Department of Behavioral Science, Ariel University, Science Park, Ariel 40700, Israel.
Research Unit, Geha Mental Health Center, Beilinson Campus, P.O. Box 102, Petah Tiqva 49100, Israel.
Compr Psychiatry. 2019 Aug;93:56-60. doi: 10.1016/j.comppsych.2019.07.002. Epub 2019 Jul 13.
There is a high rate of ADHD among individuals with compulsive sexual behavior disorder (CSBD). There is also evidence for an association between compulsive sexual behavior disorder, sensation seeking and attachment difficulties. Problematic pornography use may be considered as a subtype of CSBD hence it merits investigation. The aim of the current study was to investigate the relationships between ADHD, attachment style, sensation seeking and problematic use of pornography online in the general population.
The sample was comprised of 85 participants [38 men (44.7%) and 47 women (55.3%)] with mean age 25. 66 (SD = 4.63) and 26.42 (SD = 6.94) years, respectively. There were 30 participants (35%) with ADHD and 55 participants (65%) without ADHD. They were recruited on-line via social network sites. They filled in a demographic questionnaire, Zukerman's Sensation Seeking Scale, Experience in Close Relationship (ECR) questionnaire that assessed anxious and avoidant attachment and the Cyber Pornography Use Inventory (CPUI).
Individuals with self-reported ADHD had higher scores of avoidant attachment on the ECR and CPUI compared with individuals without ADHD. Multivariate linear regression analysis has indicated that male gender, ADHD and anxious attachment on the ECR contributed significantly to the variance of cyber pornography use, and explained 34% of the variance.
The results indicate that males with ADHD and anxious attachment show an extensive use of pornography online. Males with ADHD who have difficulties in close relationship may use online pornography excessively that in turn may exacerbate their difficulty in forming secure attachment at adult life, a finding that has major clinical implications.
强迫症性性行为障碍（CSBD）患者的注意力缺陷多动障碍（ADHD）发生率较高。此外，还有证据表明，强迫性性行为障碍、感觉寻求和依恋困难之间存在关联。有问题的色情制品使用可能被视为 CSBD 的一种亚型，因此值得研究。本研究的目的是调查普通人群中 ADHD、依恋风格、感觉寻求和在线色情成瘾之间的关系。
该样本由 85 名参与者组成[38 名男性（44.7%）和 47 名女性（55.3%）]，平均年龄分别为 25.66（SD=4.63）和 26.42（SD=6.94）岁。有 30 名参与者（35%）患有 ADHD，55 名参与者（65%）没有 ADHD。他们通过社交网站在线招募。他们填写了人口统计问卷、祖克曼感觉寻求量表、亲密关系经历量表（ECR），评估焦虑和回避依恋，以及网络色情使用量表（CPUI）。
自我报告患有 ADHD 的个体在 ECR 和 CPUI 上的回避依恋得分高于没有 ADHD 的个体。多元线性回归分析表明，男性、ADHD 和 ECR 上的焦虑依恋对网络色情使用的差异有显著贡献，解释了 34%的差异。
结果表明，患有 ADHD 和焦虑依恋的男性表现出广泛的网络色情使用。与没有 ADHD 的男性相比，具有亲密关系困难的 ADHD 男性可能会过度使用网络色情，这反过来可能会加剧他们在成年后形成安全依恋的困难，这一发现具有重要的临床意义。
