Abstract
The aim of this study was to explore the effectiveness of meditation as an intervention for pornography viewing for men who identify with self-perceived problematic pornography use (SPPPU). A series of randomized, multiple baseline (across subjects) single-case studies are reported in accordance with accepted guidelines (SCRIBE). Twelve males with SPPPU participated in a 12-week AB design with a single intervention condition: twice-daily guided meditations delivered via audio recordings. Eleven participants completed the study. They logged daily pornography viewing throughout and filled out the Problematic Pornography Consumption Scale (PPCS) at intake and post-study. Post-study interviews provided important explanatory data for outcome measures. Although TAU-U calculations for data trends showed that TAU-U values were all in the expected direction, only results from two participants indicated meditation as a statistically effective intervention. The baseline trends in the expected direction were likely the result of participants logging their daily pornography use for the first time – thus representing a significant deviation from pre-intervention ‘life as usual’ – an effect that was not considered at the time of study design. Interview data provided support and evidence for meditation as the reason for reduced SPPPU, specifically due to the perceived impacts participants experienced related to decreased rumination, improved self-acceptance, and decreased experiences of guilt and shame that typically followed pornography viewing. PPCS results indicated that measures had significantly improved for seven out of the eleven participants who completed the study. This study shows encouraging – but inconclusive – results on meditation as a potentially effective intervention for SPPPU. Further studies would benefit from addressing research limitations.
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References
Baer, R. A., Lykins, E. L., & Peters, J. R. (2012). Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators. Journal of Positive Psychology, 7(3), 230–238.
Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying behavior change (3rd ed.). Boston: Allyn & Bacon.
Berking, M., Margraf, M., Ebert, D., Wupperman, P., Hofmann, S., & Junghanns, K. (2011). Deficits in emotion-regulation skills predict alcohol use during and after cognitive behavioural therapy for alcohol dependence. Journal of Consulting and Clinical Psychology, 79(3), 307–318.
Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress & Health, 26(5), 359–371.
Bőthe, B., Tóth-Király, I., Zsila, Á., Griffiths, M. D., Demetrovics, Z., & Orosz, G. (2018). The development of the problematic pornography consumption scale (PPCS). Journal of Sex Research, 55(3), 395–406.
Bowen, S., Witkiewitz, K., Dillworth, T., Chawla, N., Simpson, T., Ostafin, B., Larimer, M., Blume, A., Parks, G., & Marlatt, G. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20(3), 343–347.
Bowen, S., Witkiewitz, K., Dillworth, T., & Marlatt, G. (2007). The role of thought suppression in the relationship between mindfulness meditation and alcohol use. Addictive Behaviors, 32, 2324–2328.
Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017). Unwanted effects: Is there a negative side of meditation? A multicentre survey. PLoS One, 12(9), e0183137. https://doi.org/10.1371/journal.pone.0183137.
Dallery, J., Cassidy, R. N., & Raiff, B. R. (2013). Single-case experimental designs to evaluate novel technology-based health interventions. Journal of Medical Internet Research, 15(2), e22.
Dvorak, R., Sargent, E., Kilwein, T., Stevenson, B., Kuvaas, N., & Williams, T. (2014). Alcohol use and alcohol-related consequences: Associations with emotion regulation difficulties. American Journal of Drug & Alcohol Abuse, 40(2), 125–130.
Egan, V., & Parmar, R. (2013). Dirty habits? Online pornography use, personality, obsessionality, and compulsivity. Journal of Sex & Marital Therapy, 39(5), 394–409.
Ferguson, R. J., Robinson, A. B., & Splaine, M. (2002). Use of the reliable change index to evaluate clinical significance in SF-36 outcomes. Quality of Life Research, 11(6), 509–516.
Gola, M., Lewczuk, K., & Skorko, M. (2016). What matters: Quantity or quality of pornography use? Psychological and behavioral factors of treatment seeking for problematic pornography consumption. Journal of Sexual Medicine, 13(5), 815–824.
Guendelman, S., Medeiros, S., & Rampes, H. (2017). Mindfulness and emotion regulation: Insights from neurobiological, psychological, and clinical studies. Frontiers in Psychology, 8, 220.
Hafenbrack, A., Kinias, Z., & Barsade, S. (2014). Debiasing the mind through meditation: Mindfulness and the sunk-cost bias. Psychological Science, 25(2), 369–376.
Hammond, C. (2010). Interpretative phenomenological analysis: Theory, method, and research. British Journal of Psychology, 101(2), 378–380.
Hofmann, S., Sawyer, A., Witt, A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.
Jain, F., Walsh, R., Eisendrath, S. J., Christensen, S., & Rael Cahn, B. (2014). Critical analysis of the efficacy of meditation therapies for acute and subacute phase treatment of depressive disorders: A systematic review. Psychosomatics, 56(2), 140–152.
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771.
Kraus, S., Martino, S., & Potenza, M. (2016). Clinical characteristics of men interested in seeking treatment for use of pornography. Journal of Behavioral Addictions, 5(2), 169–178.
MacLean, K. A., Ferrer, E., Aichele, S. R., Bridwell, D. A., Zanesco, A. P., Jacobs, T. L., King, B. G., Rosenberg, E. L., Sahdra, B. K., Shaver, P. R., Wallace, B. A., Mangun, G. R., & Saron, C. D. (2010). Intensive meditation training improves perceptual discrimination and sustained attention. Psychological Science (0956–7976), 21(6), 829–839.
Marcus, M., & Zgierska, A. (2009). Mindfulness-based therapies for substance use disorders: Part 1 (editorial). Substance Abuse, 30(4), 263–265.
Marlatt, G., & Chawla, N. (2007). Meditation and alcohol use. Southern Medical Journal, 100(4), 451–453.
Mrazek, M. D., Franklin, M. S., Phillips, D. T., Baird, B., & Schooler, J. W. (2013). Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychological Science (0956–7976), 24(5), 776–781.
Oken, B. S., Wahbeh, H., Goodrich, E., Klee, D., Memmott, T., Miller, M., & Fu, R. (2016). Meditation in stressed older adults: Improvements in self-rated mental health not paralleled by improvements in cognitive function or physiological measures. Mindfulness, 8(3), 627–638.
Parker, R., Vannest, K., Davis, J., & Sauber, S. (2011). Combining nonoverlap and trend for single-case research: Tau-u. Behavior Therapy, 42(2), 284–299.
Rakap, S. (2015). Effect sizes as result interpretation aids in single subject experimental research: Description and application of four nonoverlap methods. British Journal of Special Education, 42, 11–33.
Reid, R., Bramen, J., Anderson, A., & Cohen, M. (2014). Mindfulness, emotional dysregulation, impulsivity, and stress proneness among hypersexual patients. Journal of Clinical Psychology, 70(4), 313–321.
Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing & Health, 23(3), 246–255.
Shonin, E., Van Gordon, W., & Griffiths, M. D. (2015). Does mindfulness work? BMJ (Clinical Research Ed.), 351, h6919.
Sirianni, J., & Vishwanath, A. (2016). Problematic online pornography use: A media attendance perspective. Journal of Sex Research, 53(1), 21–34.
Smith, J. D. (2012). Single-case experimental designs: A systematic review of published research and current standards. Psychological Methods, 17(4), 510–550.
Smith, J. A., & Osborn, M. (2015). Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. British Journal of Pain, 9(1), 41–42.
Sniewski, L., & Farvid, P. (2019a). Hidden in shame: Heterosexual men’s experiences of self-perceived problematic pornography use. Psychology of Men & Masculinities. Advance online publication., 21, 201–212. https://doi.org/10.1037/men0000232.
Sniewski, L., & Farvid, P. (2019b). Abstinence or acceptance? A case series of Men’s experiences with an intervention addressing self-perceived problematic pornography use. Sexual Addiction & Compulsivity, 26(3/4), 191–210.
Sniewski, L., Farvid, P., & Carter, P. (2018). The assessment and treatment of adult heterosexual men with self-perceived problematic pornography use: A review. Addictive Behaviors, 77, 217–224.
Tang, Y. Y., Posner, M. I., & Rothbart, M. K. (2013). Meditation improves self-regulation over the life span. Annals of the New York Academy of Sciences, 1307, 104–111.
Tate, R. L., Perdices, M., Rosenkoetter, U., Shadish, W., Vohra, S., Barlow, D. H., Horner, R., Kazdin, A., Kratochwill, T., McDonald, S., Sampson, M., Shamseer, L., Togher, L., Albin, R., Backman, C., Douglas, J., Evans, J. J., Gast, D., Manolov, R., Mitchell, G., Nickels, L., Nikles, J., Ownsworth, T., Rose, M., Schmid, C. H., et al. (2016). The single-case reporting guideline in BEhavioural interventions (SCRIBE) 2016 statement. Neuropsychological Rehabilitation, 27(1), 1–15.
Thompson, B., & Waltz, J. (2008). Mindfulness, self-esteem, and unconditional self-acceptance. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26, 119–126.
Twohig, M., & Crosby, J. (2010). Acceptance and commitment therapy as a treatment for problematic internet pornography viewing. Behavior Therapy, 41(3), 285–295.
Vandana, B., Saraswathy, L., Pillai, G. K., Sunadaram, K. R., & Kumar, H. (2011). Meditation induces a positive response during stress events in young Indian adults. International Journal of Yoga, 4(2), 64–70.
Wetterneck, C., Burgess, A., Short, M., Smith, A., & Cervantes, M. (2012). The role of sexual compulsivity, impulsivity, and experiential avoidance in internet pornography use. Psychological Record, 62(1), 3–17.
Wiveka, R., Goldin, P., Carmona, P., & McQuaid, J. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.
Wood, H. (2011). The internet and its role in the escalation of sexually compulsive behavior. Psychoanalytic Psychotherapy, 25(2), 127–142.
Zgierska, A., Rabago, D., Chawla, N., Kushner, K., Koehler, R., & Marlatt, A. (2009). Mindfulness meditation for substance use disorders: A systematic review. Substance Abuse, 30(4), 266–294.
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LS: designed and executed the study, and wrote the paper. CK: assisted with the data analysis and editing of the final version of the paper. PF: collaborated with the design of the study and editing of the final version of the paper. PC: collaborated with the design of the study. All authors approved the final version of the manuscript for submission.
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Sniewski, L., Krägeloh, C., Farvid, P. et al. Meditation as an intervention for men with self-perceived problematic pornography use: A series of single case studies. Curr Psychol 41, 5151–5162 (2022). https://doi.org/10.1007/s12144-020-01035-1
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DOI: https://doi.org/10.1007/s12144-020-01035-1