Utah State University, UT, USA.
Behav Ther. 2010 Sep;41(3):285-95. doi: 10.1016/j.beth.2009.06.002. Epub 2010 Jan 28.
Despite the prevalence of problematic Internet pornography viewing and the breadth of intervention approaches to potentially address it, no studies to address this problem have been reported to date. An emerging treatment approach, Acceptance and Commitment Therapy (ACT), holds promise as a treatment for Internet pornography viewing because of its focus on processes hypothesized to underlie this maladaptive behavior. In the first experiment on the treatment of problematic Internet pornography viewing, 6 adult males who reported that their Internet pornography viewing was affecting their quality of life were treated in eight 1.5-hour sessions of ACT for problematic pornography viewing. The effects of the intervention were assessed in a multiple-baseline-across-participants design with time viewing pornography as the dependent variable. Treatment resulted in an 85% reduction in viewing at posttreatment with results being maintained at 3-month follow-up (83% reduction). Increases were seen on measures of quality of life, and reductions were seen on measures of OCD and scrupulosity. Weekly measures of ACT-consistent processes showed reductions that corresponded with reductions in viewing. Large reductions were seen on a measure of psychological flexibility, and minor reductions were seen on measures of thought-action fusion and thought control. Overall, results suggest the promise of ACT as a treatment for problematic Internet pornography viewing and the value of future randomized trials of this approach.
尽管有问题的互联网色情观看行为普遍存在，并且有广泛的干预方法来潜在地解决这个问题，但迄今为止，还没有针对这个问题的研究报告。一种新兴的治疗方法，接受和承诺疗法（ACT），由于其关注被假设为这种适应不良行为基础的过程，因此有望成为治疗互联网色情观看的方法。在第一个关于治疗有问题的互联网色情观看的实验中，6 名报告说他们的互联网色情观看影响了他们生活质量的成年男性，在 8 个 1.5 小时的有问题的色情观看的 ACT 治疗中接受了治疗。在多个参与者的基线跨越设计中，以观看色情片的时间作为因变量来评估干预的效果。治疗导致治疗后观看量减少 85%，在 3 个月的随访中保持不变（减少 83%）。生活质量的衡量标准有所提高，强迫症和过分谨慎的衡量标准有所降低。ACT 一致过程的每周衡量标准显示出与观看量减少相对应的减少。心理灵活性的衡量标准有较大幅度的减少，而思维-行动融合和思维控制的衡量标准则有较小幅度的减少。总的来说，结果表明 ACT 作为治疗有问题的互联网色情观看的一种方法具有潜力，并且未来对这种方法的随机试验具有价值。
