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Pornography-Watching Disorder and Its Risk Factors Among Young Adults: Cross-Sectional Survey.
Csaba Erdős1, Oguz Kelemen2, Dávid Pócs3
1Department of Public Health, University of Szeged, Albert Szent-Györgyi Medical School, Szeged, Hungary.
Journal of Medical Internet Research
|January 8, 2025
Summary
This study found that 4.4% of young adults in Hungary exhibit symptoms of pornography-watching disorder (PWD). Key risk factors include male sex, early exposure, and paraphilia, while sexual education appears protective.
Area of Science:
- Psychiatry
- Behavioral Addiction
- Mental Health
Background:
- Widespread internet pornography access raises mental health concerns, especially for young adults.
- Problematic pornography use is increasingly recognized, yet lacks standardized diagnostic criteria.
- Pornography addiction is a growing area of research within behavioral health.
Purpose of the Study:
- To assess the prevalence of "pornography-watching disorder" (PWD) in young adults using adapted DSM-5 criteria.
- To identify risk factors associated with PWD in a Hungarian young adult population.
- To contribute to understanding PWD as a potential behavioral addiction.
Main Methods:
- A cross-sectional, web-based survey of 7187 young adults (aged 18-35) in Hungary.
- Utilized 10 statements adapted from DSM-5 substance use disorder criteria to measure PWD.
- Employed multivariable binary logistic regression to identify predictors of PWD.
Main Results:
- The prevalence of PWD was 4.4% (315 participants).
- Significant risk factors included male sex, early exposure, paraphilia, sexual dissatisfaction, relationship difficulties, and religious adherence.
- Frequent pornography use was a risk factor, with daily users showing higher odds compared to less frequent users.
Conclusions:
- This study provides initial insights into PWD prevalence and risk factors using adapted DSM-5 criteria.
- Highlights the need for standardized diagnostic tools and targeted interventions for PWD.
- Results inform the debate on classifying pornography addiction as a distinct behavioral disorder.
Keywords:
DSM-5Diagnostic and Statistical Manual of Mental Disorders, Fifth Editioncross sectionalinternet useonlineonline surveyparaphiliapornographypornography-watching disorderprevention programspublic healthrisk factorsatisfactionsexual disordersexual educationsexual well-beingsocial mediaweb-based questionnaireyoung adults
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