TY  - JOUR
A1  - Markert, Charlotte
A1  - Storz, Florian
A1  - Golder, Sarah
A1  - Rechmann, Johanna
A1  - Rubel, Julian
A1  - Lalk, Christopher
A1  - Vogt, Rabea
A1  - Glombiewski, Julia Anna
A1  - Braun, David
A1  - Pané-Farré, Christiane A.
A1  - Michael, Tanja
A1  - Mattheus, Hannah K.
A1  - Dominick, Nanne
A1  - Wölfling, Klaus
A1  - Lutz, Wolfgang
A1  - Schaffrath, Jana
A1  - Stangier, Ulrich
A1  - Kananian, Schahryar
A1  - Strüwing, Dirk
A1  - Klingelhöfer, Doerthe
A1  - Valbert, Frederik Tim
A1  - Neumann, Anja
A1  - Walter, Bertram
A1  - Stark, Rudolf
T1  - On the current psychotherapeutic situation for persons with pornography use disorder in Germany
T2  - Journal of behavioral addictions
N2  - Background and aims: For the first time, the ICD-11 provides the diagnosis compulsive sexual behavior disorder (CSBD) that can be assigned for pornography use disorder (PUD). This study aimed to estimate the prevalence of PUD and associated consequences in Germany, to identify the psychotherapy demand among likely PUD (lPUD) cases and the treatment supply in different psychotherapeutic settings, to survey psychotherapists' level of expertise regarding PUD, and to identify predictors for psychotherapy demand.
Methods: Four studies were conducted: 1. Online study in the general population (n = 2070; m = 48.9%, f = 50.8%, d = 0.2%), 2. Survey among practicing psychotherapists (n = 983), 3. Survey of psychotherapists in psychotherapeutic outpatient clinics (n = 185), 4. Interviews with psychotherapeutic inpatient clinics (n = 28).
Results: The estimated prevalence of lPUD in the online study was 4.7% and men were 6.3 times more often affected than women. Compared to individuals without PUD, individuals with lPUD more often indicated negative consequences in performance-related areas. Among lPUD cases, 51.2% of men and 64.3% of women were interested in a specialized PUD treatment. Psychotherapists reported 1.2%–2.9% of lPUD cases among their patients. 43.2%–61.5% of psychotherapists stated to be poorly informed about PUD. Only 7% of psychotherapeutic inpatient clinics provided specific treatments to patients with PUD. While, among other factors, negative consequences attributed to lPUD were predictive for psychotherapy demand, weekly pornography consumption, subjective well-being, and religious attachment were not.
Discussion and conclusions: Although PUD occurs quite often in Germany, availability of mental health care services for PUD is poor. Specific PUD treatments are urgently needed.
Y1  - 2023
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/74944
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-749441
SN  - 2063-5303
VL  - 12
IS  - 2
SP  - 421
EP  - 434
PB  - Akadémiai Kiadó
CY  - Budapest
ER  -