{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:30:48Z","timestamp":1783593048373,"version":"3.55.0"},"reference-count":66,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Joint Federal Committee","award":["01NVF22111"],"award-info":[{"award-number":["01NVF22111"]}]},{"name":"LOEWE program of the Hessian Ministry of Science and Arts","award":["LOEWE1\/16\/519\/03\/09.001(0009)\/98"],"award-info":[{"award-number":["LOEWE1\/16\/519\/03\/09.001(0009)\/98"]}]},{"name":"Excellence Program of the Hessian Ministry of Science and Arts,"},{"DOI":"10.13039\/501100001659","name":"German Research Foundation","doi-asserted-by":"crossref","award":["411232260 \/ STA 475\/22-1"],"award-info":[{"award-number":["411232260 \/ STA 475\/22-1"]}],"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":[[2024,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The introduction of Compulsive Sexual Behavior Disorder (CSBD) into the 11th International Classification of Diseases has raised expectations for better treatment options for CSBD. Furthermore, the treatment demand has increased, particularly for pornography use disorder (PUD), a subtype of CSBD. Presumably due to the easy access to Internet pornography an increasing prevalence of PUD is observed. Consequently, providing tailored and effective treatment is essential.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This article provides an overview of the manualized short-term <jats:italic>PornLoS Treatment Program<\/jats:italic> (<jats:bold>Porn<\/jats:bold>ografienutzungsst\u00f6rung effektiv behandeln\u2013 <jats:bold>L<\/jats:bold>eben <jats:bold>o<\/jats:bold>hne <jats:bold>S<\/jats:bold>uchtdruck; translation: Treating pornography use disorder effectively - life without craving). The program combines 24 individual and 6 group psychotherapy sessions with an interdisciplinary approach by offering a novel treatment framework. This includes, e.g., a mobile app, establishment of self-help groups, and access to other social services such as couple counseling. The cognitive-behavioral treatment program contains interventions addressing psychoeducation, cue exposure, impulse control, cognitive restructuring, emotional regulation, and relapse management.<\/jats:p><jats:p>We here also describe the study protocol of an ongoing four-arm randomized controlled trial. The aim is to test two variants of the PornLoS Treatment Program differing with respect to their treatment goal (abstinence or reduced pornography use) against cognitive-behavioral treatment as usual and against a waitlist control group. The primary outcome is the absence of a PUD diagnosis at the end of therapy. The total target sample size will comprise <jats:italic>n<\/jats:italic> = 316 patients with PUD across eight study sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results will be presented at international conferences and published in a scientific peer-reviewed journal.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.2024.00046","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T13:24:48Z","timestamp":1725542688000},"page":"854-870","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":7,"title":["The PornLoS Treatment Program: Study protocol of a new psychotherapeutic approach for treating pornography use disorder"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4299-5280","authenticated-orcid":true,"given":"Rudolf","family":"Stark","sequence":"first","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"},{"name":"Center of Mind, Brain and Behavior, Universities of Marburg und Giessen, Giessen, Germany"},{"name":"LOEWE Center DYNAMIC, University of Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9076-5490","authenticated-orcid":true,"given":"Charlotte","family":"Markert","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3200-882X","authenticated-orcid":true,"given":"Sarah","family":"Golder","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1971-3791","authenticated-orcid":true,"given":"Rhea","family":"Psarros","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian P.","family":"Discher","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Said","family":"Khatib","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Metzger","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Rechmann","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Storz","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0254-5322","authenticated-orcid":true,"given":"Bertram","family":"Walter","sequence":"additional","affiliation":[{"name":"Department for Psychotherapy and Systems Neuroscience, Justus-Liebig University of Giessen, Giessen, Germany"},{"name":"Center of Mind, Brain and Behavior, Universities of Marburg und Giessen, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9757-1752","authenticated-orcid":true,"given":"Sarah","family":"Allard","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy, Goethe University Frankfurt, Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3187-968X","authenticated-orcid":true,"given":"Stephanie","family":"Antons","sequence":"additional","affiliation":[{"name":"General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany"},{"name":"Center for Behavioral Addiction Research (CeBAR), Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, University of Duisburg-Essen, Germany"},{"name":"Erwin L. 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