Longitudinal associations between the use of sexually explicit material and adolescents' attitudes and behaviors: A narrative review of studies

This review analyzed longitudinal studies examining the effects of sexually explicit material on adolescents' attitudes, beliefs and behaviors. The review also aimed to provide an analysis of the limitations of the existing studies, as well as recommendations for future research. To be included, publications had to employ repeated measurements, include a measure of sexually explicit material use and participants aged 18 years or under. A total of 20 papers from nine different research projects were reviewed. The results show that sexually explicit material is associated with sexual behavior, sexual norms and attitudes, gender attitudes, self-esteem, sexual satisfaction, uncertainty and preoccupancy. In addition, the studies reported developmental effects on adolescents' behavioral, cognitive and emotional well-being. Because experimental studies among adolescents are not feasible, more methodologically rigorous longitudinal studies followed by a meta-analysis are needed to further our understanding of the effects of sexually explicit material in this population. (C) 2017 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.