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Other research has shown, however, that most spouses feel as betrayed, angry and hurt by online infidelity as they would if skin-to-skin adultery had taken place, she said.
Phone sex is a conversation between two or more people on the phone where one or more of the individuals is describing the act of sex.
Due to the potential for emotional intimacy between those who have engaged in phone sex, it is a matter of some debate whether phone sex is to be considered infidelity when involving a person outside of a committed personal relationship.
Nevertheless, phone sex should not be confused with prostitution wherein money is exchanged for real life sexual services or physical interaction.
"We are hearing from therapists around the country reporting online sexual activity to be a major cause of marital problems," Cooper said.
"We need to better understand the contributing factors if we are going to be able to warn people about the slippery slope that starts with online flirting and too often ends in divorce." With the exception of two of the study's participants, all hid their online activities from their spouses, often "chatting" after their husbands or wives had gone to sleep, Mileham said.