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Mental Health

Prevalence and correlates of problematic pornography use among undergraduate medical students in Egypt.

 

Open Access: No.

Abstract

Objective. Pornography use can become an addiction when a person loses control in watching sexual materials, such as sex graphic images and movies, and is unable to stop doing so despite the negative consequences. Pornography addiction is a disorder that can impair mental health, behavior, and performance. The purpose of this study was to determine the prevalence and correlates of problematic pornography use among medical students in Egypt.

Methods. This study cross-sectional study included 614 undergraduate medical students who were selected from each of the 6 academic years of those studying to become physicians at a faculty of medicine in Egypt. The short version of the problematic pornography consumption scale (PPCS-6) was used to determine problem pornography use. Sociodemographic information and academic performance data were collected, and the Depression Anxiety Stress Scale-21 (DASS-21) was administered to assess depression, anxiety, and stress symptoms.

Results. Nearly one-quarter (23.3%) of students had problematic pornography use. Problematic pornography use was associated with older age and with male sex. Students with problematic pornography reported fewer hours studying and had lower test scores in the previous year than those without problematic pornography use. Medical students with problematic pornography had significantly higher levels of depression, anxiety and stress symptoms compared to those without.

Conclusions. Problematic pornography use is a common problem among medical students at a university in Egypt, is present in nearly one-quarter of students, and is significantly associated with older age, male sex, and depression, anxiety, and stress symptoms, as well as poorer academic performance.

Relevance

This study found “statistically significant” associations between problematic pornography use and impaired academic performance, less studying time (as much as a 5-hour daily decline), and greater depression, anxiety, and stress.

Citation

Mohamed, E. F., Mohamed, A. E., Youssef, A. M., Sehlo, M. G., Alnasr Soliman, E. S., & Ibrahim, A. S. (2025). Prevalence and correlates of problematic pornography use among undergraduate medical students in Egypt. International journal of psychiatry in medicine, https://doi.org/10.1177/00912174251329440