Evidence map›Paper›PMID 42757235›Full record

ArticleFrontiers in psychiatry2026

Symptom-based and self-identified pornography involvement: concordance, discordance, and multidomain correlates.

Krisztián Széll, Dávid Pócs, Oguz Kelemen, Ádám Tőtös, Edit Paulik, Regina Molnár, Csaba Erdős

Abstract read
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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Krisztián SzéllFaculty of Education and Psychology, Institute of Education, Eötvös Loránd University, Budapest, Hungary.
Dávid PócsCardiology Center of Szent-Györgyi Albert Clinical Center, University of Szeged, Szeged, Hungary.
Oguz KelemenDepartment of Behavioral Sciences, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.
Ádám TőtösDepartment of Behavioral Sciences, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.
Edit PaulikDepartment of Public Health, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.
Regina MolnárDepartment of Public Health, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.
Csaba ErdősDepartment of Public Health, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Problematic pornography use (PPU) is increasingly studied, but different self-report operationalizations may not identify the same individuals. In this study, a structured symptom-checklist-based classification of pornography-watching disorder (PWD) was compared with direct self-identified pornography addiction (SIPA). The present study examined the overlap and divergence between these two classifications and compared their behavioral, sociodemographic, psychosexual, and psychosocial correlates. Methods: Data were drawn from a large Hungarian web-based community survey. A total of 8,705 adults provided information on pornography use frequency (PUF) and SIPA, while multivariable analyses were conducted on a complete-case sample of 8,088 participants. Both classifications were based on self-report. PWD was operationalized using ten DSM-5-inspired symptom indicators, with four or more symptoms indicating PWD, whereas SIPA was measured using a single dichotomous self-identification item. Binary logistic regression models were used to identify factors associated with symptom-defined PWD and SIPA, followed by multinomial logistic regression examining concordant and discordant profiles. Results: Symptom-defined PWD was identified in 4.8% of participants, whereas 3.1% identified themselves as addicted to pornography. The overlap between the two classifications was moderate ( Discussion: Symptom-defined PWD and SIPA represent related but non-equivalent operationalizations of problematic pornography involvement. Whereas the checklist-based PWD classification was associated with a broader range of sociodemographic, psychosexual, and psychosocial characteristics, SIPA was associated primarily with PUF and symptom burden. These findings highlight the importance of distinguishing between structured symptom-checklist-based classification and direct self-identification in both research and clinical assessment.

Indexed as

concordancediscordancemultidomain correlatespornography use frequencypornography-watching disorderproblematic pornography useself-identified pornography addictionself-perceived addiction

Identifiers

PMID42757235
PMCPMC13584859

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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.