the ICD-11 as impulse control disorder. The number of studies on treatments in CSBD and PPU increased in the last years. The current preregistered systematic review aimed for identifying treatment studies on CSBD and PPU as well as treatment effects on symptom severity and behavior enactment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study was preregistered at Prospero International Prospective Register of Systematic Reviews (CRD42021252329). The literature search done in February 2022\u2009at PubMed, Scopus, Web of Science, and PsycInfo, included original research published in peer-reviewed journals between 2000 to end 2021. The risk of bias was assessed with the CONSORT criteria. A quantitative synthesis based on effect sizes was done.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall 24 studies were identified. Four of these studies were randomized controlled trials. Treatment approaches included settings with cognitive behavior therapy components, psychotherapy methods, and psychopharmacological therapy. Receiving treatment seems to improve symptoms of CSBD and PPU. Especially, evidence for the efficacy of cognitive behavior therapy is present.<\/jats:p>\n <\/jats:sec>\n \n Discussion and conclusions<\/jats:title>\n There is first evidence for the effectiveness of treatment approaches such as cognitive behavior therapy. However, strong conclusions on the specificity of treatments should be drawn with caution. More rigorous and systematic methodological approaches are needed for future studies. Results may be informative for future research and the development of specific treatment programs for CSBD and PPU.<\/jats:p>\n <\/jats:sec>","DOI":"10.1556\/2006.2022.00061","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T07:12:15Z","timestamp":1663053135000},"page":"643-666","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":77,"title":["Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review"],"prefix":"10.1556","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3187-968X","authenticated-orcid":true,"given":"Stephanie","family":"Antons","sequence":"first","affiliation":[{"name":"Department of General Psychology: Cognition and Center for Behavioral Addiction Research, University of Duisburg-Essen, Duisburg, Germany"},{"name":"Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9334-3891","authenticated-orcid":true,"given":"Jannis","family":"Engel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1360-014X","authenticated-orcid":true,"given":"Peer","family":"Briken","sequence":"additional","affiliation":[{"name":"Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6583-1433","authenticated-orcid":true,"given":"Tillmann H.C.","family":"Kr\u00fcger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine, Hannover Medical School, Hannover, Germany"},{"name":"Center for Systems Neuroscience Hannover, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4831-9542","authenticated-orcid":true,"given":"Matthias","family":"Brand","sequence":"additional","affiliation":[{"name":"Department of General Psychology: Cognition and Center for Behavioral Addiction Research, University of Duisburg-Essen, Duisburg, Germany"},{"name":"Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4299-5280","authenticated-orcid":true,"given":"Rudolf","family":"Stark","sequence":"additional","affiliation":[{"name":"Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Giessen, Germany"},{"name":"Center of Mind, Brain and Behavior, Universities of Marburg and Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013","unstructured":"American Psychiatric Association\n (2013). \n Diagnostic and statistical manual of mental disorders\n (5th ed.). 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