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The Pornography Craving Questionnaire: Psychometric Properties

Abstract

Despite the prevalence of pornography use, and recent conceptualization of problematic use as an addiction, we could find no published scale to measure craving for pornography. Therefore, we conducted three studies employing young male pornography users to develop and evaluate such a questionnaire. In Study 1, we had participants rate their agreement with 20 potential craving items after reading a control script or a script designed to induce craving to watch pornography. We dropped eight items because of low endorsement. In Study 2, we revised both the questionnaire and cue exposure stimuli and then evaluated several psychometric properties of the modified questionnaire. Item loadings from a principal components analysis, a high internal consistency reliability coefficient, and a moderate mean inter-item correlation supported interpreting the 12 revised items as a single scale. Correlations of craving scores with preoccupation with pornography, sexual history, compulsive internet use, and sensation seeking provided support for convergent validity, criterion validity, and discriminant validity, respectively. The enhanced imagery script did not impact reported craving; however, more frequent users of pornography reported higher craving than less frequent users regardless of script condition. In Study 3, craving scores demonstrated good one-week test–retest reliability and predicted the number of times participants used pornography during the following week. This questionnaire could be applied in clinical settings to plan and evaluate therapy for problematic users of pornography and as a research tool to assess the prevalence and contextual triggers of craving among different types of pornography users.

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References

  1. Ashrafioun, L., & Rosenberg, H. (2012). Methods of assessing craving to gamble: A narrative review. Psychology of Addictive Behaviors, 26, 536–549. doi:10.1037/a0026367.

    Article  PubMed  Google Scholar 

  2. Barak, A., & King, S. A. (2000). The two faces of the internet: Introduction to the special issue on the Internet and sexuality. CyberPsychology & Behavior, 3, 517–520. doi:10.1089/109493100420133.

    Article  Google Scholar 

  3. Bohn, M. J., Krahn, D. D., & Staehler, B. A. (1995). Development and initial validation of a measure of drinking urges in abstinent alcoholics. Alcoholism, Clinical and Experimental Research, 19, 600–606. doi:10.1111/j.1530-0277.1995.tb01554.x.

    Article  PubMed  Google Scholar 

  4. Brand, M., Laier, C., Pawlikowski, M., Schächtle, U., Schöler, T., & Altstötter-Gleich, C. (2011). Watching pornographic pictures on the internet: Role of sexual arousal ratings and psychological-psychiatric symptoms for using internet sex sites excessively. Cyberpsychology, Behavior, and Social Networking, 14, 371–377. doi:10.1089/cyber.2010.0222.

    Article  Google Scholar 

  5. Carroll, J. S., Padilla-Walker, L. M., Nelson, L. J., Olson, C. D., Barry, C. M., & Madsen, S. D. (2008). Generation XXX. Journal of Adolescent Research, 23, 6–30. doi:10.1177/0743558407306348.

    Article  Google Scholar 

  6. Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309–319. doi:10.1037/1040-3590.7.3.309.

    Article  Google Scholar 

  7. Cooper, A. L., Delmonico, D. L., & Burg, R. (2000). Cybersex users, abusers, and compulsives: New findings and implications. Sexual Addiction & Compulsivity, 7, 5–29. doi:10.1080/10720160008400205.

    Article  Google Scholar 

  8. Cooper, A. L., Delmonico, D. L., Griffin-Shelley, E., & Mathy, R. M. (2004). Online sexual activity: An examination of potentially problematic behaviors. Sexual Addiction and Compulsivity, 11, 129–143. doi:10.1080/10720160490882642.

    Article  Google Scholar 

  9. Daneback, K., Sevcikova, A., Månsson S. A., & Ross, M. W. (2013). Outcomes of using the internet for sexual purposes: Fulfillment of sexual desires. Sexual Health, 10, 26–31. http://dx.doi.org/10.1071/SH11023.

  10. Ferguson, S. G., & Shiffman, S. (2009). The relevance and treatment of cue-induced cravings in tobacco dependence. Journal of Substance Abuse Treatment, 36, 235–243. doi:10.1016/j.jsat.2008.06.005.

    Article  PubMed  Google Scholar 

  11. Goldberg, P. D., Peterson, B. D., Rosen, K. H., & Sara, M. L. (2008). Cybersex: The impact of a contemporary problem on the practices of marriage and family therapists. Journal of Marital & Family Therapy, 34, 469–480. doi:10.1111/j.1752-0606.2008.00089.x.

    Article  Google Scholar 

  12. Gordon, A. K., & Kraus, S. W. (2010). Yes. Yes! Yes!!! What do Mona’s moans tell us about her sexual pleasure? In D. Monroe & F. Allhoff (Eds.), Porn-Philosophy for everyone: How to think with kink (pp. 37–51). New York: Wiley-Blackwell.

  13. Griffiths, M. (2001). Sex on the internet: Observations and implications for internet sex addiction. Journal of Sex Research, 38, 333–342. doi:10.1080/00224490109552104.

    Article  Google Scholar 

  14. Hald, G. M., & Malamuth, N. M. (2008). Self-perceived effects of pornography consumption. Archives of Sexual Behavior, 37, 614–625. doi:10.1007/s10508-007-9212-1.

    Article  PubMed  Google Scholar 

  15. Heishman, S. J., Singleton, E. G., & Pickworth, W. B. (2008). Reliability and validity of a short form of the tobacco craving questionnaire. Nicotine & Tobacco Research, 10, 643–651. doi:10.1080/14622200801908174.

    Article  Google Scholar 

  16. Hoyle, R. H., Stephenson, M. T., Palmgreen, P., Lorch, E. P., & Donohew, R. L. (2002). Reliability and validity of a brief measure of sensation seeking. Personality and Individual Differences, 32, 401–414.

    Article  Google Scholar 

  17. James, D., Davies, G., & Willner, P. (2004). The development and initial validation of a questionnaire to measure craving for amphetamine. Addiction, 99, 1181–1188. doi:10.1111/j.1360-0443.2004.00819.x.

    Article  PubMed  Google Scholar 

  18. Kafka, M. P. (2001). The paraphilia-related disorders: A proposal for a unified classification of nonparaphilic hypersexuality disorders. Sexual Addiction and Compulsivity, 8, 227–239. doi:10.1080/107201601753459937.

    Article  Google Scholar 

  19. Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400. doi:10.1007/s10508-009-9574-7.

    Article  PubMed  Google Scholar 

  20. Kalichman, S. C., & Rompa, D. (1995). Sexual sensation seeking and sexual compulsivity scales: Reliability, validity, and predicting HIV risk behavior. Journal of Personality Assessment, 65, 586–601. doi:10.1207/s15327752jpa6503_16.

    Article  PubMed  Google Scholar 

  21. Kalman, T. P. (2008). Clinical encounters with Internet pornography. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 36, 593–618. doi:10.1521/jaap.2008.36.4.593.

    Article  PubMed  Google Scholar 

  22. Kaplan, M. S., & Krueger, R. B. (2010). Diagnosis, assessment, and treatment of hypersexuality. Journal of Sex Research, 47, 181–198. doi:10.1080/00224491003592863.

    Article  PubMed  Google Scholar 

  23. McCormack, H. M., Horne, D. J., & Sheather, S. (1988). Clinical applications of visual analogue scales: A critical review. Psychological Medicine, 18, 1007–1019. doi:10.1017/S0033291700009934.

    Article  PubMed  Google Scholar 

  24. Meerkerk, G. J., Van Den Eijnden, R. J., & Garretsen, H. F. (2006). Predicting compulsive internet use: It’s all about sex! CyberPsychology & Behavior, 9, 95–103. doi:10.1089/cpb.2006.9.95.

    Article  Google Scholar 

  25. Meerkerk, G. J., Van Den Eijnden, R. J., Vermulst, A. A., & Garretsen, H. F. (2009). The Compulsive Internet Use Scale (CIUS): Some psychometric properties. CyberPsychology & Behavior, 12, 1–6. doi:10.1089/cpb.2008.0181.

    Article  Google Scholar 

  26. Mitchell, K. J., & Wells, M. (2007). Problematic internet experiences: Primary or secondary presenting problems in persons seeking mental health care? Social Science and Medicine, 65, 1136–1141.

    Article  PubMed  Google Scholar 

  27. Morgan, E. M. (2011). Associations between young adults’ use of sexually explicit materials and their sexual preferences, behaviors, and satisfaction. Journal of Sex Research, 48, 520–530. doi:10.1080/00224499.2010.543960.

    Article  PubMed  Google Scholar 

  28. Ollo, C., Alim, T. N., Rosse, R. B., Cunningham, S., Gillis, T., Khan, M., et al. (1995). Evaluating craving in crack-cocaine abusers. American Journal of Addiction, 4, 323–330. doi:10.1111/j.1521-0391.1995.tb00271.x.

    Article  Google Scholar 

  29. Ooteman, W., Koeter, M. W., Vserheul, R., Schippers, G. M., & van den Brink, W. (2006). Measuring craving: An attempt to connect subjective craving with cue reactivity. Alcoholism, Clinical and Experimental Research, 30, 57–69. doi:10.1111/j.1530-0277.2006.00019.x.

    Article  PubMed  Google Scholar 

  30. Orford, J. (2001). Addiction as excessive appetite. Addiction, 96, 15–31. doi:10.1046/j.1360-0443.2001.961152.x.

    Article  PubMed  Google Scholar 

  31. Paul, B., & Shim, J. W. (2008). Gender, sexual affect, and motivations for internet pornography use. International Journal of Sexual Health, 20, 187–199. doi:10.1080/19317610802240154.

    Article  Google Scholar 

  32. Philaretou, A. G., Mahfouz, A. Y., & Allen, K. A. (2005). Use of internet pornography and men’s well-being. International Journal of Men’s Health, 4, 149–169. doi:10.3149/jmh.0402.149.

    Article  Google Scholar 

  33. Reid, R. C., Li, D. S., Gilliland, R., Stein, J. A., & Fong, T. (2011). Reliability, validity, psychometric development of the Pornography Consumption Inventory in a sample of hypersexual men. Journal of Sex and Marital Therapy, 37, 359–385. doi:10.1080/0092623X.2011.607047.

    Article  PubMed  Google Scholar 

  34. Rosenberg, H. (2009). Clinical and laboratory assessment of the subjective experience of drug craving. Clinical Psychology Review, 29, 519–534. doi:10.1016/j.cpr.2009.06.002.

    Article  PubMed  Google Scholar 

  35. Ross, M. W., Månsson, S. A., & Daneback, K. (2012). Prevalence, severity, and correlates of problematic sexual internet use in Swedish men and women. Archives of Sexual Behavior, 41, 459–466. doi:10.1007/s10508-011-9762-0.

    Article  PubMed  Google Scholar 

  36. Shapira, N. A., Lessig, M. C., Goldsmith, T. D., Szabo, S. T., Lazoritz, M., Gold, M. S., et al. (2003). Problematic internet use: Proposed classification and diagnostic criteria. Depression & Anxiety, 17, 207–216. doi:10.1002/da.10094.

    Article  Google Scholar 

  37. Shaughnessy, K., Byers, E. S., & Walsh, L. (2011). Online sexual activity experience of heterosexual students: Gender similarities and differences. Archives of Sexual Behavior, 40, 419–427. doi:10.007/s10508-010-9629-9.

    Article  PubMed  Google Scholar 

  38. Stöber, J. (2001). The Social Desirability Scale-17 (SDS-17): Convergent validity, discriminant validity, and relationship with age. European Journal of Psychological Assessment, 17, 222–232. doi:10.1027//1015-5759.17.3.222.

    Article  Google Scholar 

  39. Taylor, R. C., Harris, N. A., Singleton, E. G., Moolchan, E. T., & Heishman, S. J. (2000). Tobacco craving: Intensity-related effects of imagery scripts in drug abusers. Experimental and Clinical Psychopharmacology, 8, 75–87. doi:10.1037/1064-1297.8.1.75.

    Article  PubMed  Google Scholar 

  40. Tiffany, S. T., & Wray, J. M. (2012). The clinical significance of drug craving. Annals of the New York Academy of Sciences, 1248, 1–17. doi:10.1111/j.1749-6632.2011.06298.x.

    PubMed Central  Article  PubMed  Google Scholar 

  41. Tong, C., Bovbjerg, D. H., & Erblich, J. (2007). Smoking-related videos for use in cue-induced craving paradigms. Addictive Behaviors, 32, 3034–3044.

    PubMed Central  Article  PubMed  Google Scholar 

  42. Tracy, J. I. (1994). Assessing the relationship between craving and relapse. Drug and Alcohol Review, 13, 71–77. doi:10.1080/09595239400185751.

    Article  PubMed  Google Scholar 

  43. Vallerand, R. J., Blanchard, C., Mageau, G. A., Koestner, R., Ratelle, C., Léonard, M., … Marsolais, J. (2003). Les passions de l’ame: On obsessive and harmonious passion. Journal of Personality and Social Psychology, 85, 756–767. doi:10.1037/0022-3514.85.4.756.

  44. Wallace, B. (2011). The geek-kings of smut. New York Magazine. Retrieved from http://nymag.com/news/features/70985/.

  45. Weinberg, M. S., Williams, C. J., Kleiner, S., & Irizarry, Y. (2010). Pornography, normalization, and empowerment. Archives of Sexual Behavior, 39, 1389–1401. doi:10.1007/s10508-009-9592-5.

    Article  PubMed  Google Scholar 

  46. Wright, P. J. (2013). U.S. males and pornography, 1973–2010: Consumption, predictors, correlates. Journal of Sex Research, 50, 60–71. doi:10.1080/00224499.2011.628132.

    Article  PubMed  Google Scholar 

  47. Young, K. S. (2005). An empirical examination of client attitudes towards online counseling. CyberPsychology & Behavior, 8, 172–177. doi:10.1089/cpb.2005.8.172.

    Article  Google Scholar 

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Correspondence to Shane Kraus.

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Kraus, S., Rosenberg, H. The Pornography Craving Questionnaire: Psychometric Properties. Arch Sex Behav 43, 451–462 (2014). https://doi.org/10.1007/s10508-013-0229-3

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Keywords

  • Craving
  • Pornography
  • University students
  • Sex
  • Internet