Department of Psychology, Bowling Green State University.
Department of Psychology, University of Nevada, Las Vegas.
J Abnorm Psychol. 2020 Apr;129(3):266-278. doi: 10.1037/abn0000501. Epub 2020 Feb 6.
Despite controversies about the diagnosis, the World Health Organization recently elected to include compulsive sexual behavior disorder in the 11th edition of the International Classification of Diseases. Both recent and remote works have suggested that various cultural factors such as personal religiousness and morality can influence both the experience and expression of compulsive sexual behaviors. Because prior works have indicated that pornography use is likely to be the most common expression of compulsive sexual behavior, the present work sought to examine whether moral incongruence about pornography use may account for a substantive part of self-reports of compulsive sexual behavior. In 2 studies involving 4 samples, the present work tested the hypothesis that moral incongruence would positively predict self-reported compulsivity in pornography use. In Study 1, across 3 samples (Sample 1, N = 467; Sample 2, N = 739; Sample 3, N = 1,461), including 2 matched to U.S. nationally representative norms (Samples 2 and 3), results indicated that moral incongruence was a substantive and robust predictor of self-reported compulsivity. In Study 2 (baseline N = 850), parallel process latent growth curve analyses over the course of 1 year revealed that the trajectories of pornography use, self-reported compulsivity, and moral disapproval of such use covaried together over time. Collectively, these results underscore the contention that personal morality may influence individuals' self-perceptions of their sexual behaviors, which, in turn, may complicate efforts to accurately diagnose compulsive sexual behavior disorder. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
尽管对这种诊断存在争议，但世界卫生组织最近选择将强迫性性行为障碍纳入国际疾病分类第 11 版。最近和远程的研究表明，个人的宗教信仰和道德等各种文化因素会影响强迫性性行为的体验和表达。由于之前的研究表明，色情制品的使用可能是强迫性性行为最常见的表现形式，因此本研究试图探讨道德冲突是否可能是强迫性性行为自我报告的一个实质性部分。在涉及 4 个样本的 2 项研究中，本研究检验了道德冲突会正面预测色情制品使用中的自我报告强迫性的假设。在研究 1 中，跨越 3 个样本（样本 1，N=467；样本 2，N=739；样本 3，N=1461），包括 2 个与美国全国代表性规范相匹配的样本（样本 2 和 3），结果表明，道德冲突是自我报告的强迫性的实质性和强有力的预测因素。在研究 2（基线 N=850）中，1 年内平行过程潜在增长曲线分析显示，色情制品使用、自我报告的强迫性以及对这种使用的道德反对的轨迹随着时间的推移共同变化。总的来说，这些结果强调了个人道德可能会影响个体对自己性行为的自我认知，这反过来又可能使准确诊断强迫性性行为障碍的努力变得复杂。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
