de Alarcón Rubén, de la Iglesia Javier I, Casado Nerea M, Montejo Angel L
Psychiatry Service, Hospital Clínico Universitario de Salamanca, Institute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain.
University of Salamanca, EUEF, 37007 Salamanca, Spain.
J Clin Med. 2019 Jan 15;8(1):91. doi: 10.3390/jcm8010091.
In the last few years, there has been a wave of articles related to behavioral addictions; some of them have a focus on online pornography addiction. However, despite all efforts, we are still unable to profile when engaging in this behavior becomes pathological. Common problems include: sample bias, the search for diagnostic instrumentals, opposing approximations to the matter, and the fact that this entity may be encompassed inside a greater pathology (i.e., sex addiction) that may present itself with very diverse symptomatology. Behavioral addictions form a largely unexplored field of study, and usually exhibit a problematic consumption model: loss of control, impairment, and risky use. Hypersexual disorder fits this model and may be composed of several sexual behaviors, like problematic use of online pornography (POPU). Online pornography use is on the rise, with a potential for addiction considering the "triple A" influence (accessibility, affordability, anonymity). This problematic use might have adverse effects in sexual development and sexual functioning, especially among the young population. We aim to gather existing knowledge on problematic online pornography use as a pathological entity. Here we try to summarize what we know about this entity and outline some areas worthy of further research.
在过去几年里，出现了一波与行为成瘾相关的文章；其中一些聚焦于网络色情成瘾。然而，尽管付出了种种努力，我们仍然无法明确在何种情况下这种行为会变成病态。常见问题包括：样本偏差、寻找诊断工具、对该问题的不同研究方法，以及这一实体可能包含在一种症状表现非常多样的更广泛病理状态（即性成瘾）之中。行为成瘾构成了一个很大程度上未被探索的研究领域，并且通常呈现出一种有问题的消费模式：失去控制、功能受损和危险使用。性亢进障碍符合这种模式，可能由多种性行为组成，比如网络色情的问题使用（POPU）。网络色情的使用正在增加，考虑到“三A”影响（可及性、可承受性、匿名性），存在成瘾的可能性。这种问题使用可能会对性发育和性功能产生不利影响，尤其是在年轻人群体中。我们旨在收集有关网络色情问题使用作为一种病理实体的现有知识。在此我们试图总结我们对这一实体的了解，并概述一些值得进一步研究的领域。
