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Acceptance and Commitment Therapy for Problematic Internet Pornography Use: A Randomized Trial.

Jesse M Crosby1, Michael P Twohig2

  • 1McLean Hospital/Harvard Medical School, Utah State University.

Behavior Therapy
|May 10, 2016
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Summary
This summary is machine-generated.

Acceptance and Commitment Therapy (ACT) significantly reduced problematic Internet pornography use in adult males. Participants showed substantial decreases in viewing and improved quality of life compared to a waitlist control.

Keywords:
acceptance and commitment therapypornography usetreatment

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Area of Science:

  • Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Problematic Internet pornography use is characterized by loss of control, negative cognitions/emotions, and impaired quality of life.
  • This condition affects a significant number of individuals, necessitating effective therapeutic interventions.
  • Understanding the efficacy of specific therapeutic modalities is crucial for clinical practice.

Purpose of the Study:

  • To evaluate the effectiveness of a 12-session individual Acceptance and Commitment Therapy (ACT) protocol for problematic Internet pornography use.
  • To compare the outcomes of ACT intervention against a waitlist control condition.
  • To assess changes in pornography viewing, compulsive sexual behavior, cognitions, and quality of life.

Main Methods:

  • A randomized controlled trial design was employed with 28 adult males.
  • Participants were assigned to either an Acceptance and Commitment Therapy (ACT) group or a waitlist control group.
  • Data on pornography viewing, compulsive sexual behavior, cognitions, and quality of life were collected at pretreatment, posttreatment, and 3-month follow-up.

Main Results:

  • The ACT group demonstrated a significant 93% reduction in pornography viewing compared to a 21% reduction in the waitlist control group.
  • Across all participants, posttreatment showed a 92% reduction in viewing, maintained at 86% at 3-month follow-up.
  • Complete cessation of viewing was achieved by 54% at posttreatment and 35% at follow-up, with significant reductions for most participants.

Conclusions:

  • Acceptance and Commitment Therapy (ACT) is an effective treatment for problematic Internet pornography use.
  • The therapy leads to significant reductions in pornography consumption and improvements in related psychological factors.
  • Findings support the use of ACT as a viable intervention for individuals struggling with problematic Internet pornography use.