ArticleJournal of behavioral addictions2016
Paroxetine Treatment of Problematic Pornography Use: A Case Series.
Article in Journal of behavioral addictions, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 146 citations in OpenAlex.
- Psychotherapy for problematic pornography use: A comprehensive meta-analysis.Journal of behavioral addictions · 2025Pooled it
- Treatment Approaches for Problematic Pornography Use: A Systematic Review.Archives of sexual behavior · 2024Pooled it
- Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review.Journal of behavioral addictions · 2022Pooled it
- Treatments for internet addiction, sex addiction and compulsive buying: A meta-analysis.Journal of behavioral addictions · 2020Pooled it
- Impulsivity and Emotional Dysregulation in Distress and Self-Perceived Pornography Addiction in Romanian Adults: Advancing the Dysregulation Pathway of "The Pornography Problems Due to Moral Incongruence Model".Archives of sexual behavior · 2026Article
- Compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU): A comprehensive, interdisciplinary, and expert-informed narrative review with suggested future directions.Journal of behavioral addictions · 2026Review
- Naltrexone for Acute Management of Compulsive Sexual and Obsessive Symptoms in a Patient With a Neurodevelopmental Disorder.Case reports in psychiatry · 2026Article
- Evaluation and treatment of compulsive sexual behavior: current limitations and potential strategies.Frontiers in psychiatry · 2025Review
- The PornLoS Treatment Program: Study protocol of a new psychotherapeutic approach for treating pornography use disorder.Journal of behavioral addictions · 2024Article
- Review
- The Roles of Frequency of Pornography Use, and Moral Incongruence in the Relationship Between Sexual Satisfaction, and Psychological Distress Related to the Use of Pornography: A Moderated Mediation Model.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Increased sensitivity for negative emotional images in individuals with problematic pornography use.Frontiers in psychology · 2024Article
- Emotional processing deficits in individuals with problematic pornography use: Unpleasant bias and pleasant blunting.Journal of behavioral addictions · 2023Article
- Web-Based Relationship Education and Pornography-Related Behaviors: A Single-Group Design During the COVID-19 Pandemic.Archives of sexual behavior · 2023Article
- Moderating Role of Sexual Attitudes in the Association between Online Sexual Activity and Problematic Pornography Use: Evidence from the Chinese Community and Help-Seeking Men.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder.Dialogues in clinical neuroscience · 2022Article
- Technological Addictions.Current psychiatry reports · 2022Review
- Pharmacological interventions for Problematic Usage of the Internet (PUI): A narrative review of current progress and future directions.Current opinion in behavioral sciences · 2022Article
- Predictors of Compulsive Sexual Behavior Among Treatment-Seeking Women.Sexual medicine · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
Background How best to conceptualize problematic pornography use (PPU) and intervene most effectively remain debated, with obsessive-compulsive disorder (OCD) and addiction frameworks. We investigated the efficacy of the serotonin-reuptake inhibitor paroxetine in combination with cognitive-behavioral therapy in the treatment of problematic pornography use (PPU). Case presentation Three heterosexual males with PPU were treated with cognitive-behavioral therapy and paroxetine. Frequency of pornography use, other sexual behaviors, and anxiety were assessed during treatment. Discussion Paroxetine treatment, although seemingly initially effective in reducing pornography use and anxiety, appeared related to new compulsive sexual behaviors after 3 months. Conclusions Paroxetine may hold promise for short-term reduction of PPU and related anxiety, but new potentially distressing sexual behaviors may emerge. The cases suggest that PPU may arise from multiple domains. We propose an explanation of the effects based on recent neuroscientific research on sexual behaviors and alcohol use.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.