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Nolin MC, Daspe MÈ, Bőthe B, Brassard A, Joyal C, Vaillancourt-Morel MP. Associations Between Contents of Pornography and Sexual Satisfaction and Function Among Young Adults. JOURNAL OF SEX RESEARCH 2025; 62:568-581. [PMID: 38319285 DOI: 10.1080/00224499.2024.2311874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
Pornography offers a wide variety of sexual contents and has documented potential positive (e.g., higher sexual satisfaction) and negative associations (e.g., lower sexual function) with sexuality. The aims of this study were to describe the proportion of use of five different contents of pornography (i.e. group sex, passion and romance, gender-bending, taboo transgression and forbidden sex, power, control, and rough sex pornography), to examine gender-based differences in the frequency of use of these contents, and to examine the associations between the frequency of use of these contents and sexual satisfaction and function, considering potential differences among genders and individuals with and without a romantic or sexual partner, and controlling for frequency of masturbation. A sample of 827 young adults (503 women; Mage = 23.44) completed online self-report questionnaires. Results of path analysis indicated that, controlling for frequency of masturbation, the use of passion and romance pornography was associated with higher sexual satisfaction, whereas the use of power, control, and rough sex pornography was associated with lower sexual satisfaction. Cisgender men's use of power, control, and rough sex pornography was also associated with lower sexual function. These findings suggest different associations between pornography use and sexual satisfaction and function depending on the pornographic contents used.
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Affiliation(s)
| | | | - Beáta Bőthe
- Department of Psychology, Université du Québec à Trois-Rivières
- Department of Psychology, Université de Montréal
| | | | - Christian Joyal
- Department of Psychology, Université du Québec à Trois-Rivières
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Novakova P, Chvojka E, Ševčíková A, Blinka L, Wright P, Kane S. Men's internet sex addiction predicts sexual objectification of women even after taking pornography consumption frequency into account. Front Psychol 2025; 16:1517317. [PMID: 40012951 PMCID: PMC11861099 DOI: 10.3389/fpsyg.2025.1517317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2024] [Accepted: 01/24/2025] [Indexed: 02/28/2025] Open
Abstract
Introduction Problematic online video pornography consumption is associated with sexual objectification, particularly in male consumers. However, previous studies have not considered that there is a subgroup of internet users whose consumption may become problematic due to their internet sex addiction. Such users may, in response to internet sex addiction symptoms such as craving, have increased levels of sexual objectification. Methods In a sample of 1,272 male consumers of online video pornography (Mage = 32.93, SDage = 9.44), we examined whether internet sex addiction is linked to sexual objectification via an online survey. Results We fitted a series of structural equation models and found that men who scored higher on internet sex addiction were more likely to objectify women. More importantly, this link did not cease when controlling for the frequency of online video pornography consumption. Discussion Our findings suggest that there are other mechanisms related to addictive symptomatology than just the link through online video pornography consumption that may contribute to sexual objectification. Addiction-related factors may have a unique role in fostering sexual objectification. Isolating internet sex addiction as a potential driver highlights the need to address objectifying behaviours in individuals struggling with this addiction.
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Affiliation(s)
- Pavla Novakova
- Faculty of Social Studies, Masaryk University, Brno, Czechia
| | - Edita Chvojka
- Department of Methodology and Statistics, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, Netherlands
| | - Anna Ševčíková
- Faculty of Social Studies, Masaryk University, Brno, Czechia
| | - Lukas Blinka
- Faculty of Social Studies, Masaryk University, Brno, Czechia
| | - Paul Wright
- The University Graduate School, Indiana University Bloomington, Bloomington, IN, United States
| | - Steven Kane
- Justice and Society, University of South Australia, Adelaide, SA, Australia
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Huțul TD, Huțul A, Holman AC. The Social Representations of Pornography Consumers Among Individuals in Romantic Relationships: Exploring the Roles of Gender, Relationship Satisfaction, and Sexual Satisfaction in a Romanian Sample. ARCHIVES OF SEXUAL BEHAVIOR 2025; 54:761-774. [PMID: 39516305 PMCID: PMC11836238 DOI: 10.1007/s10508-024-03025-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 08/14/2024] [Accepted: 10/01/2024] [Indexed: 11/16/2024]
Abstract
Understanding the psychological conflicts associated with pornography consumption can help professionals tailor their interventions to address the mental health risks faced by individuals struggling with issues related to their pornography use. The main objective of this research was to investigate how pornography consumers are perceived from a social representation theoretical perspective and to examine variations in these perceptions-or social representations-according to gender, relationship satisfaction, and sexual satisfaction. All participants (N = 875 Romanians) were in a romantic relationship at the time of participation. Our results indicated that the social representation of pornography consumers varied significantly depending on gender, sexual satisfaction, and relationship satisfaction. Also, our findings showed a potential psychological conflict in the long run, which can put individuals at risk for self-stigma, guilt, and subsequent mental health consequences. We discuss conclusions from both a theoretical and practical perspective, with a focus on the utility of our conclusions in the clinical practice context of psychologists, psychotherapists, and mental health workers when dealing with issues related to pornography use.
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Affiliation(s)
- Tudor-Daniel Huțul
- Sapienza University of Rome, Rome, Italy.
- Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University of Iași, 700554, Iași, Romania.
| | - Andreea Huțul
- Sapienza University of Rome, Rome, Italy
- Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University of Iași, 700554, Iași, Romania
| | - Andrei Corneliu Holman
- Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University of Iași, 700554, Iași, Romania
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Prause N. Online ejaculation training programs promote non-evidence-based treatment of male sexual dysfunction. Int J Impot Res 2024; 36:759-764. [PMID: 37853241 DOI: 10.1038/s41443-023-00780-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 09/27/2023] [Accepted: 10/03/2023] [Indexed: 10/20/2023]
Abstract
Purposefully reducing the frequency of ejaculation, coined "semen retention", and the similar practice of "NoFap", have been popularized on social media. They are frequently accompanied by unsubstantiated claims of health benefits. Their increasing popularity has led to the emergence of online courses claiming to teach these techniques. The goal was to characterize the landscape of courses offering ejaculatory training. A systematic Google search was performed using terms related to ejaculation training to identify training programs. Information regarding instructor credentialing, type and duration of courses, costs, and claims of medical benefits were extracted. Eleven ejaculation training courses were identified with 10 instructors (two courses named the same coach). Costs varied from $5 to $147 per week or a $20 to $199 one-time payment. None of the course instructors claimed standardized credentials in the fields of medicine or mental health. Seven instructors (70%) solely cited their own personal experience as their qualifying credentials. Courses claimed to improve erectile dysfunction, premature ejaculation, porn addiction, sexual performance anxiety, testosterone levels, and/or depression. Ejaculation training programs are costly, readily available online, and provided by instructors with no medical background. Despite no scientific evidence, these courses claim to improve various aspects of men's health and can be potentially damaging financially, physically, and mentally to participants.
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Pouralijan Z, Bőthe B, Farnam F. Pornography use, demographic and sexual health characteristics among university students: a gender-based comparative study of non-users, non-problematic users, and problematic users. Reprod Health 2024; 21:103. [PMID: 38987845 PMCID: PMC11234758 DOI: 10.1186/s12978-024-01841-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 06/27/2024] [Indexed: 07/12/2024] Open
Abstract
BACKGROUND Limited gender-based research has compared sexual health among pornography users (PUs) and non-users, including non-problematic pornography users (non-PPUs) and problematic pornography users (PPUs), particularly in non-Western cultures. METHODS A 2022 cross-sectional study involving 450 Iranian university students categorized participants as PUs or non-users based on 12 months of use. PUs were further classified as non-PPUs or PPUs using the 'Problematic Pornography Use Scale' cutoff point, with comparisons of demographic and sexual variables made between these groups. RESULTS Pornography use was reported among 39.6% of students, including 51.7% of men and 33.6% of women. In general, 9.5% of participants were PPUs, including 17.4% of men and 5.6% of women. PUs were mainly men, had fewer children, shorter marriages, lower religiosity, and lower levels of education. Compared with non-users, PUs reported earlier sexual relationships, lower satisfaction with sex frequency and communication, and greater rates of extramarital relationships, masturbation, sexual desire, and sexual distress. PPUs reported more sexual desire, pornography use, masturbation, and extramarital affairs than non-PPUs. Similar patterns in demographics, sexual history, and health were observed in pornography use across genders. The regression indicated being male (OR: 2.42, 95% CI: 1.44-4.06), having lower education (OR: 0.89, 95% CI: 0.81-0.97), fewer children (OR: 0.64, 95% CI: 0.48-0.86), higher masturbation (OR: 1.31, 95% CI: 1.14-1.49), more extramarital relationship (OR: 1.69, 95% CI: 1.07-2.67), less religiosity (OR: 0.87, 95% CI: 0.82-0.93), more sexual excitement (OR: 0.79, 95% CI:0.62-1), and more sexual distress (OR: 1.20, 95% CI: 1.02-1.32) were associated with pornography use. Two-way ANOVA found no significant effects of gender or pornography use on sexual satisfaction. Women had worse sexual function regardless of usage. Pornography users, regardless of gender, experienced higher sexual distress.
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Affiliation(s)
- Zeinab Pouralijan
- Reproductive Health and Midwifery Department, Tehran University of Medical Sciences, Tohid Square, Tehran, Iran
- Education Development Center, Babol University of Medical Science, Babol, Iran
| | - Beáta Bőthe
- Psychology Department, Université de Montréal, Montréal, Canada
- Centre de Recherche Interdisciplinaire Sur Les Problèmes Conjugaux Et Les Agressions Sexuelles (CRIPCAS), Université de Montréal, Montréal, Canada
| | - Farnaz Farnam
- Reproductive Health and Midwifery Department, Tehran University of Medical Sciences, Tohid Square, Tehran, Iran.
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Koós M, Nagy L, Kraus SW, Demetrovics Z, Potenza MN, Gaudet É, Ballester-Arnal R, Batthyány D, Bergeron S, Billieux J, Briken P, Burkauskas J, Cárdenas-López G, Carvalho J, Castro-Calvo J, Chang YH, Chen L, Ciocca G, Corazza O, Csako RI, Fernandez DP, Fujiwara H, Fernandez EF, Fuss J, Gabrhelík R, Gewirtz-Meydan A, Gjoneska B, Gola M, Grubbs JB, Hashim HT, Hsieh YP, Islam MS, Ismail M, Jiménez-Martínez MC, Jurin T, Kalina O, Klein V, Költő A, Lee SK, Lewczuk K, Lochner C, López-Alvarado S, Lukavská K, Mayta-Tristán P, Miller DJ, Orosová O, Orosz G, Ponce FP, Quintana GR, Quintero Garzola GC, Ramos-Diaz J, Rigaud K, Rousseau A, Scanavino MDT, Schulmeyer MK, Sharan P, Shibata M, Shoib S, Sigre-Leirós V, Sniewski L, Spasovski O, Steibliene V, Stein DJ, Strizek J, Štulhofer A, Ünsal BC, Vaillancourt-Morel MP, Van Hout MC, Bőthe B. Why Do People Watch Pornography? Cross-Cultural Validation of the Pornography Use Motivations Scale (PUMS) and Its Short Form (PUMS-8). JOURNAL OF SEX RESEARCH 2024:1-17. [PMID: 38905162 DOI: 10.1080/00224499.2024.2359641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/23/2024]
Abstract
Motivations for pornography use may vary across gender identities, sexual orientations, and geographical regions, warranting examination to promote individual and public health. The aims of this study were to validate the Pornography Use Motivations Scale (PUMS) in a diverse, multicultural sample, and develop a short form (PUMS-8) that can assess a wide range of pornography use motivations. Using data from 42 countries (N = 75,117; Mage = 32.07; SDage = 12.37), enabled us to thoroughly evaluate the dimensionality, validity, and reliability of the Pornography Use Motivations Scale (PUMS), leading to the development of the more concise PUMS-8 short scale. Additionally, language-, nationality-, gender-, and sexual-orientation-based measurement invariance tests were conducted to test the comparability across groups. Both the PUMS and the PUMS-8 assess eight pornography use motivations, and both demonstrated excellent psychometric properties. Sexual Pleasure emerged as the most frequent motivation for pornography use across countries, genders, and sexual orientations, while differences were observed concerning other motivations (e.g. self-exploration was more prevalent among gender-diverse individuals than men or women). The motivational background of pornography use showed high similarity in the examined countries. Both the PUMS and the PUMS-8 are reliable and valid measurement tools to assess different types of motivations for pornography use across countries, genders, and sexual orientations. Both scales are recommended for use in research and clinical settings.
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Affiliation(s)
- Mónika Koós
- Institute of Forensic Psychiatry and Sex Research, University of Duisburg-Essen
- Institute of Psychology, ELTE Eötvös Loránd University
| | - Léna Nagy
- Institute of Forensic Psychiatry and Sex Research, University of Duisburg-Essen
- Institute of Psychology, ELTE Eötvös Loránd University
| | | | - Zsolt Demetrovics
- Institute of Psychology, ELTE Eötvös Loránd University
- Centre of Excellence in Responsible Gaming, University of Gibraltar
- College of Education, Psychology and Social Work, Flinders University
| | - Marc N Potenza
- Yale University School of Medicine
- Connecticut Council on Problem Gambling
| | | | - Rafael Ballester-Arnal
- Departmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón
| | - Dominik Batthyány
- Institute for Behavioural Addictions, Sigmund Freud University Vienna
| | | | - Joël Billieux
- Institute of Psychology, University of Lausanne
- Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV)
| | - Peer Briken
- Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf
| | - Julius Burkauskas
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences
| | - Georgina Cárdenas-López
- Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico
| | - Joana Carvalho
- William James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro
| | - Jesús Castro-Calvo
- Department of Personality, Assessment, and Psychological Treatments, University of Valencia
| | - Yun-Hsuan Chang
- Institute of Gerontology, College of Medicine, National Cheng Kung University
- Institute of Behavioral Sciences, College of Medicine, National Cheng Kung University
| | - Lijun Chen
- Department of Psychology, College of Humanity and Social Science, Fuzhou University
| | - Giacomo Ciocca
- Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome
| | - Ornella Corazza
- Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire
- Department of Psychology and Cognitive Science, University of Trento
| | - Rita I Csako
- Department of Psychology and Neuroscience, Auckland University of Technology
| | | | - Hironobu Fujiwara
- Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University
- Decentralized Big Data Team, RIKEN Center for Advanced Intelligence Project
| | | | - Johannes Fuss
- Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen
| | - Roman Gabrhelík
- First Faculty of Medicine, Department of Addictology, Charles University
- Department of Addictology, General University Hospital in Prague
| | - Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa
| | | | - Mateusz Gola
- Institute of Psychlogy, Polish Academy of Sciences
- Institute for Neural Computations, University of California San Diego
| | - Joshua B Grubbs
- University of New Mexico
- Center for Alcohol, Substance use, And Addiction (CASAA), University of New Mexico
| | | | - Yi-Ping Hsieh
- Department of Social Work, University of North Dakota
| | - Md Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University
- Centre for Advanced Research Excellence in Public Health
| | | | | | - Tanja Jurin
- Department of Psychology, Humanities and Social Sciences, University of Zagreb
| | - Ondrej Kalina
- Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice
| | | | - András Költő
- Health Promotion Research Centre, University of Galway
| | - Sang-Kyu Lee
- Department of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital
- Chuncheon Addiction Management Center
| | - Karol Lewczuk
- Institute of Psychology, Cardinal Stefan Wyszynski University
| | - Christine Lochner
- SAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University
| | | | - Kateřina Lukavská
- First Faculty of Medicine, Department of Addictology, Charles University
- Faculty of Education, Department of Psychology, Charles University
| | | | - Dan J Miller
- College of Healthcare Sciences, James Cook University
| | - Oľga Orosová
- Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice
| | | | | | - Gonzalo R Quintana
- Departamento de Psicología y Filosofía, Facultad de Ciencias Sociales, Universidad de Tarapacá
| | | | - Jano Ramos-Diaz
- Facultad de Ciencias de la Salud, Universidad Privada del Norte
| | | | | | - Marco De Tubino Scanavino
- Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo
- Experimental Pathophisiology Post Graduation Program, Faculdade de Medicina, Universidade de São Paulo
| | | | - Pratap Sharan
- Department of Psychiatry, All India Institute of Medical Sciences
| | - Mami Shibata
- Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University
| | | | - Vera Sigre-Leirós
- Institute of Psychology, University of Lausanne
- Institute of Legal Psychiatry, Lausanne University Hospitals (CHUV)
| | | | - Ognen Spasovski
- Faculty of Philosophy, University of Ss. Cyril and Methodius in Trnava
| | - Vesta Steibliene
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences
| | - Dan J Stein
- SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town
| | | | | | - Berk C Ünsal
- Institute of Forensic Psychiatry and Sex Research, University of Duisburg-Essen
- Institute of Psychology, ELTE Eötvös Loránd University
| | | | | | - Beáta Bőthe
- Département de Psychologie, Université de Montréal
- Center de recherche interdisciplinary sur les problèmes conjugaux et les agressions sexuelles (CRIPCAS)
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Hoagland KC, Rotruck HL, Moore JN, Grubbs JB. Reasons for Moral-Based Opposition to Pornography in a U.S. Nationally Representative Sample. JOURNAL OF SEX & MARITAL THERAPY 2023; 49:717-738. [PMID: 36916293 DOI: 10.1080/0092623x.2023.2186992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Pornography use is a common-but-controversial activity that many people object to or morally disapprove of. Despite this, there is a limited understanding of the reasons for such moral opposition. Although some prior research has assessed characteristics that influence moral opposition to pornography, most research has done so using various forced-choice methods. The present study aimed to better understand the reasoning behind moral-based opposition to pornography by using open-ended questioning and exploring the relationship between these reasons and pornography use habits. To achieve these aims, we analyzed data from a nationally representative U.S. sample, specifically studying individuals who reported moral beliefs opposing pornography (N = 1,020). Results revealed 14 general themes (e.g., religion/spirituality; concerns about abuse; disgust) in the reasons participants reported for their moral disapproval of pornography, many of which were related to individual difference variables such as gender, age, religiousness, and political preferences. Implications, limitations, and directions for future research are also discussed.
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Affiliation(s)
- K Camille Hoagland
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Halle L Rotruck
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Jace N Moore
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Joshua B Grubbs
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
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8
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Grubbs JB, Floyd CG, Kraus SW. Pornography Use and Public Health: Examining the Importance of Online Sexual Behavior in the Health Sciences. Am J Public Health 2023; 113:22-26. [PMID: 36516393 PMCID: PMC9755930 DOI: 10.2105/ajph.2022.307146] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/04/2022] [Indexed: 12/15/2022]
Affiliation(s)
- Joshua B Grubbs
- Joshua B. Grubbs and Christopher G. Floyd are with the Department of Psychology at Bowling Green State University, Bowling Green, OH. Shane W. Kraus is with the Department of Psychology at the University of Nevada Las Vegas
| | - Christopher G Floyd
- Joshua B. Grubbs and Christopher G. Floyd are with the Department of Psychology at Bowling Green State University, Bowling Green, OH. Shane W. Kraus is with the Department of Psychology at the University of Nevada Las Vegas
| | - Shane W Kraus
- Joshua B. Grubbs and Christopher G. Floyd are with the Department of Psychology at Bowling Green State University, Bowling Green, OH. Shane W. Kraus is with the Department of Psychology at the University of Nevada Las Vegas
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Islam MS, Tasnim R, Sujan MSH, Bőthe B, Ferdous MZ, Sikder MT, Siddique MAB, Toma TY, Kamruzzaman S, Sakib MN, Pinky KN, Islam MR, Anter FS, Hossain A, Hossen I, Kraus SW, Potenza MN. Validation and Evaluation of the Psychometric Properties of the Bangla Version of the Brief Pornography Screen in Men and Women. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00903-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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10
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Do Pornography Use and Masturbation Frequency Play a Role in Delayed/Inhibited Ejaculation during Partnered Sex? A Comprehensive and Detailed Analysis. SEXES 2022. [DOI: 10.3390/sexes3010010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
The role of masturbation frequency and pornography use on sexual response during partnered sex has been controversial, the result of mixed and inconsistent findings. However, studies investigating this relationship have often suffered from methodological shortcomings. We investigated the role of masturbation frequency and pornography use on both the occurrence and severity of delayed/inhibited ejaculation (DE), an increasingly common sexual problem among men. We did so in a large (nonclinical) multinational sample of cisgender men (N = 2332; mean age = 40.3, SE = 0.31) within a multivariate context that relied on multiple (and, when possible, standardized) assessments of sexual dysfunctions while controlling for possible confounding variables. Results indicated a weak, inconsistent, and sometimes absent association between the frequency of pornography use and DE symptomology and/or severity. In contrast, both poorer erectile functioning and anxiety/depression represented consistent and strong predictors of DE and, to a lesser extent, DE severity. Other factors, including relationship satisfaction, sexual interest, and masturbation frequency, were significantly though moderately to weakly associated with DE. In conclusion, associations (or sometimes lack thereof) between masturbation frequency, pornography use, and delayed ejaculation are more clearly understood when analyzed in a multivariate context that controls for possible confounding effects.
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