1 Department of Psychology, University of Nevada, Las Vegas, United States.
2 Department of Psychology, Minnesota State University, Mankato, United States.
J Behav Addict. 2021 Dec 31;10(4):854-878. doi: 10.1556/2006.2021.00084.
In recent years, increasing attention has been given to the relationship between compulsive sexual behavior (CSB), religiosity, and spirituality. This review summarizes research examining the relationship CSB has with religiosity and spirituality, clarifying how these constructs inform the assessment and treatment of this syndrome.
The present paper reviews research published through August 1, 2021, using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Only studies providing quantitative analyses were included.
This review identified 46 articles, subsuming 59 studies, analyzing the relationship between CSB and religiosity or spirituality. Most studies used cross-sectional designs with samples primarily composed of heterosexual White men and women. Generally, the studies found small to moderate positive relationships between religiosity and CSB. Studies considering the mediating or moderating role of moral incongruence identified stronger, indirect relationships between religiosity and problematic pornography use (PPU), a manifestation of CSB. Few studies examined the association between spirituality and CSB, but those that did either reported negative relationships between indicators of spiritual well-being and CSB or positive relationships between CSB and aspects of spiritual struggles.
Although research examining CSB and religiosity has flourished, such growth is hampered by cross-sectional samples lacking in diversity. Moral incongruence assists in explaining the relationship between religiosity and PPU, but future research should consider other manifestations of CSB beyond PPU. Attention should also be given to examining other religiosity and spirituality constructs and obtaining more diverse samples in research on CSB, religiosity, and spirituality.
近年来，人们越来越关注强迫性行为（CSB）、宗教信仰和精神信仰之间的关系。本综述总结了检查 CSB 与宗教信仰和精神信仰之间关系的研究，阐明了这些结构如何为该综合征的评估和治疗提供信息。
本论文按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，回顾了截至 2021 年 8 月 1 日发表的研究。仅纳入提供定量分析的研究。
本综述确定了 46 篇文章，其中包含 59 项研究，分析了 CSB 与宗教信仰或精神信仰之间的关系。大多数研究采用横断面设计，样本主要由异性恋的白种男女组成。通常，这些研究发现宗教信仰与 CSB 之间存在小到中度的正相关。考虑到道德不一致在宗教信仰与问题性色情使用（PPU）之间的中介或调节作用的研究发现，两者之间存在更强的、间接的关系，而 PPU 是 CSB 的一种表现形式。很少有研究检查精神信仰与 CSB 之间的关联，但这些研究要么报告了精神幸福感与 CSB 之间的负相关，要么报告了 CSB 与精神斗争方面的正相关。
尽管检查 CSB 和宗教信仰的研究蓬勃发展，但这种增长受到缺乏多样性的横断面样本的阻碍。道德不一致有助于解释宗教信仰与 PPU 之间的关系，但未来的研究应考虑除 PPU 之外的 CSB 的其他表现形式。还应注意检查宗教信仰和精神信仰的其他结构，并在 CSB、宗教信仰和精神信仰的研究中获得更多样化的样本。
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