The Psychological Record

, Volume 69, Issue 1, pp 1–12 | Cite as

The Role of Experiential Avoidance in Problematic Pornography Viewing

  • Michael E. LevinEmail author
  • Eric B. Lee
  • Michael P. Twohig
Original Article


Research suggests that online pornography use can have harmful consequences for some individuals, but the psychological processes that contribute to problematic viewing are unclear. This study sought to evaluate the role of experiential avoidance in the negative consequences of online pornography viewing in a small cross-sectional survey sample of 91 male college students who reported viewing. Results indicated that viewing pornography for experientially avoidant motivations was related to more frequent viewing and predicted self-reported negative consequences of viewing over and above other motivations (e.g., sexual pleasure, curiosity, excitement seeking). Although more frequent viewing was related to more self-reported negative consequences, this relation was consistently mediated by viewing for experiential avoidance in this sample. Study limitations included a homogeneous sample of primarily white students, a relatively low rate of reported pornography viewing, and use of only self-report assessment. Results suggest that viewing to avoid unwanted emotions might account for both frequent viewing and its negative consequences, highlighting a promising target for future interventions seeking to reduce problematic pornography viewing.


Experiential avoidance Acceptance and commitment therapy Mindfulness Pornography Internet addiction 


Compliance with Ethical Standards

Conflict of Interest

The authors have no conflicts of interest to declare in relation to this manuscript.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Albright, J. M. (2008). Sex in America online: An exploration of sex, marital status, and sexual identity in internet sex seeking and its impacts. Journal of Sex Research, 45, 175–186. Scholar
  2. Baltazar, A., Helm, H. W., McBride, D., Hopkins, G., & Stevens, J. V. (2010). Internet pornography use in the context of external and internal religiosity. Journal of Psychology & Theology, 38, 32–40. Scholar
  3. Begotka, A. M., Woods, D. W., & Wetterneck, C. T. (2004). The relationship between experiential avoidance and the severity of trichotillomania in a nonreferred sample. Journal of Behavior Therapy & Experimental Psychiatry, 35, 17–24. Scholar
  4. Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the acceptance and action questionnaire-II: A revised measure of psychological flexibility and acceptance. Behavior Therapy, 42, 676–688. Scholar
  5. Carroll, J. S., Padilla-Walker, L. M., Nelson, L. J., Olson, C. D., Barry, C. M., & Madsen, S. D. (2008). Generation XXX: Pornography acceptance and use among emerging adults. Journal of Adolescent Research, 23, 6–30. Scholar
  6. Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44, 371–394. Scholar
  7. Chowla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63, 871–890. Scholar
  8. Cooper, A., Putnam, D. E., Planchon, L. A., & Boies, S. C. (1999). Online sexual compulsivity. Sexual Addiction & Compulsivity, 6, 79–104. Scholar
  9. Crosby, J. M., & Twohig, M. P. (2016). Acceptance and commitment therapy for problematic internet pornography use: A randomized trial. Behavior Therapy, 47, 355–366. Scholar
  10. Doring, N. M. (2009). The Internet’s impact on sexuality: A critical review of 15 years of research. Computers in Human Behavior, 25, 1089–1101. Scholar
  11. Duffy, A., Dawson, D. L., & Das Nair, R. (2016). Pornography addiction in adults: A systematic review of definitions and reported impact. Journal of Sexual Medicine, 13, 760–777. Scholar
  12. Grubbs, J. B., Volk, F., Exline, J. J., & Pargament, K. I. (2015). Internet pornography use: Perceived addiction, psychological dOGOIDistress, and the validation of a brief measure. Journal of Sex & Martial Therapy, 41, 83–106. Scholar
  13. Hald, G. M., & Malamuth, N. M. (2008). Self-perceived effects of pornography consumption. Archives of Sexual Behavior, 37, 614–625. Scholar
  14. Ham, L. S., & Hope, D. A. (2003). College students and problematic drinking: A review of the literature. Clinical Psychology Review, 23, 719–759. Scholar
  15. Harper, C., & Hodgins, D. C. (2016). Examining correlates of problematic internet pornography use among university students. Journal of Behavioral Addictions, 5, 1–13. Scholar
  16. Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting & Clinical Psychology, 64, 1152–1168. Scholar
  17. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). New York, NY: Guilford Press.Google Scholar
  18. Hooper, N., & Larsson, A. (2015). The research journey of acceptance and commitment therapy (ACT). Basingstoke, UK: Palgrave Macmillan.CrossRefGoogle Scholar
  19. Houghton, D. C., Compton, S., Twohig, M. P., Saunders, S., Franklin, M. E., Neal-Bernett, A., et al. (2014). Measuring the role of psychological inflexibility in trichotillomania. Psychiatry Research, 220, 356–361.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Kor, A., Zilcha-Mano, S., Fogel, Y. A., Mikulincer, M., Reid, R. C., & Potenza, M. B. (2014). Psychometric development of the problematic pornography use scale. Addictive Behaviors, 39, 861–868. Scholar
  21. Kraus, S. W., Martino, S., & Potenza, M. N. (2016). Clinical characteristics of men interested in seeking treatment for use of pornography. Journal of Behavioral Addictions, 5, 169–178. Scholar
  22. Laier, C., Pekal, J., & Brand, M. (2014). Cybersex addiction in heterosexual female users of internet pornography can be explained by gratification hypothesis. Cyberpsychology, Behavior, & Social Networking, 17, 505–511. Scholar
  23. Laier, C., Pekal, J., & Brand, M. (2015). Sexual excitability and dysfunctional coping determine cybersex addiction in homosexual males. Cyberpsychology, Behavior, & Social Networking, 18, 575–580. Scholar
  24. Lee, E. B., Smith, B. M., Twohig, M. P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. (2017). Assessment of the body image-acceptance and action questionnaire in a female residential eating disorder treatment facility. Journal of Contextual Behavioral Science, 6, 21–28.CrossRefGoogle Scholar
  25. Levin, M. E., Hayes, S. C., & Waltz, T. (2010). Creating an implicit measure of cognition more suited to applied research: A test of the mixed trial–implicit relational assessment procedure (MT-IRAP). International Journal of Behavioral Consultation & Therapy, 6, 245–262.CrossRefGoogle Scholar
  26. Levin, M. E., Lillis, J., & Hayes, S. C. (2012a). When is online pornography viewing problematic among college males? Examining the moderating role of experiential avoidance. Sexual Addiction & Compulsivity, 19(3), 168–180. Scholar
  27. Levin, M. E., Lillis, J., Seeley, J., Hayes, S. C., Pistorello, J., & Biglan, A. (2012b). Exploring the relationship between experiential avoidance, alcohol use disorders and alcohol-related problems among first-year college students. Journal of American College Health, 60, 443–448. Scholar
  28. Lillis, J., Hayes, S. C., & Levin, M. E. (2011). Binge eating and weight control: The role of experiential avoidance. Behavior Modification, 35(3), 252–264. Scholar
  29. McBride, K. R., Reece, M., & Sanders, S. A. (2007). Predicting negative outcomes of sexuality using the compulsive sexual behavior inventory. International Journal of Sexual Health, 19, 51–62. Scholar
  30. Poulsen, F. O., Busby, D. M., & Galovan, A. M. (2013). Pornography use: Who uses it and how it is associated with couple outcomes. Journal of Sex Research, 50, 72–83. Scholar
  31. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. Scholar
  32. Regnerus, M., Gordon, D., & Price, J. (2016). Documenting pornography use in America: A comparative analysis of methodological approaches. Journal of Sex Research, 53, 873–881. Scholar
  33. Reid, R. C., Li, D. S., Gilliland, R., Stein, J. A., & Fong, T. (2011). Reliability, validity, and psychometric development of the pornography consumption inventory in a sample of hypersexual men. Journal of Sex & Marital Therapy, 37, 359–385. Scholar
  34. Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., et al. (2012). Report of findings in a DSM-5 field trial for hypersexual disorder. Journal of Sexual Medicine, 9, 2868–2877. Scholar
  35. Sabina, C., Wolak, J., & Finkelhor, D. (2008). The nature and dynamics of internet pornography exposure for youth. Cyberpsychology & Behavior, 11, 691–693. Scholar
  36. Stein, D. J., Black, D. W., Shapira, N. A., & Spitzer, R. L. (2001). Hypersexual disorder and preoccupation with internet pornography. American Journal of Psychiatry, 158, 1590–1594. Scholar
  37. Swails, J. A., Zettle, R. D., Burdsal, C. A., & Snyder, J. J. (2016). The experiential approach scale: Development and preliminary psychometric properties. Psychological Record, 66, 527–545. Scholar
  38. Twohig, M. P., & Crosby, J. M. (2010). Acceptance and commitment therapy as a treatment for problematic internet pornography viewing. Behavior Therapy, 41, 285–295. Scholar
  39. Twohig, M. P., Hayes, S. C., & Masuda, A. (2006). A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking. Behaviour Research and Therapy, 44, 1513–1522. Scholar
  40. 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, 253–266. Scholar
  41. Wetterneck, C. T., Burgess, A. J., Short, M. B., Smith, A. H., & Cervantes, M. E. (2012). The role of sexual compulsivity, impulsivity, and experiential avoidance in internet pornography use. Psychological Record, 62, 3–18. Scholar
  42. Wright, P. J., Bae, S., & Funk, M. (2013). United States women and pornography through four decades: Exposure, attitudes, behaviors, individual differences. Archives of Sexual Behavior, 42, 1131–1144. Scholar
  43. Young, K. S. (2008). Internet sex addiction: Risk factors, stages of development, and treatment. American Behavioral Scientist, 52, 21–37. Scholar

Copyright information

© Association for Behavior Analysis International 2018

Authors and Affiliations

  • Michael E. Levin
    • 1
    Email author
  • Eric B. Lee
    • 1
  • Michael P. Twohig
    • 1
  1. 1.Department of PsychologyUtah State UniversityLoganUSA

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