{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:50:13Z","timestamp":1767855013410,"version":"3.49.0"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>The most important practical concerns in addiction medicine are the non-substance addiction and related addictive behaviors among individuals with substance use disorder. On the other hand, technological advances, and easy access have increased the frequency of online sexual activities (OSAs) as one of these behaviors. This study aimed to compare the prevalence of OSAs, based on the Internet Sex Screening Test (ISST) scores, among 60 patients with substance use disorder referred to Iran Psychiatric Hospital and 60 non-dependent individuals. The results showed significant negative correlations between the ISST scores and age, age at the onset of substance use, and substance use duration. There was a significant difference between the ISST scores of the case and control groups (<jats:italic>P<\/jats:italic> = 0.001). Patients who start using substances at an early age and have a great duration of substance use are more likely to engage in other addictive behaviors such as OSAs. Therefore, it is critical to consider OSAs and other addictive behaviors in patients with substance use disorder to provide better care for this vulnerable community.<\/jats:p>","DOI":"10.3389\/fpsyt.2022.889528","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T05:57:21Z","timestamp":1658469441000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of Online Sexual Activity Among Iranian Individuals With and Without Substance Use Disorder: A Case-Control Study"],"prefix":"10.3389","volume":"13","author":[{"given":"Shiva","family":"Soraya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vahid","family":"Rashedi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahdieh","family":"Saeidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooria","family":"Hashemi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Hadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamidreza","family":"Ahmadkhaniha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammadreza","family":"Shalbafan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/s43045-022-00197-x","article-title":"Prevalence of anxiety disorders and its co-occurrence with substance use disorder: a clinical study","volume":"29","author":"Soraya","year":"2022","journal-title":"Middle East Curr Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","year":"2013","journal-title":"Diagnostic and statistical manual of mental disorders (DSM-5\u00ae): American Psychiatric Pub","DOI":"10.1176\/appi.books.9780890425596"},{"key":"B3","volume-title":"An Introduction to Addictive Behaviors, 2nd Edn","author":"Thombs","year":"1999"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8010091","article-title":"Online porn addiction: what we know and what we don't\u2014A systematic review","author":"De Alarc\u00f3n","year":"2019","journal-title":"J Clin Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e12432","DOI":"10.1111\/appy.12432","article-title":"The state of psychiatric research in the Asia Pacific region","volume":"13","author":"Roche","year":"2021","journal-title":"Asia Pac Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.3389\/fncir.2013.00152","article-title":"Dopamine signaling in reward-related behaviors","author":"Baik","year":"2013","journal-title":"Front Neural Circuits"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1109\/HICSS.2013.367","author":"Lapointe","year":"2013","journal-title":"Is Smartphone Usage Truly Smart? A Qualitative Investigation of IT Addictive Behaviors"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1080\/07448481.2020.1789150","article-title":"Iranian students' attitudes toward premarital sex, marriage, and family in different college majors","volume":"70","author":"Mokhtari","year":"2022","journal-title":"J Am Coll Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1007\/s10578-013-0428-0","article-title":"Insecure attachment attitudes in the onset of problematic Internet use among late adolescents","volume":"45","author":"Schimmenti","year":"2014","journal-title":"Child Psychiatry Hum Dev"},{"key":"B10","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1177\/0002764208321339","article-title":"Internet sex addiction: risk factors, stages of development, and treatment","volume":"52","author":"Young","year":"2008","journal-title":"Am Behav Sci"},{"key":"B11","doi-asserted-by":"publisher","first-page":"111","DOI":"10.3109\/16066359.2011.588351","article-title":"Internet sex addiction: a review of empirical research","volume":"20","author":"Griffiths","year":"2012","journal-title":"Addict Res Theory"},{"key":"B12","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1080\/0092623X.2013.842192","article-title":"Internet pornography use: perceived addiction, psychological distress, and the validation of a brief measure","volume":"41","author":"Grubbs","year":"2015","journal-title":"J Sex Marital Ther"},{"key":"B13","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1080\/00224490801987481","article-title":"Sex in America online: an exploration of sex, marital status, and sexual identity in Internet sex seeking and its impacts","volume":"45","author":"Albright","year":"2008","journal-title":"J Sex Res"},{"key":"B14","first-page":"221","article-title":"Women's perception of sexual socialization in Iran: a qualitative study","volume":"2","author":"Maasoumi","year":"2020","journal-title":"J Qual Res Health Sci"},{"key":"B15","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1080\/10720162.2017.1358124","article-title":"Facilitators of and barriers to compulsive sexual behavior in Iranian women","volume":"24","author":"Moshtagh","year":"2017","journal-title":"Sex Addict Compulsivity"},{"key":"B16","doi-asserted-by":"publisher","first-page":"517","DOI":"10.5964\/ejop.v9i3.595","article-title":"Sexual compulsivity comorbidity with depression, anxiety, and substance use in students from Serbia and Bosnia and Herzegovina","volume":"9","author":"Berberovic","year":"2013","journal-title":"Eur J Psychol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1007\/s40429-020-00301-3","article-title":"Addictive use of online sexual activities and its comorbidities: a systematic review","volume":"7","author":"Hermand","year":"2020","journal-title":"Curr Addict Rep"},{"key":"B18","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.addbeh.2018.07.005","article-title":"Substance use disorders and sexual behavior; the effects of alcohol and drugs on patients' sexual thoughts, feelings and behavior","volume":"87","author":"Bosma-Bleeker","year":"2018","journal-title":"Addict Behav"},{"key":"B19","unstructured":"DelmonicoDL\n          10.1037\/t60529-000Internet Sex Screening Test1997"},{"key":"B20","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1080\/10720162.2019.1645060","article-title":"Validity and reliability of the Persian version of Internet Sex Screening Test in Iranian medical students","volume":"26","author":"Shalbafan","year":"2019","journal-title":"Sex Addict Compulsivity"},{"key":"B21","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1080\/10720160008400211","article-title":"Compulsive cybersex: the new tea room","volume":"7","author":"Schwartz","year":"2000","journal-title":"Sex Addict Compulsivity"},{"key":"B22","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1007\/s13178-016-0234-0","article-title":"Sexting behaviors and cyber pornography addiction among adolescents: the moderating role of alcohol consumption","volume":"14","author":"Morelli","year":"2017","journal-title":"Sex Res Soc Policy"},{"key":"B23","doi-asserted-by":"publisher","first-page":"479","DOI":"10.3109\/10826084.2013.858168","article-title":"A study of multiple behavioral addictions in a substance abuse sample","volume":"49","author":"Najavits","year":"2014","journal-title":"Subst Use Misuse"},{"key":"B24","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1016\/j.addbeh.2012.12.024","article-title":"Substance abuse precedes internet addiction","volume":"38","author":"Lee","year":"2013","journal-title":"Addict Behav"},{"key":"B25","doi-asserted-by":"publisher","first-page":"54","DOI":"10.3389\/fpsyt.2015.00054","article-title":"Factors predicting cybersex use and difficulties in forming intimate relationships among male and female users of cybersex","volume":"6","author":"Weinstein","year":"2015","journal-title":"Front Psychiatry"},{"key":"B26","first-page":"290","article-title":"Behavioral addiction versus substance addiction: correspondence of psychiatric and psychological views","volume":"3","author":"Alavi","year":"2012","journal-title":"Int J Prev Med"},{"key":"B27","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1556\/2006.7.2018.101","article-title":"The contribution of personality factors and gender to ratings of sex addiction among men and women who use the Internet for sex purpose","volume":"7","author":"Shimoni","year":"2018","journal-title":"J Behave Addict"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.889528\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T05:57:25Z","timestamp":1658469445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.889528\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,22]]},"references-count":27,"alternative-id":["10.3389\/fpsyt.2022.889528"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2022.889528","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,22]]},"article-number":"889528"}}