The role of rumination in the relationship between depression and pornography consumption
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Abstract
Pornography consumption is a widespread practice. In most cases, it does not have any negative consequence. However, some people develop an excessive and problematic consumption pattern. One of the factors that increases the risk of developing problematic pornography use (PPU) is dysphoric mood (specifically depressive mood). Moreover, rumination (a dysfunctional form of emotional regulation) perpetuates emotional distress, potentially exacerbating the link between depression and PPU. This study aimed to examine whether rumination mediated or moderated the relationship between depression, pornography use frequency (PUF), and PPU. To this end, 220 participants aged 18-74 completed a series of online questionnaires evaluating the main study variables. Depression had a direct, positive,and significanteffect on PPU ( = 0.96***), but not on PUF ( = -0.02). Similarly, rumination had a direct, positive, and significant effect on PPU ( = 0.12*), but not on PUF ( = 0.008). Regarding mediation analyses, rumination did not mediate between depression and PPU ( = 0.01), but it did between
depression and PUF ( = 0.03*). Likewise, rumination did not moderate the relationship between depression and PUF ( = 0.001) or between depression and PPU ( = -0.003). These results suggest that emotional state strongly modulates pornography consumption (increasing the risk of developing PPU), but rumination does not mediate or moderate this relationship. The only instance where rumination plays a role in explaining the link between depression and pornography is in PUF. Thus, it is possible that people with depression and a tendency to ruminate use pornography more frequently, but not in a more problematic way.
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References
Arrivillaga, C., Rey, L., & Extremera, N. (2022). Psychological distress, rumination and problematic smartphone use among Spanish adolescents: An emotional intelligence-based conditional process analysis. Journal of Affective Disorders, 296(July 2021), 1–8. https://doi.org/10.1016/j.jad.2021.09.021
Ballester-Arnal, R., Castro-Calvo, J., Garcia-Barba, M., Ruiz-Palomino, E., & Gil- Llario, M. D. (2021). Problematic and non-problematic engagement in Online Sexual Activities across the lifespan. Computers in Human Behavior, 120, 106774. https://doi.org/10.1016/j.chb.2021.106774
Ballester-Arnal, R., Castro-Calvo, J., Gil-Llario, M. D., & Gil-Julia, B. (2016). Cybersex Addiction: A Study on Spanish College Students. Journal of Sex and Marital Therapy, 43(6), 567–585. https://doi.org/10.1080/0092623X.2016.1208700
Bancroft, J., & Vukadinovic, Z. (2004). Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model. Journal of Sex Research, 41(3), 225–234. Society for the Scientific Study of Sex Inc. https://doi.org/10.1080/00224490409552230
Billieux, J., van Rooij, A. J., Heeren, A., Schimmenti, A., Maurage, P., Edman, J., Blaszczynski, A., Khazaal, Y., & Kardefelt-Winther, D. (2017). Behavioural Addiction Open Definition 2.0—using the Open Science Framework for collaborative and transparent theoretical development. Addiction, 112(10), 1723– 1724. https://doi.org/10.1111/add.13938
Borgogna, N. C., & McDermott, R. C. (2018). Therole of gender,experientialavoidance,and scrupulosity in problematic pornography viewing: A moderated-mediation model. Sexual Addiction & Compulsivity, 25(4), 319—344. doi:10.1080/10720162.2018.1503123
Borgogna, N. C., & McDermott, R. C. (2018). Therole of gender,experientialavoidance,and scrupulosityin problematic pornography viewing: A moderated-mediation model. Sexual Addiction & Compulsivity, 25(4), 319—344. doi:10.1080/10720162.2018.1503123
Borgogna, N. C., Duncan, J., & McDermott, R. C. (2018). Is scrupulosity behind the relationship between problematic pornography viewing and depression, anxiety, and stress? Sexual Addiction and Compulsivity, 25(4), 293–318. https://doi.org/10.1080/10720162.2019.1567410
B the, B., Demirgül, S. A., & Demetrovics, Z. (2023). Problematic Pornography Consumption Scale (PPCS). In International Handbook of Behavioral Health Assessment (pp. 1-16). Cham: Springer International Publishing.
Bothe, B., Toth-Kiraly, I., Potenza, M. N., Orosz, G., & Demetrovics, Z. (2020). High- Frequency Pornography Use May Not Always Be Problematic. Journal of Sexual Medicine, 17(4), 793–811. https://doi.org/10.1016/j.jsxm.2020.01.007
Bothe, B., Vaillancourt-Morel, M. P., Bergeron, S., & Demetrovics, Z. (2019). Problematic and Non-Problematic Pornography Use Among LGBTQ Adolescents: a Systematic Literature Review. Current Addiction Reports, 6(4), 478–494. https://doi.org/10.1007/s40429-019-00289-5
Brand M, Young KS, Laier C, Wolfling K, Potenza MN. Inte- grating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: an Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Neurosci Biobehav Rev. 2016;71:252–66.
Brand, M., Rumpf, H.-Ju., Demetrovics, Z., MUller, A., Stark, R., King, D. L., Goudriaan, A. E., Mann, K., Trotzke,P., Fineberg, N. A., Chamberlain, S. R., Kraus, S. W., Wegmann, E., Billieux, J., & Potenza, M. N. (2020). Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of “other specified disorders due to addictive behaviors”? Journal of Behavioral Addictions. https://doi.org/10.1556/2006.2020.00035
Brand, M., Wegmann, E., Stark, R., Müller, A., Wölfling, K., Robbins, T. W., & Potenza, M. N. (2019). The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: Update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors. Neuroscience & Biobehavioral Reviews, 104, 1-10.
Brand, M., Young, K. S., Laier, C., Wölfling, K., & Potenza, M. N. (2016). Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Neuroscience and Biobehavioral Reviews, 71, 252–266. https://doi.org/10.1016/j.neubiorev.2016.08.033
Bravo, A. J., Pearson, M. R., Pilatti, A., Mezquita, L., Ibáñez, M. I., & Ortet, G. (2018). Ruminating in English, Ruminating in Spanish. European Journal of Psychological Assessment.
Brinker, J. K., & Dozois, D. J. (2009). Ruminative thought style and depressed mood. Journal of clinical psychology, 65(1), 1-19.
Castro-Calvo, J., Beltrán-Martínez, P., Flayelle, M., & Billieux, J. (2022). Rumination Across Internet Use Disorders (IUDs): a Systematic Review. In Current Addiction Reports. Springer International Publishing. https://doi.org/10.1007/s40429-022-00442-7
Castro-Calvo, J., Gil-Llario, M. D., Gimenez-Garcia, C., Gil-Julia, B., & Ballester-Arnal, R. (2020). Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples. Journal of Behavioral Addictions, 9(2), 446–468. https://doi.org/10.1556/2006.2020.00025
Castro-Calvo, J., Giménez-García, C., Gil-Llario, M. D., & Ballester-Arnal, R. (2018). Motives to Engage in Online Sexual Activities and Their Links to Excessive and Problematic Use: a Systematic Review. Current Addiction Reports, 5(4), 491–510. https://doi.org/10.1007/s40429-018-0230-y
Cooper, A., & Griffin-Shelley, E. (2002). The internet:The next sexual revolution. In A. Cooper (Ed.), Sex & the internet: A guidebook for clinicians (pp. 1–15). Brunner-Routledge.
Dempsey AE, O’Brien KD, Tiamiyu MF, Elhai JD. Fear of missing out (FoMO) and rumination mediate relations between social anxiety and problematic Facebook use. Addict Behav Reports. 2019;9:100150.
Elhai JD, Contractor AA. Examining latent classes of smartphone users: relations with psychopathology and problematic smartphone use. Comput Human Behav. 2018;82:159–66.
Elhai JD, Yang H, Montag C. Cognitive- and emotion-related dysfunctional coping processes: transdiagnostic mechanisms explaining depression and anxiety’s relations with problem- atic smartphone use. Curr Addict Reports. 2019;6:410–7. This review synthesizes recent literature that is focused on the association between maladaptive cognitive processes (includ- ing rumination) and problematic smartphone use.
Grant Weinandy, J. T., Lee, B., Hoagland, K. C., Grubbs, J. B., & B the, B. (2023). Anxiety and Compulsive Sexual Behavior Disorder: A Systematic Review. Journal of Sex Research, 60(4), 545–557. https://doi.org/10.1080/00224499.2022.2066616
Grubbs, J. B., Volk, F., Exline, J. J., & Pargament, K. I. (2015). Internet pornography use: Perceived addiction, psychological distress, and the validation of a brief measure. Journal of Sex and Marital Therapy, 41(1), 83–106. https://doi.org/10.1080/0092623X.2013.842192
Grubbs, J., et al.“Pornography, pleasure, and sexuality: Towards a hedonic reinforcement model of sexual explicit internet media use.” Retrieved from psyarxiv. com/jevb7 (2017).
Guidry, R., Floyd, C. G., Volk, F., & Moen, C. E. (2020). The exacerbating impact of moral disapproval on the relationship between pornography use and depression, anxiety, and relationship satisfaction. Journal of Sex & Marital Therapy, 46(2), 103-121.
Ince, C., Yücel, M., Albertella, L., & Fontenelle, L. F. (2021). Exploring the clinical profile of problematic pornography use. CNS spectrums, 26(6), 648-657.
Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39(2), 377–400. https://doi.org/10.1007/s10508-009-9574-7
Kafka, M. P. (2014). What happened to hypersexual disorder? Archives of Sexual Behavior, 43(7), 1259–1261. https://doi.org/10.1007/s10508-014-0326-y
Kardefelt-Winther, D., Heeren, A., Schimmenti, A.,van Rooij, A., Maurage, P., Carras, M., Edman,J., Blaszczynski, A., Khazaal, Y., & Billieux, J. (2017). How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction, 112(10), 1709–1715. https://doi.org/10.1111/add.13763
Kardefelt-Winther, D., Heeren, A., Schimmenti, A.,van Rooij, A., Maurage, P., Carras, M., Edman,J., Blaszczynski, A., Khazaal, Y., & Billieux, J. (2017). How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction, 112(10), 1709–1715. https://doi.org/10.1111/add.13763
Kraus, S. W., Krueger, R. B., Briken, P., First, M. B., Stein, D. J., Kaplan, M. S., Voon, V., Abdo, C. H. N., Grant, J. E., Atalla, E., & Reed, G. M. (2018). Compulsive sexual behaviour disorder in the ICD-11. In World Psychiatry (Vol. 17, Issue 1, pp. 109–110). https://doi.org/10.1002/wps.20499
Laier, C., & Brand, M. (2014). Empirical evidence and theoretical considerations on factors contributing to cybersex addiction from a cognitive-behavioral view. Sexual Addiction & Compulsivity, 21(4), 305-321.
Levin, M., Lillis, J. E., & Hayes, S. C. (2012). When is online pornography viewing problematic among college males? Examining the moderating role of experiential avoidance. Sexual Addiction & Compulsivity, 19, 168–180. doi:10.1080/10720162.2012.657150
Lewczuk, K., Wójcik, A., & Gola, M. (2022). Increase in the Prevalence of Online Pornography Use: Objective Data Analysis from the Period Between 2004 and 2016 in Poland. Archives of Sexual Behavior, 51(2), 1157–1171. https://doi.org/10.1007/s10508-021-02090-w
Liu QQ, Zhou ZK, Yang XJ, Kong FC, Niu GF, Fan CY. Mobile phone addiction and sleep quality among Chinese adolescents: a moderated mediation model. Comput Human Behav. 2017;72:108–14.
Maddock, M. E., Steele, K., Esplin, C. R., Hatch, S. G., & Braithwaite, S. R. (2019). What is the relationship among religiosity, self-perceived problematic pornography use, and depression over time?. Sexual Addiction & Compulsivity, 26(3-4), 211-238.
Paul, B., & Shim, J. W. (2008). Gender, sexual affect, and motivations for Internet pornography use. International Journal of Sexual Health, 20(3), 187-199.
Peter, J., & Valkenburg, P. M. (2016). Adolescents and Pornography: A Review of 20 Years of Research. Journal of Sex Research, 53(4–5), 509–531. https://doi.org/10.1080/00224499.2016.114344
Pornhub (2023). Pornhub’s 2023 Year in Review. Retrieved May 12, 2024, from https://www.pornhub.com/insights.
Reid, R. C., Li, D. S., Gilliland, R., Stein, J. A., & Fong, T. (2011). Reliability, validity, and psychometric development of the Pornography Consumption Inventory in a sample of hypersexual men. Journal of Sex and Marital Therapy, 37(5), 359–385. https://doi.org/10.1080/0092623X.2011.607047
Ruiz, F. J., García-Martín, M. B., Suárez-Falcón, J. C., & Odriozola-González, P. (2017). The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale - 21. International Journal of Psychology and Psychological Therapy, 17, 97-105. Disponible en: https://blogs.konradlorenz.edu.co/files/ruiz2017dass21.pdf enormanci Ö, Konkan R, Güçlü O, enormanci G. Ruminative response styles and metacognitions in Internet addicts. J Cogn Psychother Res. 2013;2:167–72.
Sniewski, L., & Farvid, P. (2019). Abstinence or Acceptance? A Case Series of Men’s Experiences With an Intervention Addressing Self-Perceived Problematic Pornography Use. In Sexual Addiction and Compulsivity (Vol. 26, Issues 3–4, pp. 191–210). https://doi.org/10.1080/10720162.2019.1645058
Sniewski, L., Krägeloh, C., Farvid, P., & Carter, P. (2020). Meditation as an intervention for men with self-perceived problematic pornography use: A series of single case studies. Current Psychology, 2. https://doi.org/10.1007/s12144-020-01035-1
Spasojevi , J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1(1), 25.
Wery, A., & Billieux, J. (2017). Problematic cybersex: Conceptualization, assessment, and treatment. Addictive Behaviors, 64, 238–246. https://doi.org/10.1016/j.addbeh.2015.11.007