Sexual Function and Problematic Use of Smartphones and Social Networking Sites.

BACKGROUND: The use of social networking sites (SNS) sometimes acquires an addictive-like quality, often referred to as problematic use of SNS. This condition overlaps with problematic (addictive-like) use of smartphones, as the latter are commonly used for online social networking in addition to other activities that may gain addictive-like qualities. There is ample evidence that problematic use of smartphones and SNS is associated with poorer mental health, but research on associations with sexual function is scarce. AIM: To examine if sexual difficulties are related to problematic use of SNS and smartphones. METHODS: Data from 4 studies conducted in Portugal between October 2019 and December 2021 (analyzed for the first time) were collapsed, resulting in 946 women and 235 men providing data on sexual function and problematic use of smartphones, and in 536 women and 194 men providing data on sexual function and problematic use of SNS. Female sexual function was assessed with the Female Sexual Function Index and the Female Sexual Distress Scale - Revised (FSDS-R). Male sexual function was assessed by the International Index of Erectile Function. Problematic smartphone use was measured by the Smartphone Addiction Scale - Short Version (SAS-SV). Problematic use of SNS was measured by the Internet Addiction Scale (IAT) specifically adapted to online social networking. OUTCOMES: Participants rated their symptoms of problematic use of smartphones and SNS, as well as their sexual function. RESULTS: In women, problematic use of SNS correlated with lower sexual arousal (r = -0.22), difficulties lubricating (r = -0.13), difficulties having orgasms (r = -0.20), sexual dissatisfaction (r = -0.23), coital pain (r = -0.19), and greater sexual distress (r = 0.33). In men, problematic use of SNS correlated with lower erectile function (r = -0.26), lower desire (r = -0.17), intercourse dissatisfaction (r = -0.20), overall sexual dissatisfaction (r = -0.30), and more difficulties having orgasms (r = -0.20). For both sexes, correlations between sexual function and problematic smartphone use were in the same direction, but were generally weaker and, in most cases, become nonsignificant after controlling for problematic use of SNS. CLINICAL IMPLICATIONS: Addictive-like use of SNS might be a risk factor for sexual difficulties. STRENGTHS & LIMITATIONS: This study is innovative and well-powered to uncover associations between poorer sexual function and addictive-like use of new technologies. The lack of representativeness of the sample warrants caution. CONCLUSIONS: Problematic (addictive-like) use of SNS was associated with male and female sexual difficulties. This corroborates previous research. Fuzeiro V., Martins C., Gonçalves C, et al. Sexual Function and Problematic Use of Smartphones and Social Networking Sites. J Sex Med 2022;19:1303-1308.