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Various terms, such as excessive sexual behaviour, hyper-sexuality, compulsive sexual behaviour disorder (CSBD), or sexual addiction (SA), have been used to describe it, contributing to ongoing debates about its theoretical framework. The following three studies aim to empirically assess whether CSB exhibits key elements of behavioural addiction (mood-modification, sensitization\/tolerance, and withdrawal).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Three studies, involving participants with and without CSB, were conducted. The mood-modification hypothesis was tested by exposing participants to short films inducing positive, negative, and emotionally neutral moods, followed by an evaluation of their craving for pornography. To test the sensitization hypothesis, participants viewed short films with varying levels of explicit sexual stimuli, and their level of actual wanting and liking were assessed through self-reports. For the withdrawal hypothesis, participants underwent a 10-day sexual abstinence, with self-reports of various symptoms, collected on pre-intervention, 3rd, 7th, and 10th days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Contrary to previous studies of addiction, CSB participants didn\u2019t show increased craving to mood induction and negative mood actually decreased craving for pornography. Secondly, they showed wanting to explicit sexual stimuli although it was not increased with explicitness. Finally, they demonstrated reduced withdrawal symptom during abstinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study provide conflicting results concerning the model of behavioural addiction. There is supporting evidence for wanting in response to explicit pornography stimuli although it was not associated with increased explicitness. There is also evidence for reduced withdrawal during abstinence. Finally, there was no evidence that mood modification increases craving for pornography, negative mood actually decreased craving. Further research is needed to test the various models of CSB.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1421028","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T04:36:54Z","timestamp":1728621414000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Investigating mood-modification, withdrawal, and sensitization in compulsive sexual behaviour"],"prefix":"10.3389","volume":"15","author":[{"given":"Eli","family":"Sassover","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talma","family":"Kushnir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviv M.","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"B1","unstructured":"International Classification of Diseases for Mortality and Morbidity Statistics2018"},{"key":"B2","article-title":"The history of sexuality, trans","volume-title":"The use of pleasure","author":"Foucault","year":"1978"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1080\/00926231003719681","article-title":"What is sexual addiction","volume":"36","author":"Levine","year":"2010","journal-title":"J Sex Marital Ther"},{"key":"B4","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1111\/j.1360-0443.1978.tb00157.x","article-title":"Hypersexuality: Implications for a theory of dependence","volume":"73","author":"Orford","year":"1978","journal-title":"Br J Addict to Alcohol Other Drugs"},{"key":"B5","volume-title":"The sexual addiction","author":"Carnes","year":"1983"},{"key":"B6","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1300\/J056v04n02_04","article-title":"Compulsive sexual behavior: New concepts and treatments","volume":"4","author":"Coleman","year":"1991","journal-title":"J Psychol Hum Sexuality"},{"key":"B7","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1080\/00926238708403875","article-title":"The mislabeling of sexual impulsivity","volume":"13","author":"Barth","year":"1987","journal-title":"J Sex Marital Ther"},{"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 Sexual Behav"},{"key":"B9","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2022.00030","article-title":"Contradicting classification, nomenclature, and diagnostic criteria of Compulsive Sexual Behavior Disorder (CSBD) and future directions: Commentary to the debate: \u201cBehavioral addictions in the ICD-11","volume":"11","author":"B\u0151the","year":"2022","journal-title":"J Behav Addict"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149","article-title":"Gray matter volume differences in impulse control and addictive disorders\u2014An evidence from a sample of heterosexual males","volume":"17","author":"Draps","year":"2020","journal-title":"J Sexual Med"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2022.00035","article-title":"Neural and behavioral correlates of sexual stimuli anticipation point to addiction-like mechanisms in compulsive sexual behavior disorder","volume":"11","author":"Liberg","year":"2022","journal-title":"J Behav Addict"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2020.00055","article-title":"Should compulsive sexual behavior (CSB) be considered as a behavioral addiction? 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