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Compulsive Sexual Behaviors, Pornography Consumption, and Co-Occurring Disorders Among College Students
Evan J Moon1, Sheila Garos2, Shane W Kraus3
1Department of Psychological Sciences, Texas Tech University, Lubbock, TX, 79409, USA. evmoon@ttu.edu.
Archives of Sexual Behavior
|June 12, 2026
Summary
Men report higher rates of problematic pornography use (PPU) and co-occurring depression and alcohol problems. These issues, along with compulsive sexual behaviors (CSBs), show complex gender-related associations in college students.
Area of Science:
- Psychology
- Public Health
- Addiction Research
Background:
- Problematic pornography use (PPU) and compulsive sexual behaviors (CSBs) have significant psychosocial impacts, often more prevalent in men.
- College students may exhibit higher rates of PPU and CSBs, alongside co-occurring mental health and substance use issues.
- Limited research exists on the interplay of PPU, CSBs, depression, and alcohol use problems in this demographic.
Purpose of the Study:
- To investigate the relationships between co-occurring CSBs, PPU, alcohol use problems, and depression in college students.
- To examine gender differences in the prevalence and co-occurrence of these behaviors and conditions.
- To identify specific associations between PPU, CSBs, depression, and alcohol use problems.
Main Methods:
- A cross-sectional study involving 1126 college students (77% women, 23% men) who completed an anonymous online survey.
- Categorical modeling, including chi-square tests and binary logistic regressions, was used for analysis.
- Prevalence and odds ratios for clinically significant PPU and CSBs were calculated in relation to alcohol use problems and depression.
Main Results:
- Men reported higher rates of PPU and co-occurring alcohol use problems and depression compared to women.
- Alcohol use problems showed moderate to strong associations with CSBs.
- Depression was linked to PPU in women, while co-occurring alcohol use problems and depression were moderately associated with CSBs.
Conclusions:
- Gender plays a significant role in the comorbidities between PPU and CSBs among young adults.
- The findings underscore the need for further research into the consequences of PPU, CSBs, and co-occurring disorders.
- Clinical attention should consider the potential for co-occurring conditions in young adults presenting with PPU or CSBs.
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