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    Quantifying opponent process dynamics in pornography use and masturbation: An exploratory ecological momentary assessment study
    (Springer, 2025-11-21) Henry N; Pedersen M; Williams M; Donkin L
    The causal relationships between pornography use, masturbation, moral incongruence, and mental health are poorly understood. While the link between problematic pornography use (PPU) and depression is well documented, the temporal dynamics associated with pornography use and masturbation have not yet been quantified. Utilizing an exploratory ecological momentary assessment (EMA) design, we measured the temporal dynamics of cognitive and affective state variables collected from 22 participants before, during, and after pornography use and masturbation, and examined the moderating role of moral incongruence in these relationships. Participants completed an initial survey followed by a four-week EMA, capturing data on sexual activities and cognitive and affective state variables. Bayesian hierarchical mixed-effects models were employed to analyze temporal dynamics. Findings suggest that pornography use and masturbation were linked to changes in affective and cognitive states that spiked both before and after sexual episodes. These states were generally more pronounced and sustained in participants with high moral incongruence, who experienced transient increases in shame, guilt, difficulty thinking, relationship disconnectedness, craving for sexual intercourse, and mood deterioration after pornography use and masturbation. These shifts typically persisted for several hours before decaying to baseline levels. High-incongruence participants also experienced strong spikes in craving prior to sexual episodes, while low-incongruence participants experienced craving spikes after pornography use and masturbation, indicating possible sensitization effects. Our findings also signalled potential evidence for “brain fog” following pornography use in both low and high-incongruence participants. Further, we discovered opponent process dynamics in the mood of high-incongruence participants, providing a possible causal mechanism that may explain how PPU can lead to depression.
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    Behavioral Posology: A Novel Paradigm for Modeling the Healthy Limits of Behaviors
    (John Wiley and Sons, Inc., 2023-09-01) Henry N; Pedersen M; Williams M; Donkin L
    One of the challenges faced by behavioral scientists is the lack of modeling methodologies for accurately determining when a behavior becomes problematic. The authors propose “behavioral posology” as a novel modeling paradigm for quantifying the healthy limits of behaviors through the concept of behavioral dose. As an example of this paradigm, a pharmacokinetic/pharmacodynamic model of a hypothetical digital behavior is presented, based on opponent process theory. The generic model can be adapted to simulate Solomon and Corbit's model of affective dynamics from 1974, and the model predicts features of addiction such as hedonic allostasis, withdrawal, and apparent tolerance. A behavioral frequency response analysis (BFRA) of the model demonstrates how behavior repetition may result in a hormetic dose–response relationship that depends on the frequency of the behavior. The model can be experimentally validated using Ecological Momentary Assessment, allowing researchers to hypothesize, model, and test causal mechanisms for behavioral addictions. The potential for behavioral posology to be applied as a clinical support tool in psychological medicine is discussed, as this modeling framework may help to detect and limit behaviors being performed too frequently based on factors such as the person's moral beliefs.
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    mHealth Technologies for Managing Problematic Pornography Use: Content Analysis.
    (JMIR Publications, 2022-10-13) Henry N; Donkin L; Williams M; Pedersen M
    Background: Several mobile apps are currently available that purportedly help with managing pornography addiction. However, the utility of these apps is unclear, given the lack of literature on the effectiveness of mobile health solutions for problematic pornography use. Little is also known about the content, structure, and features of these apps. Objective: This study aims to characterize the purpose, content, and popularity of mobile apps that claim to manage pornography addiction. Methods: The phrase “pornography addiction” was entered as a search term in the app stores of the two major mobile phone platforms (Android and iOS). App features were categorized according to a coding scheme that contained 16 categories. Apps were included in the analysis if they were described as helpful for reducing pornography use, and data were extracted from the store descriptions of the apps. Metrics such as number of user ratings, mean rating score, and number of installations were analyzed on a per-feature basis. Results: In total, 170 apps from both app stores met the inclusion criteria. The five most common and popular features, both in terms of number of apps with each feature and minimum possible number of installations, were the ability to track the time since last relapse (apps with feature=72/170, 42.4%; minimum possible number of installations=6,388,000), tutorials and coaching (apps with feature=63/170, 37.1%; minimum possible number of installations=9,286,505), access to accountability partners or communities (apps with feature=51/170, 30%; minimum possible number of installations=5,544,500), content blocking or content monitoring (apps with feature=46/170, 27.1%; minimum possible number of installations=17,883,000), and a reward system for progress (apps with feature=34/170, 20%; minimum possible number of installations=4,425,300). Of these features, content-blocking apps had the highest minimum possible number of installations. Content blocking was also the most detected feature combination in a combinatorial analysis (with 28 apps having only this feature), but it also had the lowest mean consumer satisfaction rating (4.04) and second-lowest median rating (4.00) out of 5 stars. None of the apps reviewed contained references to literature that provided direct evidence for the app’s efficacy or safety. Conclusions: There are several apps with the potential to provide low- or zero-cost real-time interventions for people struggling to manage problematic pornography use. Popular app features include blockers of pornographic content, behavior monitoring, and tutorials that instruct users how to eliminate pornography use. However, there is currently no empirical evidence to support the effectiveness and safety of these apps. Further research is required to be able to provide recommendations about which apps (and app features) are safe for public consumption.