This study explores the connection between pornography use, sexual functioning, and mental health using latent profile analysis (LPA) to identify distinct profiles among pornography users and assess variations in mental health, including anxiety, depression, and emotion regulation. The aim of this study was to identify profiles among pornography users, specifically distinguishing those with sexual distress and sexual function problems, characterize these profiles, and assess variations in mental health. Data were collected from 463 participants through an anonymous online survey. Three distinct pornography user profiles were identified based on their consumption and sexual problems: high-frequency problematic pornography use (PPU, which is defined as uncontrollable patterns of pornography use resulting in adverse consequences and significant distress) with sexual problems, high-frequency non-PPU without/with low sexual problems, and no/low-frequency non-PPU without sexual problems. Differences among the profiles emerged in anxiety and depressive symptoms as well as emotion regulation capabilities. The high-frequency PPU with sexual problems group exhibited lower emotion regulation capabilities, while the no/low-frequency non-PPU without sexual problems group reported significantly lower depressive symptoms. This study emphasizes the multifaceted nature of pornography use, revealing that certain patterns may be more problematic. The findings highlight the interplay between emotional dysregulation, anxiety, depression, problematic pornography use, and sexual problems and distress. Recognizing these distinct profiles is crucial for understanding the relationship between pornography use and sexual and mental well-being, ultimately contributing to more targeted interventions and improved outcomes for all populations.

本研究利用潜在特征分析 (LPA) 来探索色情内容使用、性功能和心理健康之间的联系，以识别色情内容使用者的不同特征，并评估心理健康的变化，包括焦虑、抑郁和情绪调节。这项研究的目的是确定色情用户的概况，特别是区分那些有性困扰和性功能问题的人，描述这些概况，并评估心理健康的变化。通过匿名在线调查从 463 名参与者收集了数据。根据他们的消费和性问题，确定了三种不同的色情内容用户概况：高频有问题的色情内容使用（PPU，定义为无法控制的色情内容使用模式，导致不良后果和严重痛苦）与性问题，高频非无/有低度性问题的 PPU，以及无/低频率无性问题的非 PPU。这些特征之间的差异出现在焦虑和抑郁症状以及情绪调节能力上。有性问题的高频 PPU 组表现出较低的情绪调节能力，而无性问题/低频非 PPU 组的抑郁症状明显较低。这项研究强调了色情内容使用的多方面性，揭示了某些模式可能更有问题。研究结果强调了情绪失调、焦虑、抑郁、有问题的色情内容使用以及性问题和痛苦之间的相互作用。 认识到这些不同的特征对于理解色情制品的使用与性和心理健康之间的关系至关重要，最终有助于更有针对性的干预措施并改善所有人群的结果。