Desbuleux Jeanne C, Desbuleux Juliette F M, Fuss Johannes
Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Germany.
J Behav Addict. 2025 Jun 3;14(2):1040-1050. doi: 10.1556/2006.2025.00048. Print 2025 Jul 2.
Problematic use of online pornography is considered a hallmark symptom of Compulsive Sexual Behavior Disorder (CSBD), but the role of other digisexual behaviors in CSBD remains largely unknown. Digisexuality encompasses a range of technologies mediating sexuality, such as online pornography and sexting (first-wave digisexualities), and simulating sexuality, such as virtual reality (VR-)pornography and highly realistic sex dolls/robots (second-wave digisexualities). The prevalence of these evolving behaviors across different generations and the relation to CSBD is still unclear.
We conducted an online survey in 2023 with a sample of N = 3,564 individuals from Germany, selected to represent the German population by age, gender and regional distribution. The aim of the study was to investigate the prevalence and frequency of digisexual behaviors and their relationship with CSB assessed with the CSBD-19 scale.
First-wave digisexualities showed prevalences ranging from 19% (sexting erotic pictures) to 66.1% (pornography consumption). Second-wave digisexualities showed lower prevalences, with 5.3% for VR-pornography use and 3.9% for the use of highly realistic sex dolls/robots. Emerging and technologically advanced digisexualities were predominantly reported by younger generations. Additionally, all surveyed digisexualities showed medium (r = 0.308; pornography use) to strong (r = 0.529; casual sex via dating apps) correlations with CSBD-19 scores.
These findings suggest that interventions and research for CSBD need to extend beyond online pornography and include a broader range of digisexual behaviors. As technologized sexual practices continue to evolve, new opportunities and challenges arise, underscoring the need for future research and tailored therapeutic approaches to address potential risks.
网络色情内容的问题性使用被视为强迫性性行为障碍（CSBD）的标志性症状，但其他数字性行为在CSBD中的作用仍 largely unknown。数字性行为涵盖了一系列介导性行为的技术，如网络色情内容和发送色情短信（第一波数字性行为），以及模拟性行为，如虚拟现实（VR）色情内容和高度逼真的性爱玩偶/机器人（第二波数字性行为）。这些不断演变的行为在不同代人中的流行程度以及与CSBD的关系仍不清楚。
我们在2023年进行了一项在线调查，样本包括来自德国的N = 3564名个体，这些个体按年龄、性别和地区分布进行选择，以代表德国人口。该研究的目的是调查数字性行为的流行程度和频率，以及它们与用CSBD - 19量表评估的CSB的关系。
第一波数字性行为的流行率从19%（发送色情图片）到66.1%（色情内容消费）不等。第二波数字性行为的流行率较低，VR色情内容的使用率为5.3%，高度逼真的性爱玩偶/机器人的使用率为3.9%。年轻一代主要报告了新兴的和技术先进的数字性行为。此外，所有调查的数字性行为与CSBD - 19评分显示出中等（r = 0.308；色情内容使用）到强（r = 0.529；通过约会应用程序进行随意性行为）的相关性。
这些发现表明，针对CSBD的干预措施和研究需要超越网络色情内容，包括更广泛的数字性行为。随着技术化的性行为不断演变，新的机遇和挑战出现，这凸显了未来研究和量身定制的治疗方法以应对潜在风险的必要性。
