Hypersexual behaviors, problematic pornography use and mental health in an Iranian online sample: A structural equation model and results of cluster and discriminant function analysis

Subject Areas : Educational

Seyed Ghasem Seyed Hashemi ¹ , Majid Mahmoud Aliloo ² , Shalaleh Hosseinnezhad ³ , Behnaz Hosseinzadeh Khanmiri ⁴ , Masoumeh Esmaeili Shahna ⁵

1 - Department of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
2 - Department of Psychology, University of Tabriz, Tabriz, Iran
3 - Department of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran
4 - Psychologist Social Welfare Emergency Center of Azarshahr county & Department of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
5 - Department of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran

Received: 2020-08-20 Accepted : 2020-12-19 Published : 2023-05-22

Keywords: mental health, Iran, hypersexual behavior, problematic pornography use, social networking site users,

Abstract :

The purpose of this study was to determine the structural relationships, cluster and discriminant function analysis of hypersexual behaviors, problematic pornography use and mental health in an Iranian online sample. The research design was descriptive-correlational and the statistical population included all people active in social networking sites in during 2019 year. Sample size, 408 people were selected via convenience sampling. Data collection by online survey questionnaire of Mental Health Inventory (Veit & Ware, 1983), Problematic Pornography Consumption Scale (Bőthe et al., 2018), and Hypersexual Behavior Inventory (Reid et al., 2011), and data were analyzed using Pearson correlation coefficient, structural equation modeling, cluster and discriminant function analysis. The suggested model consists of suitable fitness with the data (RMSEA = 0.05, GFI = 0.96, CFI = 0.98, AGFI = 0.93; χ2/df = 2.29), and all relationships except the path of psychological well-being to the problematic pornography use were significant (β = -0.07, p = 0.306). Also, the results of cluster analysis based on hypersexual behavior and problematic pornography use in two clusters (high and low psychological distress) were significant (P <0.001). Discriminant analysis results showed that hypersexual behavior and problematic pornography use had the highest power in distinguish between two groups of people with high and low psychological distress (P<0.001), and 65.9% of people were correctly detected by this function. Individuals with high psychological distress had the highest mean values in all components of hypersexual behavior and problematic pornography use (n = 61, 63.5%).

References:

Akhtarkhavari, T., & Naderloo, B. (2019). The Prevalence of Risky Sexual Behaviors and Awareness of STDs Among Temporary Residents of Homeless Shelters in Tehran. Alborz University Medical Journal, 8(3), 225-235.

Barrada, J. R., Ruiz-Gómez, P., Correa, A. B., & Castro, Á. (2019). Not all online sexual activities are the same. Frontiers in psychology, 10(339), 1-14.

Besharat, M. A. (2006). Reliability and Validity of the Mental Health Inventory. Clinical Psychology & Personality, 1(16), 11-16 [Persian].

Bőthe, B., Koós, M., Tóth-Király, I., Orosz, G., & Demetrovics, Z. (2019). Investigating the associations of adult ADHD symptoms, hypersexuality, and problematic pornography use among men and women on a largescale, non-clinical sample. The journal of sexual medicine, 16(4), 489-499.

Bőthe, B., Tóth-Király, I., Potenza, M. N., Griffiths, M. D., Orosz, G., & Demetrovics, Z. (2019). Revisiting the role of impulsivity and compulsivity in problematic sexual behaviors. The Journal of Sex Research, 56(2), 166-179.

Bőthe, B., Tóth-Király, I., Zsila, Á., Griffiths, M. D., Demetrovics, Z., & Orosz, G. (2018). The development of the problematic pornography consumption scale (PPCS). The Journal of Sex Research, 55(3), 395-406.

Cooper, A. (1998). Sexuality and the Internet: Surfing into the new millennium. CyberPsychology & Behavior, 1(2), 187-193.

Cooper, A. L., Delmonico, D. L., Griffin-Shelley, E., & Mathy, R. M. (2004). Online sexual activity: An examination of potentially problematic behaviors. Sexual Addiction & Compulsivity, 11(3), 129-143.

de Alarcón, R., de la Iglesia, J. I., Casado, N. M., & Montejo, A. L. (2019). Online porn addiction: What we know and what we don’t—A systematic review. Journal of clinical medicine, 8(91), 1-20.

Doornwaard, S. M., van Den Eijnden, R. J., Baams, L., Vanwesenbeeck, I., & Ter Bogt, T. F. (2016). Lower psychological well-being and excessive sexual interest predict symptoms of compulsive use of sexually explicit internet material among adolescent boys. Journal of youth and adolescence, 45(1), 73-84.

Döring, N., & Mohseni, M. R. (2018). Are online sexual activities and sexting good for adults’ sexual well-being? Results from a national online survey. International Journal of Sexual Health, 30(3), 250-263.

Döring, N., Daneback, K., Shaughnessy, K., Grov, C., & Byers, E. S. (2017). Online sexual activity experiences among college students: A four-country comparison. Archives of Sexual Behavior, 46(6), 1641-1652.

Duffy, A., Dawson, D. L., & Das Nair, R. (2016). Pornography addiction in adults: A systematic review of definitions and reported impact. The Journal of Sexual Medicine, 13(5), 760-777.

Engel, J., Kessler, A., Veit, M., Sinke, C., Heitland, I., Kneer, J., ... & Kruger, T. H. (2019). Hypersexual behavior in a large online sample: Individual characteristics and signs of coercive sexual behavior. Journal of Behavioral Addictions, 8(2), 213-222.

Green, S. B. (1991). How many subjects does it take to do a regression analysis. Multivariate behavioral research, 26(3), 499-510.

Grubbs, J. B., Stauner, N., Exline, J. J., Pargament, K. I., & Lindberg, M. J. (2015). Perceived addiction to Internet pornography and psychological distress: Examining relationships concurrently and over time. Psychology of Addictive Behaviors, 29(4), 1056–1067.

Hezomi, H., & Nadrian, H. (2018). What determines psychological well-being among Iranian female adolescents? Perceived stress may overshadow all determinants. Health promotion perspectives, 8(1), 79-87.

Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of sexual behavior, 39(2), 377-400.

Mahmoodi, M., Mirzaee, M., Jahani, Y., McFarland, W., & Sharifi, H. (2019). Age and Factors Associated with First Non-marital Sex Among Iranian Youth. Sexuality & Culture, 1-11.

Mianji, F., & Kirmayer, L. J. (2020). The Globalization of Biological Psychiatry and the Rise of Bipolar Spectrum Disorder in Iran. Culture, Medicine, and Psychiatry, 1-29.

Mohammadian, S., & Dolatshahi, B. (2019). Sexual problems in Tehran: Prevalence and associated factors. Journal of Education and Health Promotion, 8(1), 217-228.

Moleiro, C. (2018). Culture and psychopathology: New perspectives on research, practice, and clinical training in a globalized world. Frontiers in psychiatry, 9(366), 1-6.

Motamedi, M., Merghati-Khoei, E., Shahbazi, M., Rahimi-Naghani, S., Salehi, M., Karimi, M., ... & Khalajabadi-Farahani, F. (2016). Paradoxical attitudes toward premarital dating and sexual encounters in Tehran, Iran: a cross-sectional study. Reproductive health, 13(1), 102-112.

Reid, R. C., Garos, S., & Carpenter, B. N. (2011). Reliability, validity, and psychometric development of the Hypersexual Behavior Inventory in an outpatient sample of men. Sexual Addiction & Compulsivity, 18(1), 30-51.

Seyed Hashemi, S. G. (2020). Hypersexual Behaviors and Personality Traits in Men with Substance Use Disorders in Iran. Journal of Psychosexual Health, 2(1), 63-70.

Seyed Hashemi, S. G., & Saadat, S. H. (2018). Sexual addiction: What clinicians and therapists need to know about it? (Clinical Information, Assessment, Diagnosis and Treatment). Tehran: Iran; Farhikhtegan Daneshgah Publications [Persian].

Seyed Hashemi, S. G., Fathi Ahmadabadi, Z., Yaghoobi, H., Hosseinzadeh Khanmiri, B., & Shokrani, R. (2020). Explaining hypersexual behaviors based on attachment styles, psychological dysregulation, and coping strategies in Iranian adolescents. Knowledge & Research in Applied Psychology, accepted [Persian].

Seyed hashemi, S. G., Hosseinnezhad, S., & Hosseinabadi, M. (2019). Validity and reliability of the Persian version of problematic pornography consumption scale among social networking sites users. Journal of Psychoscience, 18(75), 363-372 [Persian].

Seyed Hashemi, S. G., Shalchi, B., Yaghoubi, H. (2017). Predicting Hypersexual Disorder Based on Difficulties in Emotion Regulation and Psychological Well-being in Male Students at Azarbaijan Shahid Madani University in 2016. Journal of Rafsanjan University of Medical Sciences, 16(5), 421-436 [Persian].

Seyed Hashemi, S. G., Shalchi, B., Yaghoubi, H. (2018). Difficulties in Emotion Regulation, Psychological Well-Being, and Hypersexuality in Patients With Substance Use Disorder in Iran, Iranian Journal of Psychiatry and Behavioral Sciences, 12(1), e10449.

Shalchi, B., & Seyed Hashemi, S. G. (2017). Internal consistency and confirmatory factor analysis of hypersexual behavior inventory among students. Journal of the School of Public Health and Institute of Public Health Research, 15(3),239-51 [Persian].

Veit, C. T., & Ware, J. E. (1983). The structure of psychological distress and well-being in general populations. Journal of consulting and clinical psychology, 51(5), 730-742.