Stefanovics Elina A, Kraus Shane W, Madden Lynn M, Farnum Scott, Cannata Erica, Potenza Marc N, Barry Declan
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
2U.S. Department of Veterans Affairs New England Mental Illness Research and Education Clinical Center (MIRECC), West Haven, CT, USA.
J Behav Addict. 2024 Sep 18;13(4):938-946. doi: 10.1556/2006.2024.00037. Print 2024 Dec 30.
Many jurisdictions are experiencing opioid epidemics. Opioid use disorder (OUD) often co-occurs with other psychiatric disorders including behavioral addictions like gambling disorder. However, little is known regarding the frequency and correlates of problematic pornography use (PPU) among people seeking treatment for OUD. Here we aimed to investigate PPU and its correlates in people seeking OUD treatment.
From October 2018 to March 2020, 1,272 individuals seeking OUD treatment were screened for PPU by completing the Brief Pornography Screen (BPS), a 5-item instrument validated for assessing PPU. Self-reported data were used.
Among the sample there were 707 (60%) males and 565 (40%) females. The mean age of participants was 37.9 ± 10.5 years (range 18-73), there were 707 (60%) males and 565 (40%) females, 9.9% (n = 126) exhibited low positive BPS scores (1 ≤ score < 4), and 4.5% of the sample (n = 57) screened positive for PPU (BPS score ≥4). Individuals screening positive for PPU versus negative were mostly male (77%), scored higher on measures of impulsivity in the domains of positive urgency, negative urgency, and sensation-seeking and demonstrated more psychopathology on measures of substance use, psychotic symptoms, emotional lability, depression/functioning and self-harm.
A minority of individuals seeking treatment for OUD screened positive for PPU. Among individuals with OUD, those screening positive (versus negative) for PPU were more impulsive and experienced more psychiatric symptoms, suggesting the need for additional investigation and screening for and addressing PPU in people with OUD.
许多司法管辖区都在经历阿片类药物流行。阿片类药物使用障碍（OUD）常常与其他精神障碍同时出现，包括行为成瘾，如赌博障碍。然而，对于寻求OUD治疗的人群中，问题性色情内容使用（PPU）的频率及其相关因素却知之甚少。在此，我们旨在调查寻求OUD治疗的人群中的PPU及其相关因素。
从2018年10月至2020年3月，通过完成简易色情内容筛查量表（BPS），对1272名寻求OUD治疗的个体进行PPU筛查，该量表为5项工具，已被验证可用于评估PPU。使用的是自我报告数据。
样本中有707名（60%）男性和565名（40%）女性。参与者的平均年龄为37.9±10.5岁（范围18 - 73岁），有707名（60%）男性和565名（40%）女性，9.9%（n = 126）的BPS得分呈低阳性（1≤得分<4），4.5%的样本（n = 57）PPU筛查呈阳性（BPS得分≥4）。PPU筛查呈阳性与阴性的个体大多为男性（77%），在积极紧迫性、消极紧迫性和寻求刺激等冲动性测量指标上得分更高，并且在物质使用、精神病性症状、情绪不稳定、抑郁/功能和自我伤害等测量指标上表现出更多的精神病理学症状。
少数寻求OUD治疗的个体PPU筛查呈阳性。在患有OUD的个体中，PPU筛查呈阳性（相对于阴性）的个体更冲动，且经历更多的精神症状，这表明需要对OUD患者中的PPU进行进一步调查、筛查和处理。
