RESEARCH EVIDENCE MODERATE EVIDENCE Expert commentary Tier 2 — Peer-reviewed study / review

A current understanding of the behavioral neuroscience of compulsive sexual behavior disorder and problematic pornography use

Authors
Stark, R., Klucken, T., Potenza, M. N., Brand, M., & Strahler, J.
Year
2018
Journal
Current Behavioral Neuroscience Reports
Type
Conceptual / review paper
Source
https://doi.org/10.1007/s40473-018-0162-9
Last verified
2026-10-04

Main question

What does behavioural neuroscience currently establish about CSBD/PPU?

Related claims

Summary

Stark and colleagues (2018) reviewed the behavioural neuroscience of CSBD and problematic pornography use. The review concludes that research points toward altered reward processing and cue reactivity in affected individuals, but emphasizes the heterogeneity and incompleteness of the evidence.

Why it matters

This review is a useful, cautious summary of the neuroscience of compulsive sexual behaviour, and it explicitly resists overclaiming. It frames what the brain-imaging literature can and cannot currently say.

Findings

Limitations

Clinical relevance

Summarizes the evidence cautiously, resisting overclaiming.

Relevance to problematic pornography use

Sets the honest current state of the neuroscience.

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