The effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials

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dc.authorid0000-0002-5950-2553
dc.authorid0000-0003-1134-9016
dc.contributor.authorYildiz Karaahmet, Aysu
dc.contributor.authorBilgic, Fatma Sule
dc.contributor.authorKarakas, Sevda
dc.date.accessioned2026-02-03T12:02:23Z
dc.date.available2026-02-03T12:02:23Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThis study aimed to systematically review and meta-analyze the effects of non-pharmacological treatments on problematic pornography use (PPU), pornography use frequency, sexual dysfunction, psychological symptoms, and quality of life in individuals with PPU. A comprehensive literature search was conducted in PubMed/MEDLINE, Embase, PsycINFO, and Web of Science between June and July 2024. MeSH-based keywords were used to identify relevant Randomized Controlled Trials (RCTs) published in the last ten years. Five RCTs with a total of 826 participants were included. Non-pharmacological interventions significantly reduced PPU (SMD: -1.16; 95% CI: -2.10 to -0.22; p = 0.02) and pornography use frequency (SMD: -0.74; 95% CI: -1.43 to -0.05; p = 0.04) compared to control groups. No statistically significant effects were found for sexual dysfunction (SMD: -0.47; p = 0.05) or psychological symptoms (SMD: -0.42; p = 0.06), though moderate effects were observed. Risk of bias was high or unclear in terms of participant and outcome blinding. Non-pharmacological interventions appear effective in reducing PPU and use frequency. Although effects on sexual function and psychological symptoms were not significant, the findings suggest potential improvements in overall quality of life.
dc.identifier.doi10.1080/14681994.2025.2608897
dc.identifier.issn1468-1994
dc.identifier.issn1468-1749
dc.identifier.scopus2-s2.0-105026710482
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1080/14681994.2025.2608897
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34739
dc.identifier.wosWOS:001654266800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherRoutledge Journals, Taylor & Francis Ltd
dc.relation.ispartofSexual and Relationship Therapy
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectPorn
dc.subjectproblematic porn use
dc.subjectsex video
dc.subjectquality of life
dc.subjectsexuality
dc.subjectCRD42024576119
dc.titleThe effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials
dc.typeReview

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