{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:34:07Z","timestamp":1793313247913,"version":"4.5.0"},"reference-count":62,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2024,12,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Many jurisdictions are experiencing opioid epidemics. Opioid use disorder (OUD) often co-occurs with other psychiatric disorders including behavioral addictions like gambling disorder. However, little is known regarding the frequency and correlates of problematic pornography use (PPU) among people seeking treatment for OUD. Here we aimed to investigate PPU and its correlates in people seeking OUD treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From October 2018 to March 2020, 1,272 individuals seeking OUD treatment were screened for PPU by completing the Brief Pornography Screen (BPS), a 5-item instrument validated for assessing PPU. Self-reported data were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among\u00a0the sample there were 707 (60%) males and 565 (40%) females. The mean age of participants was 37.9 \u00b1 10.5 years (range 18\u201373), there were 707 (60%) males and 565 (40%) females, 9.9% (<jats:italic>n<\/jats:italic> = 126) exhibited low positive BPS scores (1\u2009\u2264\u2009score &lt; 4), and 4.5% of the sample (<jats:italic>n<\/jats:italic> = 57) screened positive for PPU (BPS score \u22654). Individuals screening positive for PPU versus negative were mostly male (77%), scored higher on measures of impulsivity in the domains of positive urgency, negative urgency, and sensation-seeking and demonstrated more psychopathology on measures of substance use,\u00a0psychotic symptoms, emotional lability, depression\/functioning and self-harm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>A minority of individuals seeking treatment for OUD screened positive for PPU. Among individuals with OUD, those screening positive (versus negative) for PPU were more impulsive and experienced more psychiatric symptoms, suggesting the need for additional investigation and screening for and addressing PPU in people with OUD.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.2024.00037","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T12:16:42Z","timestamp":1726661802000},"page":"938-946","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":6,"title":["Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2843-4735","authenticated-orcid":true,"given":"Elina A.","family":"Stefanovics","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"},{"name":"U.S. Department of Veterans Affairs New England Mental Illness Research and Education Clinical Center (MIRECC), West Haven, CT, USA"},{"name":"National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0404-9480","authenticated-orcid":true,"given":"Shane W.","family":"Kraus","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9981-3938","authenticated-orcid":true,"given":"Lynn M.","family":"Madden","sequence":"additional","affiliation":[{"name":"APT Foundation, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1519-340X","authenticated-orcid":true,"given":"Scott","family":"Farnum","sequence":"additional","affiliation":[{"name":"APT Foundation, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Cannata","sequence":"additional","affiliation":[{"name":"APT Foundation, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6323-1354","authenticated-orcid":true,"given":"Marc N.","family":"Potenza","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"},{"name":"Yale School of Medicine, Internal Medicine - AIDS Program, New Haven, CT, USA"},{"name":"Yale Child Study Center, Yale University, New Haven, CT, USA"},{"name":"Connecticut Mental Health Center, New Haven, CT, USA"},{"name":"Connecticut Council on Problem Gambling, Wethersfield, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6697-5220","authenticated-orcid":true,"given":"Declan","family":"Barry","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"},{"name":"APT Foundation, New Haven, CT, USA"},{"name":"Yale School of Medicine, Internal Medicine - AIDS Program, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Diagnostic and statistical manual of mental disorders: DSM-5","volume":"5","author":"American Psychiatric Association","year":"2013","unstructured":"American Psychiatric Association (2013). 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