Premiere Date: December 20, 2019
Expiration Date: June 20, 2021
This activity offers CE credits for:
1. Physicians (CME)
All other clinicians either will receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.
The goal of this activity is to provide an understanding of problematic pornography use and how it relates to compulsive sexual behavior disorder.
At the end of this CE activity, participants should be able to:
• Discuss the classification of and diagnostic criteria for compulsive sexual behavior disorder;
• Define the potential risk factors for problematic pornography use;
• Identify the proposed psychological and neurobiological mechanisms involved in problematic pornography use;
• Recognize the dichotomy of problematic behavior and moral incongruence.
This continuing medical education activity is intended for psychiatrists, psychologists, primary care physicians, physician assistants, nurse practitioners, and other health care professionals who seek to improve their care for patients with mental health disorders.
CME Credit (Physicians): This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Outfitters, LLC, and Psychiatric Times. CME Outfitters, LLC, is accredited by the ACCME to provide continuing medical education for physicians.
CME Outfitters designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Note to Nurse Practitioners and Physician Assistants: AANPCP and AAPA accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™.
It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CME/CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CME/CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer-review process.
The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.
Matthias Brand, PhD, reports that he has received grants (to University of Duisburg-Essen) from the German Research Foundation (DFG), the German Federal Ministry for Research and Education, the German Federal Ministry for Health, and the European Union; he has performed grant reviews for several agencies; he has edited journal sections and articles; he has given academic lectures in clinical or scientific venues; and has generated books or book chapters for publishers of mental health texts.
Gretchen R. Blycker, LMHC, has no disclosure to report.
Mark N. Potenza, MD, PhD, reports that he receives support from NIH (R01 DA039136, R01 DA042911, R01 DA026437, R03 DA045289, R21 DA042911, and P50 DA09241), the Connecticut Department of Mental Health and Addiction Services, the Connecticut Council on Problem Gambling and the National Center for Responsible Gaming; he has consulted for and advised Rivermend Health, Game Day Data, Addiction Policy Forum, and Opiant Therapeutics; he received research support from the Mohegan Sun Casino and the National Center for Responsible Gaming; he has consulted for or advised legal and gambling entities on issues related to impulse control and addictive behaviors; provided clinical care related to impulse control and addictive behaviors; performed grant reviews; edited journals/journal sections; given academic lectures in grand rounds, CME events and other clinical/scientific venues; and he has generated books or chapters for publishers of mental health texts.
Vernon Rosario, MD, has no disclosures to report.
Applicable Psychiatric Times staff and CME Outfitters staff have no disclosures to report.
UNLABELED USE DISCLOSURE
Faculty of this CME/CE activity may include discussion of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices. CME Outfitters, LLC, and the faculty do not endorse the use of any product outside of the FDA-labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.
Questions about this activity? Call us at 877.CME.PROS (877.263.7767)
Dr Brand is Professor, General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University of Duisburg-Essen, and Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany. Ms Blycker is a Clinician and Educator, College of Nursing, University of Rhode Island, Kingston, RI, Hälsosam Therapy, Jamestown, RI, and Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr Potenza is Professor, Department of Psychiatry, Yale University School of Medicine, Department of Neuroscience and Child Study Center, Yale University, Connecticut Council on Problem Gambling, Wethersfield, CT, and Connecticut Mental Health Center, New Haven, CT.
1. de Alarcón R, de la Iglesia JI, Casado NM, Montejo AL. Online porn addiction: what we know and what we don’t. J Clin Med. 2019;8:91.
2. Dickenson JA, Gleason N, Coleman E, Miner MH. Prevalence of distress associated with difficulty controlling sexual urges, feelings, and behaviors in the United States. JAMA Netw Open. 2018;1:e184468.
3. Erez G, Pilver CE, Potenza MN. Gender-related differences in the associations between sexual impulsivity and psychiatric disorders. J Psychiatr Res. 2014;55:117-125.
4. Stark R, Kruse O, Wehrum-Osinsky S, et al. Predictors for (problematic) use of Internet sexually explicit material: role of trait sexual motivation and implicit approach tendencies towards sexual explicit material. Sex Addict Compuls. 2017;24:180-202.
5. Wéry A, Billieux J. Problematic cybersex: Conceptualization, assessment, and treatment. Addict Behav. 2017;64:238-246.
6. Brand M, Wegmann E, Stark R, et al. 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. Neurosci Biobehav Rev. 2019;104:1-10.
7. Stark R, Klucken T, Potenza MN, et al. A current understanding of the behavioral neuroscience of compulsive sexual behavior disorder and problematic pornography use. Curr Behav Neurosci Rep. 2018;5:218–231.
8. Grubbs JB, Perry SL, Wilt JA, Reid RC. Pornography problems due to moral incongruence: an integrative model with a systematic review and meta-analysis. Arch Sex Behav. 2019;48:397-415.
9. Brand M, Antons S, Wegmann E, Potenza MN. Theoretical assumptions on pornography problems due to moral incongruence and mechanisms of addictive or compulsive use of pornography: are the two “conditions” as theoretically distinct as suggested? Arch Sex Behav. 2019;48:417-423.
10. Kraus SW, Meshberg-Cohen S, Martino S, et al. Treatment of compulsive pornography use with naltrexone: a case report. Am J Psychiatry. 2015;172:1260-1261.
11. Gola M, Potenza MN. Paroxetine treatment of problematic pornography use: a case series. J Behav Addict. 2016;5:529-532.
12. Sniewski L, Farvid P, Carter P. The assessment and treatment of adult heterosexual men with self-perceived problematic pornography use: a review. Addict Behav. 2018;77:217-224.
13. Blycker GR, Potenza MN. A mindful model of sexual health: A review and implications of the model for the treatment of individuals with compulsive sexual behavior disorder. J Behav Addict. 2018;7:917-929.
14. Crosby JM, Twohig MP. Acceptance and commitment therapy for problematic internet pornography use: a randomized trial. Behav Ther. 2016;47:355-366.
15. Kraus SW, Martino S, Potenza MN. Clinical characteristics of men interested in seeking treatment for use of pornography. J Behav Addict. 2016;5:169-178.
16. Reid RC, Carpenter BN, Hook JN, et al. Report of findings in a DSM-5 field trial for hypersexual disorder. J Sex Med. 2012;9:2868-2877.
17. Kraus SW, Rosenberg H, Martino S, Nich C, Potenza MN. The development and initial evaluation of the Pornography-Use Avoidance Self-Efficacy Scale. J Behav Addict. 2017;6:354-363.
18. Witkiewitz K, Bowen S, Harrop EN, et al. Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Subst Use Misuse. 2014;49:513-524. ❒