Alcohol and cannabis use severity in relation to compulsive sexual behavior and problematic pornography use in a non-clinical sample: a cross-sectional study - Report - MDSpire

Alcohol and cannabis use severity in relation to compulsive sexual behavior and problematic pornography use in a non-clinical sample: a cross-sectional study

  • By

  • Wiktoria Stasica

  • Alicja Anna Binkowska

  • June 17, 2026

  • 0 min

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The Relationship Between Alcohol and Cannabis Consumption Levels and CSBD

Overview

This study explores the associations between alcohol and cannabis use severity and symptoms of Compulsive Sexual Behavior Disorder (CSBD) and problematic pornography use (PPU) in a non-clinical adult population. Findings indicate a positive but non-significant correlation, suggesting that sociodemographic factors may influence these relationships.

Background

Compulsive Sexual Behavior Disorder (CSBD) and problematic pornography use (PPU) often co-occur with substance use disorders, yet their specific associations in non-clinical populations are not well understood. Understanding these relationships is crucial for developing effective interventions and preventive strategies in the context of substance use and sexual health. The increasing prevalence of CSBD and PPU highlights the need for further research in this area.

Data Highlights

MeasureMean Score (± SD)
Alcohol Use Severity16.29 (± 4.53)
Cannabis Use Severity15.49 (± 5.08)
CSBD Score21.14 (± 7.74)
PPU Score6.99 (± 2.55)

Key Findings

  • Increased alcohol and cannabis use severity were associated with higher CSBD and PPU scores in unadjusted models.
  • After controlling for age and gender, no significant associations were found between substance use severity and CSBD or PPU scores.
  • The mean alcohol use severity score among participants was 16.29, while the mean cannabis use severity score was 15.49.
  • The study analyzed data from 158 adults, with a majority being women (61.4%).
  • Findings suggest that sociodemographic differences may explain the observed associations.

Clinical Implications

Healthcare professionals should consider the potential links between substance use and compulsive sexual behaviors when assessing patients. Screening for hazardous alcohol and cannabis use may be beneficial in evaluating symptoms of CSBD and PPU, particularly in non-clinical populations. Further research is needed to explore these associations longitudinally.

Conclusion

The study indicates a non-significant association between alcohol and cannabis use severity with CSBD and PPU, emphasizing the need for further investigation into the underlying factors influencing these behaviors.

Related Resources & Content

  1. JAMA Network Open, 2025 -- Impact of Cannabis Edibles Combined With Alcohol on Driving, Field Sobriety Performance, and Subjective
  2. Obesity Surgery, 2025 -- Evaluating Alcohol and Substance Use in Candidates for Bariatric Surgery: The Role of Self-Reported Data and Toxicology Assessments, Including Ethyl-Glucuronide
  3. American Journal of Epidemiology, 2025 -- Spatial and Temporal Relationships Between Cannabis and Alcohol Outlet Density and Assault Injury Rates in California
  4. Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders (CDDR), WHO, 2024
  5. BMC Psychiatry (Springer) — A qualitative study of patient’s experiences of receiving alcohol interventions according to the 15-method in psychiatric care
  6. Research Article on CSBD and PPU
  7. Psychotherapy for problematic pornography use: A comprehensive meta-analysis
  8. Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders (CDDR)

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