Exploration of Mental Health in Individuals Engaging in Porn, Masturbate, and Orgasm (PMO)
Abstract
Porn, Masturbation, and Orgasm (PMO) behavior, which is increasingly prevalent in the digital era, is often used as an outlet for stress and loneliness. However, when done compulsively, it can cause negative impacts such as guilt, anxiety, and psychological well-being disorders. PMO is the activity of accessing pornographic content and masturbating to orgasm repeatedly, which can affect an individual's mental health. This study aims to explore the mental health of individuals who engage in PMO behavior. The approach used was qualitative with a phenomenological method to explore the personal experiences of five participants aged 17–27 who actively PMO consistently for more than six months and experienced psychological conflict or changes in mental state due to this behavior. Data were collected through in-depth interviews and analyzed using an interactive model. The results showed that all participants experienced various forms of psychological distress such as guilt, stress, anxiety, and inner conflict. However, aspects of psychological well-being were also found in the form of self-reflection, hope for change, and efforts to maintain social function. In conclusion, PMO behavior is closely related to complex mental health dynamics, where an individual's psychological well-being is greatly influenced by internal (personality, emotional regulation) and external (social stigma, interpersonal relationships) factors.
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References
Altın, M., De Leo, D., Tribbia, N., Ronconi, L., & Cipolletta, S. (2024). Problematic pornography use, mental health, and suicidality among young adults. International Journal of Environmental Research and Public Health, 21(9), 1228. https://doi.org/10.3390/ijerph21091228
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
Borgogna, N. C., Johnson, D. A. L., Shegedin, M., & Brasil, K. M. (2024). Taking another look at the Pornography Problems due to Moral Incongruence model: Does gender play a role?. Archives of Sexual Behavior, 53(2), 703–714. https://doi.org/10.1007/s10508-023-02743-y
Bőthe, B., Tóth-Király, I., Potenza, M. N., Griffiths, M. D., Orosz, G., & Demetrovics, Z. (2020). Revisiting the role of impulsivity and compulsivity in problematic pornography use. Addictive Behaviors, 105, 106385. https://doi.org/10.1016/j.addbeh.2020.106385
Cardoso, J., Ramos, C., & Brito, J. (2023). Difficulties in emotion regulation and problematic pornography use: The mediating role of loneliness. International Journal of Sexual Health, 35(3), 291–307. https://doi.org/10.1080/19317611.2023.2224807
Cervilla, O., Muelas, A. A., & Sierra, J. C. (2024). Relationship between solitary masturbation and sexual satisfaction: A systematic review. Healthcare, 12(2), 235. https://doi.org/10.3390/healthcare12020235
Fernandez, D. P., Kuss, D. J., & Griffiths, M. D. (2021). The pornography “rebooting” experience: A qualitative analysis of abstinence journals on an online pornography abstinence forum. Archives of Sexual Behavior, 50, 1881–1897. https://doi.org/10.1007/s10508-020-01858-w
Grubbs, J. B., Perry, S. L., Wilt, J. A., & Reid, R. C. (2018). Pornography problems due to moral incongruence: An integrative model with a systematic review and meta-analysis. Archives of Sexual Behavior, 49, 3271–3291. https://doi.org/10.1007/s10508-018-1248-x
Kraus, S. W., Martino, S., & Potenza, M. N. (2016). Clinical characteristics of men interested in seeking treatment for use of pornography. Journal of Behavioral Addictions, 5(2), 169–178. https://doi.org/10.1556/2006.5.2016.036
Kraus, S. W., Sweeney, P. J., Martino, S., Potenza, M. N., & Grant, J. E. (2022). Compulsive sexual behavior disorder in ICD-11: Clinical and research implications. World Psychiatry, 21(2), 229–230. https://doi.org/10.1002/wps.20947
Landripet, I., Koletić, G., & Štulhofer, A. (2025). Pornography use and adolescent sexual behaviours, well-being, and attitudes: Insights from the PROBIOPS (Prospective biopsychosocial study of the effects of Pornography on adolescents). Porn Studies. https://doi.org/10.1080/23268743.2025.2457743
Lefevor, G. T., Janis, R. A., & Chen, C. (2023). Spirituality, religiosity, and mental health among sexual minority populations: A meta-analysis. Journal of Counseling Psychology, 70(1), 75–92. https://doi.org/10.1037/cou0000663
Modu, P., & Huwae, A. (2023). Sexual self-disclosure on adolescents who do porn, masturbate, and orgasm (PMO) on social media. Bulletin of Counseling and Psychotherapy, 5. https://doi.org/10.51214/00202305579000
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alphabet.
Surzykiewicz, J., et al. (2022). Resilience and regulation of emotions in adolescents: Serial mediation analysis through self-esteem and perceived social support. International Journal of Environmental Research and Public Health, 19(13), 8007. https://doi.org/10.3390/ijerph19138007
Troy, A. S., Willroth, E. C., Shallcross, A. J., Giuliani, N. R., Gross, J. J., & Mauss, I. B. (2023). Psychological resilience: An affect-regulation framework. Annual Review of Psychology, 74, 547–576. https://doi.org/10.1146/annurev-psych-020122-041854
Veit, C. T., & Ware, J. E. (1983). The structure of psychological well-being: Relationships with self-reported health and mental health measures. Journal of Consulting and Clinical Psychology, 51(5), 730–742. https://doi.org/10.1037/0022-006X.51.5.730
Vescan, M., Flack, M., & Caudwell, K. M. (2024). Loneliness and problematic pornography use: What is the role of emotion regulation and interaction with content creators?. Addictive Behaviors Reports, 19, 100550. https://doi.org/10.1016/j.abrep.2024.100550
Wang, K. (2022). The Yin–Yang definition model of mental health: The mental health definition in Chinese culture. Frontiers in Psychology, 13, Article 832076. https://doi.org/10.3389/fpsyg.2022.832076
World Health Organization. (2022). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
Yusanto, Y. (2020). Ragam pendekatan penelitian kualitatif. Journal of Scientific Communication (JSC), 1(1), 1–13. https://doi.org/10.31506/jsc.v1i1.7764
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