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Use of Geosocial Networking Applications Is Associated With Compulsive Sexual Behavior Disorder in an Online Sample
Jack L Turban1, Eliza Passell2, Luke Scheuer2
1Department of Psychiatry, Massachusetts General Hospital, Boston, USA; Institute for Technology in Psychiatry, McLean Hospital, Belmont, USA; Department of Psychiatry, Harvard Medical School, Boston, USA.
Background:
Geosocial networking applications (GNAs) are relatively new outlets through which individuals may find partners for sexual encounters. There has been a paucity of research on the associations between use of these platforms and measures of mental health and compulsive sexual behavior disorder (CSBD).
Aim:
To examine associations between use of GNA, anxiety, and CSBD.
Methods:
Using data from a large nontargeted Web-based sample (N = 4,203), we examined demographics associated with the use of GNAs. Using multivariable logistic regression adjusting for demographic differences between users and non-users, we examined associations between GNA use, anxiety, and CSBD.
Outcomes:
The outcomes are Generalized Anxiety Disorder-7 and a modified Hypersexual Behavior Inventory-19.
Results:
The percentage of participants that reported they used GNAs was 12.3%. Those who reported using the applications compared with those who did not were more likely to be young, male, and nonheterosexual. After adjusting for demographic variables, GNAs use was associated with CSBD (adjusted odds ratio = 1.62, 95% confidence interval: 1.09-2.37, P = .015) but not anxiety.
Clinical Implications:
This study is an initial foray into the relationships between GNA and mental health, establishing a relationship between GNA use and CSBD. Future research is needed to better understand the relationships between GNA use, psychopathology, and CSBD.
Strengths & Limitations:
Strengths of the study include its large sample size and nontargeted recruitment design, which minimizes confirmation bias. Limitations include the cross-sectional nature of this study, which precludes determination of the direction of causation.
Conclusion:
Use of GNAs was prevalent among our sample and associated with CSBD. GNA use may represent an important platform through which CSBD manifests. Conversely, GNA use may drive CSBD. Turban JL, Passell E, Scheuer L, et al. Use of Geosocial Networking Applications Is Associated With Compulsive Sexual Behavior Disorder in an Online Sample. J Sex Med 2020;17:1574-1578.
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