{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:46:26Z","timestamp":1791967586632,"version":"4.3.4"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Problematic sexual internet use has been attracting increasing research attention in recent years. However, there is a paucity of qualitative studies about how this problem manifests on a daily basis in the clinical population and whether the phenomenon should fall within the hypersexual, compulsive-impulsive, or addictive spectrums of disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-three semi-structured interviews, including AICA-C clinical interviews, were conducted with men who were in treatment for problematic internet sex use (aged 22\u201353; Mage = 35.82). The interview structure focused on the patterns of sexual behavior in question, their development, the manifestation of symptoms, and other associated psychosocial problems. A thematic analysis was applied as the main analytical strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Typical problematic patterns included pornography use and cybersex, together with continuous masturbation for several hours several times a week. This pattern emerged relatively early in young adulthood and became persistent for years. The majority of participants fulfilled the criteria for behavioral addiction (as defined, e.g., by the components model of addiction), with loss of control and preoccupation being the most pronounced and withdrawal symptoms being the least. Together with the onset of erectile dysfunction, negative consequences were reported as being slowly built up over years and typically in the form of deep life dissatisfaction, regret, and feelings of unfulfilled potential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusion<\/jats:title>\n                    <jats:p>The Addiction model is relevant for describing the difficulties in treatment-seeking men who suffer from problematic sexual internet use. However, the manifestations of the additional criteria are nuanced. In the case of negative consequences, their onset might be very slow and not easily reflected. While there was evidence of several forms of tolerance, potential withdrawal symptoms in online sex addiction need further attention to be verified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2022.907549","type":"journal-article","created":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T02:30:04Z","timestamp":1657161004000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":23,"title":["Online Sex Addiction: A Qualitative Analysis of Symptoms in Treatment-Seeking Men"],"prefix":"10.3389","volume":"13","author":[{"given":"Lukas","family":"Blinka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"\u0160ev\u010d\u00edkov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Dreier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"\u0160ka\u0159upov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"W\u00f6lfling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1071\/SH11023","article-title":"Outcomes of using the internet for sexual purposes: fulfillment of sexual desires","volume":"10","author":"Daneback","year":"2012","journal-title":"Sex Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1037\/men0000112","article-title":"Self-perceived effects of pornography consumption among heterosexual men","volume":"19","author":"Miller","year":"2018","journal-title":"Psychol Men Masc."},{"key":"B3","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1089\/cyber.2014.0343","article-title":"Association between pornography use and sexual risk behaviors in adult consumers: a systematic review","volume":"18","author":"Harkness","year":"2015","journal-title":"Cyberpsychol Behav Soc Netw."},{"key":"B4","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3390\/jcm8010091","article-title":"Online porn addiction: What we know and what we don't\u2014a systematic review","volume":"8","author":"de Alarc\u00f3n","year":"2019","journal-title":"J Clin Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"101925","DOI":"10.1016\/j.cpr.2020.101925","article-title":"Sexual addiction 25 years on: a systematic and methodological review of empirical literature and an agenda for future research","volume":"82","author":"Grubbs","year":"2020","journal-title":"Clin Psychol Rev."},{"key":"B6","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1007\/s10508-011-9762-0","article-title":"Prevalence, severity, and correlates of problematic sexual Internet use in Swedish men and women","volume":"41","author":"Ross","year":"2011","journal-title":"Arch Sex Behav."},{"key":"B7","doi-asserted-by":"publisher","first-page":"4012","DOI":"10.2174\/13816128113199990619","article-title":"Sexual addiction or hypersexual disorder: different terms for the same problem? a review of the literature","volume":"20","author":"Karila","year":"2014","journal-title":"Curr Pharm Des."},{"key":"B8","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s10508-009-9574-7","article-title":"Hypersexual disorder: a proposed diagnosis for DSM-V","volume":"39","author":"Kafka","year":"2010","journal-title":"Arch Sex Behav."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1007\/s10508-014-0326-y","article-title":"What happened to hypersexual disorder?","volume":"43","author":"Kafka","year":"2014","journal-title":"Arch Sex Behav."},{"key":"B10","doi-asserted-by":"publisher","first-page":"2868","DOI":"10.1111\/j.1743-6109.2012.02936.x","article-title":"Report of findings in a DSM-5 field trial for hypersexual disorder","volume":"9","author":"Reid","year":"2012","journal-title":"J Sex Med."},{"key":"B11","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1002\/wps.20499","article-title":"Kaplan MS, Reed GM et al. 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