Evidence base

Research, data, and accuracy

This page presents real published sources and clearly labels limitations. No invented clinical success rates, recovery timelines, or guaranteed outcomes are provided.

Selected published research (with study details)

TopicSampleAgeGenderDurationMethodDateSource
PPU prevalence in a large online sampleN = 11,711 adultsMean 33.2 years (range 18–75)Men 62.4%, Women 37.6%Cross-sectional (single time point)Online survey; Problematic Pornography Consumption Scale (PPCS)2019 Bőthe et al., 2020 (J. Sex Res.)
Pornography use and relationship outcomes (longitudinal)N = 1,036 adults (US, probability panel)18+ (national panel)Mixed; nationally representative weights applied3 waves (approx. 2014–2016)Longitudinal panel survey; self-reported use and well-being/relationship measures2018 Grubbs, Perry, Grant Weinandy & Kraus, 2018
Pornography, partners, and marital quality (longitudinal)Married adults from US panel samples (varies by analysis)Adults (panel)Men and womenLongitudinal (multi-wave panels)Panel survey analyses of use, marital quality, and divorce-related outcomes2017 Perry, 2017 (Arch. Sex. Behav.)
CSBD classification (ICD-11)Not a participant sample (diagnostic classification)Clinical contexts (age-appropriate assessment required)Not specified (classification)Adopted 2019; in effect 2022WHO expert review and classification framework2019/2022 World Health Organization, ICD-11 (6C72)
Neuroscience correlates in CSB/PPU (cue reactivity)Small clinical/online samples (varies by study)Mostly adultsOften majority male; limited diversityTypically cross-sectional lab studiesNeuroimaging (fMRI) and behavioural tasks; heterogeneous measures2014 Voon et al., 2014 (PLOS ONE)

Evidence strength varies: systematic reviews/meta-analyses and longitudinal studies generally provide stronger inference than single cross-sectional self-report studies, but all have limitations. Findings on PPU and relationships are mixed and moderated by context (e.g., values incongruence, perceived control).

Conceptual pathway (illustrative, not a timeline of recovery)

Illustrative only: Real, uniform recovery timelines or month-by-month prevalence trends are not available. Change is individual and non-linear; this is not a measured trend and not a guarantee.

Phase 1
Awareness

Recognizing patterns, triggers, and impacts (if present).

Phase 2
Skills & changes

Practising boundaries, coping, urge management, and routine adjustments.

Phase 3
Setbacks & learning

Some people experience setbacks; compassionate review can support continued progress.

Phase 4
Support

Professional or couples counselling may be helpful when distress or impacts persist.

Example from one large-sample study (not prevalence for all)

From Bőthe et al. (2020), self-reported categories in an online adult sample (PPCS cutoffs). Not a clinical diagnosis and not generalizable to all populations.

Terminology: Pornography addiction is not described as a formally recognized standalone WHO diagnosis. CSBD is classified in ICD-11 as an impulse control disorder.