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This study aimed to investigate the behavioral and neuronal effects of emotional interference on cognition among CSBD patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty heterosexual males with CSBD and matched healthy controls (HC) were studied with the Emotional Stroop Task using 5 categories of emotionally arousing words (sex-related, positive, fear-related, negative, neutral) during functional magnetic imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the behavioral level, we found the main effect of the condition: sex-related words evoked a stronger Stroop effect than other conditions. At the neural level, we found a significant group effect. Among CSBD patients processing of sex-related words was related to increased activity in the right putamen, right thalamus, hippocampi, and left pulvinar, when compared to HC. We also found a negative correlation between neuronal activation and time spent on sexual activity during the week preceding study and numerous group differences in brain regions connected to the emotional and motivational processing of sexually explicit material, correlating with CSBD symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Behavioral results indicate a specific attentional bias toward sex-related stimuli in both groups, while neural data uncovered stronger reactivity to sex-related words in CSBD compared to HC. This reactivity is related to CSBD symptoms and provides evidence for the interference of sex-related stimuli with cognition. Such results are firmly in line with the Incentive Salience Theory and conceptualizing CSBD as a behavioral addiction.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.2024.00033","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T20:04:43Z","timestamp":1720123483000},"page":"791-806","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":6,"title":["Emotional interference and attentional bias in compulsive sexual behaviors disorder \u2013 An fMRI study on heterosexual males"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2760-7796","authenticated-orcid":true,"given":"Ma\u0142gorzata","family":"Draps","sequence":"first","affiliation":[{"name":"Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1183-9138","authenticated-orcid":true,"given":"Maria","family":"Kulesza","sequence":"additional","affiliation":[{"name":"Laboratory of Brain Imaging, Neurobiology Center, Nencki Institute of Experimental Biology, Polish Academy of Sciences, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4102-8950","authenticated-orcid":true,"given":"Agnieszka","family":"Glica","sequence":"additional","affiliation":[{"name":"Laboratory of Language Neurobiology, Nencki Institute of Experimental Biology, Polish Academy of Sciences, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Szymanowska","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Social Sciences and Humanities, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Lewi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Social Sciences and Humanities, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weronika","family":"\u017bukrowska","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9691-1102","authenticated-orcid":true,"given":"Mateusz","family":"Gola","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland"},{"name":"Swartz Center for Computational Neuroscience, Institute for Neural Computations, University of California San Diego, San Diego, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"1","key":"B1","series-title":"European Addiction Research","first-page":"1","article-title":"Exploring the relationship between sexual compulsivity and attentional bias to sex-related words in a cohort of sexually active individuals","volume":"23","author":"Albery, I. 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