Cybersex addiction: an overview of the development and treatment of a newly emerging disorder

  • I Gusti Ngurah Agastya Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Kristiana Siste Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Martina Wiwie Setiawan Nasrun Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Irmia Kusumadewi Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Keywords: addictive behavior, internet, pornography, sexual online
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Cybersex addiction is a non-substance related addiction that involves online sexual activity on the internet. Nowadays, various kinds of things related to sex or pornography are easily accessible through internet media. In Indonesia, sexuality is usually assumed taboo but most young people have been exposed to pornography. It can lead to an addiction with many negative effects on users, such as relationships, money, and psychiatric problems like major depression and anxiety disorders. A few instruments may be used to detect cybersex behavior. This review was aimed to provide a comprehensive discussion about cybersex addiction in Indonesian society and the importance of its screening for this condition to enable its early detection and subsequent management. 


  1. Mulya TW, Hald GM. Self-perceived effects of pornography consumption in a sample of Indonesian University students. Media Psychol. 2014;17(1):78-101.

  2. Daneback K, Ross MW, Månsson SA. Characteristics and behaviors of sexual compulsives who use the internet for sexual purposes. Sex Addict Compulsivity. 2006;13(1):53-67.

  3. Griffiths M. Sex on the internet: observations and implications for internet sex addiction. J Sex Res. 2001;38(4):333-42.

  4. Hald GM, Mulya TW. Pornography consumption and non-marital sexual behaviour in a sample of young Indonesian university students. Cult Health Sex. 2013;15(8):981-96.

  5. Abdi H. Fungsi VPN, prinsip dan cara kerjanya yang wajib diketahui [Internet]. Liputan 6. 2019 [cited 2019 Jul 28]. Available from: Indonesian.

  6. Global Web Index. VPN usage around the world [Internet].2017. p. 13. Available from:

  7. Hootsuite. Digital 2019: Indonesia [Internet]. Global Digital Insights. 2019. Available from:

  8. Döring N, Daneback K, Shaughnessy K, Grov C, Byers ES. Online sexual activity experiences among college students: a four-country comparison. Arch Sex Behav. 2017;46(6):1641-52.

  9. Beutel ME, Giralt S, Wölfling K, Stöbel-Richter Y, Subic-Wrana C, Reiner I, et al. Prevalence and determinants of online-sex use in the German population. PLoS One. 2017;12(6):e0176449.

  10. Yusuf O. Pengguna internet indonesia nomor enam dunia [Internet]. 2014 [cited 2018 Nov 28]. Available from: Indonesian.

  11. Librianty A. Lebih dari 7.000 konten pornografi masuk radar Kemkominfo [Internet]. 2017 [cited 2018 Jan 30]. Available from: Indonesian.

  12. Hening RK. Cybering's future acceptance in Germany and Indonesia. Jurnal Penelitian dan Pengembangan Komunikasi dan Informatika. 2015;6(2):41-8. Indonesian.

  13. Griffiths MD. Internet sex addiction: a review of empirical research. Addict Res Theory. 2012;20(2):111-24.

  14. Ybarra ML, Mitchell KJ. Exposure to internet pornography among children and adolescents: a national survey. Cyberpsychol Behav. 2005;8(5):473-86.

  15. Lam LT, Peng ZW, Mai JC, Jing J. Factors associated with internet addiction among adolescents. Cyberpsychol Behav. 2009;12(5):551-5.

  16. Liau AK, Khoo A, Ang PH. Parental awareness and monitoring of adolescent internet use. Curr Psychol. 2008;27(4):217-33.

  17. Young KS. Internet sex addiction: risk factors, stages of development, and treatment. Am Behav Sci. 2008;52(1):21-37.

  18. Ley D, Prause N, Finn P. The emperor has no clothes: a review of the 'pornography addiction' model. Curr Sex Health Rep. 2014;6(2):94-105.

  19. Brand M, Laier C, Scha U, Pawlikowski M, Schachtle U, Scholer T, et al. Watching pornographic pictures on the internet: role of sexual arousal ratings and psychological-psychiatric symptoms for using internet sex sites excessively. 2011;14(6):24-31.

  20. Rosenberg KP, Feder LC. An introduction to behavioral addictions. In: Rosenberg KP, Feder LC, editors. Behavioral addictions: criteria, evidence, and treatment. London: Academic Press Elsevier; 2014. p. 1-17.

  21. Love T, Laier C, Brand M, Hatch L, Hajela R. Neuroscience of internet pornography addiction: a review and update. Behav Sci (Basel). 2015;5(3):388-433.

  22. Bostwick JM, Bucci JA. Internet sex addiction treated with naltrexone. Mayo Clin Proc. 2008;83(2):226-30.

  23. Reuter J, Raedler T, Rose M, Hand I, Gläscher J, Büchel C. Pathological gambling is linked to reduced activation of the mesolimbic reward system. Nat Neurosci. 2005;8(2):147-8.

  24. Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghemandan H, Setare M. Behavioral addiction versus substance addiction: correspondence of psychiatric and psychological views. Int J Prev Med. 2012;3(4):290-4.

  25. Snagowski J, Brand M. Symptoms of cybersex addiction can be linked to both approaching and avoiding pornographic stimuli: results from an analog sample of regular cybersex users. Front Psychol. 2015;6:653.

  26. TanimoonwoFasugba-IdowuAnd G, Hassan SA. Cybersex: advantages and disadvantages. IOSR Journal of Humanities and Social Science. 2013;14(3):60-5.

  27. Schneider JP. Effects of cybersex addiction on the family: results of a survey. Sex Addict Compulsivity. 2000;7(1-2):31-58.

  28. Weinstein AM, Zolek R, Babkin A, Cohen K, Lejoyeux M. Factors predicting cybersex use and difficulties in forming intimate relationships among male and female users of cybersex. Front Psychiatry. 2015;6:54.

  29. Squirrell M. Psychological characteristics of individuals who engage in online sexual activity (OSA) [master's thesis]. 2011.

  30. Boies SC, Cooper A, Osborne CS. Variations in internet-related problems and psychosocial functioning in online sexual activities: implications for social and sexual development of young adults. Cyberpsychol Behav. 2004;7(2):207-30.

  31. Giordano AL, Cashwell CS. Cybersex addiction among college students: a prevalence study. Sex Addict Compulsivity. 2017;24(1-2):47-57.

  32. Dhuffar MK, Griffiths MD. A systematic review of online sex addiction and clinical treatments using CONSORT Evaluation. Curr Addict Rep. 2015;2:163-74.

  33. Young K. Internet addiction: Evaluation and treatment. Student. British Medical Journal. 1999;7:351-2.

  34. Edwards D. Sign and symptoms of internet sexual addiction [Internet]. 2009 [cited 2018 Feb 3]. Available from:

  35. Delmonico DL, Miller JA. The Internet Sex Screening Test: a comparison of sexual compulsives versus non-sexual compulsives. Sex Relatsh Ther. 2003;18(3):261-76.

  36. Eleuteri S, Tripodi F, Petruccelli I, Rossi R, Simonelli C. Questionnaires and scales for the evaluation of the online sexual activities: a review of 20 years of research. Cyberpsychology. 2014;8(1):2.

  37. Grubbs JB, Sessoms J, Wheeler DM, Volk F. The cyberpornography use inventory: the development of a new assessment instrument. Sex Addict Compulsivity. 2010;17(2):106-26.

  38. Nelson KG, Oehlert ME. Psychometric exploration of the Sexual Addiction Screening Test in veterans. Sex Addict Compulsivity. 2008;15(1):39-58.

  39. Twohig MP, Crosby JM. Acceptance and commitment therapy as a treatment for problematic Internet pornography viewing. Behav Ther. 2010;41:285-95.

  40. Hardy SA, Ruchty J, Hull TD, Hyde R. A preliminary study of an online psychoeducational program for hypersexuality. Sex Addict Compulsivity. 2010;17(4):247-69.

  41. Schneider J, Weiss R. Cybersex exposed: Simple fantasy or obsession? Center City, MN: Hazelton. 2001.

  42. Young KS. Tangled in the web: understanding cybersex from fantasy to addiction. Bloomington: Author House; 2001.

  43. Bhatia MS, Jhanjee A, Kumar P. Seminal retention syndrome with cybersex addiction: a case report. J Clin Diagn Res. 2012;6(5):879-80.

  44. Elmore JL. Psychotropic medication control of non-paraphilic sexual addiction in a female. Sex Relatsh Ther. 2005;20(2):211-3.

  45. Raymond NC, Grant JE. Augmentation with naltrexone to treat compulsive sexual behavior: a case series. Ann Clin Psychiatry. 2010;22:56-62.

How to Cite
Agastya IGN, Siste K, Nasrun MWS, Kusumadewi I. Cybersex addiction: an overview of the development and treatment of a newly emerging disorder. Med J Indones [Internet]. 2020Jun.30 [cited 2024May22];29(2):233–41. Available from:
Review Article