The Psychological and Interpersonal Relationship Consequences of Compulsive Sexual Behavior Disorder (CSBD); Problematic Pornography Use - A Literature Review

Kadek Ratih Pradnyaswari, I Gde Yudhi Kurniawan

Abstract: Background: Sex is inseparable from human being. In today's digital era, internet pornography have facilitated its widespread consumption, raising concerns regarding compulsive use patterns. Compulsive Sexual Behavior Disorder (CSBD), formally recognized in the International Classification of Diseases, 11th Revision (ICD-11), encompasses Problematic Pornography Use (PPU), may impact in adverse mental health and impaired interpersonal relationships. This literature review aims to synthesize current evidence on the psychological and relational impacts of CSBD, with a focus on online pornography addiction.

Methods: A structured literature review was conducted using databases such as PubMed and Google Scholar. Keywords included compulsive sexual behavior disorder”, “compulsive sexual behavior”, “PPU”, and hypersexuality.” Inclusion criteria comprised peer-reviewed articles and empirical studies published in national and international journals addressing mental health and interpersonal relationship outcomes associated with CSBD.

Results: Thirty five peer-reviewed studies were included. The findings consistently indicate that compulsive engagement with PPU is associated with adverse mental health outcomes, including heightened anxiety, depression, and emotional dysregulation. Furthermore, individuals with CSBD exhibit significant difficulties in establishing and maintaining healthy sexual relationships, characterized by diminished real-life sexual satisfaction and increased relational strain.

Conclusion: PPU as a manifestation of CSBD, is intricately linked to deteriorations in mental health and the erosion of intimate relationships. The desensitization to natural sexual stimuli contributes to emotional disengagement and relational discord, underscoring the necessity for early identification and therapeutic intervention strategies.

Keywords: Compulsive Sexual Behavior Disorder (CSBD), Problematic Pornography Use (PPU), Hypersexuality, Internet Pornography Addiction, Mental Health.

Title: The Psychological and Interpersonal Relationship Consequences of Compulsive Sexual Behavior Disorder (CSBD); Problematic Pornography Use - A Literature Review

Author: Kadek Ratih Pradnyaswari, I Gde Yudhi Kurniawan

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Vol. 13, Issue 1, April 2025 - September 2025

Page No: 507-513

Research Publish Journals

Website: www.researchpublish.com

Published Date: 28-July-2025

DOI: https://doi.org/10.5281/zenodo.16537383

Vol. 13, Issue 1, April 2025 - September 2025

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The Psychological and Interpersonal Relationship Consequences of Compulsive Sexual Behavior Disorder (CSBD); Problematic Pornography Use - A Literature Review by Kadek Ratih Pradnyaswari, I Gde Yudhi Kurniawan