44.+GALLEY Sarfi+Agustina,+et+al

Volume II, Number I, 2022 E-ISSN: 2808-5361 Proceeding The Second
October 2022 http://e-journal.fkmumj.ac.id/ Muhammadiyah Internasional-

Public Health and Medicine
Conference
A SCOPING REVIEW: THE IMPACT OF PORNOGRAPHY ADDICTION

ON ADOLESCENTS
1
Sarfi Agustina Tri Astuti, 2 Yuliani Winarti
1,2
Public Health, Universitas Muhammadiyah Kalimantan Timur
Ir. H. Juanda No 15 Sidodadi Samarinda, 75124
Email: sarfiagustina400@gmail.com
ABSTRAK
Proses digitalisasi saat ini semakin berkembang sehingga akses internet menjadi lebih mudah. Hal ini
telah menyebabkan peningkatan lonjakan pengguna internet dan peningkatan paparan pornografi di
kalangan remaja. Perubahan fisik terutama organ seksual, dan perubahan hormonal memicu
meningkatnya minat dan motivasi remaja dalam mencari informasi seksual seperti pornografi. Paparan
pornografi yang berkepanjangan dapat berdampak negatif pada perkembangan remaja, menyebabkan
kecanduan dan ancaman bagi generasi muda. Penelitian ini bertujuan untuk memetakan dampak
kecanduan pornografi pada remaja menggunakan metode scoping review berdasarkan item pelaporan
pilihan untuk tinjauan sistematis dan ekstensi meta-analisis untuk tinjauan pelingkupan melalui
Pubmed, Google Scholar, Scopus, dan Science Direct. Hasil penelitian menunjukkan bahwa 14 dari
3.124 artikel penelitian yang memenuhi kriteria inklusi menyatakan ada 3 dampak kecanduan
pornografi: psikologis, sosial, dan medis. Dampak psikologis dari konsumsi pornografi yang berlebihan
dapat berupa lekas marah, sulit berkonsentrasi, stres, rasa bersalah, depresi, frustrasi, perasaan depresi,
dan gejala psikosomatik. Sedangkan dampak sosial yang terjadi pada pecandu pornografi adalah
sulitnya menjalin hubungan interpersonal dengan orang lain, cenderung menarik diri, lebih suka
berdiam diri, dan merasa jauh dari masyarakat. Adapun dampak medis yang terjadi yaitu penurunan
fungsi otak, berdasarkan hasil perekaman gelombang otak melalui pemeriksaan electroencephalography
(EEG), terdapat dominasi gelombang delta pada korteks prefrontal yang menyebabkan penurunan
fungsi kognitif otak. pecandu pornografi remaja dan kesulitan tidur. Hal ini menyebabkan remaja
kehilangan kemampuan untuk menentukan mana yang benar dan salah atau menahan diri untuk tidak
berbuat salah. Berdasarkan hasil penelitian ini perlu dilakukan upaya promosi kesehatan salah satunya
dengan edukasi tentang dampak kecanduan pornografi dalam meningkatkan derajat kesehatan remaja.
Kata kunci: Remaja, paparan pornografi, dampak pornografi
ABSTRACT
The current digitalization process is overgrowing so that internet access becomes more effortless. This
has led to an increase in youth exposure to pornography. Prolonged exposure to pornography can
negatively impact adolescent development and lead to addiction. This study aims to map the impact of
pornography addiction on adolescents using Preferred Reporting Items for Systematic Reviews and
Meta-Analyze Extensions for Scoping Reviews through Pubmed, Google Scholar, Scopus, and Science
Direct. The results showed that 14 of the 3,124 research articles that met the inclusion criteria stated
that there were 3 effects of pornography addiction: psychological, social, and medical. The
psychological impact of excessive consumption of pornography can be in the form of irritability,
difficulty concentrating, stress, guilt, frustration, feelings of depression, difficulty sleeping, and
psychosomatic symptoms. While the social impact that occurs in pornography addicts is difficulty
establishing interpersonal relationships with other people, tend to withdraw, prefer to remain silent,
and feel distant from society. As for the medical impact that occurs, based on the results of brain wave
recording through electroencephalography (EEG) examination, there is a dominance of delta waves in
the prefrontal cortex, which causes a decrease in cognitive function of adolescent porn addicts. This
causes adolescents to lose the ability to determine what is right and wrong or refrain from doing wrong.
Based on the results of this study, health promotion efforts need to be carried out, one of which is
education about the impact of pornography addiction in improving the health status of adolescents.
Keywords: Adolescents, exposure to pornography, the impact of pornography
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INTRODUCTION
Increasingly sophisticated digital developments make it easier for everyone to use devices for
everyday activities via the Internet. Access to pornography is one of the harmful consequences of
technology advancements for teens, who are the most frequent Internet and social media users. The
increase in pornographic consumption patterns in each generation begins with teenagers' convenient
access and reliance on the mass media as a platform to create intimacy with other individuals and expose
them to pornographic content (1). Numerous issues affect teenagers, and loneliness is one of them.
Loneliness is the main factor in why adolescent engages in online sexual behavior (2). Teenagers can
easily access pornography on the Internet via personal cellphones, which were initially used as learning
media. Still, in the process, they might have accidentally revealed pornographic content through
advertisements that present pornographic spectacles to order to lead teenagers who are curious to see
and acces pornographic websites. Addiction and other negative consequences will result from
adolescents' continuous exposure to pornographic content (3)(4)(5).
Based on national representative and large-scale adolescent studies conducted in the US,
Canada, and Europe, 63 to 68% of teens have been pornographic users for their lifetime, and 23 to 42%
this past year (6); (7); (8). Pornography sites (pornhub) describe an increase in pornography access by
11.6% in March 2020. The rate of growth starts in February 2020. It also explains that increased
pornography accessibility increases by 4-24% in 27 countries. With a pornhub program aimed at
premium access because of demands of lockdown and home quarantine, there is an increase in intensity
to 57% in Italy, 38% in France, and 61% in Spain. On March 17, 2020, pornhub also noted a change in
the pattern of pornography consumption in Europe, where the largest accessibility time occurred at 3
a.m. (31.5%) and 1 p.m. (26.4%).
In a survey conducted by the Indonesian Internet service provider association called Asosiasi
Penyedia Jasa Internet Indonesia (APJII), from 2019 to the second quarter of 2020 in Indonesia, users
reached 19.1 million, or 77.7% of Indonesia's total population. Where 5.5% comes from the early 10-14
- and 9.6% from the late 15-19 years olds (9). Nowadays, teens are the largest populations that
pornography targets. Some surveys show that teens often view pornographic media as online media (10).
Pornography brings far greater adverse impacts both psychologically and socially on
individuals. Media development makes not a few parties feel that pornography is a threat to the younger
generation (11). Repeated and uncontrolled pornography users cause distress and functional disorders
(6) (12).
Pornography is material that explicitly describes sexual activities to appeal to sexual arousal and
is widely available and consumed regularly in contemporary societies (13). Since the consequence of
pornography is the awakening of sexual impulses, everything linked to it aims to stimulate the audience's
or consumers' interest in sexual activity. When someone consistently consumes pornographic material,
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they are more vulnerable to experiencing urges and sexual behavior. What must be considered in this
situation is how adolescents are affected by pornography addiction (1).
According to the World Health Organization (WHO), youth is divided into three-namely, early
(10-14 years), middle (15-17 years), and late (18-19 years). Adolescence is a phase of the development
process involving hormonal, physical, and communication changes (14). Teenagers are naturally
curious, enjoy adventure and challenges, and are willing to take chances (15). Along with physical
development, there is increased interest in things related to sexual fulfillment. According to several
studies, adolescents consume pornography for at least 75% of their experience(16). According to the
great American student survey, 51% of men and 32% of women admitted to viewing pornography for
the first time before they were 13 years old (17). Surveys of the Indonesian child protection commission,
known as Komisi Perlindungan Anak Indonesia (KPAI), in 2019 found that 65,34% of 10-19 years old
had access to pornographic sites on the Internet.
The impact of exposure to pornography in adolescents is four stages: addiction, escalation,
desensitization, and act-out. Previous research said their study on 395 junior high school Pontianak
teenagers showed that 83.3% were exposed to pornography, and 79.5% had exposure effects. An earlier
study on 395 young people at SMPN Pontianak revealed that 83.3% were exposed to exposure and that
79.5% experienced its effects. Of those feeling the consequences of exposure, 19.8% were at the stage
of addiction. Among the responders who reported being addicted, 69.2% were in the escalation stage,
and 61.1% were in the desensitization stage. 31.8% of teenagers in the desensitization stage went through
the act-out stage (18).
Peer influence was the essential element that influenced the impact of pornographic media
exposure (38). Gender, frequency of exposure, availability or reachability to media sources, and
knowledge are all associated factors (19).
Euphoria, anxiety, withdrawal, sadness, and irritability are the psychological effects of a
pornography addiction (20). Teenagers repeatedly exposed to pornography may change their
personalities and attitudes due to damage to the frontal brain area, namely the prefrontal cortex.
Furthermore, adolescents who use pornography get socially harmful because they are more likely to
isolate themselves, avoid hanging out with friends, and feel awkward around them. (4).
Premarital sex behavior among teenagers is more caused by the habit of watching pornographic
videos (21). A study (22) revealed that 67.3% of respondents expressed increased anxiety levels. It was
also stated that 58% of their respondents often felt depressed as well as had a low level of self-esteem
and guilt among respondents. Recent longitudinal studies in male adolescents (ages between 14 and 18)
show that higher levels of depression and anxiety in adolescents are linked to higher levels of
Problematic Pornography Use (PPU) (23).
According to description, researchers are interested in discussing the effects of online
pornography on adolescents using a scoping review research method. The benefit of scoping reviews is
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to provide information from recent and relevant research results on the effects of problems caused by
pornographic addiction in adolescents; research using scoping reviews, especially on the effects of
pornographic addiction in adolescents, is still very rare. This research is expected to be useful for the
future development of science.
METHOD
We performed a systematic search on four electronic databases – 1) Google Scholar, 2)
Pubmed, 3) Scopus, and 4) Science Direct – to identify potentially relevant analyses. In database 1 for
international articles using keywords "pornography impact" AND "adolescent" and "pornography
addiction impact" AND "adolescent". For the search for national articles “dampak pornografi”,” dampak
pornografi” DAN “remaja” OR “siswa”, “efek pornografi” DAN “remaja” OR “siswa”. Database 2 and
3 searches by keyword "Pornography impact" AND "adolescent" OR "Student", "Pornography impact
addiction" AND "adolescent" OR "Student", "Pornography effect" AND "adolescent" OR "student",
and database 4 is done using keywords "pornography Impact" AND "adolescent" NOT "adult",
"Pornography addiction impact" AND "adolescent" NOT "adult" dan "pornography effect" AND
adolescent" NOT "adult". Searches on databases 1 through 4 were conducted using the initial publication
date filter "2017-2021"—furthermore, follow-up searches by filtering keywords that will only appear in
article titles. A journal article search scheme used flowchart diagrams using the guidelines of Scoping
review is performed using the guidelines of Preferred Reporting Items for Systematic Reviews and
Metrics. A-Analyses Extension for Scoping Reviews (PRISMA-ScR) allows the journal to be reviewed.
The author ran an independent search of electronic databases for 31 days, from May 23, 2022,
to June 22, 2022. Initially, the author searches each database using keywords. The author then explores
research titles and reads abstracts based on the search results obtained from keyword writing—research
titles and abstracts that fit the inclusion criteria, followed by reading the full article.
In addition, the author re-filters snowballing the references obtained from the complete article
that meet the inclusion criteria for exploration, starting from reading the article's research title, abstract,
and complete content as described in the above steps.
The full article on the effects of pornographic addiction on adolescents who meet the inclusion
criteria is then collected in the form of a table, and data extraction includes the author's name and
publication year, research title, research location, research purpose, research type, and research method
or design, and research results. Table creation is done to determine which variables to extract and
independently map the data of each eligible article, and then the results are analyzed, and conclusions
are drawn.
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Database:
Google Scholar, Pubmed, Scopus dan Science Direct
Keyword:
“pornography impact” OR “pornography addiction impact” OR
“Pornography effect” AND “adolescent” OR “Student” NOT adult,
”dampak pornografi” OR “efek pornografi” DAN “remaja” OR
“siswa”
Inclusion Criteria:
Qualitative and Quantitative, Indonesian and English, adolescent,
publication year 2017 – 2021
Records identified through

Identifikation database searching
(n=3.124)
Records after duplicates

removed
Total Records excluded

Screening Records screened (n= 2.880) (n= 2.611)
Eligibility Full-text articles assessed for Full-text articles excluded,

eligibility (n= 169) with reasons (n= 155)
Include Studies included in synthesis

(n= 14)
Figure 1. Study Selection with Prisma- ScR Diagram
RESULTS AND DISCUSSION

The initial search resulted in 3,124 articles. After removing duplicate articles (n=244), 2,880
studies were identified from electronic database searches and reviews of article references for text
screening based on article titles and abstracts. After that, 2,611 articles were issued because they did not
meet the inclusion criteria, and 169 were read in full text. After assessment based on inclusion criteria,
155 articles were issued for various reasons, resulting in 14 articles for qualitative analysis and synthesis.
One article was categorized into social effect types, one into psychological impact types, and
three into medical impact types from the 14 publications subjected to analysis and synthesis. The two
articles are grouped into types of psychological impact and social impact. One article is grouped in types
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of psychological impact, social impact, and medical impact. Study Results were grouped into
pornographic sister impact tables, as shown in table 1.
Table 1. Scoping Review Results
Author's Name
and Publication Research Title Research Purpose of Research Research Results
Year Site Research Types
(Razzaq et al., Mental Health Of Pakistan To explore the Qualitative There are three main
2019) University Male psychosocial categories of
Students Viewing issues in cases of psychosocial problems
Internet internet related to looking at
Pornography: A pornography. internet pornography,
Qualitative Study psychological problems,
social problems, and
mental illness.
(Chavan et al., Pornography: An India To study the Quantitative More than 3/4 of
2021) Alarming psychosocial respondents suffered
Psychosocial effect of from the following
Effects Among pornography psychosocial effects of
Post-Graduate among post- pornography: Feeling
Students graduate students away from society,
in Kolhapur city Masturbation, Feeling
and check the guilty, Mental stress,
effectiveness of increased aggressive
the pornography behavior, and Starting at
preventive model women/women as 'Sex
on PG students objects.'
(Setyawati et al., The Psychological Indonesia To reveal the Qualitative Changes in cognition and
2020) Impacts Of impacts by affections to sexual
Internet adolescents who stimuli occur due to
Pornography experienced pornography. The effects
Addiction On internet addiction of cognition are shown in
Adolescents to pornographic their obsessive-
content compulsive thinking on
sexual content. The
impact of affections can
be seen in that they may
find it challenging to
establish interpersonal
relationships with others
and tend to withdraw
from the social
environment.
(Darvish Molla et The Role Of Iran To examine Quantitative The use of pornography
al., 2018) Difficulties In the role of deals with difficulties in
Emotion difficulties in emotion setting and mind
Regulation And emotion control strategies.
Thought Control regulation and
Strategies On thought control
Pornography Use strategies on
pornography use
(Amilah et al., Qeeg-Based Brain Indonesia To strengthen Qualitative Prefrontal cortex delta
2021) Mapping Of scientific data on wave dominance can
Internet internet occur in pornographic
Pornography pornography teens. Wave domination
Addicted addiction. This is a characteristic of
Adolescents study described QEEGs to determine the
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Author's Name
qualitative EEG current state of the brain.
data on the Additionally, there is
brains of teens evidence of a decrease in
addicted to the brain function of
internet pornographic addicts,
pornography. namely delta wave
dominance. Decreasing
cognitive function results
in adolescents losing the
ability to determine right
and wrong or refraining
from wrongdoing.
(Mattebo et al., Pornography Sweden To identify Quantitative Consuming excessive
2018) Consumption and predictors for pornography in
Psychosomatic continued prediction can cause
And Depressive pornography psychosomatic symptoms
Symptoms consumption and and depressive and
Among Swedish to investigate mental health problems.
Adolescents: A pornography
Longitudinal consumption
Study concerning
psychosomatic
and depressive
symptoms among
a group of
adolescents in
Sweden.
(Razzaq et al., Personality Traits Pakistan To investigate Quantitative Psychological problems,
2018) And Mental any effect of social problems, and
Health Of personality traits mental illness are the
University Male on the mental three significant kinds of
Students Viewing health of male psychosocial issues
Internet university resulting from accessing
Pornography students viewing online pornography.
internet
pornography.
(Camilleri et al. Compulsive Malaysia To explore the Quantitative A significant relationship
2021 Internet potential between mental health
Pornography Use relationship and pornographic use,
and Mental between students, reported severe
Health: A Cross- compulsive use of or severe levels of
Sectional Study in pornography and depression, anxiety, and
a Sample of mental health in stress, respectively, with
University university compulsive use of
Students in the students. pornography significantly
United States affecting all three mental
health parameters in
males and females
(Fonceca et al., Impact of India To find out the Descriptive 67.3% of respondents
2019) Pornography on impact of research expressed increased
Rural Youth in pornographic anxiety levels. It also
Tamil Nadu - exposure on rural stated that 58% of their
India adolescent respondents often felt
depressed, and feelings
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Author's Name
of guilt among
respondents
(Cuesta et al., The Spanish To analyze the Quantitative Watching pornographic
2020) Neurosciences of role of the clips (vs. control clips)
Health dorsolateral gives rise to activation of
Communication: prefrontal cortex Brodmann area 45 in the
An fNIRS during right hemisphere (B.A.
Analysis of pornography cue 45, pars triangularis)
Prefrontal Cortex exposure (p<0.01). Impact arose
and Porn in young women. between self-reported
Consumption in consumption rates and
Young Women activation of B.A. 45
for the right: reported
Development of consumption rates are
Prevention Health getting higher, the greater
Programs activation (p<0.01). In
contrast, participants who
do not consume
pornography do not show
proper B.A. 45 activity
compared to a control
clip (p<0.01) that shows
qualitative differences
between non-consumers
and consumers.
(Mariyati et al., Studi Kasus: Indonesia To find out the Qualitative According to the study's
2018) Dampak impact of findings, cognitive,
Tayangan pornography on psychological, and social
Pornografi the psychosocial changes occur in
Terhadap changes of pornography addicts, in
Perubahan adolescents in addition to psychosocial
Psikososial Ciparigi Village, changes. Cognitive
Remaja North Bogor changes such as reduced
District concentration,
unfocusedness, laziness
in studying, and lower
productivity occur.
Adolescents addicted to
porn are also prone to
mental instability,
tension, embarrassment,
anxiety, and depression.
Adolescent social
changes tend to be quiet,
introverted, and
destructive to
relationships with their
social environment.
(Tauhid et al., The Impact of Indonesia To find out the Qualitative The effects of
2018) Pornography impact of pornography have made
Addiction On pornographic students ' minds full of
Interpersonal addiction on sex. Sex thoughts will
Communication interpersonal rule their subconscious. It
Capability (A communication of will leave people
Case Study In FAI students at
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Author's Name
Students of Ibn Khaldun mentally disturbed and
Islamic Education University, Bogor challenged to try.
Faculty Ibn
Khaldun Bogor
University)
(Imawati et al. Studi Kasus Indonesia To find out the Qualitative Adolescents who are
2018) Kecanduan effects of pornographic addicts
Pornografi Pada pornography encounter cognitive
Remaja addiction on obstacles. Continually
teenagers relevant pornographic
material might affect
one's cognition or
thought abilities
involving information
literacy, storage,
processing, and search.
(Earness “Pornografi Pada Indonesia To understand Qualitative The impact of not
Tampubolon et al. Remaja Putri” how the subject's consuming
2021) Studi psychological pornographic impressions
Fenomenologis experience in of adolescents claims to
Deskriptif watching be tense, irritated,
Tentang pornography instantaneously likely to
Pengalaman shows, the stages be furious, slobbish,
Psikologis passed, and the panicked, and unable to
Remaja Putri decision-making sleep.
yang terpapar process entered
tayangan the world of
Pornografi pornography.
The research aims to explore the impact of pornographic addiction on adolescents. The study
used the scoping method of review. The study dealt with anything of the effects of pornographic
addiction on adolescents. The results of the libraries review conducted on 4 national journals and 10
international journals show the impact of pornographic addiction on adolescents, including psychic,
social impact and medical impacts, as follows:
1. The psychological impact

The effects of mental health on adolescents who consume pornography research by (30) indicate
that there are problems related to Internet pornography viewing content, namely psychological
problems, and mental illness. Psychological problems involve problems of concentration or focus. They
suffer from frustration, guilt, and irritation after watching pornography. In line with research by (27),
the use of pornography is related to difficulties in emotional regulation and mind control strategies.
The research by (25) suffers from the following psychological consequences of pornography:
feeling guilty and mental stress. According to other studies, they discovered a connection between
mental health and pornographic use; students reported having moderate to severe levels of stress,
anxiety, and depression, with compulsive pornographic use significantly affecting all three mental
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health parameters in both males and females (31). Furthermore, the research found that excessive
consumption of pornography is predicted to cause psychosomatic symptoms, depression symptoms, and
mental health problems (29).
The development of mental health issues in students who see online pornography is strongly
influenced by personality. Recent studies have shown that students who consume pornography with a
neurotic personality are more likely to have mental health problems. Individuals' psychological and
mental health issues are harmed by pornography (22) (30) (31).
A person's mental health is impacted by a pornography addiction, which causes students to have
sex-filled thoughts. Sexual ideas will rule their subconscious. Individuals will then be mentally upset
and challenged to attempt as a consequence. Adolescents with a pornographic addiction who undergo
emotional stress, anxiety, and unhappiness describe the psychological changes brought on by watching
pornographic.(34) (33) (36)
2. Social Impact
Addiction is one of the most severe public health issues in the modern world. Addictions cause
many fatalities and medical and psychiatric ailments, and behavioral, personality, affectivity, and social
integration issues. Research conducted found that young pornographic addicts are more likely to remain
silent, withdraw and deteriorate relationships with their social environment (26) (33)
Furthermore, there is a social impact, which is to the research by (24) that individuals socially
have inter and intra-personal problems that do not want to interact with the environment. The social
impact of watching pornography is to feel distant from society (25).
3. Medical Impact
According to research (28), there is delta wave dominance in the prefrontal cortex of
pornographic addicts. Wave domination is characterized by QEEG's current state of the brain. In
addition, there is evidence of a decrease in the brain function of pornographic teenagers, namely delta
wave dominance. The decreasing cognitive function causes adolescents to lose the ability to determine
which is right and wrong or refrain from doing wrong.
Prefrontal brain activity was captured when watching 20-second pornographic movies utilizing
young female college students with varying levels of pornography usage. Compared to individuals who
weren't watching porn, there was a more significant response from the prefrontal cortex when watching
porn. Based on the study, results from the activation of the pornography clip (vs. clip control) caused
the Brodmann 45 area activation of the right hemisphere (B.A. 45, pars triangularis) (p < 0.01). Another
effect also occurs between the level of consumption reported by participants and activation of the
hemisphere ba 45, which is the higher the consumption level, the greater the activation (p < 0.01). On
the other hand, participants who never consumed pornographic material showed no activity in the right
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ba 45 compared with the control clip (p < 0.01), which indicated qualitative differences between non-
consumer and consumers (32).
Previous research has linked cognitive alterations to reduced concentration, lack of focus,
laziness in studying, and worse performance. This suggests that continual exposure to pornographic
information can influence the process of thinking, remembering, and recalling data stored in the brain.
This cognitive process will be hampered and give output in the form of slow thinking, processing
information, and difficulty concentrating. The brain of pornography addicts experiences
hyperstimulation of the hormones dopamine and endorphins, so they experience shrinkage and damage
to the prefrontal cortex, which functions as a decision-making center in the brain. This causes
pornography addicts to find it difficult to distinguish right and wrong actions in their lives (33) (35).
Several articles had comparable results based on the results of the study of 7 articles containing
the psychological impact, including 4 articles addressing the influence of adolescents being irritable,
stress, and 3 articles discussing the impact of problems focusing, feeling guilty, sadness, including
frustration, feeling depressed, and psychosomatic symptoms. There are articles about the effects of
frustrating adolescents, feeling depressed and psychosomatic symptoms.
Articles have comparable social impact outcomes: withdrawal from the social environment,
trouble relating with people, and feeling disconnected from society. Furthermore, there are some
similarities in the medical impact of the four examined publications, such as impaired cognitive
function. In addition, a paper addresses the difference in cognitive activation between teenage women
who consume pornography and those who do not, with prefrontal brain activity observed using fNIRS.
Apart from the fact that pornography is prohibited by religion, Indonesian culture also considers
pornography a bad thing. Apart from a religious and cultural perspective, psychologically, pornography
is a bad thing for mental health. Continued consumption of pornography will undergo many changes in
the perception of sex, resulting in a wide range of mental disorders (37). Excessive consumption of
pornography can cause psychological effects on a teenager: irritability, difficulty concentrating, stress,
guilt, depression, mental health, frustration, depression, and psychosomatic depression.
The social impact of article analysis is that it is challenging to establish interpersonal
relationships with others, tend to withdraw, prefer to remain silent, withdraw, and feel distant from
society. Teen-viewed pornography is an untimely sexual sensation, resulting in brain damage
characterized by difficulty in concentration, lack of focus, lazy learning, lack of passion, loss of interest,
and hobbies to shock and disorientation (33). The medical effects of pornographic addiction on
cognitive function include decreased concentration, lack of focus, lazy learning, and reduced
productivity. After prefrontal cortex activity, they were recorded using fNIRS resulted in a difference
in cognitive activation between teenage women who consumed the productivity. It's pornography, and
it doesn't consume.
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An adolescent with a pornographic addiction can replace his days with beneficial activities such
as sports, training, reading, and socializing. A pornographic addict can enroll in a religiously based
educational institution to utilize the socialization of values and norms as the foundation for their
activities. They probably won't want to return to watching porn since they know the risks and
repercussions (37).
CONCLUSIONS AND SUGGESTIONS

The 14 articles that were analyzed suggested that the findings further showed that there are
three impacts of pornographic addiction: psychological effects, social effects, and medical impact. That
assumption is based on a review of the articles mentioned above. The psychological impacts of
pornography addictions can lead an adolescent to become agitated, have trouble focusing, be stressed,
guilty, mentally ill, frustrated, depressed, and experience psychosomatic symptoms. Second, the social
impact on pornographic addicts is that they are challenging interpersonal relationships with others,
prone to withdrawal, and more willing to stand still, withdraw and feel distant from society. Third, the
medical impact of taking pornography is that there is delta wave dominance in the prefrontal cortex of
pornographic addicts. In addition, there is evidence of a decrease in the brain function of pornographic
teenagers, namely delta wave dominance. The decreasing cognitive function causes adolescents to lose
the ability to determine which is right and wrong or refrain from doing wrong. And after examining
their prefrontal cortex activity, they were recorded using the fNIRS neuroimaging technique, resulting
in cognitive activation differences between teenage women who were taking pornography and those
who were not consuming it.
Early health education about pornography must be a part of the effort to prevent adolescent
attempts to become pornographic media consumers. Furthermore, both parents must accompany the
youth during this transition period in their growth and development.
According to the above exposure, researchers assume pornography is an addictive behavior that
can cause problems facing adolescents psychological, social, and medical problems. Avoiding such
behavior should prevent using effective strategies. To avoid pornography can be to preoccupy yourself
with good things like learning about religion, exercising, helping parents, remembering God, and
filtering or avoiding anything that creates a sublime, such as keeping eyes on and blocking media and
websites specific to pornography-related content. Several strategies to prevent pornographic
consumption, such as education and self-control. Prevention of pornography is indispensable to help as
an effort to lower the consumption rate of pornography in adolescents.
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ACKNOWLEDGMET
The author expresses his appreciation for the research and community service institution, the
Muhammadiyah University of East Kalimantan, for the Student and Lecturer Collaborative Research
program, funding, and publishing of the student manuscript.
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Volume II, Number I, 2022 E-ISSN: 2808-5361 Proceeding The Second

October 2022 http://e-journal.fkmumj.ac.id/ Muhammadiyah Internasional-

A SCOPING REVIEW: THE IMPACT OF PORNOGRAPHY ADDICTION

Kata kunci: Remaja, paparan pornografi, dampak pornografi

Keywords: Adolescents, exposure to pornography, the impact of pornography

Records identified through

Records after duplicates

Total Records excluded

Eligibility Full-text articles assessed for Full-text articles excluded,

Include Studies included in synthesis

Figure 1. Study Selection with Prisma- ScR Diagram

RESULTS AND DISCUSSION

1. The psychological impact

CONCLUSIONS AND SUGGESTIONS

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