Attachment Styles as Mediators Between Self-Perceived Addiction to Pornography and Psychological Distress: Findings and Implications from a Romanian Cross-Sectional Study
DOI:
https://doi.org/10.18662/lumenss/14.1/115Keywords:
attachment style, self‐perceived addiction to pornography, psychological distress related to the use of pornography, pornography use, romaniaAbstract
The present research aimed to examine the relationship between self-perceived addiction to pornography and psychological distress related to pornography use in a Romanian sample, highlighting the potential indirect effects of the three attachment styles (i.e., anxious, avoidant, and secure) on this relationship. The study involved 659 Romanian volunteers (M = 26.83, SD = 9.61), the majority of whom identified as female (75.4%). Our findings revealed that psychological distress related to pornography use was positively associated with anxious attachment, avoidant attachment, and self-perceived addiction to pornography, and negatively associated with secure attachment. Regarding the mediation models, avoidant attachment exhibited a significant indirect effect in the relationship between self-perceived addiction to pornography and psychological distress. Secure attachment also has a significant indirect effect, whereas anxious attachment did not show a statistically significant mediating effect. The study discusses both theoretical and practical implications of these findings.References
Akbari, M., Jamshidi, S., Hosseini, Z. S., Sheikhi, S., Asadi Asadabad, R., Zamani, M., & Wright, P. J. (2024). Personality, attachment, and pornography: A meta-analysis. Communication Research, 00936502241287834. https://doi.org/10.1177/00936502241287834
Alperin, R. M. (2001). Barriers to intimacy: An object relations prespective. Psychoanalytic Psychology, 18(1), 137–156. https://doi.org/10.1037/0736-9735.18.1.137
Alves, C. D. B., & Cavalhieri, K. E. (2020). Self-perceived problematic pornography use: an integrative model from a research domain criteria and ecological perspective. Sexuality & Culture, 24(5), 1619–1640. https://doi.org/10.1007/s12119-019-09680-w
American Psychiatric Association (Ed.). APA (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed). American Psychiatric Association.
Antoniac, L.-D., Huţul, T.-D., & Karner-Huţuleac, A. (2024). Emotion regulation, relationship satisfaction, and the moderating role of age: Findings and ethical implications. Journal of Intercultural Management and Ethics, 7(1), 43–54. https://doi.org/10.35478/jime.2024.1.05
Antons, S., Büsche, K., Mallon, L., Wolf, O., Diers, M., & Brand, M. (2023). Stress susceptibility, affective responses toward acute stressors and emotion regulation strategies in the context of problematic pornography use. Sexual Health & Compulsivity, 30(3), 231–251. https://doi.org/10.1080/26929953.2023.2220003
Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25(2), 128–134. https://doi.org/10.1097/YCO.0b013e3283503669
Bőthe, B., Tóth-Király, I., Potenza, M. N., Griffiths, M. D., Orosz, G., & Demetrovics, Z. (2019). Revisiting the role of impulsivity and compulsivity in problematic sexual behaviors. The Journal of Sex Research, 56(2), 166–179. https://doi.org/10.1080/00224499.2018.1480744
Bőthe, B., Tóth-Király, I., Zsila, Á., Griffiths, M. D., Demetrovics, Z., & Orosz, G. (2018). The development of the problematic pornography consumption scale (PPCS). The Journal of Sex Research, 55(3), 395–406. https://doi.org/10.1080/00224499.2017.1291798
Byrne, B. M. (2013). Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge.
Contreras, M., Orón, J. V., & Güell, F. (2024). Attachment and its relationship with pornography’s addiction. In P. Á. Gargiulo & H. L. Mesones-Arroyo (Eds.), Psychiatry and Neuroscience Update – Vol. V (pp. 741–750). Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-72219-6_53
Corrigan, P. W., Bink, A. B., Schmidt, A., Jones, N., & Rüsch, N. (2016). What is the impact of self-stigma? Loss of self-respect and the “why try” effect. Journal of Mental Health, 25(1), 10–15. https://doi.org/10.3109/09638237.2015.1021902
Dewitte, M. (2012). Different perspectives on the sex-attachment link: Towards an emotion-motivational account. The Journal of Sex Research, 49(2–3), 105–124. https://doi.org/10.1080/00224499.2011.576351
Di Trani, M., Renzi, A., Vari, C., Zavattini, G. C., & Solano, L. (2017). Gambling disorder and affect regulation: The role of alexithymia and attachment style. Journal of Gambling Studies, 33(2), 649–659. https://doi.org/10.1007/s10899-016-9637-3
Efrati, Y., & Amichai-Hamburger, Y. (2019). The use of online pornography as compensation for loneliness and lack of social ties among Israeli adolescents. Psychological Reports, 122(5), 1865–1882. https://doi.org/10.1177/0033294118797580
Eichenberg, C., Schott, M., Decker, O., & Sindelar, B. (2017). Attachment style and internet addiction: an online survey. Journal of Medical Internet Research, 19(5), e170. https://doi.org/10.2196/jmir.6694
Ferron, A., Lussier, Y., Sabourin, S., & Brassard, A. (2017). The role of internet pornography use and cyber infidelity in the associations between personality, attachment, and couple and sexual satisfaction. Social Networking, 06(01), 1–18. https://doi.org/10.4236/sn.2017.61001
Fong, T. W., Reid, R. C., & Parhami, I. (2012). Behavioral addictions. Psychiatric Clinics of North America, 35(2), 279–296. https://doi.org/10.1016/j.psc.2012.03.001
Garcia, F. D., & Thibaut, F. (2010). Sexual addictions. The American Journal of Drug and Alcohol Abuse, 36(5), 254–260. https://doi.org/10.3109/00952990.2010.503823
Garofalo, C., & Bogaerts, S. (2019). Attachment and personality disorders among child molesters: The role of trust. Sexual Abuse, 31(1), 97–124. https://doi.org/10.1177/1079063217720928
George, D., & Mallery, P. (2019). IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference (6th ed.). Routledge. https://doi.org/10.4324/9780429056765
Gergely, R. H., & Rusu, A. S. (2023). Romanian And Hungarian Translations Of The Attitudes Toward Sexuality Scale—Psychometric Validation. 10th International Conference Education, Reflection, Development (pp. 379–387). https://doi.org/10.15405/epes.23056.34
Gillath, O., Hart, J., Noftle, E. E., & Stockdale, G. D. (2009). Development and validation of a state adult attachment measure (SAAM). Journal of Research in Personality, 43(3), 362–373. https://doi.org/10.1016/j.jrp.2008.12.009
Giulio, P. (2020). Dysfunctional attachment and psychopathological outcomes in childhood and adulthood. Open Journal of Trauma, 4(1), 012–021. https://doi.org/10.17352/ojt.000025
Gola, M., & Potenza, M. N. (2016). Paroxetine treatment of problematic pornography use: a case series. Journal of Behavioral Addictions, 5(3), 529–532. https://doi.org/10.1556/2006.5.2016.046
Gola, M., Wordecha, M., Sescousse, G., Lew-Starowicz, M., Kossowski, B., Wypych, M., Makeig, S., Potenza, M. N., & Marchewka, A. (2017). Can pornography be addictive? An fMRI study of men seeking treatment for problematic pornography use. Neuropsychopharmacology, 42(10), 2021–2031. https://doi.org/10.1038/npp.2017.78
Gouvernet, B., Rebelo, T., Sebbe, F., Hentati, Y., Yougbaré, S., Combaluzier, S., & Rezrazi, A. (2017). Is pornography pathogen by itself? Study of the role of attachment profiles on the relationship between pornography and sexual satisfaction. Sexologies, 26(3), e27–e33. https://doi.org/10.1016/j.sexol.2016.10.002
Grubbs, J. B., Grant, J. T., & Engelman, J. (2018). Self-identification as a pornography addict: Examining the roles of pornography use, religiousness, and moral incongruence. Sexual Addiction & Compulsivity, 25(4), 269–292. https://doi.org/10.1080/10720162.2019.1565848
Grubbs, J. B., Hoagland, K. C., Lee, B. N., Grant, J. T., Davison, P., Reid, R. C., & Kraus, S. W. (2020a). Sexual addiction 25 years on: A systematic and methodological review of empirical literature and an agenda for future research. Clinical Psychology Review, 82, 101925. https://doi.org/10.1016/j.cpr.2020.101925
Grubbs, J. B., Kraus, S. W., & Perry, S. L. (2019a). Self-reported addiction to pornography in a nationally representative sample: The roles of use habits, religiousness, and moral incongruence. Journal of Behavioral Addictions, 8(1), 88–93. https://doi.org/10.1556/2006.7.2018.134
Grubbs, J. B., Lee, B. N., Hoagland, K. C., Kraus, S. W., & Perry, S. L. (2020b). Addiction or Transgression? Moral Incongruence and Self-Reported Problematic Pornography Use in a Nationally Representative Sample. Clinical Psychological Science, 8(5), 936–946. https://doi.org/10.1177/2167702620922966
Grubbs, J. B., & Perry, S. L. (2019). Moral Incongruence and Pornography Use: A Critical Review and Integration. The Journal of Sex Research, 56(1), 29–37. https://doi.org/10.1080/00224499.2018.1427204
Grubbs, J. B., Perry, S. L., Wilt, J. A., & Rory C. Reid. (2019b). Pornography Problems Due to Moral Incongruence: An Integrative Model with a Systematic Review and Meta-Analysis. Archives of Sexual Behavior, 48(2), 397–415. https://doi.org/10.1007/s10508-018-1248-x
Grubbs, J. B., Sessoms, J., Wheeler, D. M., & Volk, F. (2010). The Cyber-Pornography Use Inventory: The Development of a New Assessment Instrument. Sexual Addiction & Compulsivity, 17(2), 106–126. https://doi.org/10.1080/10720161003776166
Hahs-Vaughn, D. L., & Lomax, R. G. (2020). An introduction to statistical concepts. Routledge.
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (Eds.). (2010). Multivariate data analysis (7th ed). Prentice Hall.
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications.
Huţul, A., Holman, A. C., & Huţul, T.-D. (2024). Are today’s gamers tomorrow’s gamblers? the relationship between problem gaming and online problem gambling, and the indirect effect of purchasing loot boxes’ risk. Cyberpsychology, Behavior, and Social Networking, cyber.2024.0319. https://doi.org/10.1089/cyber.2024.0319
Huţul, A., & Holman, A.-C. (2023). Problem gambling, depression, anxiety and associated demographics: findings and ethical implications. Journal of Intercultural Management and Ethics, 6(3), 71–81. https://doi.org/10.35478/jime.2023.3.07
Huţul, T.-D. (2023). Psihoterapia sistemică în consumul problematic de pornografie şi în adicţia faţă de jocurile de noroc. In A. Karner-Huţuleac & T.-D. Huţul (Eds.), Adicţiile în societatea contemporană. De la acceptare la schimbare (pp. 287–296). Polirom.
Huţul, T.-D., & Karner-Huţuleac, A. (2023a). “Are You Ashamed to Talk About It?” Pornography, Moral Incongruence, Morality, Ethics, and Religious Distress in Romania. Journal of Intercultural Management and Ethics, 6(2), 13–23. https://doi.org/10.35478/jime.2023.2.03
Huţul, T.-D., & Karner-Huţuleac, A. (2023b). Socio-demographic and economic factors involved in the consumption of sexual explicit material. Ethical Aspects, Moral Incongruence, and the Frequency of Pornography Use. Journal of Intercultural Management and Ethics, 6(3), 33–42. https://doi.org/10.35478/jime.2023.3.04
Huţul, T.-D., & Karner-Huţuleac, A. (2024a). The role of social conservatism and family vaues regarding the use of pornography among romanians: a moderated mediation model. International Journal of Sexual Health, 1–16.
https://doi.org/10.1080/19317611.2024.2364642
Huţul, T.-D., & Karner-Huţuleac, A. (2024b). The roles of frequency of pornography use, and moral incongruence in the relationship between sexual satisfaction, and psychological distress related to the use of pornography: a moderated mediation model. International Journal of Sexual Health, 1–14. https://doi.org/10.1080/19317611.2024.2349592
Huţul, T.-D., & Karner-Huţuleac, A. (2025). Hypersexual behavior and self-perceived addiction to pornography: Uncovering the influence of frequency of pornography use. Psihologija, 00, 9–9. https://doi.org/10.2298/PSI231214009H
Huţul, T.-D., Karner-Huţuleac, A., Mariş, A.-M., Filote, I.-M., Chiricheş, F.-B., & Mavrichi, M. I. F. (2024). The role of positive and negative metacognitions about sex in the relationship between psychological distress and problematic consumption of pornography. A Mediation Model. International Journal of Sexual Health, 1–16. https://doi.org/10.1080/19317611.2024.2410943
Jain, S., Pandey, N., & Khan, W. (2022). Understanding sexting behaviors and its impact on attachment styles among young adults. Tobacco Regulatory Science, 8(1),181-190. https://tobreg.org/index.php/journal/article/download/737/736/746
Jones, J. W. (2022). An Examination of pornography use and attachment styles. Spalding University.
Karner-Huţuleac, A., & Huţul, T.-D. (Eds.). (2023). Adicţiile în societatea contemporană. De la acceptare la schimbare. Polirom.
Kató, S., Pintér-Eszenyei, Z. G., Rando Hurtado, M. A., Csinády, A. K., & Szemán-Nagy, A. (2024). Associations of sexual dysfunction with problematic pornography use and attachment styles: A cross-sectional study of Hungarian-Spanish samples. European Psychiatry, 67(S1), S49–S50. https://doi.org/10.1192/j.eurpsy.2024.153
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S.-L. T., Manderscheid, R. W., Walters, E. E., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184. https://doi.org/10.1001/archpsyc.60.2.184
Kor, A., Zilcha-Mano, S., Fogel, Y. A., Mikulincer, M., Reid, R. C., & Potenza, M. N. (2014). Psychometric development of the problematic pornography use scale. Addictive Behaviors, 39(5), 861–868. https://doi.org/10.1016/j.addbeh.2014.01.027
Kraus, S. W., & Sweeney, P. J. (2019). Hitting the target: Considerations for differential diagnosis when treating individuals for problematic use of pornography. Archives of Sexual Behavior, 48(2), 431–435. https://doi.org/10.1007/s10508-018-1301-9
Levine, S. L., Milyavskaya, M., Powers, T. A., Holding, A. C., & Koestner, R. (2021). Autonomous motivation and support flourishes for individuals higher in collaborative personality factors: Agreeableness, assisted autonomy striving, and secure attachment. Journal of Personality, 89(5), 899–914. https://doi.org/10.1111/jopy.12622
Lewczuk, K., Glica, A., Nowakowska, I., Gola, M., & Grubbs, J. B. (2020). Evaluating pornography problems due to moral incongruence model. The Journal of Sexual Medicine, 17(2), 300–311. https://doi.org/10.1016/j.jsxm.2019.11.259
Lewczuk, K., Nowakowska, I., Lewandowska, K., Potenza, M. N., & Gola, M. (2021). Frequency of use, moral incongruence and religiosity and their relationships with self-perceived addiction to pornography, internet use, social networking and online gaming. Addiction, 116(4), 889–899. https://doi.org/10.1111/add.15272
Maas, M. K., Vasilenko, S. A., & Willoughby, B. J. (2018). A dyadic approach to pornography use and relationship satisfaction among heterosexual couples: The role of pornography acceptance and anxious attachment. The Journal of Sex Research, 55(6), 772–782. https://doi.org/10.1080/00224499.2018.1440281
Maneesriwongul, W., & Dixon, J. K. (2004). Instrument translation process: A methods review. Journal of Advanced Nursing, 48(2), 175–186. https://doi.org/10.1111/j.1365-2648.2004.03185.x
Mark, K. P., Vowels, L. M., & Murray, S. H. (2018). The impact of attachment style on sexual satisfaction and sexual desire in a sexually diverse sample. Journal of Sex & Marital Therapy, 44(5), 450–458. https://doi.org/10.1080/0092623X.2017.1405310
Matei-Mitacu, L.-M., Huţul, T.-D., Karner-Huţuleac, A., Huţul, A., & Dobria, C.-A. (2024). The role of alcohol consumption motives in the relationships between psychological distress, emotional dysregulation, and problematic alcohol consumption. A mediation model. Current Psychology. 43, 36831–36845. https://doi.org/10.1007/s12144-024-07111-0
Mennig, M., Tennie, S., & Barke, A. (2022). Self-Perceived problematic use of online pornography is linked to clinically relevant levels of psychological distress and psychopathological symptoms. Archives of Sexual Behavior, 51(2), 1313–1321. https://doi.org/10.1007/s10508-021-02101-w
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. Guilford Press.
Sommantico, M., Gioia, F., Boursier, V., Iorio, I., & Parrello, S. (2021). Body image, depression, and self-perceived pornography addiction in italian gay and bisexual men: the mediating role of relationship satisfaction. Mediterranean Journal of Clinical Psychology, 9(1). https://doi.org/10.6092/2282-1619/MJCP-2758
Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268–274. https://doi.org/10.1111/j.1365-2753.2010.01434.x
Szymanski, D. M., & Stewart-Richardson, D. N. (2014). Psychological, relational, and sexual correlates of pornography use on young adult heterosexual men in romantic relationships. The Journal of Men’s Studies, 22(1), 64–82. https://doi.org/10.3149/jms.2201.64
Tomescu, M. I., Van der Donck, S., Perisanu, E. M., Berceanu, A. I., Alaerts, K., Boets, B., & Carcea, I. (2024). Social functioning predicts individual changes in EEG microstates following intranasal oxytocin administration: A double-blind, cross-over randomized clinical trial. Psychophysiology, 61(8), e14581. https://doi.org/10.1111/psyp.14581
Twohig, M. P., Crosby, J. M., & Cox, J. M. (2009). Viewing internet pornography: For whom is it problematic, how, and why? Sexual Addiction & Compulsivity, 16(4), 253–266. https://doi.org/10.1080/10720160903300788
Tylka, T. L. (2015). No harm in looking, right? Men’s pornography consumption, body image, and well-being. Psychology of Men & Masculinity, 16(1), 97–107. https://doi.org/10.1037/a0035774
Vaillancourt-Morel, M.-P., & Bergeron, S. (2019). Self-perceived problematic pornography use: beyond individual differences and religiosity. Archives of Sexual Behavior, 48(2), 437–441. https://doi.org/10.1007/s10508-018-1292-6
Willoughby, B. J., Carroll, J. S., & Rhoades, G. K. (2021). The porn gap: How is pornography impacting relationships between men and women today. Report published by The Wheatley Institution. https://wheatley.byu.edu/national-couples-and-pornography-survey-2021
Willoughby, B. J., & Dover, C. R. (2022). Context matters: moderating effects in the associations between pornography use, perceived addiction, and relationship well-being. The Journal of Sex Research, 1–14. https://doi.org/10.1080/00224499.2022.2148155
Wood, H. (2021). The unconscious allure of internet pornography in adolescence and adulthood. The Psychoanalytic Study of the Child, 74(1), 145–159. https://doi.org/10.1080/00797308.2020.1859303
Yoder, V. C., Virden, T. B., & Amin, K. (2005). Internet pornography and loneliness: An association? Sexual Addiction & Compulsivity, 12(1), 19–44. https://doi.org/10.1080/10720160590933653
Zhang, W. (2022). The role of sex in intimate relationships: an exploration based on Martin Buber’s intersubjective theory. Frontiers in Psychology, 13, 850278. https://doi.org/10.3389/fpsyg.2022.850278
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