Background: Technology is important to many romantic relationships, especially long-distance relationships (LDR), insofar as technology can minimize the impact of the lack of proximity that is... Show moreBackground: Technology is important to many romantic relationships, especially long-distance relationships (LDR), insofar as technology can minimize the impact of the lack of proximity that is characteristic to LDR. Cybersex, a specific use of technology within romantic relationships, is associated with increased relationship satisfaction among partners in proximal relationships. Cybersex also relates to health broadly, and to anxiety and depression specifically, with mixed associations. Despite LDR lending themselves to cybersex, associations between cybersex, relationship satisfaction, and health have not been studied in LDR. This study has three aims: (1) to provide the first descriptive data related to cybersex behavior, relationship satisfaction and health in LDR; (2) to examine associations between cybersex behaviors and relationship satisfaction, and cybersex and health in LDR; and, (3) to test whether biological sex moderates cybersex-relationship satisfaction and cybersex-health associations among those in LDR. We predicted that cybersex behaviors would relate positively to relationship satisfaction for both males and females, although we predicted males would report stronger associations than females. We predicted cybersex behaviors would relate positively to health for both males and females, although we predicted females would report weaker associations than males. Methods: Participants (N = 146; 18 years or older; English speaking; in LDR for 3+ months) completed a paid online survey on relational experiences and health/well-being. Cybersex behaviors were assessed through an internally created “sex and cybersex behaviors” scale. Relationship satisfaction was assessed via the Couples Satisfaction Index (CSI). Both broad health, and anxiety and depression, were assessed with the PROMIS-29. Correlations were assessed between key study variables. Regression analyses were used first to test associations between cybersex and relationship satisfaction, then cybersex and health, and finally, the moderation effect of biological sex in these associations. Results: The average member of our sample was White, college aged, had no children, a full-time undergraduate student and low SES. Correlation analyses show significant correlations between core study variables (relationship satisfaction, global health, cybersex behavior, depression & anxiety) at some level. Sex-level analyses show that when compared to males, females reported significantly higher average anxiety scores, and more texting sex behavior. Linear regressions established cybersex behavior as a negative predictor of global health and a positive predictor of depression and anxiety, but not relationship satisfaction. Moderation analyses indicated that biological sex moderated the cybersex behavior-global health association such that more cybersex behavior negatively predicted global health for males but not females. Discussion: These differences among sexes and health in LDR observed within our findings may be explained by the social role theory, in which females have worse health than males however, males having worse overall physical health than females may be due to a lack of copresence from their partner. In addition, females engaging in higher levels of texting cybersex may be related to sociocultural factors. Conclusion: Overall, our study contributes to the understanding of cybersex behavior, relationship satisfaction and health outcomes by among males and females in LDR. Our findings suggest that this sample of LDR females engage in more texting cybersex, have higher anxiety symptom severity, and have equal levels of relationship satisfaction. Show less
