Online sexual activities: An exploratory study of problematic and non-problematic usage patterns in a sample of men

Involvement in online sexual activities (OSAs) is ubiquitous, especially in males, and can under certain circumstances become problematic. The risk factors associated with problematic OSAs remain, however, poorly explored. The current study aimed to investigate the characteristics, usage patterns, and motives for men to engage in OSAs and to disentangle the risk factors associated with problematic OSAs. To this end, 434 men completed an online survey measuring socio-demographic information, OSAs consumption habits, motives for engaging in OSAs, symptoms of problematic OSAs, and sexual dysfunctions. Results showed that watching pornography is the most prevalent OSA, and sexual gratification is the most frequent motive for OSAs involvement. Additional multiple regression analyses indicated that the following characteristics are associated with problematic use of OSAs: (a) partnered-arousal activities (e.g., sex chat) and solitary-arousal activities (e.g., pornography); (b) anonymous fantasizing and mood regulation motives; and (c) higher sexual desire, lower overall sexual satisfaction, and lower erectile function. This study sheds new light on the characteristics, motives, and sexual function of men involved in OSAs, emphasizing that problematic OSAs are heterogeneous and depend on interrelated factors. The findings support tailoring of preventive actions and clinical interventions to both OSA type and individual risk factors.