Associations Between Pornography Use and Sexual Dynamics Among Heterosexual Couples (2020)

Brian J. Willoughby, Nathan D. Leonhardt, Rachel A. Augustus

The Journal of Sexual Medicine, 2020, ISSN 1743-6095

https://doi.org/10.1016/j.jsxm.2020.10.013.

Abstract

Background

While links between pornography use and couple relational well-being have been the subject of multiple research studies, less attention has been paid to the associations between pornography use and specific sexual behavior within the relationship.

Aim

This study aimed to explore associations between each partner’s pornography use, sexual desire, sexual satisfaction, and intercourse/non-intercourse sexual behavior. The confounding and moderating role of religiosity was also explored.

Methods

A dyadic sample of 240 heterosexual couples was used. Measurement assessed pornography use, sexual desire, sexual satisfaction, and sexual behavior.

Outcomes

Sexual satisfaction as well as intercourse and non-intercourse sexual behaviors were examined.

Results

Results suggested consistent gendered differences where female pornography use was directly associated with higher reports of female sexual desire, whereas male pornography use was directly associated with more male but less female partner desire and lower overall male sexual satisfaction. Male pornography use was also indirectly associated with sexual satisfaction for both partners and non-intercourse behaviors within the relationship through sexual desire. Overall, religiosity had little impact on the results of the study.

Clinical Translation

The complex associations between pornography use, sexual desire, and sexual behaviors suggested by our results highlight the importance of comprehensive and systemic assessment and education around sexuality when working with individuals and couples.

Strengths & Limitations

The main strength of this study is the use of dyadic data. The main limitation is the cross-sectional nature of the data

Conclusion

The associations between pornography use and a variety of outcomes are highly nuanced. This study provides an important step forward in more fully accounting for the complications of pornography use in a relationship.