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Symposia

Addictive Behaviors

Compulsive Sexual Behavior in Diverse Populations: Garnering Insights Through Mixed Methods Approaches

2 - (SYM 64) Is Pornography Use More/less Always Out-of-control? Results from a Two-week Daily Diary Study

Sunday, November 23, 2025
12:18 PM - 12:32 PM CST
Location: Bolden 4, Level 2
Keywords: Addictive Behaviors, Methods, LGBTQ+
Recommended Readings: Jennings, T. L., Gleason, N., Grubbs, J. B., & Kraus, S. W. (2024). Compulsive sexual behavior in LGBTQ individuals and minority stress theory: A literature review and theoretical integration. Current Addiction Reports, 11(2), 256-264.,   Grubbs, J. B., Hoagland, K. C., Lee, B. N., Grant, J. T., Davison, P., Reid, R. C., & Kraus, S. W. (2020). Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research. Clinical psychology review, 82, 101925.,   Borgogna, N. C., Owen, T., Johnson, D., & Kraus, S. W. (2024). No magic pill: A systematic review of the pharmacological treatments for compulsive sexual behavior disorder. The Journal of Sex Research, 61(9), 1328-1341.,   Bőthe, B., Koós, M., Nagy, L., Kraus, S. W., Demetrovics, Z., Potenza, M. N., ... & Vaillancourt-Morel, M. P. (2023). Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools. Journal of Behavioral Addictions, 12(2), 393-407.,   Gleason, N., Finotelli Jr, I., Miner, M. H., Herbenick, D., & Coleman, E. (2021). Estimated prevalence and demographic correlates of compulsive sexual behavior among gay men in the United States. The journal of sexual medicine, 18(9), 1545-1554.
Abstract Body

Compulsive sexual behavior disorder (CSBD) is an emerging diagnostic construct now recognized in the ICD-11. Most CSBD research has relied on cross-sectional samples to examine correlations between CSBD symptoms and relevant outcomes (e.g., alcohol use). While this is a valuable starting point, additional methodological approaches are needed to advance our understanding of CSBD.

The proposed presentation expands on data recently published in the article Differences in Cross-Sectional and Daily Diary Problematic Pornography Use Correlates (Borgogna et al., 2025). Specifically, we report findings from a two-week ecological momentary assessment (EMA) study examining pornography use and perceptions of control problems in a community sample of 113 men (k = 1,240 observations). This study is among the few published EMA investigations exploring CSBD-related outcomes and provides insights that not observable in cross-sectional data.

Our findings indicate that baseline cross-sectional correlations between pornography use, and perceptions of problematic use are weak (r = .27). However, multilevel models from the EMA data reveal that when pornography use occurred, it was almost always rated as "out of control" (b = .88). Expanding upon the original publication, we present base rates of specific item-level ratings aggregated across the EMA period.

Additionally, we discuss key findings from the study, such as the lack of meaningful correlations between alcohol problems, depression scores, and pornography use—either at the cross-sectional baseline level or as predictors of daily pornography use and related problems aggregated over two weeks. We frame these results as evidence that problematic pornography subtypes of CSBD function as impulse control problems.

Finally, we address study limitations, including the homogeneity of our sample (men living in the United States), the relatively short observation period, and statistical assumption considerations.