Effects of pornography consumption on the mental health of adolescents: a literature review

Authors

  • Moises Polo Cobos Hospital Universitario Reina Sofía. Córdoba. España. https://orcid.org/0009-0006-1247-8118
  • Carmen Maria Cabello Triguero Hospital de Montilla. Montilla. España.
  • Jesús Ruiz Vera INGESA Ceuta-Atención Primaria. Ceuta. España.

DOI:

https://doi.org/10.51326/ec.8.7604307

Keywords:

Addiction, Adolescents, Emotional Dysregulation, Mental Health, Pornography, Public Health

Abstract

Introduction: In today's digital era, access to pornography has increased, prompting several governments to regulate minors' access to this content. This literature review explores the relationship between pornography consumption and mental health issues in adolescents, aiming to synthesize the evidence and guide future public policies.

Methods: A bibliographic review was conducted following the PRISMA methodology. The literature search was carried out in databases such as PubMed, Scopus, Embase, WoS, and CINAHL. Articles published between 2019 and 2024 were included.

Results: Out of 236 identified articles, 10 studies were finally included in the review. The findings reveal a significant association between pornography exposure and an increase in depressive symptoms, anxiety, and risky sexual behaviors. Variations were also observed based on gender and cultural context.

Conclusions: Watching pornography has a negative impact on adolescents' mental health, especially when exposure to such content is intentional. Future research should continue exploring the neurophysiological mechanisms of pornography addiction, new diagnostic methods, and ways to reduce reporting bias. It is crucial to develop sexual education programs that enable adolescents to safely manage exposure to this type of content and to review public policies.

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References

Ministerio de la Presidencia, Justicia y Relaciones con las Cortes. Cartera Digital Beta, la aplicación que incluye el sistema de verificación de la mayoría de edad en el acceso a contenidos para adultos, estará disponible al final del verano. Madrid: Ministerio de la Presidencia, Justicia y Relaciones con las Cortes; 1 de julio de 2024. Disponible en: https://www.lamoncloa.gob.es/serviciosdeprensa/notasprensa/transformacion-digital-y-funcion-publica/Paginas/2024/010724-cartera-digital-beta.aspx [Consultado 07-07-2024]

Toro P. Desde SIM con bloqueo a estimaciones de edad por foto: así se regula el porno en Europa para proteger a los menores. Newtral. 3 de julio de 2024. Disponible en: https://www.newtral.es/regulacion-pornografia-menores-europa-2/20240703/ [Consultado 07-07-2024]

Alonso R. Acceso válido para 30 días y control de páginas en España: las claves de Cartera Digital Beta, la 'app' para vigilar el porno. ABC. 2 de julio de 2024. Disponible en: https://www.abc.es/tecnologia/gobierno-obligara-adultos-usar-app-ver-porno-20240702124353-nt.html [Consultado 07-07-2024]

Chatterjee S, Kar SK. Teen Pornography: An Emerging Mental Health Challenge. J Psychosexual Health. 2023;5(1):30-4. https://doi.org/10.1177/26318318231154230

Adarsh H, Sahoo S. Pornography and Its Impact on Adolescent/Teenage Sexuality. J Psychosexual Health. 2023;5(1):35-9. https://doi.org/10.1177/26318318231153984

Mattebo M, Tydén T, Häggström-Nordin E, Nilsson KW, Larsson M. Pornography consumption and psychosomatic and depressive symptoms among Swedish adolescents: a longitudinal study. Ups J Med Sci. 2018;123(4):237-46. https://doi.org/10.1080/03009734.2018.1534907

Mennig M, Tennie S, Barke A. Self-Perceived Problematic Use of Online Pornography Is Linked to Clinically Relevant Levels of Psychological Distress and Psychopathological Symptoms. Arch Sex Behav. 2022 Feb;51(2):1313-1321. https://doi.org/10.1007/s10508-021-02101-w

Nebot-Garcia JE, Elipe Miravet M, García-Barba M, Antelo García A, Ballester-Arnal R, Consumo de pornografía y malestar asociado: diferencias entre hombres y mujeres. Àgora Salut. 2020;7:239–47. http://dx.doi.org/10.6035/AgoraSalut.2020.7.24

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Esp Cardiol. 2021;74(9):790-9. https://doi.org/10.1016/j.recesp.2021.06.016

Ouzzani M, Hammady H., Fedorowicz, Z.a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4

Moola S, Tufanaru C, Aromataris E, Sears K, Currie M, Qureshi R, et al. Chapter 7: Systematic reviews of etiology and risk. En: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. https://doi.org/10.46658/JBIMES-24-06

Aromataris E, Fernandez R, Godfrey C, Holly C, Khalil H, Tungpunkom P. Chapter 9: Umbrella reviews. En: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. https://doi.org/10.46658/JBIMES-24-08

Yunengsih W, Setiawan A. Contribution of pornographic exposure and addiction to risky sexual behavior in adolescents. J Public Health Res. 2021;10(s1):jphr.2021.2333. https://doi.org/10.4081/jphr.2021.2333

Surbakti B, Effendy E. Pornography Addiction in Children and Teenagers Caused by Feelings of Boredom, Loneliness, Anger, Stress, and Tiredness. En: Amin MM, et al. Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023). 2023; Medan (Indonesia). Dordrecht: Atlantic Press; 2023. https://doi.org/10.2991/978-94-6463-310-8_5

Ma CMS. Relationships between Exposure to Online Pornography, Psychological Well-Being and Sexual Permissiveness among Hong Kong Chinese Adolescents: a Three-Wave Longitudinal Study. Appl Res Qual Life. 2019;14(2):423-39. https://doi.org/10.1007/s11482-018-9604-5

Kim KM, Kim H, Choi JW, Kim SY, Kim JW. What Types o-f Internet Services Make Adolescents Addicted? Correlates of Problematic Internet Use. Neuropsychiatr Dis Treat. 2020;16:1031-41. https://doi.org/10.2147/ndt.s247292

To S-M, Wong K-SP, Tam H-LC, Kwok DK, Lau CD. Sexual compulsivity, sexual self-concept, and cognitive outcomes of sexual behavior of young Chinese Hong Kong males with compulsive sexual behavior: Implications for intervention and prevention. Child Youth Serv Rev. 2019;104. https://doi.org/10.1016/j.childyouth.2019.104400

Andrie EK, Sakou II, Tzavela EC, Richardson C, Tsitsika AK. Adolescents' Online Pornography Exposure and Its Relationship to Sociodemographic and Psychopathological Correlates: A Cross-Sectional Study in Six European Countries. Children (Basel). 2021;8(10):925. https://doi.org/10.3390/children8100925

Suwarni L, Widyanto R. Determinants of the pornography exposure effects on Junior and Senior High School Adolescence in Sanggau District, West Kalimantan. Ind J Public Health Res Dev. 2019;10(3):941-5. Disponible en: [Consultado 20-08-2024]

Vera Cruz G, Sheridan T. The Normalization of Violence d-uring Sex among Young Mozambicans Reportedly under the Influence of Pornography. Sex Cult. 2022;26:397-417. https://doi.org/10.1007/s12119-021-09898-7

Kang X, Handayani DOD, Chong PP, Acharya UR. Profiling of pornography addiction among children using EEG signals: A systematic literature review. Comput Biol Med. 2020;125:103970. https://doi.org/10.1016/j.compbiomed.2020.103970

Chao CM, Yu TK. Internet Use and Adolescents' Physical and Mental Health: the Mediating Role of Self-consciousness and Peer Relationships. Int J Ment Health Addict. 2023;21(2):911-28. https://doi.org/10.1007/s11469-021-00631-x

Principi N, Magnoni P, Grimoldi L, Carnevali D, Cavazzana L, Pellai A. Consumption of sexually explicit internet material and its effects on minors' health: latest evidence from the literature. Minerva Pediatr (Torino). 2022;74(3):332-9. https://doi.org/10.23736/s2724-5276.19.05367-2

Raine G, Khouja C, Scott R, Wright K, Sowden AJ. Pornography use and sexting amongst children and young people: a systematic overview of reviews. Syst Rev. 2020;9(1):283. https://doi.org/10.1186/s13643-020-01541-0

Pathmendra P, Raggatt M, Lim MS, Marino JL, Skinner SR. Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review. J Med Internet Res. 2023 Feb 28;25:e43116. https://doi.org/10.2196/43116

Hakkim S, Parsa AD, Arafat SMY, Mahmud I, Sathian B, Sivasubramanian M, et al. Pornography—Is It Good for Sexual Health? A Systematic Review. J Psychosex Health. 2022;4(2):111-22. https://doi.org/10.1177/26318318221088949

Román-García Ó, Bacigalupe A, Vaamonde-García C. Relación de la pornografía mainstream con la salud sexual y reproductiva de los/las adolescentes. Una revisión de alcance. Rev Esp Salud Pública. 2021;95:e202108102. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1135-57272021000100182&lng=es&nrm=iso&tlng=es [Consultado 21-08-2024]

Kamaruddin N, Wahab A, Rozaidi Y. Neuro-physiological porn addiction detection using machine learning approach. Indones J Electr Eng Comput Sci. 2019;16(2):964-71. http://doi.org/10.11591/ijeecs.v16.i2.pp964-971

Efrati Y. Problematic and Non-problematic Pornography Use and Compulsive Sexual Behaviors Among Understudied Populations: Children and Adolescents. Curr Addict Rep. 2020;7:68-75. https://doi.org/10.1007/s40429-020-00300-4

Amilah N, Anisa YH, Sulaeman MK, Handayani N, Prawiroharjo P, Edison RE. QEEG-based Brain Mapping of Internet Pornography Addicted Adolescents. J Health Med Sci. 2021;4(4):67-72. http://dx.doi.org/10.31014/aior.1994.04.04.195

Published

2025-02-12

How to Cite

1.
Polo Cobos M, Cabello Triguero CM, Ruiz Vera J. Effects of pornography consumption on the mental health of adolescents: a literature review. Enferm. cuid. [Internet]. 2025 Feb. 12 [cited 2025 Feb. 23];8. Available from: https://enfermeriacuidandote.com/article/view/7138

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