Sexual anxiety and eroticism predict the development of sexual problems in youth with a history of sexual abuse.
Simon Valerie A,Feiring Candice
Child maltreatment
Youth with confirmed histories of sexual abuse (N = 118) were followed longitudinally to examine associations between their initial sexual reactions to abuse and subsequent sexual functioning. Participants were interviewed at abuse discovery (ages 8 through 15) and again 1 and 6 years later. Eroticism and sexual anxiety emerged as distinct indices of abuse-specific sexual reactions and predicted subsequent sexual functioning. Eroticism was associated with indicators of heightened sexuality, including more sexual risk behavior and views of sexual intimacy focused on partners' needs. Sexual anxiety was associated with indicators of diminished sexuality, including few sexual partners and avoidant views of sexual intimacy. Age at abuse discovery moderated some associations, suggesting that the timing of abuse-specific reactions affects trajectories of sexual development. Findings point to the need for a developmental approach to understanding how abuse-specific sexual reactions disrupt sexual development and the need for early interventions promoting healthy sexual development.
10.1177/1077559508315602
Effects of mother-offspring and father-offspring dynamics on emerging adults' adjustment: The mediating role of emotion regulation.
PloS one
The present study tested a theoretical model of emotion regulation between parent-offspring dynamics and emerging adults' adjustment. The mediating role of emotion regulation strategies, including cognitive reappraisal and expressive suppression, were investigated for the effects of mother-offspring and father-offspring dynamics on emerging adults' adjustment. A sample of 352 Chinese emerging adults in Hong Kong (230 female, 121 male) participated in this study. Participants were asked to complete a set of self-reported questionnaires. Findings based on structural equation modeling indicated that greater mother-offspring intimacy and father-offspring intimacy predicted emerging adults' better cognitive reappraisal and psychological, social, and general health. Greater mother-offspring conflict also predicted more expressive suppression and poorer psychological and social functioning. Distinctive mediation pathways as a function of parents' gender were identified. These findings enrich the literature for parent-offspring dynamics and emotion regulation as explanatory processes of emerging adults' adjustment.
10.1371/journal.pone.0212331
A concept analysis of adolescent friendship.
Roach Ashley
Nursing forum
AIM:The purpose of this study is to provide a definition of adolescent friendship to aid in nursing research and practice. BACKGROUND:Friendships are an essential part of adolescence and can have significant impacts on health outcomes. Adolescent friendships are associated with decreased depression, suicidal ideation, anxiety, and improved self-management of chronic conditions. However, the concept of friendship has not been well defined in the nursing literature, especially in the context of adolescents. DESIGN:Walker and Avant's method of concept analysis was used as a framework for this analysis. DATA SOURCES:Seventeen articles were reviewed, representing a variety of disciplines including child development, psychology, sociology, behavioral sciences, medicine, education, public health, and nutrition. Additional sources included online definitions of friendship. REVIEW METHODS:After reviewing the sources, the author identified attributes, antecedents, and consequences. Model case, a borderline case, and contrary case were developed and empirical referents identified. RESULTS:The analysis resulted in a clear definition of adolescent friendship, containing the attributes of support, intimacy, affection, trust, ability to manage conflict, and time. CONCLUSIONS:Understanding the attributes, antecedents, and consequences of adolescent friendships will help nurses in assessing and supporting these influential relationships during this important development period.
10.1111/nuf.12332
The development of intimate relationships in adolescent girls and women with traumatic brain injury: a framework to guide gender specific rehabilitation and enhance positive social outcomes.
Wiseman-Hakes Catherine,Saleem Madiha,Poulin Valérie,Nalder Emily,Balachandran Peraveena,Gan Caron,Colantonio Angela
Disability and rehabilitation
Traumatic brain injury is a neurological disorder of biopsychosocial nature influenced by sex and gender interactions across the lifespan. Traumatic brain injury sustained during adolescence can result in cognitive and social communication impairments that compromise the development and maintenance of intimate social relationships. This can increase both short and long-term vulnerability to poor mental health, social isolation, lack of meaningful friendships, exploitation, and abuse. Females with traumatic brain injury experience greater loss of confidence and have increased risk of victimization, sexual abuse, and violence. This paper aims to provide a framework to inform gender specific rehabilitation of social communication and intimacy, to enhance positive social outcomes for girls and women with Traumatic Brain Injury. The framework is developed through presentation of a conceptual, multi-dimensional model of intimacy and discussion of current evidence regarding trauma-related cognitive/social-communication impairments and considerations regarding social media. Intimacy is strongly influenced by today's technology-informed "youth culture" and for those with Traumatic Brain Injury, is impacted by cognitive and social communication impairments. Females experience different challenges in recovery and experience of intimacy. There is a need to support girls and women with Traumatic Brain Injury as they develop intimate relationships. This framework can guide the development of female gender-specific rehabilitation and inform future research to promote positive social outcomes.Implications for rehabilitationIntimate relationships are a critical component of mental health and an important part of human development; however, the challenges faced by adolescent girls and woman with TBI in developing and maintaining intimate relationships are often overlooked in traditional rehabilitation programs.A multi-dimensional model of intimacy will help rehabilitation professionals understand the complexities of interventions needed to support healthy intimacy, as well as for harm prevention.Rehabilitation professionals play an important role in advocating for gender-specific supports and interventions.There is a need for early interventions, grounded in today's technological and social media culture, that will support healthy intimacy for adolescent girls and women with TBI.
10.1080/09638288.2019.1597180
Exploring Communication About Intimacy and Sexuality: What Are the Preferences of Adolescents and Young Adults with Cancer and Their Health Care Professionals?
Albers Leonore F,Haj Mohammad Soemeya F,Husson Olga,Putter Hein,Pelger Rob C M,Elzevier Henk W,Manten-Horst Eveliene
Journal of adolescent and young adult oncology
Negative impact of cancer on sexuality is widely known. In adolescents and young adults with cancer (AYA; 15-39 years), treatment can even have a bigger impact as it may interfere with sexual development. AYAs report unmet psychosexual needs, like inadequate support from health care professionals (HCPs). The aim of this study was to determine preferences of AYAs regarding communication about intimacy and sexuality and examine discrepancies between AYA and HCP. A cross-sectional survey was conducted among AYAs and HCPs in the Netherlands. Communication about sexuality was considered important by >90% of AYAs and HCPs. Of the AYAs, 41% did receive information from a HCP, 21% of them was satisfied with it. HCPs held physicians and nurse practitioners responsible to discuss sexuality; AYAs preferred nurse practitioners and sexologists. Main barriers to initiate a discussion on sexuality are "feeling of shame" for AYAs and "presence of a third party" for HCPs. Most AYAs would like to receive information about sexuality through a website (66%) or conversation with a HCP (64%) before start of treatment (64%). HCPs would be helped by written material (75%) and additional training (71%) to give to AYAs. AYAs do report unmet needs regarding adequate communication about sexuality-related issues. Discrepancy between patients and HCPs illustrates the importance of patient participation. Future research needs to focus on interventions to improve sexuality-related information provision and implementation of these interventions.
10.1089/jayao.2019.0065
Adolescent Personality Pathology and the Alternative Model for Personality Disorders: Self Development as Nexus.
Sharp Carla
Psychopathology
This paper reviews maladaptive trait development (DSM-5 Section III Criterion B), the development of DSM-5 Section II borderline personality disorder, and research on the development of identity, self-direction, empathy/mentalizing, and intimacy (DSM-5 Section III Criterion A). Combined, these previously disparate literatures begin to point to an integrated developmental theory of personality pathology, which suggests that Criterion A concepts (identity, self-direction, empathy, and intimacy) coalesce around the development of self, marking a discontinuous (qualitative) developmental shift. This developmental shift is a function of the demands placed on individuals to take on independent adult role function, combined with biologically-based maturational cognitive and emotional advances during adolescence. Section II personality disorder ensues when an integrated and coherent sense of self fails to develop, resulting in nonfulfilment of adult role function. In this sense, Criterion A self function can account for the onset of Section II personality disorder in adolescence, while Criterion B provides a useful descriptive account of continuous aspects of personality function over time.
10.1159/000507588
Co-Rumination Moderates the Relation between Emotional Competencies and Depressive Symptoms in Adolescents: a Longitudinal Examination.
Miller Molly E,Borowski Sarah,Zeman Janice L
Journal of abnormal child psychology
Research suggests co-rumination during adolescence has developmental tradeoffs that result in elevated self-disclosure and intimacy between friends but also can be associated with increases in depression (Rose et al. 2007; Rose 2002). The current study further examined this paradox by assessing the role of emotional competencies in co-rumination as they predict depressive symptoms over a 2-year period. We tested whether co-rumination moderated the relation between emotional awareness and emotion regulation and depressive symptoms in reciprocated best friend dyads. At Time 1, 202 adolescents (101 same-sex best friend dyads; M = 12.68, 52.5% girls, 76.6% White, middle-class) reported on their emotional competencies (i.e., emotional awareness and perceptions of their friend's anger and sadness regulation), and depressive symptoms as well as engaged in a discussion task where co-rumination was observed. Multilevel modeling (Actor-Partner Interdependence Modeling) was used to account for similarity within friend dyads. The results indicated that when girls engaged in high levels of co-rumination, poor emotional awareness was related to greater depressive symptoms in their friend. Regarding the analyses of emotion regulation, at high levels of co-rumination, Friend A's perceptions of stronger anger regulation by Friend B predicted fewer depressive symptoms in Friend A. Stronger sadness regulation in Friend B at high levels of co-rumination predicted fewer depressive symptoms in Friend B. Our findings highlight the potentially adaptive nature of emotional competencies that may ameliorate the negative sequelae of co-rumination as adolescents are afforded the opportunity to discuss problems, better understand their emotions, skills that are then associated with fewer depressive symptoms over time.
10.1007/s10802-020-00643-6
Path analysis of the effects of social support, self-efficacy, and coping style on psychological stress in children with malignant tumor during treatment.
Medicine
The aim of this study was to explore the relationship between social support, self-efficacy, coping style, and psychological stress in children with malignant tumors during the treatment, and to clarify the mediating effects.From May 2019 to August 2019, selected by convenience sampling method, 141 children with malignant tumors in the treatment period were evaluated using the Social Support Questionnaire, General Self-efficacy Scale, Simplified Coping Style Questionnaire, and Depression-Anxiety-Stress Scale.The results of correlation analysis showed that depression was negatively correlated with coping style, self-efficacy, affirmation and support, satisfaction, company, and intimacy, but positively correlated with conflict and punishment; both anxiety and stress were significantly negatively correlated with coping style, self-efficacy, affirmation and support, company, and intimacy. The results of the model indicated that gender, social support, self-efficacy, and coping style could directly predict the psychological stress of children with malignant tumors in the treatment period, social support and self-efficacy could indirectly predict the psychological stress of children with malignant tumors, and the total effect of self-efficacy on the psychological stress of children was the largest. Through 2000 bootstrap tests of mediating effect, it not only confirmed the mediating effect of self-efficacy and coping style but also had a chain-mediating effect.Appropriate social support can improve the self-efficacy of children with malignant tumors in the treatment period and encourage them to take a positive response to the disease, thereby effectively preventing or reducing the occurrence of psychological stress.
10.1097/MD.0000000000022888
The Dynamics of Intimate Relationships and Contraceptive Use During Early Emerging Adulthood.
Demography
We investigate the immediate social context of contraceptive behaviors: specifically, the intimate relationship. We use the Relationship Dynamics and Social Life (RDSL) study (2008-2012), based on a random sample of 1,003 women ages 18-19 residing in a Michigan county. Women were interviewed weekly for 2.5 years, resulting in an age range of 18-22. We test three sets of hypotheses about change over time within a relationship, using relationship-level within-between models, which compare a couple's contraceptive behaviors across different times in the relationship. First, we find that a couple is less likely to use contraception when the relationship is more intimate and/or committed and that a couple becomes less likely to use contraception over time, regardless of intimacy and commitment. Second, we find that a couple using contraception becomes increasingly likely to choose hormonal over coital methods, but this change occurs as a relationship endures and is unrelated to intimacy and/or commitment. Third, we find that a condom-using couple's consistency does not decline when there is conflict; rather, consistency of condom use declines over time regardless of the relationship's characteristics. We also demonstrate that conflict and power imbalance increase reliance on hormonal methods among those using contraception; conflict decreases consistency among withdrawal (but not condom) users; and nonmonogamy increases reliance on condoms and decreases withdrawal consistency. The strong and consistent link between duration and contraceptive behaviors-regardless of intimacy, commitment, conflict, or power imbalance-suggests that the continual vigilance required for long-term contraceptive use is difficult during early emerging adulthood.
10.1007/s13524-020-00916-1
On How Ploughing a Lonely Furrow Might Affect Youths' Sexual Health.
De Clercq Eva
The Journal of clinical ethics
This article aims to make a case for the need to sensitize the medical community on the importance of providing sexual health information in the care of intersex adolescents and young adults for whom sexuality and intimacy are sensitive subjects-and to go beyond a narrow focus on surgical outcomes. For this purpose, this article gives voice to the lived experience of "Emma," a young adult who identifies as intersex. Setting up strong collaboration between medical teams and intersex support groups might be the best way forward to provide high-quality care to youth born with variations of sex characteristics.
A comparative study of perceived burden in parent caregivers of adolescents with epilepsy in a resource-restricted setting: Investigating the explanatory factors of perceived burden.
Olagunju Andrew T,Bioku Ayodeji A,Ohaeri Jude U,Oluwaniyi Stephen O,Li Angela,Olagunju Tinuke O,Esezobor Christopher I,Onwuameze Obiora E,Chaimowitz Gary A
Epilepsy & behavior : E&B
OBJECTIVE:Parent caregivers often play vital roles in the care of adolescents with epilepsy (AWE) in resource-restricted settings; however, little is known about the burden borne by these parents. This study investigated the burden perceived by parents of AWE and described the explanatory factors. METHODS:An equal number (n = 121) of age- and gender-matched parent caregivers of AWE (cases) and parents of adolescents with sickle cell disease (comparison group) were interviewed with the Parent Illness Intrusiveness Rating Scale to assess disruptions in their relationships and lifestyle. Parents of AWE were assessed for psychological distress with the 12-item General Health Questionnaire, and AWE were interviewed with the Hospital Depression-Anxiety Scale. RESULTS:The majority of the cases and the comparison group were mothers (76%), with mean (SD) ages of 44.11 (SD = 6.92) versus 43.59 (SD = 6.39) years, respectively. The prevalence rate of psychological distress in cases was 38%, and depressive-anxiety symptom was prevalent in 39.7% of AWE. The level of perceived burden was significant in all parent caregivers, albeit higher in cases relative to the comparison group across multiple domains, including relationship/personal development, intimacy, instrumental and global. A high level of burden in parents of AWE was predicted by a poor family financial and material support to the adolescents, increased contact hours with adolescents, psychological distress in the parent caregivers, and anxiety-depressive symptoms in AWE after controlling for cofounders. CONCLUSION:The study findings underscore the need for psychosocial support to bolster resilience and adaptive coping styles in parents of AWE, particularly in resource-restricted settings. A culturally sensitive interdisciplinary blueprint of locally viable actions model for psychosocial support for parent caregivers of AWE is strongly suggested. Future studies are indicated to shed more light on the modifiable risks of perceived burden, and the effectiveness of psychosocial interventions in parents of AWE.
10.1016/j.yebeh.2021.107992
Patterns of love and sexting in teen dating relationships: The moderating role of conflicts.
New directions for child and adolescent development
According to the triangular love theory, this study investigated the roles of three components of love (i.e., passion, intimacy, commitment) and the moderating role of conflicts in predicting different forms of sexting (i.e., experimental, nonconsensual, under pressure) in teen dating relationships. Participants were 409 adolescents (M = 17.20, SD = 1.61; 62.6% girls) who completed an online questionnaire. Three moderated regressions were performed. Conflicts positively predicted all forms of sexting. Passion positively predicted experimental sexting. Intimacy negatively predicted experimental and nonconsensual sexting, and positively predicted sexting under pressure. Three interaction effects emerged, pointing out the moderating role of conflicts. Passion positively predicted nonconsensual sexting in the presence of high conflicts, while this relationship became negative when conflicts were low. Commitment negatively predicted nonconsensual sexting and sexting under pressure in the presence of high conflicts, but these relationships were not significant when conflicts were low. Research and applicative implications are discussed.
10.1002/cad.20427
Love "contract" rules/breaches: the role of digital abuse.
Flach Roberta Matassoli Duran,Deslandes Suely Ferreira
Ciencia & saude coletiva
Digital abuse in intimate relationships is a topic that is still poorly studied in Brazil, and this practice is often naturalized, especially among young people. This article aims to know the meanings attributed by adolescents to the set of rules and agreements, implicit or agreed, that define the contours of a "love contract" and the role of digital abuse in these strategic understandings. Qualitative study conducted with primary oral sources, from four focus groups with adolescents from public and private schools, of both sexes, aged 15 to 18 years, totaling 26 students. The analysis was based on the perspective of the interpretation of meanings, with thematic bias, anchored in Bauman's theory of liquid love and Giddens' category of confluent love. Trust, individuality and intimacy were values considered essential for the existence of an intimate relationship considered "serious". The "exposure of intimacy" and "monitoring" without permission are acts that can lead to the breakdown of this "love contract". The adolescents showed us that we need to treat digital abuse between partners by reflecting on the rules, values and agreements that define the contours of the "love contract" they establish.
10.1590/1413-812320212611.3.34242019
Factors Influencing Aggressive Adolescent Behavior: An Analysis Using the Decision Tree Method.
The Journal of genetic psychology
Aggression among adolescents is a significant public health concern worldwide. To safeguard adolescents' physical and mental health, controlling the incidence of aggressive behavior and its triggers and drivers is necessary. Different risk factors in each environment drive adolescent aggression. These factors are interconnected, making the environment an ecosystem of aggression. This study aims to analyze the factors that influence adolescents' aggressive behavior and provide a basis for formulating measures to reduce such behavior in the future. This multicenter cross-sectional study was conducted in five middle schools in Lingbao City. The participants were junior high school students aged 11-15 years. Data were analyzed from January to March 2020 using the decision tree analysis method. The aggressive behavior scale, adolescent emotion regulation scale, family intimacy and adaptation scale, parental education participation scale, and a simple parenting style questionnaire were used for the investigation. Of the 581 participants, 25.5% demonstrated a tendency for aggressive behavior, while the remaining did not. The decision tree analysis showed that the incidence of adolescent aggression was the highest (54.8%) when the maternal overprotective score was greater than or equal to 17, the adolescent had low emotional control, and the mother's intelligence score was higher than 30. The decision tree model reflects the influencing factors of adolescent aggressive behavior from multiple levels and provides a reference for formulating effective intervention measures to control such behavior and its influencing factors.
10.1080/00221325.2022.2094213
Functional, social and psychosexual adjustment after vaginal reconstruction.
Vates T S,Fleming P,Leleszi J P,Barthold J S,González R,Perlmutter A D
The Journal of urology
PURPOSE:We assessed the long-term functional, social and psychosexual outcome in children who underwent vaginal reconstruction. MATERIALS AND METHODS:We interviewed and assessed the psychological development of 16 women 17 to 28 years old (mean age 22) who underwent vaginal reconstruction only or in combination with other urogenital reconstructive procedures at ages 11 months to 18 years (mean 8.8). Psychological measures included the Beck Depression Inventory, Draw-a-Person test and Linkowski acceptance of disability scale as well as a standard questionnaire evaluating the sexual adjustment, social adjustment and ability for self-support of these women. RESULTS:Mean Beck Depression Inventory was 8.5 with less than 9 defined as minimal depression. Mean acceptance of disability score was 83.9 (range 54 to 94), indicating that patients were well adjusted with respect to the disability. Functionally 10 women were satisfied with the appearance of the vagina, 4 were neutral and 2 were dissatisfied. A total of 12 patients had no doubts about their female identity but 2 had occasional, 1 had significant and 1 had chronic doubts. Of the 16 patients 12 have completed high school, 3 are still in high school and 1 has withdrawn from high school. Of the 12 women who have completed high school 9 are currently in college and 3 have completed college. Socially all 16 participants rated family relationships as good and 13 were at least satisfied with their social life. Of the 16 women 12 have had a sexual encounter, including 1 who did not achieve orgasm. Six women are involved in long-term relationships, of whom 1 is married. In regard to the future all patients believe that they will be independent and financially stable with a fulfilling career. CONCLUSIONS:While women who have undergone vaginal reconstruction may be at risk for avoiding interpersonal relationships and sexual intimacy, we did not note this finding in our series. The majority of these patients were well adjusted to their physical condition, and had a high level of education and a stable family life.
10.1097/00005392-199907000-00065
Offence characteristics of psychotic men who sexually assault women.
Smith A D
Medicine, science, and the law
Very little is known about the nature of serious sex offences against women by psychotic men. This study aimed to examine such offences by carrying out a search of Home Office records for all 80 male restricted hospital order in-patients with schizophrenia, resident in any hospital in England and Wales during May 1997, with an index conviction for a contact sex offence against a woman, committed whilst psychotic. Offences peaked in the afternoon, but were proportionally distributed according to day and month. Most (47/59%) offences occurred indoors, with over half of these in the victim's home. Assailants were strangers in 49 (61%) offences. Offences involving strangers were more likely to occur outdoors and without any preceding social interaction compared to those involving assailants known to their victims. Offenders' speech tended to be impersonal, with little attempt at intimacy. Offence sexual behaviours were: breast/genital fondling 63 (79%), vaginal intercourse 42 (52%), fellatio eight (10%), anal intercourse seven (9%), and cunnilingus six (8%). Excessive violence or bizarre behaviour occurred in a minority of offences. The findings are discussed with reference to the literature on sex offences by men without mental illness. The data do not support anecdotal or popular images that most psychotic sex attackers behave in an exceptionally violent or bizarre manner.
10.1177/002580240004000306
Coping with stress in different phases of romantic development.
Nieder T,Seiffge-Krenke I
Journal of adolescence
The degree to which coping with stress in romantic relationships is related to relationship development was examined longitudinally in a sample of early adolescents (n=107). Repeated measures ANOVAs revealed a significant decrease in romantic stress over time, while at the same time active coping with romantic stress increased. Concurrently, the quality of romantic relationships changed towards greater intimacy and affection. The results provide some support for recent theories of a developmental sequence in romantic relationships, according to which relationships progress from a more casual initial stage towards a more committed affection phase. In addition, the study illustrates that the multiple functions romantic activity can serve at different stages of development are accompanied by various types of stressors.
10.1006/jado.2001.0407
Perception of the social support for adolescents who undergo corrective back surgery for scoliosis.
Gauvin Marie-Claude,Vandal Sylvie,Mercier Pierre,Bradet Richard
Issues in comprehensive pediatric nursing
The objective of this study is to compare the perception of social support upon admission and 6 weeks postoperation of adolescents aged 13 to 19 years (M = 14.7 years), who underwent corrective back surgery for scoliosis. Twenty-two French-speaking participants were found from three different hospital centers located in two large cities in the Quebec province. Data were collected using the French version of Interpersonal Relationships Inventory (IPRI). No significant difference was observed between the results obtained on admission and those obtained 6 weeks later for the global measures of social support available. Nevertheless, analysis of data at the two time points showed a significant difference with regard to intimacy of adolescents. Adolescents reported feeling more invaded in the postoperative period (6 weeks after the surgery) than on admission at the hospital. These results serve to point out the nursing care involvement as well as the surgical techniques and ambulatory care that reduce hospitalization time. The results raise questions about the nurse's role in the adequate support for adolescents as well as the impact of reduced length of hospitalization.
10.1080/01460860290042567
Adolescent sexuality in a therapeutic community: staff countertransference issues.
Schneider S,Deutsch C
Adolescence
Issues connected with sexuality such as heterosexual relationships, homosexuality, sexual identity, and seductiveness, create conflict and countertransference dilemmas for staff who work with psychiatric patients in a therapeutic community. When the therapeutic community is composed of adolescents, these issues are exacerbated since sexual identity and sexual development are major concerns. The staff reacts strongly to the issue of self-determination and violation/infringement on a basic human need. These philosophical differences have their roots in countertransference feelings. Staff sometimes find it difficult to confront adolescents on emotionally charged issues that have a sexual coloring. A system is proposed for articulating and working through these feelings. A unique solution is posited for solving this conflictual attitude (based on object relations theory), whereby the residential treatment center serves as the analog of the home in order to allow adolescents to develop a sense of self before they can move on to the halfway house where heterosexual behavior is allowed (as part of the therapeutic process). This facilitates the meeting of the "self" with the "other." This procedure is explored in light of Sullivan's concept of intimacy.
Attachment studies with borderline patients: a review.
Agrawal Hans R,Gunderson John,Holmes Bjarne M,Lyons-Ruth Karlen
Harvard review of psychiatry
Clinical theorists have suggested that disturbed attachments are central to borderline personality disorder (BPD) psychopathology. This article reviews 13 empirical studies that examine the types of attachment found in individuals with this disorder or with dimensional characteristics of BPD. Comparison among the 13 studies is handicapped by the variety of measures and attachment types that these studies have employed. Nevertheless, every study concludes that there is a strong association between BPD and insecure attachment. The types of attachment found to be most characteristic of BPD subjects are unresolved, preoccupied, and fearful. In each of these attachment types, individuals demonstrate a longing for intimacy and--at the same time--concern about dependency and rejection. The high prevalence and severity of insecure attachments found in these adult samples support the central role of disturbed interpersonal relationships in clinical theories of BPD. This review concludes that these types of insecure attachment may represent phenotypic markers of vulnerability to BPD, suggesting several directions for future research.
10.1080/10673220490447218
Specificity of psychoanalytic hypotheses regarding the onset of adolescent psychoses: an empirical test of a psychodynamic model.
Kutcher S,Marton P,Szalai J,Kennedy B
Journal of the American Academy of Child and Adolescent Psychiatry
The specificity of psychodynamic hypotheses regarding the onset of adolescent psychosis was assessed in a group of rigorously diagnosed psychotic (N = 75) and depressed (N = 53) adolescents. None of the four operationally defined psychodynamic hypotheses purported to be etiologically specific in the onset of adolescent psychotic illness: success and its opportunities; intimacy and its attempts; intent to act autonomously; or involved in insight-oriented psychotherapy was more commonly observed in the psychotic than the depressed group, thereby not supporting the hypotheses. The consequences of this finding are discussed.
10.1097/00004583-199207000-00018
Approaches to craniofacial-specific quality of life assessment in adolescents.
Edwards Todd C,Patrick Donald L,Topolski Tari D,Aspinall Cassandra L,Mouradian Wendy E,Speltz Matthew L
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
OBJECTIVE:To ascertain the domains that adolescents aged 11 to 18 years with congenital and acquired craniofacial differences (CFDs) consider important to their quality of life (QoL) to create a craniofacial-specific module. DESIGN:Interviews and inductive qualitative methods were used to guide the development of a conceptual and measurement model of QoL among adolescents with CFDs. SETTING:The Craniofacial Center at Children's Hospital and Regional Medical Center in Seattle, Washington. PATIENTS, PARTICIPANTS:Thirty-three in-depth interviews with adolescents (aged 11 to 18 years), one young adult interview (age 19 years), 14 in-depth interviews with parents, one young adult focus group, one parent focus group, and one panel of researchers and clinical professionals working in the field. RESULTS:Using the qualitative methodology, grounded theory, seven domains that adolescents with CFDs perceive are important to having a good QoL were found. Six of the domains (coping, stigma and isolation, intimacy and trust, positive consequences, self-image, and negative emotions) comprised the Youth Quality of Life Instrument-Facial Differences module. One other domain, surgery, was a salient issue for many of the youth, but not all, so it was made into a separate module, the Youth Quality of Life Instrument- Craniofacial Surgery module. This module relates to the experience of surgery, outcomes of surgery, and preferences for future surgery. CONCLUSIONS:Using an established qualitative methodology, two QoL modules specific to adolescents with CFDs were developed and are ready for psychometric validation. Potential uses of the instruments are discussed.
10.1597/03-097.2.1
Religion and adolescent sexuality.
Stayton W R
Seminars in adolescent medicine
The health professional can be helpful to the adolescent, the adolescent's family, and the community through participating in and initiating local sex education programs. Religious settings provide a great potential for sexuality education within a value framework. A helpful curriculum will include the meaning of sexuality; developing a positive concept of sexuality, and a healthy sexual identity; present the issues of adolescent sexuality, including the various health issues; and an understanding of quality relationships within the family and among peers. If health professions and the community religious institutions can joint together, they can reach the goals of most programs in human sexuality, namely, "learning to appreciate our sexuality as a positive potential for self-expression, fulfillment and intimacy; respect for the personhood and well-being of others; and responsible decision-making."
Long-term group psychotherapy for children with pervasive developmental disorders: evidence for group development.
Tyminski Robert
International journal of group psychotherapy
This article highlights the clinical progress of three long-term psychotherapy groups for children with pervasive developmental disorders. Unique aspects of working with such children are addressed as well as their movement through the phases of group development. Clinical observations suggested that these groups did in fact pass through observable phases of cohesion, differentiation, and intimacy. Further, these children demonstrated noticeable social development both inside and outside the groups. They identified strongly with their groups, and after the settling-in period, there was remarkably little resistance to participation, especially given the children's tendencies for social avoidance. Vignettes are provided to illustrate both group developmental phases and noteworthy psychological experiences of the clinical process with children who have been diagnosed with pervasive developmental disorders.
10.1521/ijgp.55.2.189.62195
Typing, doing, and being: sexuality and the internet.
Ross Michael W
Journal of sex research
The increasing salience of sexuality on the internet, whether cybersex or use of the internet to make sexual contacts, has focused interest on how internet-mediated sexuality informs social theory. This article reviews social theory and sexuality in relation to the internet, with specific reference to the development of intimacy, the association of texts with sexual scripts, the emergence of cybersexuality as a sexual space midway between fantasy and action, and the question of boundaries and the location of the person in sexual interaction. Also, the supplanting of the real by the symbolic, the internet as a sexual marketplace, its important role in creating sexual communities, particularly where sexual behavior or identity is stigmatized, its impact as a new arena for sexual experience and experimentation, and its impact in shaping sexual culture and sexuality are noted. Finally, the importance of the internet as a medium for the exploration of human sexuality and as an opportunity to illuminate previously challenging areas of sexual research is discussed.
10.1080/00224490509552290
Personal strengths and traumatic experiences among institutionalized children given up at birth (Les Enfants de Duplessis--Duplessis' children): I: Early experiences.
Perry J Christopher,Sigal John J,Boucher Sophie,Paré Nikolas,Ouimet Marie Claude
The Journal of nervous and mental disease
We examined childhood and early adult strengths and adverse experiences of a group of orphans given up at or near birth and raised in Quebec institutions into early adulthood. A follow-up interview of 81 adults (41 women, 40 men) at a mean age of 59.2 years included retrospective assessments of childhood experiences. Most participants reported multiple early adverse experiences, including, in descending order, unfair rules and excessive punishment, physical abuse, emotional neglect, witnessing violence, verbal abuse, physical neglect, sexual abuse, and serious illness. Adverse experiences were mainly due to lay caretakers, not peers or nuns. Twelve childhood strengths, such as self-protectiveness and athletic talent, were scored at each of four age periods, yielding a median score equivalent to one strength at each period. Over half had significant childhood attachments, but of limited intimacy. Childhood variables correlated with their respective variables in later adulthood. Overall, these older adults reported a high prevalence of adverse or traumatic childhood experiences, counterbalanced by modest levels of individual strengths and attachment relationships. Institutionalization of children--if unavoidable--must build in effective safeguards against adverse experiences.
Something's missing: need fulfillment and self-expansion as predictors of susceptibility to infidelity.
Lewandowski Gary W,Ackerman Robert A
The Journal of social psychology
The present authors investigated whether an individual's motivations that are related to need fulfillment and self-expansion within a romantic relationship can predict self-reported susceptibility to infidelity. A sample of 109 college students (50 men, 59 women) who were in dating relationships completed questionnaires that assessed 5 types of variables of need fulfillment (i.e., intimacy, companionship, sex, security, and emotional involvement), 3 types of self-expansion variables (i.e., self-expansion, inclusion of the other in the self, and potential for self-expansion), and susceptibility to infidelity. As the present authors predicted, both sets of predictors (need fulfillment and self-expansion) significantly contributed to the variance in susceptibility to infidelity. The present findings indicated the possibility that, when a relationship is not able to fulfill needs or provide ample self-expansion for an individual, his or her susceptibility to infidelity increases.
10.3200/SOCP.146.4.389-403
Contradictory sexual norms and expectations for young people in rural Northern Tanzania.
Wight Daniel,Plummer Mary L,Mshana Gerry,Wamoyi Joyce,Shigongo Zachayo S,Ross David A
Social science & medicine (1982)
There has been a long-running debate as to whether sexual cultures in sub-Saharan Africa are permissive or characterised by restrictive rules, rituals and self-restraint. This paper, based on participant observation data, outlines the main features of sexual culture in rural northern Tanzania and highlights both permissive and restrictive norms and expectations for young people. It also illustrates how sexual beliefs are socially constructed and subject to social change. Sexual activity is constrained by clear norms of school pupil abstinence, female sexual respectability and taboos around the discussion of sex. However, these norms are incompatible with several widely held expectations: that sexual activity is inevitable unless prevented, sex is a female resource to be exploited, restrictions on sexual activity are relaxed at festivals, and masculine esteem is boosted through sexual experience. Differential commitment to these norms and expectations reflects conflicts between generations and genders. Young people appear to manage the contradictions in these norms by concealing their sexual relationships. This almost certainly contributes to their short duration and the high levels of partner change, since relationships are not reinforced through social recognition and there is little scope to develop intimacy through non-sexual contacts.
10.1016/j.socscimed.2005.06.052
Sexual function in adult patients who have undergone augmentation surgery in childhood: what is really important?
International journal of impotence research
Problems relating to the development of a healthy approach to sex and intimacy during puberty, after augmentation cystoplasty, are scarcely discussed in literature. Therefore, this may suggest that such issues are insufficiently addressed by pediatric urologists. We gathered four experts in the field as well as an experienced leader of a patient group and mother of a girl with spina bifida and asked questions relevant to the following areas of care: (a) diversion, urinary incontinence, and sexual life; (b) impact of a stoma on body image perception and self-esteem; (c) specific female concerns with regard to fertility and recurrent urinary infections; (d) specific male concerns on anejaculation and erectile dysfunction. Their answers are discussed in view of the available literature. All experts and the patient group representative agreed that most of these patients will experience: lack of self-confidence as the most frequent obstacle to starting a relationship and incontinence as a barrier to sexual activity. The cosmesis of the stoma and abdominal scars might influence self-esteem and therefore the sexual activity, however it appears to be a less common concern in males than females. Our results outline the importance and influence that the body image, self-esteem, and confidence present for the individual expectations of the patients related to sex life and sexual activity. Physicians should be encouraged to ask all postpubertal patients about their sexual concerns at every visit. Further studies and exchange of information between clinicians are needed to provide meaningful and analyzable patient-related outcome measures (PROMs).
10.1038/s41443-020-00355-x
Understanding sex partner selection from the perspective of inner-city black adolescents.
Andrinopoulos Katherine,Kerrigan Deanna,Ellen Jonathan M
Perspectives on sexual and reproductive health
CONTEXT:Black adolescents in inner-city settings are at increased risk for HIV and other STDs. Sex partner characteristics, as well as individual behavior, influence individuals' STD risk, yet little is known about the process of sex partner selection for adolescents in this setting. METHODS:Semistructured in-depth interviews were conducted during the summer and fall of 2002 with 50 inner-city black adolescents (26 females and 24 males) who had been purposively recruited from an STD clinic. Content analysis was used to study interview texts. RESULTS:Young women desire a monogamous romantic partner, rather than a casual sex partner; however, to fulfill their desire for emotional intimacy, they often accept a relationship with a nonmonogamous partner. Young men seek both physical and emotional benefits from being in a relationship; having a partner helps them to feel wanted, and they gain social status among their peers when they have multiple partners. For men, these benefits may help compensate for an inability to obtain jobs that would improve their financial and, as a result, social status. Both women and men assess partners' STD risk on the basis of appearance. CONCLUSIONS:HIV and other STD prevention initiatives must go beyond the scope of traditional messages aimed at behavior change and address the need for social support and socioeconomic opportunities among at-risk, inner-city adolescents.
10.1363/psrh.38.132.06
Does a history of childhood sexual abuse affect sexual outcomes in breast cancer survivors?
Wyatt Gail E,Loeb Tamra Burns,Desmond Katherine A,Ganz Patricia A
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
PURPOSE:Little is known about a history of childhood sexual abuse (CSA) in breast cancer survivors and its relationship to sexual functioning after cancer. As part of a larger survey study examining sexuality and intimacy in breast cancer survivors, we conducted in-person interviews with a subsample of participants. METHODS:A total of 147 women in Los Angeles, CA, and Washington, DC, completed a structured interview that addressed sexual socialization and a history of sexual abuse. Trained female interviewers conducted the interviews. Descriptive statistics and regression analyses were used to examine the prevalence of CSA, and its potential impact on sexual health and functioning. RESULTS:One in three women reported at least one CSA incident. Among women who had experienced CSA, 71% reported a single incident, and 22% reported a penetrative form of sexual contact. In multivariate regression analyses examining physical and psychological aspects of sexuality and body image, CSA was not a significant predictor of physical discomfort. However, a history of penetrative CSA was a significant predictor of psychological discomfort (P = .02). CONCLUSION:The prevalence of CSA in this sample was similar to the general population literature on this topic. In this small sample, a past history of CSA did not contribute significantly to the physical discomforts associated with sexual intimacy after breast cancer; however, our findings suggest that a past history of penetrative CSA is associated with increased psychological discomfort, and may warrant additional examination in future research.
10.1200/JCO.2005.01.150
Sexuality and sexual life in women with spinal cord injury: a controlled study.
Kreuter Margareta,Siösteen Agneta,Biering-Sørensen Fin
Journal of rehabilitation medicine
OBJECTIVE:To describe sexual life in women with spinal cord injury. DESIGN:Controlled cross-sectional, questionnaire. PARTICIPANTS AND METHODS:Women, 18-65 years, treated at spinal cord centres in Sweden, Denmark, Norway, Finland and Iceland. 545 women (57%) completed the questionnaires. The age-matched control group consisted of 507 women. The 104-item Spinal Cord Injury Women Questionnaire, was designed to assess different dimensions of sexuality. RESULTS:80% of the women with spinal cord injury had engaged in sex after the injury. Reasons for not wanting or not having the courage to be intimate and sexual were physical problems, low sexual desire, low self-esteem and feelings of being unattractive. The motivations of both the women with spinal cord injury and controls to engage in sexual activity were intimacy-based rather than primarily sexual. Being in the right mood both before and during sex to become receptive to sexual stimulation was important. CONCLUSION:For women who are able to overcome the physical restrictions and mental obstacles due to injury, it is possible to regain an active and positive sexual life together with a partner. Sexual information and counselling should be available both during initial rehabilitation and later when the women have returned to their homes.
10.2340/16501977-0128
Staying strong: gender ideologies among African-American adolescents and the implications for HIV/STI prevention.
Kerrigan Deanna,Andrinopoulos Katherine,Johnson Raina,Parham Patrice,Thomas Tracey,Ellen Jonathan M
Journal of sex research
This paper explores adolescents' definitions of what it means to be a man and a woman, the psycho-social context surrounding the formation of gender ideologies and their relationship to HIV/STI prevention. Semi-structured, in-depth interviews were conducted with fifty African-American adolescents living in Baltimore, Maryland. Female gender ideologies included economic independence, emotional strength and caretaking. Male gender ideologies emphasized financial responsibility, toughness and sexual prowess. Findings suggest that stronger adherence to male gender ideologies related to toughness and sexual prowess is influenced by male participants' perceived inability to fulfill their primary gender role as economic providers and the importance of gaining approval from male peers in the absence of adult male role models. Stronger adherence to female gender ideologies related to emotional strength and caretaking may be linked to a heightened desire for male intimacy and tolerance of male sexual risk behavior. Implications of the gender ideologies documented and their commonalities are discussed in terms of HIV/STI prevention.
10.1080/00224490701263785
The impact of female urinary incontinence and urgency on quality of life and partner relationship.
Nilsson Margareta,Margareta Nilsson,Lalos Ann,Ann Lalos,Lalos Othon,Othon Lalos
Neurourology and urodynamics
AIMS:To examine the impact of female urinary incontinence, urgency and frequency on quality of life, and partner relationship in women (18-74 years) and their partners, and make comparisons with the corresponding age groups in a Swedish population-based study. METHODS:Women with urinary incontinence, urgency and frequency (n = 206) completed specific questionnaires concerning medical history and the Bristol Female Lower Urinary Tract Symptoms questionnaire. Women who had a stable relationship (n = 170) also answered a questionnaire regarding psychosocial situation, partner relationship and sexual life, and were asked to give a similar questionnaire to their partner. Totally, 109 partners participated. RESULTS:The vast majority of the women considered that their urinary problems affected their physical activities negatively and almost half reported negative consequences for social life and joint activities. One third of both women and men experienced a negative impact on their relationship and about every fifth felt it had a harmful influence on physical proximity, intimacy, affection, and warmth. Compared to the older women, the younger were less satisfied with their psychological health, sexual life, leisure and financial situation, and compared to the younger men, the young women were less content with their somatic health. Overall, women with urinary problems and their partners were less satisfied with their somatic health than the corresponding age groups in the national population-based study. CONCLUSIONS:Female urinary incontinence, urgency and frequency significantly impair the quality of life in both younger and older women, and also have negative effects on the partner relationship and the partner's life.
10.1002/nau.20709
Reflecting on subjective well-being and spinal cord injury.
Migliorini Christine,Tonge Bruce
Journal of rehabilitation medicine
OBJECTIVE:The aim of this study was to examine factors associated with the subjective well-being of individuals with spinal cord injuries, while acknowledging theories that describe the subjective well-being tendency to homeostasis. METHODS:A representative community cross-sectional cohort of 443 adults with traumatic and non-traumatic spinal cord injury completed a self-report survey (by internet, telephone or hard copy) that included reliable and valid measures of quality of life, depression, anxiety and stress, post-traumatic stress disorder, coping strategies, and emotional consequences. RESULTS:The subjective well-being of half of the population with spinal cord injury lay above the normative subjective well-being set-point threshold. Despite the inclusion of many biopsychosocial factors, only Intimacy, Safety, Acceptance, and Helplessness were significantly associated with normative subjective well-being. CONCLUSION:Comparatively few factors were significantly associated with normative subjective well-being, but the results help to explain observed contradictions noted in previous research into subjective well-being after spinal cord injuries. The results highlight the resilience of individuals in general and are in keeping with the disability paradox. However, many individuals with spinal cord injuries do not live satisfactory lives. It is for them that further psychological care and rehabilitation is necessary to create a good life after spinal cord injury.
10.2340/16501977-0358
Profiles of motivations for alcohol use and sexual behavior among first-year university students.
Patrick Megan E,Maggs Jennifer L
Journal of adolescence
The links between motivations for alcohol use and for sexual behaviors are not well understood. Latent profile analysis was used to identify drinking motivational profiles (based on motivations for: fun/social, relaxation/coping, image, sex; motivations against: physical, behavioral) and sex motivational profiles (motivations for: enhancement, intimacy, coping; motivations against: not ready, health, values) among college students (N=227, 51% male). Latent profiles for drinking were: low for/high against drinking (34%), average drinking motives (53%), and high for/low against drinking (13%). Profiles for sex were: low for/high against sex (35%), high for/low against sex (42%), and high for with coping/moderate against sex (23%). Motivational profiles were related across behaviors. Drinking motivational profiles were associated with alcohol use and psychosocial adjustment; sex motivational profiles were associated with sexual experiences. Distinct profiles of motivations support the need for differentiated intervention programs targeting individuals with different patterns of reasons for engaging in risk behaviors during late adolescence.
10.1016/j.adolescence.2009.10.003
Conflicting pressures on romantic relationship commitment for anxiously attached individuals.
Joel Samantha,MacDonald Geoff,Shimotomai Atsushi
Journal of personality
Anxious attachment predicts strong desires for intimacy and stability in romantic relationships, yet the relation between anxious attachment and romantic commitment is unclear. We propose that extant literature has failed to find a consistent relation because anxiously attached individuals experience conflicting pressures on commitment. Data from Australia (N=137) show that relationship satisfaction and felt security each act as suppressors of a positive relation between anxious attachment and commitment. Data from Japan (N=159) replicate the suppression effect of felt security and also demonstrate that the residual positive relation between anxious attachment and commitment can be partly explained by dependence on the partner. These findings suggest that anxiously attached individuals may be ambivalent about commitment. Dissatisfaction and worries about negative evaluation appear to exert downward pressure on commitment, counteracting the upward pressure that is exerted by factors such as relational dependency.
10.1111/j.1467-6494.2010.00680.x
Concept analysis: sexual decision-making in adolescence.
Fantasia Heidi C
Nursing forum
PURPOSE:This papers aims to clarify and explore the topic of adolescent decision-making regarding sexual activity. SOURCES:Published literature. CONCLUSIONS:Adolescent decision-making regarding the initiation or continuation of sexual activity is influenced by desire for intimacy, perceived relationship safety, problem-solving ability, cognitive ability, family and peer relationships, and concern regarding pregnancy or sexually transmitted infection.
10.1111/j.1744-6198.2008.00099.x
Parenting style and adolescent smoking.
O'Byrne Kristin Koetting,Haddock C Keith,Poston Walker S C
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
PURPOSE:To investigate whether parenting style is an independent risk factor of smoking initiation and experimentation among adolescents, and whether there is a relationship between parenting style and readiness to quit, or nicotine dependence among smokers. METHODS:The 84-item Health and Smoking Questionnaire, which assesses demographics, smoking status and smoking history, perceptions of risk and risk reduction, risk factors for tobacco use, and parenting style, was administered to 816 adolescents in grades 7 to 12 (mean age, 15.1 years) of whom 22.6% (n = 182) were smokers. Parenting style was measured by the brief, non-retrospective version of the Family of Origin Scale (FOS). Higher scores on the FOS indicated more positive perceived parenting style with high levels of intimacy and autonomy, characteristics of healthy parent-child relationships. Data were analyzed using a model-building approach to logistic regression with demographic and other psychosocial variables in the first two steps, and with parenting style as the last step. RESULTS:Results from two logistic regression models indicate that although parenting style is not a significant risk factor for smoking experimentation [odds ratio (OR) =.998; confidence interval (CI) =.977-1.019; p =.820], it is a significant independent risk factor for smoking initiation (OR =.950; CI =.930-.970; p =.000). Smokers who were more ready to quit had higher parenting style scores than those who were not ready to quit, and smokers who had made a serious quit attempt (an indicator of nicotine addiction) had higher parenting style scores than those who had not made a quit attempt. Moreover, nonsmokers who reported they would smoke a cigarette if their best friend offered had significantly lower parenting style scores than those who reported they would not smoke a cigarette. CONCLUSIONS:Additional research on parenting style and its impact on adolescent smoking with a more economically and ethnically diverse sample is warranted. If future research confirms the strength of the relationship between parenting style and adolescent smoking, teaching positive parenting, including facilitating intimate yet autonomous relationships, may be considered as part of smoking prevention and cessation programs.
"HIV isn't me…": HIV+ adolescents' experiences in a positive context of support and treatment.
Di Risio Michelle,Ballantyne Peri J,Read Stanley E,Bendayan Reina
AIDS care
We describe the experiences of a sample of Canadian HIV+ youth whose intact adolescent identities contrast sharply with the expected identity challenges of persons living with a serious, chronic disease. We first showcase the positive HIV+ identities emerging from the successful management of HIV+ status through long-term HIV-related medical care and established pharmaceutical regimes. Second, we describe the medical, familial, and broader social context of support in which these adolescents' are negotiating HIV. Finally, we highlight the youth's expectations of future, specific identity and role challenges regarding intimacy and sexuality-related to disclosure of their private HIV+ identities and their embodied HIV+ status. Continued social and medical supports will be key to their emergence into adulthood as healthy HIV+ persons; with such supports, these youths' experiences highlight the capacity for living optimally with HIV.
10.1080/09540121.2010.532539
Getting it on versus getting it over with: sexual motivation, desire, and satisfaction in intimate bonds.
Muise Amy,Impett Emily A,Desmarais Serge
Personality & social psychology bulletin
Across three studies, we demonstrate that pursuing sex for approach goals, such as to enhance intimacy, fuels satisfaction and pursuing sex for avoidance goals, such as to avoid disappointing a partner, detracts from satisfaction. In Study 1, we use hypothetical scenarios to provide experimental support for the associations between sexual goals and sexual and relationship satisfaction. In Study 2, a dyadic daily experience study of dating couples, we demonstrate that daily sexual goals are associated with both partners' daily relationship and sexual satisfaction. In Study 3, a dyadic daily experience study, we replicate the daily associations between sexual goals and satisfaction in a sample of long-term couples, and demonstrate that sexual goals impact partner's relationship and sexual quality 4 months later. In all studies, the associations between sexual goals and enhanced satisfaction as reported by both partners were mediated by sexual desire. Implications for research on sexual motivation and close relationships are discussed.
10.1177/0146167213490963
The independent contributions of social reward and threat perceptions to romantic commitment.
Gere Judith,MacDonald Geoff,Joel Samantha,Spielmann Stephanie S,Impett Emily A
Journal of personality and social psychology
Although separate literatures have emerged on effects of social threats (i.e., rejection and negative evaluation) and rewards (i.e., connection and intimacy) on the process of commitment to a romantic relationship, no research has examined the influence of both simultaneously. Using an attachment framework, we examined the relation of social threats and rewards to investment model constructs (i.e., commitment, satisfaction, investment, quality of alternatives) in 3 studies. Study 1 (N = 533) and Study 2 (N = 866) assessed attachment styles, reward and threat perceptions, and investment model constructs, and data were analyzed using structural equation models. In Study 3 (N = 358), reward and threat perceptions were experimentally manipulated followed by measurement of investment model constructs. Results showed that attachment avoidance was uniquely associated with lower perceptions of reward, whereas attachment anxiety was uniquely associated with stronger perceptions of threat. Stronger reward perceptions were associated with higher commitment, investment, and satisfaction, as well as lower quality of alternatives in all studies. Stronger threat perceptions were associated with lower satisfaction in all 3 studies. Stronger threat perceptions were also correlated with higher levels of investment and commitment, although these effects did not replicate in our experimental study. Thus, perceptions of reward appear unambiguously associated with higher levels of all facets of commitment, whereas perceptions of threat are most strongly associated with lower satisfaction. These results underscore the importance of considering the effects of rewards and threats simultaneously in commitment processes.
10.1037/a0033874
The reproductive health behaviors of HIV-infected young women in the United States: A literature review.
Carter Marion W,Kraft Joan M,Hatfield-Timajchy Kendra,Snead Margaret C,Ozeryansky Larisa,Fasula Amy M,Koenig Linda J,Kourtis Athena P
AIDS patient care and STDs
HIV-infected young women in the United States have important reproductive health needs that are made more complex by their HIV status. We searched Pubmed and relevant bibliographies to identify 32 articles published from 2001 to July 2012 that described the prevalence, correlates, and characteristics of the sexual activity, relationships, pregnancy intentions, HIV status disclosure, and contraceptive and condom use among US HIV-infected adolescents and young women. Our synthesis of those articles found that, like youth not infected with HIV, substantial proportions of HIV-infected youth were sexually active, and most sought romantic or sexual relationships, though their serostatus may have affected the pace of physical and emotional intimacy. Disclosure was difficult, and large proportions of HIV-infected youth had not disclosed their serostatus to recent partners. A few studies suggest that most HIV-infected young women hoped to have children in the future, but many wanted to avoid pregnancy until later. Only one study described contraceptive use among this population in detail and found that condoms were a primary method of contraception. The results point to substantial gaps in published research, particularly in the areas of pregnancy intentions and contraceptive use. Much more needs to be done in research and health services to better understand and meet the complex health needs of HIV-infected young women.
10.1089/apc.2013.0208
Why did this happen to me? Cognitive schema disruption and posttraumatic stress disorder in victims of sexual trauma.
Vaile Wright Caroline,Collinsworth Linda L,Fitzgerald Louise F
Journal of interpersonal violence
Many trauma researchers have proposed cognitive schemas as a heuristic device to understand the elusive process of integrating traumatic events. We examined the schemas of a sample (N = 257) of female participants classified by exposure to sexual trauma, nonsexual trauma, and no trauma experience. Cognitive schema was assessed with the Traumatic Stress Institute Belief Scale. As hypothesized, six schema subscales were significantly related to trauma group membership: Self-Intimacy, Self-Safety, Self-Trust, Other Intimacy, Other Safety, and Other Trust. Moreover, cognitive schema operated as a partial mediator in the relationship between sexual trauma and posttraumatic stress disorder (PTSD) symptomatology. Results are discussed in terms of their implications for current theories of trauma and etiology of PTSD, and treatment interventions.
10.1177/0886260509354500
Effects of sex, sexual orientation, infidelity expectations, and love on distress related to emotional and sexual infidelity.
Leeker Olivia,Carlozzi Al
Journal of marital and family therapy
The purpose of this study was to investigate the influence of participant sex, sexual orientation, infidelity expectations, and love on emotional responses to emotional and sexual infidelity. Participants (72 lesbian women, 114 heterosexual women, 53 gay men, and 57 heterosexual men) completed a demographic form, continuous emotion ratings in response to hypothetical infidelity scenarios, the Infidelity Expectations Questionnaire (IEQ), and the Triangular Love Scale. Sex, sexual orientation, and commitment and intimacy among partners were significant predictors of various emotional responses to sexual and emotional infidelity. Alternatively, passion among partners and expectations about a partner's likelihood of committing infidelity were not significant predictors of emotional reactions to infidelity. Across participants, sexual infidelity elicited more distressing feelings than emotional infidelity. Group differences were also found, with women responding with stronger emotions to emotional and sexual infidelity than men, and heterosexuals rating emotional and sexual infidelity as more emotionally distressing than lesbian and gay individuals. Sex and sexual orientation differences emerged regarding the degree to which specific emotions were reported in response to sexual and emotional infidelity. Clinical implications are offered, including how mental health professionals might use these findings to help clients cope with the negative effects of infidelity on romantic relationships.
10.1111/j.1752-0606.2012.00331.x
The production of erotica: photobooks of teenage models in Hong Kong.
Chu Donna
Journal of sex research
This article examines the production of erotica in a Chinese cultural context. It takes the photo books featuring teenage models published in Hong Kong in 2010 as case studies in which a total of 2,205 photographs of teenage models were analyzed. In-depth interviews were conducted with six producers of these images. It was found that the set of erotic pictures was characterized by three distinctive features. First, they emphasized a look of innocence that suggested purity, fragility, and delicacy. Second, albeit being sexy and desirable, the girls were often presented as if they were unaware of their sexiness. The implication was that their sexiness was unintentional and, thus, the girls were not to blame. Finally, a sense of intimacy was purposefully built between the models and readers by constituting a direct gaze and presenting models as ordinary "girls next door." All these echoed the emphasis of female chastity in Chinese culture. It appears that in Hong Kong, where sexuality issues often provoke debates, the producers of sexy images have benefited from media controversies. By heightening expectations of potential customers, they fuel the "erotic" imagination of the readers. The production of erotica is, hence, completed through a collaboration between teenage models, producers, marketers, and consumers.
10.1080/00224499.2012.675529
Romantic relationships and sexual activities of the first generation of youth living with HIV since birth.
Fernet Mylène,Wong Kimberly,Richard Marie-Eve,Otis Joanne,Lévy Joseph J,Lapointe Normand,Samson Johanne,Morin Guylaine,Thériault Jocelyne,Trottier Germain
AIDS care
HIV-infected children, now maturing into adolescence and adulthood, must cope not only with adolescent developmental issues, but also with a chronic, socially stigmatised and sexually transmittable illness. Little research on this first generation of survivors has focused on romantic involvement and sexuality. This study, which employs a mixed-method embedded strategy (qualitative supported by quantitative), describes the perspectives of youth living with HIV since birth concerning: (1) romantic involvement and sexuality; and (2) risk management including the risk of HIV transmission and partner serostatus disclosure. Eighteen adolescents aged 13-22 from Montreal, Canada, participated in individual semi-structured interviews and completed self-report questionnaires. Most youths participated in non-penetrative sexual activities. Ten participants reported having had vaginal and three anal intercourses, at an average age of 14 for girls and 15 for boys. All sexually active youth reported having used a condom at least once. Of those who reported that their first sexual relationship was protected, over half had taken risks in subsequent relationships (e.g., unprotected sex, multiple partners, etc.). Interviews conducted with sexually inactive youths illustrate the interrelatedness of romantic involvement, sexual initiation and potential serostatus disclosure. Involvement in a sexual relationship would not be conceivable unless the partner was informed of their serostatus. For sexually active participants, risk management implies HIV transmission and partner disclosure. These youths have emotional issues regarding disclosure in romantic relationships and few risked potential rejection by disclosing. Condom use acts as a reminder of the infection and a barrier to intimacy. The narratives illustrate how risk perception changes and becomes relative with time and experience, especially when the viral load is undetectable and when past experience has convinced the adolescent that his/her partner might not become infected. Findings reinforce the need to prioritise sexual health issues for young people with perinatally acquired HIV.
10.1080/09540121.2010.516332
Pornography use and closeness with others in men.
Popovic Miodrag
Archives of sexual behavior
The aim of the present study was to examine the association between pornography use and aspects of socioemotional closeness in a non-clinical sample of 164 males. Participants' actual and ideal socioemotional closeness was measured by the Perceived Interpersonal Closeness Scale (PICS; Popovic et al., 2003) while their pornography use was examined by the Background and Pornography Use Information Questionnaire (Popovic, 2009). Potential effects of these variables on each other as well as various findings concerning pornography consumption and related attitudes are presented. The results showed that there was no significant difference between self-reported pornography users and non-users in terms of specific socioemotional closeness with the most significant adults in their lives (i.e., partners, closest friends, mothers, and fathers). However, pornography users had significantly higher total closeness scores than non-users, showing possibly a craving for intimacy among pornography users versus non-pornography users. This "intimacy motive" and relevant and controversial findings are discussed.
10.1007/s10508-010-9648-6
Heightened emotional sensitivity intensifies associations between relational aggression and victimization among girls but not boys: a longitudinal study.
Zimmer-Gembeck Melanie J,Duffy Amanda L
Development and psychopathology
Founded in the social process model, the aim of this study was to identify whether the associations of relational aggression with concurrent and subsequent relational victimization differed depending on early adolescents' personal vulnerabilities and gender. The vulnerabilities of interest were social-information processing variables that convey greater emotional sensitivity, including rejection sensitivity, fear of negative evaluation, and avoidance of intimacy. Participants were 358 early adolescents (176 boys, 178 girls) aged 9 to 13 years. Relational aggression and victimization were assessed via peer nominations, whereas the three indicators of emotional sensitivity were assessed via self-report. Overall, results revealed greater relational aggression at Time 1 to be associated with greater relational victimization at both Time 1 and Time 2. However, this finding was qualified by both emotional sensitivity and gender. When considered separately, girls who were relationally aggressive and emotionally sensitive were at increased risk of victimization at both assessment points. In contrast, no link was found between relational aggression and victimization for boys, although relational vulnerabilities did have unique associations with boys' relational victimization. These findings have implications for our understanding of relational aggression and victimization, as well as for the development of interventions aimed at reducing these problems.
10.1017/S0954579414000303
Sociosexual attitudes and dyadic sexual desire independently predict women's preferences for male vocal masculinity.
O'Connor Jillian J M,Jones Benedict C,Fraccaro Paul J,Tigue Cara C,Pisanski Katarzyna,Feinberg David R
Archives of sexual behavior
Research suggests that the desire to behave sexually with a partner (dyadic sexual desire) may reflect desire for intimacy whereas solitary sexual desire may reflect pleasure seeking motivations more generally. Because direct reproductive success can only be increased with a sexual partner, we tested whether dyadic sexual desire was a better predictor of women's preferences for lower pitched men's voices (a marker of relatively high reproductive success) than was solitary sexual desire. In Study 1, women (N = 95) with higher dyadic sexual desire scores on the Sexual Desire Inventory-2 preferred masculinized male voices more than did women with lower dyadic sexual desire scores. We did not find a significant relationship between women's vocal masculinity preferences and their solitary sexual desire scores. In Study 2, we tested whether the relationship between voice preferences and dyadic sexual desire scores was related to differences in sociosexual orientation. Women (N = 80) with more positive attitudes towards uncommitted sex had stronger vocal masculinity preferences regardless of whether men's attractiveness was judged for short-term or long-term relationships. Independent of the effect of sociosexual attitudes, dyadic sexual desire positively predicted women's masculinity preferences when assessing men's attractiveness for short-term but not long-term relationships. These effects were independent of women's own relationship status and hormonal contraceptive use. Our results provide further evidence that women's mate preferences may independently reflect individual differences in both sexual desire and openness to short-term relationships, potentially with the ultimate function of maximizing the fitness benefits of women's mate choices.
10.1007/s10508-014-0298-y
Emotional reactions of heterosexual men to gay imagery.
Bishop Cj
Journal of homosexuality
Studies of homonegativity in the general population typically use scales to examine the attitudes of a heterosexual sample toward gay men and lesbian women. However, these scales fail to address that accepting gay and lesbian people in theory is not tantamount to accepting the sexual practices engaged in by gay and lesbian people. As a result, relying on homonegativity scales and hypothetical scenarios (i.e., asking a participant to imagine a gay man or lesbian woman from personality characteristics provided) may not offer a complete view of the complexities of homonegativity. To explore this possibility, 83 men self-identifying as either largely or exclusively heterosexual rated one of three groups of images (romantic gay, erotic gay, and control) on the basis of five questions related to their emotional responses. A psychometrically sound homonegativity scale was also completed. Results indicated that homonegativity was a significant predictor of decreased happiness, anger, disgust, task enjoyment, and reported liking of the imagery. Furthermore, homonegativity was found to moderate the association between exposure to the romantic images and four of the five emotional responses (happiness, anger, disgust, and liking). Exposure to the set of erotic gay images, however, was associated with negative emotional responses, regardless of participants' self-reported level of homonegativity (i.e., overt homonegativity possessed less moderational power for this type of imagery). These findings suggest that standard scales of homonegative attitudes may be unable to capture the affective negativity that heterosexual men experience when viewing gay male intimacy.
10.1080/00918369.2014.957125
Qualitative research on adolescent pregnancy: a descriptive review and analysis.
Spear Hila J,Lock Sharon
Journal of pediatric nursing
This study examined qualitative research on adolescent pregnancy to determine designs and methods used and to discover emergent themes across studies. Most of the 22 studies reviewed were described as qualitative or phenomenological by design and included samples comprising either African-American and Caucasian participants or African-Americans exclusively. Based on analysis of the collective primary findings of the sample articles, four themes were identified: (a) factors influencing pregnancy; (a) pregnancy resolution; (c) meaning of pregnancy and life transitions; and (d) parenting and motherhood. Overall, the studies revealed that most adolescent females perceive pregnancy as a rite of passage and a challenging yet positive life event. More qualitative studies are needed involving participants from various ethnic backgrounds, on males' perceptions relative to adolescent pregnancy and fatherhood, and about decision-making relevant to pregnancy resolution, intimacy, and peer relationships.
10.1016/s0882-5963(03)00160-x
Sexual health and contraception.
Straw Fiona,Porter Charlotte
Archives of disease in childhood. Education and practice edition
Sexual health encompasses 'sexual development and reproductive health, as well as the ability to develop and maintain meaningful interpersonal relationships; appreciate one's own body; interact with both genders in respectful and appropriate ways; express affection, love and intimacy in ways consistent with one's own values'. The 2008 WHO Consensus Statement additionally noted that 'responsible adolescent intimate relationships' should be 'consensual, non-exploitative, honest, pleasurable and protected against unintended pregnancy and STDs if any type of intercourse occurs'. Young people (YP) must, therefore, be able to access sexual health information and services that meet their needs. For most YP, interest in sexual activity begins with puberty, and this is associated with increasingly sexualised behaviour, including exploration of themselves and others. Most YP find this a confusing time, and so it is important that health professionals are able to offer advice regarding the wide range of sexual health issues, including sexuality, choice of partner, contraception, risk and management of sexually transmitted infections (STI) in a confident and approachable manner. YP have never had so much choice or information available to them, and this can be confusing for them. There is good evidence that YP who get information from their parents are likely to initiate sexual activity later than their peers who access information from their friends. However, there is also evidence that some YP would prefer to get sexual health information from health professionals. It is therefore imperative that all health professionals who see YP have an awareness of sexual health issues, and know where to signpost YP should they need more specialist sexual health advice and/or treatment. Where appropriate, one-to-one sexual health advice should be provided to YP on how to prevent and get tested for STIs, and how to prevent unwanted pregnancies. Advice should also be given on all methods of reversible contraception, including long-acting reversible contraception, emergency contraception and other reproductive issues.
10.1136/edpract-2011-301250
"I provide the pleasure, I control it": sexual pleasure and "bottom" identity constructs amongst gay youth in a Stepping Stones workshop.
Kiguwa Peace
Reproductive health matters
This paper explores the meanings attached to gay sexuality through the self-labelling practices of a group of young gay-identified students in focus group and individual interviews in Johannesburg, South Africa. These meanings include constructs of the dynamics surrounding safe sex negotiation and risk related to "top-bottom" subject positioning as well as the erotics of power and desire that are imbued in these practices and positioning. Using performativity theory as a theoretical tool of analysis, I argue that constructs of "top-bottom" subjectivities can be seen to meet certain erotic needs for LGBTI youth, including reasons related to physical safety for LGBTI people living in dangerous spaces. The performance of "bottom" identities in sexual intimacy and behaviour is further deployed in the expression and performance of power that the participants construct as erotic. The implications for sexual health intervention include understanding the gendered performance influences of sexual behaviour including safe sex, exploring creative ways that practices of sexual health can be engaged with this population group in a way that accommodates the erotic pleasure interfaced with sexual identity identifications and performances of "bottom" identities.
10.1016/j.rhm.2015.11.016
Between '0' and '1': safer sex and condom use among young gay men in Hong Kong.
Yeo Tien Ee Dominic,Fung Tsz Hin
Culture, health & sexuality
Young men who have sex with men are becoming the most at-risk subgroup for HIV incidence in Hong Kong. To understand how young gay men in Hong Kong interpret and implement safer sex and condom use, focus-group discussions and individual in-depth interviews were held. The 74 participants were nearly all ethnic Chinese gay men aged between 18 and 25 years. Findings indicate that the challenge for health intervention lies in young gay men's inconsistent condom use despite their high level of HIV-related knowledge. Participants described using condoms, testing for HIV and abstaining from anal sex as measures undertaken to prevent HIV infection. However, sociocultural norms and expectations pertaining to '0' (docile, bottom) and '1' (assertive, top) roles and trust between partners complicate the consistent implementation of risk-reduction measures. Influenced by heteronormative and romantic beliefs, sexual behaviours such as condomless anal sex and internal ejaculation hold symbolic meanings - exclusivity, commitment, intimacy, possession - for young gay men in Hong Kong, which override health concerns. These findings support more empowerment-driven HIV programming for young gay men.
10.1080/13691058.2015.1080298
Oral vs. Vaginal Sex Experiences and Consequences Among First-Year College Students.
Archives of sexual behavior
To fully understand late adolescents' experiences of oral sex, we must consider both risk and normative developmental perspectives. Sexual experiences include a range of behaviors, but research on sexual behaviors and consequences focuses primarily on vaginal sex. Oral sex occurs at rates similar to vaginal sex, and carries some, though less, risk than vaginal sex. The current study examined the event-level prevalence and consequences of oral sex compared to vaginal sex with other-sex partners in first-year college students. Daily data were from recently sexually active first-year college students (N = 253 people, 834 days; M age, 18.4 years; SD = 0.4; 56% female; 31% Hispanic/Latino; 17% African American, 14% Asian American/Pacific Islander, 25% European American, 12% multiracial) who reported on sexual behaviors and consequences. Both positive (intimacy, physical satisfaction) and negative (worrying about health, guilt) consequences were less common for oral than vaginal sex. Gender differences suggested that female adolescents may find vaginal sex more rewarding than oral sex, whereas male adolescents may find them equally rewarding.
10.1007/s10508-015-0654-6
Animal Magnetism: Metaphoric Cues Alter Perceptions of Romantic Partners and Relationships.
Christy Andrew G,Hirsch Kelly A,Schlegel Rebecca J
PloS one
The psychological state of love is difficult to define, and we often rely on metaphors to communicate about this state and its constituent experiences. Commonly, these metaphors liken love to a physical force-it sweeps us off our feet, causes sparks to fly, and ignites flames of passion. Even the use of "attraction" to refer to romantic interest, commonplace in both popular and scholarly discourse, implies a force propelling two objects together. The present research examined the effects of exposing participants to a physical force (magnetism) on subsequent judgments of romantic outcomes. Across two studies, participants exposed to magnets reported greater levels of satisfaction, attraction, intimacy, and commitment.
10.1371/journal.pone.0155943
What Are Friends for? Friendships and Loneliness Over the Lifespan-From 18 to 79 Years.
Nicolaisen Magnhild,Thorsen Kirsten
International journal of aging & human development
Preventing and reducing loneliness is crucial to well-being and good health. Social relationships protect people against loneliness. Friendship qualities like intimacy and frequency of contact may vary throughout a person's lifespan. This study explores aspects of friendship and loneliness among people in different age groups: 18 to 29, 30 to 49, 50 to 64, and 65 to 79 years old. Data are from the Norwegian Life Course, Gender and Generations study (N = 14,725). Young people see their friends most often. The proportion of people without confidant friends is higher among older age groups. However, older age groups report higher levels of satisfaction with their contact with friends. Multivariate regression analyses show that the aspiration for contact with friends is more significant to loneliness than actual contact in all age groups. Dissatisfaction with contact with friends is strongly related to loneliness in all age groups.
10.1177/0091415016655166
Seeking Connection Versus Avoiding Disappointment: An Experimental Manipulation of Approach and Avoidance Sexual Goals and the Implications for Desire and Satisfaction.
Muise Amy,Boudreau Gillian K,Rosen Natalie O
Journal of sex research
Previous correlational research has demonstrated an association between people's reasons for having sex (i.e., their sexual goals) and their sexual desire and sexual and relationship satisfaction. Across two studies of people in romantic relationships (N = 396) we extend previous research and demonstrate, for the first time, that manipulating the salience of approach sexual goals (i.e., engaging in sex to pursue positive outcomes, such as enhanced intimacy) compared to avoidance sexual goals (i.e., engaging in sex to avert negative outcomes, such as a partner's disappointment) or a control condition leads people to feel higher sexual desire for their romantic partners and to report higher sexual and relationship satisfaction. In addition, in Study 2 we demonstrate that focusing on approach sexual goals over the course of a week leads people to report more satisfying sexual experiences during that week, as well as higher desire and overall relationship satisfaction, compared to a control group. The current findings advance approach-avoidance theory by providing evidence that it is possible to manipulate people's sexual goals and, in turn, impact their feelings of desire and satisfaction. Results are promising for the development of interventions to promote sexual and relational well-being.
10.1080/00224499.2016.1152455
Why Women Request Labiaplasty.
Sorice Sarah C,Li Alexander Y,Canales Francisco L,Furnas Heather J
Plastic and reconstructive surgery
BACKGROUND:In recent years, labiaplasty has jumped in popularity, despite opposition to the procedure. In 2007, the American College of Obstetricians and Gynecologists declared the recommendation of cosmetic vaginal procedures to be "untenable," although in 2016 they allowed consideration of labiaplasty in adolescents if symptoms persist. The reasons for labiaplasty requests are not yet fully understood, and physician opposition limits patient access to surgical relief. METHODS:In this prospective study, 50 consecutive patients consulting about labiaplasty were given a questionnaire assessing 11 physical and appearance-related symptoms associated with elongated labia. RESULTS:The mean patient age was 33.5 years (range, 17 to 51 years). Fifty-eight percent of women had given birth, 52 percent noticed that their labia had become elongated as they got older, and 93 percent had bilateral elongation. When asked about physical symptoms, over half of patients experienced tugging during intercourse, found tight pants uncomfortable, experienced twisting of the labia, and noted labia visibility in yoga pants. Nearly half experienced pain during intercourse, and 40 percent said their labia could become exposed in bathing suits. Regarding appearance, almost all patients were self-conscious and over half felt less attractive to their partner, experienced restricted clothing choice, and noted a negative impact on self-esteem and intimacy. Nearly all patients experienced at least four symptoms. CONCLUSIONS:Most patients requesting labiaplasty experience both physical and appearance-related symptoms. Understanding this patient perspective is crucial in assessing surgical outcomes. Furthermore, the better all physicians understand labia symptomatology, the better supported patients will be in seeking surgical relief.
10.1097/PRS.0000000000003181
"That's Kind of One of Our Jobs": Sexual Activity as a Form of Care Work Among Women with Sexual Difficulties.
Braksmajer Amy
Archives of sexual behavior
Willing engagement in unwanted or undesired sexual activity, often associated with fulfilling a partner's needs or sustaining intimate relationships, is common. Acquiescence with undesired sexual activity can be conceptualized as sexual care work, that is, domestic "labor" that women undertake with the goal of caring for their partners' well-being. Drawing on interviews with 53 women with dyspareunia (pain experienced during intercourse) and low desire, the aim of this study was to examine how women with sexual difficulties engage in sexual care work, the implications of the inability to perform such work for gender identity, and the ways in which sexual care work may blur the lines between women's perceptions of coercion and consent. The women in this study engaged in sexual activity for a number of reasons, including the pursuit of intimacy, to care for their partner, and to fulfill their perceived sexual obligations. Sexual compliance was conceptualized as a form of work, similar to other forms of unpaid care work such as housework or childcare, which negatively affected women's gender identities when it could not be performed. For many women, sex was simultaneously wanted and unwanted, contributing to women's ambivalence regarding the meaning of consent. Further exploration of these issues may lead to a better understanding of how gender is achieved through normative sexuality.
10.1007/s10508-017-0945-1
Betrayals in Emerging Adulthood: A Developmental Perspective of Infidelity.
Norona Jerika C,Olmstead Spencer B,Welsh Deborah P
Journal of sex research
Infidelity is associated with considerable distress and discord in dating relationships. The current mixed methods study examined both the written narratives and survey responses of 104 (59.6% women) emerging adults to investigate reasons for engaging in infidelity (i.e., sexual and emotional infidelity). Emerging adults' reasons for engaging in infidelity were attributed primarily to their primary relationships and/or their romantic partners not fulfilling their needs for interdependence and thus feeling motivated to fulfill these needs elsewhere. Although the majority of participants provided independence and/or interdependence reasons for their infidelity, a large proportion of responses (40%) referenced alternative reasons. These responses included (a) the opportunity to become intimate with an infidelity partner while under the influence of alcohol, (b) attraction to an infidelity partner, and (c) the excitement and novelty that the infidelity experience provided. Those who reported engaging in infidelity because of unmet interdependence needs, and intimacy needs in particular, were more avoidantly attached than those who did not reference unmet interdependence needs. Those who reported engaging in infidelity because of unmet independence needs were more anxiously attached than those who did not reference unmet independence needs. Implications for the developmental importance of infidelity in terms of research and applied work are discussed.
10.1080/00224499.2017.1342757
Sexual Cues Mediate the Daily Associations Between Interpersonal Goals, Pain, and Well-being in Couples Coping With Vulvodynia.
Rosen Natalie O,Muise Amy,Impett Emily A,Delisle Isabelle,Baxter Mary Lou,Bergeron Sophie
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
Background:Vulvodynia is an idiopathic vulvovaginal pain condition that has significant sexual and relational consequences. Most women with vulvodynia continue to have intercourse, possibly because of a desire to approach positive outcomes (e.g., intimacy) and avoid negative outcomes (e.g., partner disappointment). Purpose:This study examined daily associations between approach and avoidance sexual goals and women's pain during intercourse and couples' sexual and relational well-being, as well as the mediating role of sexual cues. Methods:Over 8 weeks, on sexual activity days (M = 8.77), women with vulvodynia (N = 101) and their partners reported their sexual goals, attention to sexual cues, sexual function, and relationship satisfaction, and women reported pain during intercourse. Results:On days when women and partners held higher approach goals, they attended more to positive sexual cues, and in turn, felt more relationally satisfied, whereas on days when they held higher avoidance sexual goals, partners were more focused on negative sexual cues, and in turn, partners reported lower relationship satisfaction. On days when women reported higher approach goals, they reported less pain, and both they and their partners attended more to positive sexual cues, and in turn, both had higher sexual function, whereas on days when women reported higher avoidance goals, both they and their partners attended more to negative sexual cues, and in turn, women reported greater pain, and both partners reported poorer sexual function. Conclusions:Interventions should target cognitive-affective processes during sexual activity as one pathway by which sexual goals impact pain and adjustment.
10.1093/abm/kax046
A Study of Intimate Partner Violence, Substance Abuse, and Sexual Risk Behaviors Among Gay, Bisexual, and Other Men Who Have Sex With Men in a Sample of Geosocial-Networking Smartphone Application Users.
American journal of men's health
Geosocial-networking smartphone applications ("apps") are widely used by gay, bisexual, and other men who have sex with men (MSM) and facilitate connections between users based on proximity and attraction. MSM have sexual encounters and relationships of varying degrees of emotional and physical intimacy with app-met individuals, potentially placing them at risk for intimate partner violence (IPV). The purpose of the current study was to utilize a geosocial-networking application to investigate relationships between experiences of IPV victimization as it relates to substance use and sexual risk behaviors in a sample of MSM. Participants ( n = 175) were recruited by means of broadcast advertisements on an application widely used by MSM (Grindr) to seek sexual partners. Multivariable regression models were fit to examine associations between IPV, substance abuse, and sexual risk behaviors. Lifetime experiences of IPV victimization were common, where 37.7% of respondents reported having experienced at least one form of IPV. While a marginally significant positive association between IPV and substance abuse was detected in multivariable models ( p = .095), individual forms of IPV were strongly associated with substance abuse. For example, sexual IPV victimization was associated with an increase in substance abuse in the preceding month ( p = .004). Experiences of IPV victimization were associated with higher numbers of partners for both condomless receptive and insertive anal intercourse ( p < .05). Given the relatively high prevalence of IPV victimization and its associations with substance abuse and sexual risk behaviors, these findings suggest that IPV screening and prevention programs may reduce substance abuse and sexual risk behaviors in this population.
10.1177/1557988316631964
What's interpersonal in interpersonal perception? The role of target's attachment in the accuracy of perception.
Sadikaj Gentiana,Moskowitz D S,Zuroff David C
Journal of personality
OBJECTIVE:We examined the influence of attachment orientation on the accuracy of perception of negative affect in close relationships. We hypothesized that tracking accuracy of perceiving negative affect (a) would be lower among perceivers and targets with higher attachment avoidance and (b) would be lowest when both the target and perceiver were high on attachment avoidance. Tracking accuracy would be (c) higher among perceivers and targets with higher attachment anxiety and (d) highest when both the target and perceiver were high on attachment anxiety. METHOD:We collected data from 92 couples who reported their negative affect and perception of their partner's negative affect in interactions with each other on 20 days. RESULTS:Results supported the hypotheses for attachment avoidance and tracking accuracy. Tracking accuracy of perceived negative affect was low when the target was high on attachment avoidance; accuracy was lowest when both the target and the perceiver were high on attachment avoidance. CONCLUSIONS:Lower "readability" of high avoidantly attached targets' emotions may inhibit intimacy and sensitive responding, which thereby may contribute to poor relationship outcomes.
10.1111/jopy.12343
Post sex affectionate exchanges promote sexual and relationship satisfaction.
Muise Amy,Giang Elaine,Impett Emily A
Archives of sexual behavior
The current research examined the role of post sex affection in promoting sexual and relationship satisfaction in ongoing romantic partnerships. Since romantic partners view the period after engaging in sex as an important time for bonding and intimacy, we sought to determine if and how the duration and quality of post sex affection might promote satisfaction in romantic relationships. In two studies, we tested the link between post sex affectionate behavior (e.g., cuddling, caressing, shared intimacy) and sexual and relationship satisfaction. In Study 1, a cross-sectional survey of individuals in romantic relationships (N = 335), duration of post sex affection was associated with higher sexual satisfaction and, in turn, higher relationship satisfaction. In Study 2, a daily experience study of 101 established couples (N = 202) with a 3-month follow-up, day-to-day changes in post sex affection duration and quality were associated with both partners' sexual and relationship satisfaction, and engaging in longer and more satisfying post sex affection over the course of the study was associated with higher relationship and sexual satisfaction 3 months later. In general, the pattern of results was consistent for men and women, but the association between the duration of post sex affection and relationship satisfaction was stronger for women than for men (Study 1) and women, but not men, felt more sexually satisfied when their partner reported higher quality post sex affection (Study 2). The findings suggest that the period after sex is a critical time for promoting satisfaction in intimate bonds.
10.1007/s10508-014-0305-3
Examining the unique contribution of body appreciation to heterosexual women's sexual agency.
Grower Petal,Ward L Monique
Body image
Although numerous studies demonstrate links between negative body image and sexual well-being, recent research has emphasized studying the positive aspects of these constructs. The current study built upon this prior research by examining the association between body appreciation and sexual agency among a US community sample of 355 heterosexual women aged 18-40. This study also examined whether body appreciation is uniquely associated with sexual agency above and beyond levels of self-objectification. Regression analyses demonstrated that women who reported greater body appreciation also reported greater condom use self-efficacy, sexual satisfaction, sexual assertiveness, and feelings of entitlement to sexual pleasure, and lower levels of body self-consciousness during intimacy. These findings remained consistent even when self-objectification was entered into the model as a covariate. Results highlight the importance of studying how body appreciation may promote women's sexual agency.
10.1016/j.bodyim.2018.09.003
In memory: Predicting preferences for memorializing lost loved ones.
Mroz Emily L,Bluck Susan
Death studies
People's preferences for memorializing loved ones vary and may depend on their personal attitudes and experiences with death. Participants (N = 145) completed the memorializing preferences checklist and measures of personal attitudes and life experiences with death. Factor analysis identified four memorializing preferences. In terms of predicting preferences, greater acknowledgment of death, and having experienced more losses, predicted preference for memorializing through societal tradition, community legacy, and continuing intimacy. Greater death resistance and less closeness to the deceased predicted preference for memorializing through confronting loss. Findings are discussed in terms of the range of preferences for and motivations behind memorializing.
10.1080/07481187.2018.1440033
Kissing, Cuddling, and Massage at Most Recent Sexual Event: Findings From a U.S. Nationally Representative Probability Sample.
Herbenick Debby,Fu Tsung-Chieh Jane,Owens Christopher,Bartelt Elizabeth,Dodge Brian,Reece Michael,Fortenberry J Dennis
Journal of sex & marital therapy
Using data from the 2014 National Survey of Sexual Health and Behavior, a probability survey of Americans aged 14+, we assessed the prevalence and correlates of kissing, cuddling, and massage during 1,493 individuals' most recent sexual event from the past year. Most respondents reported kissing (87%) and cuddling (70%); fewer (23%) reported massage. Each was significantly associated with age, education, and relationship structure. Respondents younger than 30 were significantly more likely to indicate they did not kiss because kissing would have been too intimate with their partner. Only cuddling was significantly associated with event-level emotional intimacy and sexual pleasure.
10.1080/0092623X.2018.1494648
Teacher Network of Relationships Inventory: measurement invariance of academically at-risk students across ages 6 to 15.
Wu Jiun-Yu,Hughes Jan N
School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association
We tested the longitudinal measurement invariance of the Teacher Network of Relationships Inventory (TNRI), a teacher-report measure of teacher-student relationship quality (TSRQ), on a sample of 784 academically at-risk students across ages 6 to 15 years by comparing the model for each subsequent year with that of the previous year(s). The TNRI was constructed with 22 items to form 3 correlated factors: Warmth, Conflict, and Intimacy. Cronbach's alphas ranged from .87 to .96 across 9 years. Both metric and scalar measurement invariance held for 9 years, indicating that scores on the TNRI have similar meaning across these ages. The TNRI also demonstrated measurement invariance across gender and race/ethnicity. Findings support that the TNRI is an appropriate measure for investigating substantive issues related to developmental changes in TSRQ from early childhood through adolescence, including gender and ethnic/racial differences in TSRQ across these ages. Based on repeated-measures ANOVAs, each scale decreased across the 9 years, although the growth patterns for scales differed somewhat: Conflict had a linearly decreasing pattern, Warmth declined most notably as students make the transition to adolescence, whereas Intimacy scores dropped off noticeably at the transition from early to late childhood. Research limitations and implications for practice are discussed.
10.1037/spq0000063
Social Anxiety Disorder and Perceived Criticism in Intimate Relationships: Comparisons With Normal and Clinical Control Groups.
Porter Eliora,Chambless Dianne L,Keefe John R,Allred Kelly M,Brier Moriah J
Behavior therapy
Individuals with social anxiety disorder (SAD) have difficulties in their romantic relationships, including decreased satisfaction and intimacy, but the reasons for these difficulties are poorly understood. Because fear of negative evaluation is a cardinal feature of SAD, perceived criticism from a romantic partner may play a central role in socially anxious individuals' relationships. In the present study, we compared levels of perceived, expressed, and observed criticism and reactions to criticism among individuals with SAD and their partners (n = 21), individuals with other anxiety disorders and their partners (n = 35), and couples free of psychopathology (n = 30). Participants rated both global criticism and criticism during a 10-minute problem-solving task, which was also coded for criticism by observers. Individuals with anxiety disorders showed elevated levels of interaction-specific perceived criticism, expressed criticism, and upset and stress due to criticism relative to normal controls; they also reported that the interaction was more stressful. However, there were no group differences on global measures of criticism, and the two anxious groups did not differ on any measures. Findings suggest that the high levels of criticism anxious individuals perceive and their corresponding negative reactions to criticism, though not specific to SAD, may account for some of the relationship difficulties that have been identified in SAD. Results also indicate that anxious individuals may contribute to their relationship difficulties by being highly critical themselves. Overall, our findings point to the need for a clinical focus on decreasing perceived criticism among individuals with anxiety disorders.
10.1016/j.beth.2018.05.005
Sexual Experience before Treatment for Vaginal Agenesis: A Retrospective Review of 137 Women.
Dear Joanna,Creighton Sarah M,Conway Gerard S,Williams Louise,Liao Lih-Mei
Journal of pediatric and adolescent gynecology
STUDY OBJECTIVE:To summarize the self-reported sexual experiences of women with vaginal agenesis before treatment and discuss the clinical implications. DESIGN:A retrospective review of pretreatment baseline sexuality data and medical records of women with vaginal agenesis seeking vaginal construction. SETTING:A specialist multidisciplinary center for women with genital differences associated with diverse sex development. PARTICIPANTS:One hundred thirty-seven women with untreated vaginal agenesis associated with Mayer-Rokitansky-Küster-Hauser Syndrome and complete androgen insensitivity syndrome aged 15 to 41 years (mean age, 20 years). INTERVENTIONS:Gynecological examination and completion of questionnaires. MAIN OUTCOME MEASURES:(1) Sexual Experiences Questionnaire; (2) Multidimensional Sexuality Questionnaire; (3) Vaginal Self-Perceptions; and (4) vaginal length. RESULTS:A sizable proportion of women reported having had sexually intimate experiences before any medical intervention on the vagina. Vaginal length, which ranged from dimple to 7 cm and averaged 2.7 cm for the cohort, was unrelated to the range of sexual experiences. Most women perceived their vagina as being too small, but less than half believed that a sexual partner would notice this. Two-thirds of the cohort subsequently completed the dilation program, which was not predicted by pretreatment vaginal length or sexual experience. CONCLUSION:Contrary to the assumption that a vagina of certain dimensions is a prerequisite for women to "have sex," many women with Mayer-Rokitansky-Küster-Hauser syndrome and complete androgen insensitivity syndrome reported having experienced genital and nongenital sexual activities with no medical interventions. It is recommended that treatment providers affirm women's capacity for sexual intimacy, relationships, and enjoyment before they introduce the topic of vaginal construction as a non-urgent choice.
10.1016/j.jpag.2018.12.005
Is High Sexual Desire a Risk for Women's Relationship and Sexual Well-Being?
Štulhofer Aleksandar,Bergeron Sophie,Jurin Tanja
Journal of sex research
Historically, women's sexual desire has been deemed socially problematic. The growing popularity of the concept of hypersexuality-which lists high sexual desire among its core components-poses a risk of re-pathologizing female sexual desire. Data from a 2014 online survey of 2,599 Croatian women aged 18-60 years was used to examine whether high sexual desire is detrimental to women's relationship and sexual well-being. Based on the highest scores on an indicator of sexual desire, 178 women were classified in the high sexual desire (HSD) group; women who scored higher than one standard deviation above the Hypersexual Disorder Screening Inventory mean were categorized in the hypersexuality (HYP) group (n = 239). Fifty-seven women met the classification criteria for both groups (HYP&HSD). Compared to other groups, the HSD was the most sexually active group. Compared to controls, the HYP and HYP&HSD groups-but not the HSD group-reported significantly more negative consequences associated with their sexuality. Compared to the HYP group, women with HSD reported better sexual function, higher sexual satisfaction, and lower odds of negative behavioral consequences. The findings suggest that, at least among women, hypersexuality should not be conflated with high sexual desire and frequent sexual activity.
10.1080/00224499.2015.1084984
Level of personality functioning as a predictor of psychosocial functioning-Concurrent validity of criterion A.
Buer Christensen Tore,Eikenaes Ingeborg,Hummelen Benjamin,Pedersen Geir,Nysæter Tor-Erik,Bender Donna S,Skodol Andrew E,Selvik Sara Germans
Personality disorders
The alternative model for personality disorders (AMPD) in the defines personality functioning by assessment of impairment in Identity and Self-direction (Self component) and in Empathy and Intimacy (Interpersonal). These four domains constitute the Level of Personality Functioning Scale, a trans-diagnostic measure of PD severity. The association between the Level of Personality Functioning Scale and psychosocial impairment based on other previously established psychosocial functioning instruments has not been reported. A total of 317 individuals, including a representative clinical sample of 282 patients (192 with a personality disorder [PD] diagnosis), was evaluated with the Structured Clinical Interview for the AMPD Module I. Self-reported impairment was measured by the Work and Social Adjustment Scale (WSAS), and social and occupational impairment was assessed by the functioning score of the Global Assessment of Functioning scale (GAF-F). WSAS and GAF-F both correlated significantly with mean LPFS scores and the sum of PD criteria. For both measures, the mean LPFS was a stronger predictor for psychosocial impairment than the sum of PD criteria. Within the LPFS, the Self component was a better predictor than the Interpersonal component for both WSAS and GAF-F. For the four domains, the results diverged, with Identity as the strongest predictor by far for WSAS. Empathy was the only significant predictor for impairment evaluated by GAF-F, but its contribution to variance was not substantial. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
10.1037/per0000352
International Travel as a Context for Sexual and Contraceptive Behaviors: A Qualitative Study of Young Women Traveling Outside the U.S.
Martins Summer L,Hellerstedt Wendy L,Bowman Sara B,Brady Sonya S,Mason Susan M
Archives of sexual behavior
International travel is popular worldwide, yet its implications for sexual and reproductive health are not fully understood. Few studies have examined the contextual factors that shape women's sexual and contraceptive behaviors-and thus, their risk of unintended pregnancy and sexually transmitted infections (STIs)-while traveling outside their home country. In this qualitative study, female university students with recent (n = 25) or upcoming (n = 19) travel outside the U.S. completed semi-structured interviews from October 2015 to March 2017. Transcripts were analyzed for themes related to contraceptive and sexual behaviors: (1) participants' pre-travel expectations of sex; (2) the circumstances surrounding sexual encounters with men while traveling; (3) negotiation about condom and contraception use with partners; and (4) factors affecting contraceptive adherence. Participants generally expected to be abstinent during travel, citing myriad rationales that included personal values, no perceived opportunities for sex, and the nature of the trip. Some travelers had unexpected sexual encounters, involving health-protecting behaviors and risk-taking (e.g., unprotected sex, substance use). New sexual partnerships were fueled by increased attention from men, situational disinhibition, and perceived heightened intimacy. International travel brought many contraceptive considerations (adequacy of supplies, access to refrigeration, time zone differences, etc.) as well as obstacles that triggered contraceptive lapses and discontinuation. Pill users described the most challenges, while travelers using intrauterine devices expressed appreciation for their maintenance-free contraception. This study suggests complex associations between international travel and young women's sexual and reproductive health. Some travelers were more vulnerable to situational risk factors, while others may have been more insulated. We identify potential intervention opportunities via clinical services, education, and policy to reduce young women's risk of adverse sexual and reproductive health outcomes while traveling abroad. We urge greater recognition of and conversations about contraceptive lapse and unintended pregnancy as potential health risks for female travelers of reproductive age, just as clinical guidelines acknowledge travel-associated STI.
10.1007/s10508-019-1400-2
Suicidal Ideation on Higher Education Students: Influence of Some Psychosocial Variables.
Gonçalves Amadeu Matos,da Cruz Sequeira Carlos Alberto,Duarte João Carvalho,de Freitas Paula Pinto
Archives of psychiatric nursing
INTRODUCTION:While attending to higher education, multiple changes occur in the lives of young students. These changes make higher education students particularly more exposed and vulnerable to mental health problems, and therefore more likely to present suicidal behaviors. OBJECTIVES:The aim of this study was to assess suicidal ideation in higher education students, and its relationship with some psychosocial variables. METHODS:Exploratory, quantitative and descriptive study, applied on a sample of 1074 students of a higher education institution in Portugal. RESULTS:Some significant associations with suicidal ideation were found with self-concept factors (self-acceptance, self-effectiveness and impulsivity); stress, anxiety and clinical depression; linkage anxiety and social support activities dimensions; intimacy and total social support. CONCLUSION:In our sample we found 84 students with potential suicidal risk, and through the result analysis, the biopsychosocial profile of the student at risk for suicidal ideation exhibits the following traits: female, age 18/19, low self-concept, insecure linkage patterns and little involvement in social activities and intimacy relationships. All facts considered, higher education institutions should provide programs that promote mental health and suicide prevention in academic environments. The results of this study also have implications for policy makers, clinical practice, suicide prevention and higher education institutions.
10.1016/j.apnu.2015.08.005
Musical responsiveness and blocked capacity for intimacy: a comparison of music and psychology students.
Babbage S J,Valentine E R
The British journal of medical psychology
The hypothesis that music serves a compensatory emotional need, specifically that blocked capacity for intimacy would predict musical responsiveness, was examined in musicians and psychologists. Music and psychology students completed a musical preference scale and measures of personal relationships and capacity for intimacy. Degree of musical responsiveness was significantly related to a blocked capacity for intimacy in music students but these measures were non-significantly negatively related in psychology students. For the latter group, musical preference (i.e. degree of liking for different kinds of music) and measures of blocked capacity for intimacy were significantly negatively related to reported time spent listening to music. The results for music students are consistent with the Freudian hypothesis of sublimation and extend the work of Machotka in the realm of visual arts to that of music. The results for psychology students, however, indicate that for them music is not serving an aesthetic function in the sense defined by Wallach (1959). The most plausible explanation for the difference between music and psychology students is in terms of anxiety as a mediating variable.
Exploring Diversity in HIV Research in the Sexual Partnerships of Australian Gay and Bisexual Men.
Philpot Steven P,Bavinton Benjamin R,Prestage Garrett,Grierson Jeffrey,Ellard Jeanne,Duncan Duane
Archives of sexual behavior
Gay and bisexual men engage in a variety of sexual partnerships, but the most common distinction made in HIV research and behavioral surveillance is a binary between "regular" and "casual" partners. The "regular partner" category is often perceived as pertaining to ongoing coupled "boyfriend" relationships, with the literature to date rarely troubling what actually constitutes a "regular partner." Some emerging literature has identified "fuckbuddy" partnerships as a type of regular partnership requiring attention, but it is relatively new and not well understood. Currently, assumptions of the regular partner category do not capture how men perceive and conduct commitment in different sexual partnerships that could also be considered "regular," and the implications this has for HIV prevention. Drawing on in-depth interviews with a sample of 61 Australian gay-identified men, we explore a diversity of partnership types that represent unique ways of enacting commitment. We identify three sexual partnerships: "fuckbuddies," dating, and serial monogamy, each with specific issues for HIV risk and prevention. These partnerships suggest important differences in the way men conceive of and practice intimacy and sex.
10.1007/s10508-019-01540-w
Comparison of Patient Symptomatology before and after Labiaplasty.
Sorice-Virk Sarah,Li Alexander Y,Canales Francisco L,Furnas Heather J
Plastic and reconstructive surgery
BACKGROUND:Labiaplasty has grown in popularity, but it remains controversial. Few studies have quantified the change in specific symptomatology from before to after labiaplasty to establish its effectiveness in improving quality of life. METHODS:In a prospective study, 62 patients undergoing labiaplasty completed written surveys privately in an examination room preoperatively and postoperatively about the presence of 11 physical and appearance-related symptoms. RESULTS:Mean patient age was 33.5 years (range, 17 to 61 years). Two patients were of minority age. All patients presented with at least one symptom, averaging 6.5 (range, one to 11). Most (82.2 percent) had a trim labiaplasty, and the rest (17.7 percent) had a wedge. After labiaplasty, 93.5 percent of patients were symptom-free, with the average dropping to 0.23 of 11 symptoms. Symptom-prevalence changes from preoperatively to postoperatively included self-consciousness, dropping from 93 percent to 6.5 percent; tugging (from 66.1 percent to 0 percent); feeling less attractive (from 66.1 percent to 0 percent); negative impact on self-esteem (from 64.5 percent to 1.6 percent); negative impact on intimacy (from 62.5 percent to 0 percent); twisting (from 58.1 percent to 3.2 percent); being uncomfortable (from 56.5 percent to 4.8 percent); clothing restriction (from 54.8 percent to 3.2 percent); visible outline (from 46.8 percent to 1.6 percent); pain (from 43.5 percent to 1.6 percent); and exposure in swimsuits (from 38.7 percent to 1.6 percent). No major complications occurred. Two patients felt their labia were still too long and revision was offered. Average follow-up was 13.3 months (range, 6 to 24 months). CONCLUSIONS:Patients with elongated labia have a high incidence of functional and appearance-related symptoms. Labiaplasty is a safe procedure that yields significant improvement in quality of life. CLINICAL QUESTIONS/LEVEL OF EVIDENCE:Therapeutic, IV.
10.1097/PRS.0000000000007081
Men and women are from Earth: examining the latent structure of gender.
Carothers Bobbi J,Reis Harry T
Journal of personality and social psychology
Taxometric methods enable determination of whether the latent structure of a construct is dimensional or taxonic (nonarbitrary categories). Although sex as a biological category is taxonic, psychological gender differences have not been examined in this way. The taxometric methods of mean above minus below a cut, maximum eigenvalue, and latent mode were used to investigate whether gender is taxonic or dimensional. Behavioral measures of stereotyped hobbies and physiological characteristics (physical strength, anthropometric measurements) were examined for validation purposes, and were taxonic by sex. Psychological indicators included sexuality and mating (sexual attitudes and behaviors, mate selectivity, sociosexual orientation), interpersonal orientation (empathy, relational-interdependent self-construal), gender-related dispositions (masculinity, femininity, care orientation, unmitigated communion, fear of success, science inclination, Big Five personality), and intimacy (intimacy prototypes and stages, social provisions, intimacy with best friend). Constructs were with few exceptions dimensional, speaking to Spence's (1993) gender identity theory. Average differences between men and women are not under dispute, but the dimensionality of gender indicates that these differences are inappropriate for diagnosing gender-typical psychological variables on the basis of sex.
10.1037/a0030437
Meaning and comfort factors in the paediatric intensive care unit from an adult perspective: a descriptive phenomenological study.
Bosch-Alcaraz Alejandro,Jordan Iolanda,Rodríguez-Martín Dolors,Falcó-Pegueroles Anna
Scandinavian journal of caring sciences
AIMS:To explore the meaning of comfort and know the factors that contribute to it from the point of view of the young adults who received care in a paediatric intensive care unit, the family of the patient and the interdisciplinary team attending the patient. FINDINGS:A total of 30 people were invited to participate in the focus groups; 24 did so. Thematic analysis yielded the following common categories: meaning of comfort, environmental factors in paediatric intensive care unit, family accompaniment during paediatric intensive care unit stay, management of information in the paediatric intensive care unit and, finally, the intimacy and privacy of the critically ill paediatric patient and their family. CONCLUSIONS:Paediatric intensive care unit professionals need to consider not only the environmental input that may lead to discomfort but also aspects such as continuous family accompaniment, the sharing of complete information with the family and the promoting of privacy.
10.1111/scs.12764
Determinants of risky sexual practice, drug abuse and alcohol consumption in adolescents in Iran: a systematic literature review.
Yazdi-Feyzabadi Vahid,Mehrolhassani Mohammad Hossein,Zolala Farzaneh,Haghdoost AliAkbar,Oroomiei Nadia
Reproductive health
BACKGROUND:Evidence shows that the prevalence of risky sexual practice, drug abuse, and alcohol consumption behaviors in low and middle income countries such as Iran is not in a favorable condition. Preventive programs against these behaviors in Iran are very rare, and the results are unclear, which may be due to the lack of deeply and systematically understanding of the determinants of these behaviors. Evidence suggests that these behaviors are coincidence. So all of these behaviors were examined together. The present study was conducted aiming at determining the reasons for the occurrence of these behaviors among 15-19-year-old adolescents in Iran. METHODS:The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed to review published and unpublished studies in Iran. The databases used were Scopus, PubMed, Web of Science, and Cochrane Library. The query terms were "Synthetic Drug" OR "Designer Drug", AND Adolescents OR Teenagers OR Juvenile, AND Iran. The Joanna Briggs Institute Critical Appraisal Checklist was employed for critical appraisal. The quantitative studies using the regression model to analyze the factors affecting these behaviors were studied as the form of the theme. For analyzing the data, narrative synthesis and thematic analysis were used. RESULTS:Twelve studies were meticulously reviewed. The findings were classified into five main themes (including individual, family, friends, school, and community) and 26 sub-themes. The most frequent main theme and sub-themes were respectively Family, Higher age, Male gender, Weak religious beliefs, Low self-esteem, Anti-social behaviors in family, Mother's employment, Parenting style, Poor intimacy of parents, Absence of parents, Peer pressure, and Lack of appropriate recreation. No primary study has referred to the political, economic, or policy factors affecting such behaviors. CONCLUSIONS:The most identified sub-themes belong to family factors. Iran is a country with ideology of Islam; however, being Muslim does not guarantee adherence to all Islamic guidelines. So being Muslim is not a good reason to prevent these behaviors. Iran needs precise policy making in this area through considering family structure. It is also suggested that primary studies referring to the political, economic, or policy factors affecting such behaviors should be carried out.
10.1186/s12978-019-0779-5
Metabolic control in adolescent girls: links to relationality and the female sense of self.
Maharaj Sherry,Daneman Denis,Olmsted Marion,Rodin Gary
Diabetes care
OBJECTIVE:This study investigated whether intimacy and autonomy in mother-daughter interactions and relational aspects of the self are associated with metabolic control in adolescent girls with type 1 diabetes. RESEARCH DESIGN AND METHODS:This cross-sectional study included 88 girls with diabetes (mean age 14.9 +/- 2.2 years, diabetes duration 7.1 +/- 3.9 years, and HbA1c 8.9 +/- 1.6%) from the Diabetes Clinic at the Hospital for Sick Children in Toronto and their mothers. Teens completed a self-report measure assessing self-concept in eight domain-specific areas. Mothers and daughters engaged in a 7-min, videotaped, problem-solving task involving a diabetes-related conflict issue. Interactions were rated using a macroanalytic rating system to assess intimacy and autonomy in parent-teen relationships. Metabolic control was measured using HbA1c. RESULTS:Self-concept in domains of perceived behavioral conduct (P=0.003), social acceptance (P=0.03), romantic appeal (P=0.03), and close friendships (P=0.04) independently predicted HbA1c levels, together accounting for 30% of the variance. Also, the experience of emotional closeness (i.e., intimacy) rather than separateness (i.e., autonomy) in mother-daughter relationships was associated with lower HbA1c (P=0.03). CONCLUSIONS:Relational aspects of the self and the experience of emotional closeness in relationships are associated with metabolic control in adolescent girls. Efforts to improve metabolic control in girls should include enhancing the self-concept and the experience of relatedness in familial, peer, and patient-caregiver relationships.
10.2337/diacare.27.3.709
Behavior-Related Erectile Dysfunction: A Systematic Review and Meta-Analysis.
Sivaratnam Lavanyah,Selimin Diana Safraa,Abd Ghani Siti Rasidah,Nawi Haniff Mohd,Nawi Azmawati Mohammed
The journal of sexual medicine
BACKGROUND:Erectile dysfunction (ED) is a common problem among men across the world. It is usually multifactorial in origin. Behavioral factors can be related to the development of ED and related to many other chronic diseases. It impacts not only the sexual function but also the psychology and their overall quality of life. AIM:To determine the association of the behavior factors in relation to ED and to identify the risk and protective factors. METHOD:A systematic review search based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis was conducted. The primary databases PubMed, PlosOne, Oxford Academic, SCOPUS, and Ovid were accessed using specific keyword searches. Quality of articles was assessed by using Newcastle-Ottawa Assessment Scale according to the study design. OUTCOME:Evaluation of the relationship between behavioral factors and ED. RESULTS:24 studies were identified from the 5 databases which met the predetermined criteria. Overall, the study population include adult male age between 18 and 80 years. The sample size of the studies ranges from 101 to the largest sample size of 51,329. Smoking, alcohol, and drugs usage are found to be risk factors for ED. Meanwhile, dietary intake, physical activity, and intimacy are the protective factors for ED. CLINICAL IMPLICATION:The findings from this review may aid clinicians to aim for early detection of ED by screening their risk factors and providing early treatment. This can also be used to promote awareness to the community on the sexual health and factors that can affect their sexual function. STRENGTH & LIMITATION:This study looks at all types of behavioral factors that may affect ED; however, there was a substantial heterogeneity detected across the selected study factors. Furthermore, the lack of PROSPERO registration is also a limitation in this study. CONCLUSION:Overall, smoking, dietary intake, alcohol consumption, drugs, and physical activities are modifiable risk factors for ED in men. Therefore, it is crucial to promote healthy lifestyle and empower men to prevent ED and early detection of ED for early treatment. Sivaratnam L, Selimin DS, Abd Ghani SR, et al. Behavior-Related Erectile Dysfunction: A Systematic Review and Meta-Analysis. J Sex Med 2021;18:121-143.
10.1016/j.jsxm.2020.09.009
Love, sex, and commitment: relationship choices and trajectories among unmarried youth in India.
Darak Shrinivas,Parchure Ritu,Darak Trupti,Kulkarni Vinay
Sexual and reproductive health matters
There is limited research in India to understand young people's decision-making processes about intimate relationships before marriage. This paper, adopting a life course perspective, explains relationship choices and diachronic trajectories of relationships from adolescence to young adulthood. Retrospective data were collected from 1240 never married 20-29-year-old men and women living in Pune using a relationships history calendar. All the relationships from 10 years of age onwards were plotted on the calendar, and information on predictor variables was collected through structured questionnaires. Data were analysed using descriptive statistics. Sequence analysis approach was used to identify different typologies. Overall, 76% of the participants reported having at least one relationship. More women compared to men (84% vs 70%) ever had a relationship. The median age of starting the first relationship was 17 years for women and 18 for men. Different relationship types were reported, such as "serious", casual, "friends with benefit", and "exploring". The level of emotional involvement, commitment, and physical intimacy significantly differed in different relationship types with significant gender differences. Four typologies of relationships were observed, labelled as (1) Commitment-No sex ( = 187); (2) Commitment-Sex-Some exploration ( = 189); (3) No commitment-Exploration ( = 281), and (4) No relationship ( = 583). Compared to men, women were more likely to follow the trajectory of "Commitment-No sex" (RR 2.13, CI 1.5-3.03). Family environment was significantly related to young people's relationship choices. The findings strongly suggest the need to adopt a developmental perspective towards intimate relationships to understand and address the vulnerabilities of young people across the life course.
10.1080/26410397.2022.2031833
I Want You to Want Me: A Qualitative Analysis of Heterosexual Men's Desire to Feel Desired in Intimate Relationships.
Murray Sarah Hunter,Brotto Lori
Journal of sex & marital therapy
Current sexual scripts for heterosexual relationships in the Western world stipulate that men should be the ones to initiate sexual activity, push to the next level of physical intimacy, and to desire women (and not be desirable themselves). However, there is building evidence that sexual scripts and gender roles are not only limited, they may be evolving and shifting over time. The purpose of the current study was to explore the degree to which feeling desired is considered important to heterosexual men in intimate relationships as well as how heterosexual men feel desired by their partners. Three hundred men between the ages of 18 and 65 were recruited from the online platform Reddit. Using Thematic Analysis, we determined that the vast majority of men in this study felt that feeling desired was very important to their sexual experiences. Men in this study listed several ways they felt desired, many that fell outside of traditional gender roles such as romantic, non-sexual touch and having women initiate sexual activity. The findings add to a growing body of literature which suggests traditional sexual scripts for heterosexual men may be limiting and not accurate for all men's sexual experiences.
10.1080/0092623X.2021.1888830
The Effectiveness of EMOVERE: An Emotional Education Program for Young Couples.
International journal of environmental research and public health
Our aim was to assess the effectiveness of EMOVERE, a psychoeducational and experiential program to increase emotion regulation in couples. Forty-four young couples ( = 88) aged between 18 and 36 years old participated in the study (53.4% women; = 24.18; = 4.34). Twenty-two couples belonged to the experimental group (received the intervention) and 22 to the control group (received no intervention). The intervention program consisted of seven two-hour sessions over a month, in groups of four to five couples. The variables studied were sociodemographic characteristics, emotional intelligence (TMMS-24), emotional inter-regulation with the partner (SIERC), attachment (ECR-S) and satisfaction with the relationship (RAS). The proposed design was quasi-experimental, with two randomized groups (experimental and control group) and longitudinal data from two occasions. SPSS version 24.0 was used to perform analysis of variance (MANOVA and MANCOVA), multiple hierarchical regression and reliable change index. PROCESS was also used for moderation analyses. The results indicate that the program is effective in increasing emotional self-regulation and emotion regulation with the partner, as well as reducing couples' avoidance of intimacy. Age, relationship duration and previous relationship satisfaction moderate the effectiveness of the program. The importance of continuing this research line to address well-being of young populations is discussed.
10.3390/ijerph18041677
The effects of sexually explicit material use on romantic relationship dynamics.
Minarcik Jenny,Wetterneck Chad T,Short Mary B
Journal of behavioral addictions
Background and aims Pornography use has become increasingly common. Studies have shown that individuals who use sexually explicit materials (SEMs) report negative effects (Schneider, 2000b). However, Bridges (2008b) found that couples who use SEM together have higher relationship satisfaction than those who use SEM independently. A further investigation into various types of SEM use in relationships may highlight how SEM is related to various areas of couple satisfaction. Thus, the purpose of the current study is to examine the impact of SEM use related to different relationship dynamics. Methods The current study included a college and Internet sample of 296 participants divided into groups based upon the SEM use in relationships (i.e., SEM alone, SEM use with partner, and no SEM use). Results There were significant differences between groups in relationship satisfaction [F(2, 252) = 3.69, p = .026], intimacy [F(2, 252) = 7.95, p = <.001], and commitment [F(2, 252) = 5.30, p = .006]. Post-hoc analyses revealed additional differences in relationship satisfaction [t(174) = 2.13, p = .035] and intimacy [t(174) = 2.76, p = .006] based on the frequency of SEM use. Discussion Further exploration of the SEM use function in couples will provide greater understanding of its role in romantic relationships.
10.1556/2006.5.2016.078
The viability of the Parenting Representations Interview for assessing and measuring change in parents of adolescents.
Scharf Miri,Mayseless Ofra,Kivenson-Baron Inbal
Attachment & human development
Parents' representations include parents' views of their adolescent, of their own parenting and of the parent-adolescent relationship. Two longitudinal studies of parents and their adolescent sons and daughters support the validity of scales coding mothers in the Parenting Representations Interview-Adolescence (PRI-A). The studies, conducted in Israel during the transition from home to military service, demonstrated that three dimensions derived from the PRI-A: positive representations of adolescents, negative emotionality and inadequate boundaries were associated with adolescents' AAI variables, relatedness-autonomy behaviors with mothers, and with other indicators, such as adolescents' wellbeing, romantic intimacy and individuation. Examining parenting representations could help practitioners pinpoint targets for intervention and evaluate the changes that families go through during psychotherapy, as well as the therapeutic process and its outcomes. The findings support the viability of the PRI for use in attachment based interventions for adolescents.
10.1080/14616734.2015.1006387
A systematic review of characteristics of couple-based intervention studies addressing sexuality following cancer.
Jonsdottir Jona Ingibjorg,Jonsdottir Helga,Klinke Marianne E
Journal of advanced nursing
AIM:To describe the characteristics of couple-based intervention studies that address sexuality following cancer. BACKGROUND:Sexuality-related problems are common among cancer survivors and their partners. DESIGN:Systematic literature review with a narrative summary of results. DATA SOURCES:Electronic searches were conducted in PubMed, CINAHL and PsychINFO. We included studies published from 1 January 2009 - 31 December 2016. Additional information was retrieved by scrutinizing reference lists, conducting citation tracking and contacting authors. We included all types of quantitative intervention studies published in the English language which contained outcome measures corresponding to the neo-theoretical framework of sexuality-sexual function, sexual relationship and sexual self-concept. REVIEW METHODS:Our review was guided by the Joanna Briggs Institute reviewer's manual. Data were extracted and appraised using the standardized checklists for quantitative studies. This assessment was conducted independently by two reviewers. A third reviewer was involved if consensus could not be reached. RESULTS:Fourteen studies were included. Interventions were delivered face-to-face, by telephone or via the Internet. Sessions ranged from 1-8, with a duration from 2-22 weeks. Most studies offered ≥3 sessions. Interventions addressed unique concerns and/or provided general education. There was little agreement on the use of outcome measures. Most studies inadequately described fidelity to the study protocol and the training of interventionists. CONCLUSION:There was no clear consensus about how couple-based interventions are best structured. The results provide tentative evidence for how the quality of future research studies can be improved and how knowledge can be used in clinical practice.
10.1111/jan.13470
Hymen interrupted: Negotiating body, markets, and consumerist modernity in India.
Samanta Tannistha
Indian journal of medical ethics
In this commentary, I contend that in a context marked by a slow but steady rise in sexual liberalism around the ideals of female sexuality and desire, the pressure to remain virginal is manifested through a potent nexus of markets and moral economies associated with gender and intimacy. Drawing on qualitative interviews with surgeons specialising in female genital aesthetic surgeries, particularly hymenoplasty, in New Delhi, Ahmedabad, and Bangalore, I show how restorative cosmetic surgeries on healthy bodies are proffered through the language of duty, autonomous choice, and the (neoliberal) market. Further, building on the sociological concepts of "moral consumption" and "progress through pleasure", I show how consumerism-led modernity makes pleasure a 'biopolitical burden', and the cosmetic industry, a regulatory vehicle, disciplining female sexuality to conform with male honour codes. I question what this holds for the sexual and reproductive health politics of young people in India, in a context marked by pervasive asymmetries of socialisation, gender relations, and sexual experience. I conclude with a call to unsettle the social-moral ideals around female sexuality and to rethink the medical-legal frameworks around the cosmetic industry so that young people are not unwittingly co-opted into its production of ideal, patriarchal subjects.
10.20529/IJME.2021.001
Review about the impact of growing up with a chronic disease showed delays achieving psychosocial milestones.
Maurice-Stam Heleen,Nijhof Sanne L,Monninkhof Anneke S,Heymans Hugo S A,Grootenhuis Martha A
Acta paediatrica (Oslo, Norway : 1992)
AIM:This review aimed to provide a comprehensive overview of the psychosocial developmental trajectory of various diseases during childhood and adolescence. METHODS:Studies of Dutch young adults aged 18-35 years, who had grown up with a chronic disease, were included if the Course of Life Questionnaire had been used to assess psychosocial developmental milestones in three domains: social, autonomy and psychosexual. Differences between the disease groups and the general population were presented as Cohen's d and odds ratios. RESULTS:We included 17 studies comprising 1899 young adults, who had grown up with 18 different paediatric diseases. Psychosocial development was delayed in all three questionnaire domains. Remarkable findings with regard to specific milestones were as follows: less participation in sports clubs in the social domain, less likely to have had paid jobs in the autonomy domain and later sexual intimacy in the psychosexual domain. End-stage renal disease, galactosaemia (males), childhood cancer and orthotopic liver transplants were the most affected disease groups. CONCLUSION:Children and adolescents with chronic diseases risked delays in psychosocial development. This should be addressed by healthcare providers, along with the physical aspects of diseases, and they should focus on the optimal psychosocial development of the patient.
10.1111/apa.14918
Editorial: The role of digital technology in children and young people's mental health - a triple-edged sword?
Journal of child psychology and psychiatry, and allied disciplines
The rapid expansion of access to, and engagement with, the Internet and digital technology over the past 15 or so years has transformed the social, educational and therapeutic space occupied by children and young people in contemporary society in remarkable ways. First, it has created previously unimaginable opportunities for learning and development and personal exploration and growth. Second, it seems that the very same qualities and characteristics of the Internet that make these positive contributions possible, such as its immediacy, portability, intimacy, unconstrained reach and lack of supervision and regulation of content, has opened children and young people up to a range of serious social, intellectual and mental health risks. Finally, over and above these 'effects', the digital space is increasingly successfully being harnessed for the identification and treatment of mental health problems. Accordingly, the Internet is not so much a double-, as a triple-edged sword, with regard to children's mental health.
10.1111/jcpp.13302
Sexual risk-taking among homeless young people in Pakistan.
Noor Muhammad N,Holt Martin,Qureshi Ayaz,de Wit John,Bryant Joanne
Health & social care in the community
Homeless young people who engage in sex work are at increased risk of HIV and other sexually transmitted infections like chlamydia, gonorrhoea, syphilis and herpes. Semi-structured interviews were conducted with 29 homeless young people between the ages of 16 and 25 years from Rawalpindi, Pakistan, to explore how sexual practices were mediated through social and contextual conditions. Participants engaged in sex for a range of reported reasons, most commonly to generate income, but also to build intimacy and to establish intimate partnerships which could bring physical protection and social and emotional support. Although participants were aware of the sexual health risks attached to condomless sex, they engaged in it due to the social obligations of intimate partnerships, financial considerations and to better manage potentially violent situations. Instead of condoms, participants used alternate methods like withdrawal, oral sex, post-sex douching and specific sexual positions. These were not always useful, and some methods might have inadvertently increased their risk of HIV. The study findings suggest that an integrated health promotion approach that goes beyond the health sector and a singular emphasis on risk awareness may help reduce young people's risk of homelessness and sexual health risks.
10.1111/hsc.13220
Examining Sexual Behavior Among U.S. Transgender Adolescents.
Journal of sex research
The health of transgender adolescents (i.e., those identifying with a gender other than their sex assigned at birth) is gaining attention from researchers, yet little work has examined normative sexual behaviors among this population. Self-identified gender minority adolescents, including those identifying as trans boys, trans girls, nonbinary, and questioning their gender identity (age range 14-18, = 16, = 1,223) from all 50 U.S. states responded to anonymous online surveys. Participants reported on their age of initiation and number of sexual partners for four sexual behaviors ranging in intimacy (i.e., sexual touching, oral sex, vaginal sex, and anal sex). Participants also indicated the gender of their sexual partners and experiences with sexually transmitted infections (STIs), STI tests, and pregnancy. Overall, transgender adolescents' age of initiating sexual behaviors and number of sexual partners are similar to those observed in prior studies of cisgender adolescents. No differences were found between gender identity subgroups on ever engaging, age of initiation, number of partners, and gender of partners across the four sexual behaviors, with some exceptions for anal sex. Participants reported low rates of STIs and pregnancy, but also low rates of STI testing. Implications for sex education and health care are discussed.
10.1080/00224499.2020.1855408
Correlates of men's sexual interest: a cross-cultural study.
Carvalheira Ana,Traeen Bente,Štulhofer Aleksandar
The journal of sexual medicine
INTRODUCTION:Low sexual desire has been studied more extensively in women than in men. AIM:The study aims to analyze the correlates of distressing lack of sexual interest and the self-assessed reasons for the lack of sexual interest among heterosexual men from three countries. METHODS:A web-based survey was completed by 5,255 men aged 18-75 years from Portugal, Croatia, and Norway. MAIN OUTCOME MEASURES:We used an item that assesses lack of sexual interest from the British NATSAL 2000. Anxiety and depression were measured with the SCL-ANX4 and SCL-DEP6. Relationship intimacy was measured using a five-item version of the Emotional Intimacy Scale. A shortened version of the Sexual Boredom Scale was used to assess proneness to sexual boredom in relation to the duration of relationship, and personal distress was evaluated using an item created for this study. RESULTS:Distressing lack of sexual interest lasting at least 2 months in the previous year was reported by 14.4% of the participants. The most prevalent comorbidity among these men was erectile difficulty (48.7%). Men with low confidence levels in erectile function, not feeling attracted to the partner, and those in long-term relationships were more likely to have experienced lack of sexual interest than were men with high confidence levels and those who felt attracted to their partner and those in shorter-term relationships. Professional stress was the most frequently reported reason for lack of sexual interest. Sexual boredom as a result of a long-term relationship was significantly and negatively correlated with the level of intimacy (r = -0.351, P < 0.001) and sexual satisfaction (r = -0.497, P < 0.001). CONCLUSIONS:Distressing lack of sexual interest in heterosexual men was associated with a number of intrapersonal (self-confidence in erectile function, stress), interpersonal (relationship duration, partner attractiveness), and sociocultural variables.
10.1111/jsm.12345
Evaluation of the sexual health in people living with hemophilia.
Germini Federico,Chai-Adisaksopha Chatree,Pete Drashti,Curtis Randall,Frick Neil,Nichol Michael B,Noone Declan,O'Mahony Brian,Page David,Stonebraker Jeffrey S,Thabane Lehana,Crowther Mark A,Skinner Mark W,Iorio Alfonso
Haemophilia : the official journal of the World Federation of Hemophilia
BACKGROUND:Knowledge about sexual health, difficulty with sexual activity and intimacy (sexual difficulty), in people with hemophilia is little understood. OBJECTIVES:The objectives were to determine the prevalence of sexual difficulty in people living with hemophilia (PWH) compared to people with no bleeding disorders (PWNoBD), and to determine factors associated with it. METHODS:This was an analysis of the PROBE study. We recruited individuals who had hemophilia A or B (PWH) and PWNoBD who were 18 years old or older. We calculated proportions of participants with sexual difficulty and odds ratios (ORs) adjusted for sex and age with 95% confidence intervals. RESULTS:There were 2007 PWH and 1972 PWNoBD. Mean (standard deviation) age was 41 (15) years in PWH and 42 (13) years in PWNoBD. Sexual difficulty was reported in 302 (15.1%) PWH and 79 (4.0%) PWNoBD. The odds of sexual difficulty were significantly higher in PWH (OR 3.82, 95% CI 2.85, 5.11). Among PWH, older age, experiencing acute or chronic pain in the past 12 months, bleeds within the past two weeks, ≥3 spontaneous joint bleeds (past six months), limitation of range of motion of any joints, and any life- or limb-threatening bleeds in the past 12 months were associated with sexual difficulty. CONCLUSIONS:Sexual difficulty is more prevalent in people living with hemophilia and associated with markers of disease severity. Sexual health issues should be incorporated in comprehensive hemophilia care, future research, and hemophilia related health policy.
10.1111/hae.14410
Real-World Practices and Attitudes Towards Intimate Self- Care: Results From An International Women's Survey.
Murina Prof Filippo,Graziottin Alessandra,Bagot Odile,Panay Nick,Thamkhantho Manopchai,Shaw Steven W
Journal of gynecology obstetrics and human reproduction
OBJECTIVE:Vulvovaginal health is important to women's overall health, fertility, sexuality, self-perception, self-confidence and intimacy. It is important to identify the existing perceptions and levels of knowledge about intimate care practices from women in different countries, and with different cultures, religions, and perspectives to help women overcome barriers to optimal intimate care. METHODS:An anonymous online survey about general and intimate hygiene routines/habits was distributed across 10 countries (England, France, Germany, Italy, Portugal, Russia, China, Philippines, Taiwan, Thailand). The sample consisted of around 10,000 women (aged 18 to 60 years) recruited through an online panel. RESULTS:The survey indicates that for many women, cleaning the intimate area is not just about hygiene, but also about taking care of themselves. Intimate care practices, performed daily, varies widely among the countries (from 38% to 91%). Italy, Philippines Portugal, Russia and Thailand were the countries with higher percentage. Intimate care is mainly associated with hygiene and health benefit, but interestingly women engage in intimate care more often with age. Most women worldwide are comfortable talking about female genitalia but still consider it a taboo topic, particularly among younger generations. Asian countries continue to carry negative connotations. CONCLUSIONS:This survey is the first of its kind for number of women involved in this research and for multi-cultural design. Women perceive that practicing intimate care positively impacts their health and wellbeing. However, intimate care is still not one of the most frequent daily routines for many women.
10.1016/j.jogoh.2021.102192
Psychosocial Adjustment in Emerging Adults With and Without Spina Bifida: A 14-Year Follow-up Study.
Journal of developmental and behavioral pediatrics : JDBP
OBJECTIVE:A 14-year follow-up of youth with spina bifida (SB), as compared to a matched comparison sample without a chronic health condition, focused on psychosocial adjustment during emerging adulthood (ages 22-23). METHODS:The initial cohort at time 1 consisted of 68 families with an 8-year-old or 9-year-old child with SB and a matched comparison sample of 68 typically developing children and their families. At the final assessment (time 7), participants included 56 emerging adults with SB (82% of those who participated at time 1) and 62 comparison youth (91% of those who participated at time 1) who completed a set of self-report measures. RESULTS:Emerging adults with SB continue to lag behind across several important developmental milestones, including decision-making responsibility, involvement in social and romantic relationships, sexual intimacy, educational and vocational achievement, financial independence, and engagement in health-related behaviors. However, from a resilience perspective, these individuals also exhibited a number of strengths across the following areas: identity development, quality of social supports, and fewer problem behaviors (e.g., alcohol and other substance use). Most findings were still significant after controlling for a verbal intelligence quotient proxy. CONCLUSION:This study highlighted vulnerabilities and strengths of individuals with SB as they enter emerging adulthood, with considerable continuity across childhood, adolescence, and emerging adulthood.
10.1097/DBP.0000000000000956
Reactions of Boys and Girls to Sexual Abuse and to Sexual Encounters with Peers.
Felson Richard B,Savolainen Jukka,Fry Sarah,Whichard Corey,Ellonen Noora
Journal of youth and adolescence
To understand the etiology and consequences of child sexual abuse it is important to study the victims' subjective reactions to such incidents. Because researchers have not been able to survey children about sexual abuse, not much is known about how subjective reactions are related to gender, age, age difference, and the social relationship between the offender and victim. The present study fills this gap using data gathered from a large, nationally representative sample of Finnish children ages 11 to 17 (N = 32,145). Analyses of abuse are based on a sample of 1520 children (78% girls), while analyses of peer sexual experiences are based on a sample of 3551 children (55% girls). Multivariate analyses adjusted for the use of coercion, the intimacy of the sexual experience, and other incident characteristics. It was hypothesized that, as a result of sex differences in sexuality and attitudes toward deviant behavior, girls are more sensitive than boys to age and age difference. Three findings supported the hypothesis: (1) girls were more likely than boys to have a negative reaction to sexual encounters regardless of the age difference; (2) for girls, age was negatively associated with the likelihood of a negative reaction, but age had no effect for boys; and (3) girls reacted negatively to age difference while boys did not. However, girls did not react more negatively unless the offender was at least eight years older. The results highlight the susceptibility of adolescent boys to encounters with older women. They further suggest that ignoring the role of the victim limits understanding of the vulnerability of young people to sexual abuse.
10.1007/s10964-019-01111-1
Attachment and grief in young adults after the loss of a close friend: a qualitative study.
Johnsen Iren,Tømmeraas Ane Martine
BMC psychology
BACKGROUND:Although many lose a close friend each year, they are seldom the focus of grief research. However, these losses often cause severe and long-lasting reactions. Deaths among adolescents and young adults are also often caused by traumatic events, e.g. from accidents, suicides, and homicides, placing them at significant risk for complicated grief reactions. The focus of this paper is bereaved friends after the shootings at Utøya, Norway in 2011, which is among a few studies that focus on bereaved friends, exploring how attachment affects the grief process after the loss of a close friend. METHODS:This paper explores qualitative data from in-depth interviews with thirteen bereaved friends, conducted about 28 months after the loss. The interview sample consisted of eight females and five males, aged 18-31 years. The interviews were semi-structured, with a theme guide of 14 questions, and the method used for analyses was systematic text condensation. RESULTS:Two main themes were identified from the analyses of the interviews: Friendship and Grief, with the subordinate themes: The importance of the friendship, Longing and remembrance, How the loss has affected other relationships, How the loss has affected the friend's daily lives, Processing of the grief and Not being family. For most of the bereaved friends the loss and the grief had a profound effect on them and their overall lives, from daily functioning in school or at work, to changes in attitudes, and the way they were met as bereaved. CONCLUSIONS:The support, intimacy, and feelings of togetherness we share with our friends are of great importance and value for all people, but maybe especially for young people. When adolescents and young adults experience losses, their reactions are often intense and long-lasting, and especially complicated grief reactions can affect school performance and concentration, health, result in emotional problems; and disrupt development (e.g. identity formation and social skills). We don't know much about the grief of bereaved friends and how their reactions can be explained. Thus, we hope that these findings could shed light on their grief reactions, and provide new knowledge on the short- and long-term psychological impact of losses of friends.
10.1186/s40359-022-00717-8
Reactions to Minor-Older and Minor-Peer Sex as a Function of Personal and Situational Variables in a Finnish Nationally Representative Student Sample.
Rind Bruce
Archives of sexual behavior
Felson et al. (2019) used a large-scale nationally representative Finnish sample of sixth and ninth graders to estimate the population prevalence of negative subjective reactions to sexual experiences between minors under age 18 and persons at least 5 years older and between minors and peer-aged partners for comparison. They then accounted for these reactions in multivariate analysis based on contextual factors. The present study argued that focusing exclusively on negative reactions short-changed a fuller scientific understanding. It analyzed the full range of reactions in the same sample, focusing on positive reactions. For reactions in retrospect, boys frequently reacted positively to minor-older sex (68%, n = 280 cases), on par with positive reactions to boy-peer sex (67%, n = 1510). Girls reacted positively to minor-older sex less often (36%, n = 1047) and to girl-peer sex half the time (48%, n = 1931). In both minor-older and minor-peer sex, rates of positive reactions were higher for boys vs. girls, adolescents vs. children, when partners were friends vs. strangers or relatives, with intercourse vs. lesser forms of sexual intimacy, with more frequent sex, and when not coerced. Boys reacted positively more often with female than male partners. In minor-older sex, partner age difference mattered for girls but not boys, and the minor's initiating the sex (14% for girls, 46% for boys) produced equally high rates of positive reactions. Most of these factors remained significant in multivariate analysis. The frequency of positive reactions, their responsiveness to context, the similarity in reaction patterns with minor-peer sex, and the generalizability of the sample were argued to contradict the trauma view often applied to minor-older sex, holding it to be intrinsically aversive irrespective of context.
10.1007/s10508-021-02224-0
The effects of exposure to community violence on aspects of adolescent identity development.
Schiavone Deborah Burdett
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
PROBLEM:A gap exists in our understanding of the impact of exposure to community violence on identity development. The purpose of this study was to explore how exposure to community violence affects adolescents' identity development. Data were collected to describe the perceptions, interpretations, and meanings adolescents ascribe to their experiences with community violence. METHODS:Male and female inner-city adolescents (13-18 years) were invited to share their personal stories about exposure to community violence. A constant comparative approach was employed to analyze data from personal narratives. RESULTS:All adolescents in this study reported exposure to violence and shared stories about living and coping with the prevalence of violence. Aspects of identity development that emerged in the data included self-perceptions, coping patterns, efficacy, and a moral self. Some stories revealed psychological distress that had potential for long-term developmental consequences. Personal strengths and positive attributes of the participants were also evident in the data. CONCLUSIONS:Exposure to community violence affected the identity development of these adolescents. When working with adolescents, it is important for nurses to assess for community violence exposure and promote coping strategies that reduce distress and foster healthy intimacy.
10.1111/j.1744-6171.2009.00178.x
"Providing Sex Education Is Challenging": Malay Mothers' Experience in Implementing Sex Education to Their Children with Intellectual Disabilities.
International journal of environmental research and public health
Sex education (SE) is still a controversial and sensitive topic in Malaysia. Thus, individuals with intellectual disability receive less information about SE formally as Malaysian culture believes that students with disabilities should be shielded from everything connected to sexuality owing to their paucity of maturity and intellectual comprehension of the topic. Due to that reason, non-formal education by the parent is very important to fill that needful gap. This study aimed to explore the experience of mothers on the meanings of sexuality, and implementing sex education for their children with ID. We adopted a phenomenological framework and social cognitive theory to increase understanding of the phenomenon and conducted it using in-depth interviews. Twenty mothers with children aged 10-19 who were diagnosed with mild to moderate ID and/or other cognitive disabilities were involved. Almost all mothers acknowledged the influence of socio-cultural factors and religion on meanings of sexuality and practicing SE. They realized their children's emerging sexual behavior as they go through the adolescence period. However, how they confronted sexuality and sex education with their vulnerable children was different. Three themes emerged: (1) Sexuality as an erotic experience in life, which enlightens mothers' views on sexuality, relying mainly on sexual intimacy and sexual being; (2) Perceived their children's sexual maturity is different, which reflects the mothers' attitude toward their children's sexual development; (3) Caution/hesitance in providing sexuality education, which summarizes mothers' ways of delivering SE, either following physicality or through sociocultural ways. Our findings exemplify the need for strategies to increase parents' understanding and awareness regarding sexuality and appropriate delivery of SE. To ensure its success, it should be a shared responsibility among all relevant stakeholders.
10.3390/ijerph19127249
Associations between body dissatisfaction and relationship functioning among same-sex female couples: An actor-partner interdependence model.
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
Nearly all past research about body dissatisfaction and romantic relationship factors is among heterosexual couples; little is known about these associations in sexual minority couples. The present study aimed to fill gaps in the current literature by using actor-partner interdependence models (APIMs) to examine dyadic patterns of association between body dissatisfaction and different aspects of relationship functioning among same-sex female couples. Participants were 163 same-sex female romantic dyads (326 women) between the ages of 18-35 years who completed measures of body dissatisfaction and relationship factors. Results from significance testing of actor and partner effects indicated higher levels of women's own body dissatisfaction were associated with lower levels of their own, but not their partner's, relationship satisfaction, closeness, sexual satisfaction, and intimacy/connectedness. Significance testing alone indicated that the association between one's own body dissatisfaction and their partner's relationship satisfaction was not significant. However, dyadic pattern testing identified a partner pattern for this effect, which suggests that the association between one's own body dissatisfaction and one's own relationship satisfaction is similar in magnitude and direction as that between an individuals' own body dissatisfaction and their partner's relationship satisfaction. In this study, women's own body dissatisfaction was found to be negatively associated with their own relationship functioning, which is consistent with findings of women in male-female couples. Thus, these findings highlight the important role that body dissatisfaction plays in women's relationship experiences. More research is needed to better understand potential cross-partner effects of body dissatisfaction and relationship factors in same-sex female couples. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
10.1037/fam0000945
When breastfeeding may be a threat to adolescent mothers.
Bowman Katherine G
Issues in mental health nursing
Sexually abused girls are at risk for premature motherhood. The adolescents who become mothers often do not breastfeed. This review examines the literature and discusses the mental health consequences of childhood sexual abuse that may influence the feeding decisions of adolescent mothers. Adolescents may be reluctant to breastfeed because it may trigger anxiety and lead to discomfort with intimacy, and emotional distancing from their infants. Nurses need to be sensitive to potential sexual abuse histories among adolescent mothers. They should provide balanced and unbiased information to their adolescent patients about feeding methods and encourage adolescents to select the methods best for them.
10.1080/01612840600997958
The role of attachment style in interpersonal psychotherapy for depressed adolescents.
Psychotherapy research : journal of the Society for Psychotherapy Research
OBJECTIVE(S):This study examined changes in depressed adolescents' reports of attachment anxiety and avoidance with interpersonal psychotherapy (IPT-A), and the relationship between attachment style and change in depression with IPT-A. METHOD:Forty adolescents (aged 12-17) participated in a 16-week randomized clinical trial of 4 adaptive treatment strategies for adolescent depression that began with IPT-A and augmented treatment for insufficient responders (n = 22) by adding additional IPT-A sessions (n = 11) or the antidepressant medication, fluoxetine (n = 11). Adolescents were 77.5% female and 22.5% male (mean age = 14.8, SD = 1.8). Ten percent of adolescents were Latino. Racial composition was 7.5% Asian, 7.5% American Indian/Alaska Native, 80.0% white, and 5.0% biracial. Measures of attachment style (Experience in Close Relationships Scale-Revised [ECR-R]) and depression (Children's Depression Rating Scale-Revised [CDRS-R]) were administered at baseline and Weeks 8 and 16. RESULTS:Attachment Anxiety and Avoidance (ECR-R) decreased significantly from baseline to Week 16. Baseline Avoidance positively predicted greater reductions in depression (CDRS-R), controlling for fluoxetine. Reductions in Anxiety and Avoidance were also significantly associated with reductions in CDRS-R, controlling for fluoxetine. CONCLUSIONS:Adolescents' reports of attachment anxiety and avoidance are amenable to intervention with IPT-A. IPT-A may be particularly beneficial for adolescents who report a high level of avoidant attachment. Clinical or methodological significance of this article Our findings suggest that attachment anxiety and avoidance are constructs that are amenable to intervention during adolescence, and therefore viable targets of treatment. IPT-A was found to be an effective intervention for addressing problems in attachment style, and decreases in attachment anxiety and avoidance were associated with reductions in depression. This provides support for selecting IPT-A as a treatment option for adolescents who are depressed and describe difficulty with attachment security. IPT-A appears to be particularly effective for adolescents with an avoidant attachment style, who experience discomfort with and have a tendency to avoid intimacy.
10.1080/10503307.2017.1315465
Attitudes to sexual health in the United States: results from a national survey of youth aged 15-25 years.
Hogben Matthew,Harper Christopher,Habel Melissa A,Brookmeyer Kathryn,Friedman Allison
Sexual health
Background Several common global definitions of sexual health refer to physical, emotional and social well-being, with respect to sexuality, and also to the need for this well-being to be reflected for all individuals in relationships. How well sexual health definitions fit US youths' attitudes to sexual health, and associations between these attitudes, sexual behaviours and sexual health care were assessed. METHODS:In total, 4017 youth aged between 15 and 25 years via an online survey panel, weighted to be representative of the US population, were surveyed. Respondents reported their attitudes towards seven dimensions of sexual health that we abstracted from existing global definitions (emotional fulfillment, social connectedness, spirituality, overall pleasure, physical intimacy, mental fulfillment, reciprocal benefits). Respondents also reported on sexual health-related discussions with partners, sexual behaviours, and their use of sexual health care. Outcomes through weighted frequency estimates and ordinal regression models were reported. RESULTS:Youth generally construed all seven dimensions as important to sexual health, with the emotional dimension rated most favourably. Attitudes to the dimensions of overall pleasure, physical intimacy and spirituality were most consistently related to sexual health discussions and behaviours. The behaviours most consistently related to sexual health attitudes were going for a sexual health check-up, discussing birth control/pregnancy and discussing risk before sex without a condom. CONCLUSIONS:Youth construal of sexual health fits well with global sexual health definitions. Attitudes to dimensions of sexual health were related to some sexual health-related behaviours, especially healthcare use and complex discussions.
10.1071/SH16164
Changes in sexual behavior among high-school students over a 40-year period.
Borneskog Catrin,Häggström-Nordin Elisabet,Stenhammar Christina,Tydén Tanja,Iliadis Stavros I
Scientific reports
The aim of this study was to investigate sexual behavior, contraceptive use, risk factors as well as sources of sex information among first-year high-school students in Sweden. Secondly, to assess differences between genders and study programs as well as changes over a 40-year period. A repeated cross-sectional survey was conducted in two cities. A questionnaire comprising 77 items was used. The study population consisted of 415 students (63.4% females). The median age of sexual intercourse was 15 years. In total, 37% had had sexual intercourse, compared to 56.3% in 2009 and 45% in 1999 (p < 0.001), and the proportion of students who had their first sexual intercourse was not influenced by gender. More students in vocational programs (46.3%), compared to theoretical (33.3%), had experience of at least one sexual intercourse (p = 0.019). The same extend of contraception use at first and latest intercourse was reported, compared to previous studies. Forty-nine percent were mostly informed about sex from the internet, while in previous years, magazines, family and youth clinics were the main information sources. Comparing over time, students were in general less sexually experienced and less engaged in non-penetrative sex and physical intimacy. These findings call for a new approach, when designing sex and relationship education and health-care counseling in adolescents.
10.1038/s41598-021-93410-6
Adolescents' Contraceptive Use with School-Discordant Partners: Exploring Individual- and Relationship-Level Characteristics.
Strully Kate,Kennedy David
Perspectives on sexual and reproductive health
CONTEXT:Heterosexual adolescents are less likely to use contraceptives when their partners are of different backgrounds or social circles. It is unclear why risky behaviors are more common within these relationships, and characteristics associated with school-discordant partners-that is, partners who do not attend the adolescent's school-are particularly understudied. METHODS:Characteristics of romantic relationships and contraceptive use were examined among 1,043 female and 961 male respondents in Waves 1 (1994-1995) and 2 (1996) of the National Longitudinal Study of Adolescent to Adult Health. Generalized linear regression and structural equation models identified individual- and relationship-level characteristics that were associated with school-discordant relationships and contraceptive use. RESULTS:For females, the likelihood of ever having used a condom with a partner was reduced when that partner had not attended her school at the start of the relationship (odds ratio, 0.5) or when he was two or more years older (0.6). Notably, however, having a school- or age-discordant partner was not associated with ever having used hormonal or dual methods for females, or with any contraceptive measures for males. For females, lower emotional intimacy with school-discordant partners was positively associated with ever having used condoms with such partners (1.2). CONCLUSIONS:Characteristics of school-discordant relationships are correlated with condom use in varying and sometimes countervailing ways. Future research examining the mechanisms linking school discordance to decreased condom use, particularly for females, would deepen understanding of the emotional and psychosocial processes involved in adolescents' sexual and contraceptive behavior.
10.1363/psrh.12117
Psychopathic traits, gender, and motivations for sex: Putative paths to sexual coercion.
Hoffmann Amy M,Verona Edelyn
Aggressive behavior
Evidence suggests that both men and women perpetrate sexual coercion. Psychological factors, including psychopathic traits and power motivations, have been proposed to characterize male-perpetrated sexual coercion; however, it is unclear whether these factors play a similar role in female-perpetrated coercion or whether other motivations (e.g., intimacy, affect regulation) should be considered. To improve our understanding in this area, the current study first examined relationships between psychopathic traits and sexual coercion in a sample of 1199 undergraduate students (756 women), with gender as a potential moderator of these relationships. Second, the role of motivations for sex (e.g., power, affect regulation) in accounting for the psychopathy-coercion relationship was examined in men and women. Data were collected using an online survey and analyzed using multigroup path analysis. Results implicated impulsive-antisocial traits as particularly important to male-perpetrated verbal (e.g., manipulative) and nonverbal (e.g., physical) coercion, and that this relationship was partially explained by motives for sex involving power. In contrast, psychopathic traits did not appear to play a major role in female perpetrated coercion; instead, emotional value (i.e., intimacy-related) motivations for sex were associated with verbal (e.g., manipulation) coercion in women. In sum, our results support a conceptual model of male perpetration where men who are high in impulsive-antisocial traits may engage in sexual coercion in an attempt to feel powerful. Further, the findings in the female sample suggest that factors other than psychopathy, such as gender role beliefs in regard to sexual encounters, may be particularly important to female perpetrated sexually coercive behavior.
10.1002/ab.21841
Sociological Accounts of Donor Siblings' Experiences: Their Importance for Self-Identity and New Kinship Relations.
Hertz Rosanna
International journal of environmental research and public health
A fundamental part of the adolescent self is formed through interaction with intimates, usually family members whose roles are reasonably well-defined. However, donor siblings-children who share a sperm donor-lack social scripts for interacting with one another, particularly when they are raised in different households. Moreover, they are often challenged to figure out their relationship to newly discovered genetic relatives. This article examines how donor-conceived teens and young adults navigate relationships with their half siblings and form intimate relationships. Drawing on Garfinkel's concept of indexing, or the use of familiar categories to make sense of new situations, these youth rely upon their personal knowledge of friends and family to figure out what kinds of relationship they can develop with donor siblings. Based on interviews with 62 youth aged 14-28, who had their own social media accounts and who had chosen to establish contact with their donor siblings, the articles discusses the three stages most donor siblings go through-"anticipation", "first contact", and "relationship building"-and the way those stages shape individual identity formation. In the course of the analysis, the article also explores whether interaction with donor siblings affected individual's sense of identity and whether feelings of closeness with donor siblings differ for youth raised as solo children versus those who have siblings with whom they share a household. For those who report feeling close, youth describe how intimacy is sustained and negotiated at a distance. Finally, as much as youth pick and choose intimates from their larger network, the article also argues that their collective identity as related-kin members remains.
10.3390/ijerph19042002
Dimensions of intimacy in marriage.
Waring E,McElrath D,Lefcoe D,Weisz G
Psychiatry
Intimacy as an important aspect of interpersonal relationships has been widely accepted (Erikson 1950, Sullivan 1953). In the broad context, an understanding of the role of intimacy has been discussed as essential to the development of a science of interpersonal relationships (Hinde 1978). More specifically, intimacy has been cited as an important dimension of the marital interpersonal relationship (Berman and Lief 1975). This paper describes a study of intimacy in 30 young married couples, randomly selected from the general population. Personal identity and accurate perception of the spouse were significant correlates of marital intimacy, and a factor analysis revealed four dimensions of marital relationships: compatibility, structure, intimacy, and problem-solving. In this study, marital adjustment was significantly correlated with expressiveness, commitment, organization, expressed affection, and the absence of conflict. These findings are discussed in the context of the role of intimacy in a science of interpersonal behavior.
Characteristics of Sex Events, Partners, and Motivations and Their Associations with HIV-Risk Behavior in a Daily Diary Study of High-Risk Men Who Have Sex with Men (MSM).
AIDS and behavior
In the United States, men who have sex with men (MSM) continue to be at high-risk for HIV and other STIs, and condoms represent the most popular, affordable, and accessible method of prevention. Although a vast body of research has explored various factors associated with condom use in MSM, fewer studies have explored situation-level characteristics that affect their decisions about sex partners and condom use. Daily diary studies are well-suited to help improve our understanding of these event-level factors in detail, including the sex events themselves, partner characteristics, and motivations. As part of a larger study using ecological momentary assessment methods, high-risk MSM completed daily diary surveys about their sexual behavior on their smartphones each day for 30 days. This study explored detailed descriptive characteristics of sex events, partner characteristics, and motivations for sex and condom use, and examined whether specific aspects of these characteristics were associated with having condomless anal sex (CAS) with high-risk partners. High-risk CAS was common among MSM, with the majority of participants having met their partners online and many reporting sex the same day they met. Results showed that the odds of CAS were not higher with partners met online versus those met in other ways, but MSM were more likely to have asked online partners about their HIV status and testing history before sex. The odds of engaging in high-risk CAS was higher when MSM reported intimacy or self-assurance motives. Not having condoms readily available was a CAS motivation reported more commonly when MSM had sex with high-risk partners. Findings suggest that interventions should incorporate strategies that help MSM be safer specifically when meeting partners online and when having sex for intimacy or re-assurance. Interventions that remind MSM to carry condoms at opportune moments may also help reduce some HIV risk.
10.1007/s10461-019-02760-w
Avoidantly Attached Individuals Are More Exchange-Oriented and Less Communal in the Bedroom.
Raposo Stephanie,Impett Emily A,Muise Amy
Archives of sexual behavior
Sexual need fulfillment in a relationship is associated with both partners' sexual and relationship quality. In the current research, we explored what underlies two approaches to sexual need fulfillment-sexual communal norms (i.e., being motivated to meet a partner's sexual needs) and sexual exchange norms (i.e., tracking and trading sexual benefits). People high in attachment avoidance are less responsive to their partner's needs and distance themselves from intimacy. Sexuality is a domain in which partners aim to meet each other's needs, but it may also heighten avoidantly attached partners' concerns about intimacy. Across three studies (N = 711)-using cross-sectional, dyadic, daily experience, and longitudinal methods-endorsing sexual communal norms was associated with greater sexual and relationship quality, whereas endorsing sexual exchange norms was not associated with, or was linked to lower, sexual and relationship quality. People who were higher (compared to lower) in attachment avoidance were less sexually communal and more exchange-oriented, and their heightened endorsement of sexual exchange norms predicted lower relationship satisfaction over time. With two exceptions, the effects were largely consistent for men versus women. Findings from this research suggest that attachment avoidance underlies approaches to sexual need fulfillment in relationships.
10.1007/s10508-020-01813-9
Effect of Sexual Esteem and Sexual Communication on the Relationship Between Body Image and Sexual Function in Chinese Heterosexual Women.
Wu Ting,Zheng Yong
The journal of sexual medicine
BACKGROUND:Sexual self-esteem and communication on sexual issues with a partner contribute greatly to an individual's quality of sex life; however, their effects on the relationship between body image and sexual function are underexplored. AIM:To test a serial mediating pathway of sexual self-esteem and sexual communication underlying the relationship between body image and sexual function. METHODS:A total of 510 women aged 18-53 years (mean = 28, SD = 5.5) who were involved in an intimate relationship completed an online survey. OUTCOMES:Women's (i) body appreciation, (ii) body image self-consciousness during sexual intimacy, (iii) sexual self-esteem, (iv) dyadic sexual communication, (v) negative disclosure apprehension, and (vi) sexual function were assessed. RESULTS:Findings revealed that sexual self-esteem and dyadic sexual communication played a serial mediating role in the relationship between body image (body appreciation and body image self-consciousness during sexual intimacy) and sexual function, and the relationship between body image and arousal, lubrication, orgasm, satisfaction, and pain. Sexual self-esteem and negative disclosure apprehension also played a serial mediating role in the relationship between body image and sexual pain. In addition, dyadic sexual communication played a unique mediating role in the relationship between body image and sexual function, which is isolated from the effect of sexual self-esteem. CLINICAL IMPLICATIONS:Women's sexual self-esteem and sexual communication with their partner can make beneficial contributions to the relationship between body image and sexual function. Therefore, promoting women's positive body image, sexual self-esteem, and sexual communication skills deserves attention from women themselves and clinicians. STRENGTHS & LIMITATIONS:This study used a robust method of data analysis to test the mediating effect of sexual self-esteem and sexual communication to clarify the mechanism underlying the relationship between body image and sexual function among Chinese women; however, causal conclusions cannot be drawn. Furthermore, various demographics including participants' age, education level, sexual orientation-factors such as relationship status and length, relationship functioning, and partner-related variables-and other aspects of sexual self-concept and sexual communication should be examined in future research. CONCLUSION:The current study indicates that women's thoughts and feelings regarding sexuality and communicating sexual issues with their partner are associated closely with their body image and sexual function. Wu T, Zheng Y. Effect of Sexual Esteem and Sexual Communication on the Relationship Between Body Image and Sexual Function in Chinese Heterosexual Women. J Sex Med 2021;18:474-486.
10.1016/j.jsxm.2020.12.006
The relationships of sexual identity, hazardous drinking, and drinking expectancies with risky sexual behaviors in a community sample of lesbian and bisexual women.
Journal of the American Psychiatric Nurses Association
This study examined the influence of demographic characteristics, sexual identity, hazardous drinking, and sexuality/intimacy enhancement alcohol expectancies on rates of risky sexual behaviors in a community sample of women who self-identified as lesbian, mostly lesbian, and bisexual (N = 349). Structured interview data were collected as part of a larger longitudinal study of sexual minority women's health, the Chicago Health and Life Experiences of Women study. We used structural equation modeling, controlling for demographic characteristics, to evaluate the influence of sexual identity, hazardous drinking, and alcohol-related sexuality/intimacy enhancement expectancies on sexual risk behaviors. Controlling for demographic characteristics and for sexual identity, higher levels of both hazardous drinking and sexuality/intimacy enhancement alcohol expectancies were associated with higher sexual risk scores. The final model predicted 36% of the variance in risky sexual behavior scores. Our findings regarding the central role of alcohol use and sexuality/intimacy enhancement expectancies in sexual risk behaviors among sexual minority women are consistent with previous research focusing on predominantly heterosexual women. Future efforts at sexual risk reduction in sexual minority women will need to address the influences of alcohol use and drinking-related expectancies on sexual behaviors and decision making.
10.1177/1078390313505644
Longitudinal associations between adult children's relations with parents and intimate partners.
Johnson Matthew D,Galovan Adam M,Horne Rebecca M,Min Joohong,Walper Sabine
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
Drawing on 5 waves of multiple-informant data gathered from focal participants and their parents and intimate partners (n = 360 families) who completed annual surveys in the German Family Panel (pairfam) study, the present investigation examined bidirectional associations between the development of adults' conflictual and intimate interactions with their parents and intimate partners. Autoregressive cross-lagged latent change score modeling results revealed a robust pattern of coordinated development between parent-adult child and couple conflictual and intimate interactions: increases in conflict and intimacy in one relationship were contemporaneously intertwined with changes in the other relationship. Additionally, prior couple intimacy and conflict predicted future parent-adult child relations in 7 out of 14 cross-lagged pathways examined, but parent-adult child conflict and intimacy was only associated with future couple interactions in 1 pathway. These associations were not moderated by the gender of parents or the adult child or whether the adult child was a young adult or nearing midlife. Frequency of contact between parents and the adult child moderated some associations. Adults simultaneously juggle ties with parents and intimate partners, and this study provides strong evidence supporting the coordinated development of conflictual and intimate patterns of interaction in each relationship. (PsycINFO Database Record
10.1037/fam0000329
Benefits of positive relationship experiences for avoidantly attached individuals.
Stanton Sarah C E,Campbell Lorne,Pink Jennifer C
Journal of personality and social psychology
Attachment avoidance is characterized by discomfort with closeness and a reluctance to develop intimacy with romantic partners, which contribute to heightened general negativity and lower satisfaction and self-disclosure in and out of their relationships. Recent research, however, has begun to uncover circumstances in which romantic partners and positive relationships buffer more avoidantly attached individuals against deleterious individual and relationship outcomes. Across 3 studies, using a multimethod approach encompassing both experimental and dyadic longitudinal diary methods, we investigated the effects of positive, intimacy-related relationship experiences on more avoidant persons' positive and negative affect, relationship quality, self-disclosure, and attachment security immediately and over time. Results revealed that more avoidant individuals exhibit a reduction of general negative affect in particular (Studies 1-2) and report greater relationship quality (Studies 2-3) in response to positive relationship experiences, and, following intimacy-promoting activities with their partner, engage in greater self-disclosure over time and demonstrate decreased attachment avoidance 1 month later (Study 3). These findings identify novel circumstances in which more avoidant persons' negative expectations of relationships may be countered, and suggest that relatively simple techniques can have potentially important short- and long-term implications for more avoidant individuals and their relationships. (PsycINFO Database Record
10.1037/pspi0000098
Friends, lovers and spouses: intimacy in young adults.
Eshel Y,Sharabany R,Friedman U
The British journal of social psychology
Intimacy in young heterosexual adults was studied as a function of their familial roles. The 168 males and females employed represented four familial role groups: late adolescents, single adults, married people and parents. Participants were administered two forms of an Intimacy Scale (Sharabany, 1994) in which they described their desired and their obtained intimacy with a same-sex and an opposite-sex best friend. Results indicated that (a) intimacy of adults with opposite-sex partner was higher than intimacy with same-sex friend. (b) Although no direct effect of familial role on intimacy was found, the married and parent groups displayed greater intimacy towards their spouses than late adolescents and single adults towards their opposite-sex partners. (c) Women who were late adolescents and women who were married scored significantly higher than men in intimacy. However, single women expressed significantly lower intimacy than single men. (d) Higher intimacy with opposite-sex partner was associated with a concurrent lower same-sex intimacy. (e) Satisfaction with other-sex partner was higher in the married group than in the other groups.
10.1111/j.2044-8309.1998.tb01156.x
The Need to Contribute During Adolescence.
Fuligni Andrew J
Perspectives on psychological science : a journal of the Association for Psychological Science
As an intensely social species, humans demonstrate the propensity to contribute to other individuals and groups by providing support, resources, or helping to achieve a shared goal. Accumulating evidence suggests that contribution benefits the givers as well as the receivers. The need to contribute during adolescence, however, has been underappreciated compared with more individually focused psychological or social developmental needs. The need is particularly significant during the teenage years, when children's social world expands and they become increasingly capable of making contributions of consequence. Moreover, contribution can both promote and be a key element of traditionally conceived fundamental needs of the adolescent period such as autonomy, identity, and intimacy. The neural and biological foundations of the adolescent need to contribute, as well as the ways in which social environments meet that need, are discussed. A scientific and practical investment in contribution would synergize with other recent efforts to reframe thinking about the adolescent period, providing potential returns to the field as well as to youths and their communities.
10.1177/1745691618805437
Gender Norms, Control Over Girls' Sexuality, and Child Marriage: A Honduran Case Study.
Pacheco-Montoya Diana,Murphy-Graham Erin,Valencia López Enrique Eduardo,Cohen Alison K
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
PURPOSE:This study explores links among marianismo, girls' mobility and sexuality, and child marriage among adolescent girls in rural areas of Honduras. METHODS:We analyze quantitative and qualitative data collected in 2008-2016 for a longitudinal cohort study of rural Honduran adolescent girls. These data include interviews (n = 10 married before age 18) and surveys (n = 563; 155 married early). We also use qualitative data from focus groups in 2016 that included students, parents, teachers, and community members (n = 120). RESULTS:We find that girls who scored higher on a scale of traditional gender norms were more likely to marry early. Furthermore, our qualitative findings indicate that girls experienced control over their mobility and their sexuality because of rigid gender norms prevalent in their communities. The control girls experience clashes with undergoing psychosocial changes that are associated with increased desire for autonomy and intimacy as well as increased awareness of their sexuality. In some cases, girls believed that marriage was better than staying in their restrictive households, and/or they viewed marriage as the only way to have a romantic relationship. DISCUSSION:Rigid gender norms that promote excessive regulation of girls' behavior and sexuality influence girls' decision-making processes to enter child marriage. Educational initiatives that challenge sexist gender norms and explain and normalize attraction and intimacy during adolescence should be a central component of child marriage prevention programming for adolescents, parents, and community members.
10.1016/j.jadohealth.2021.11.007
Pathways to early coital debut for adolescent girls: a recursive partitioning analysis.
Journal of sex research
This study examined pathways to early coital debut among early to middle adolescent girls in the United States. In a two-year longitudinal study of 104 adolescent girls, recursive partitioning (RP) analyses were conducted to examine the specific factors that were related to engaging in first intercourse by the 10th grade among adolescent girls who had not yet engaged in sexual intercourse by the 8th grade. RP analyses identified subsamples of girls who had low, medium, and high likelihoods of engaging in early coital debut based on six variables (i.e., school aspirations, early physical intimacy experiences, depression, body objectification, body image, and relationship inauthenticity). For example, girls in the lowest likelihood group (3% had engaged in sex by the 10th grade) reported no prior experiences with being touched under their clothes, low body objectification, high aspirations to complete graduate education, and low depressive symptoms; girls in the highest likelihood group (75% had engaged in sex by the 10th grade) also reported no prior experiences with being touched under their clothes, but had high levels of body objectification. The implications of these analyses for the development of female adolescent sexuality, as well as for advances in quantitative methods, are discussed.
10.1080/00224499.2011.565428
Dating relationships in college students with childhood-onset asthma.
Eddington Angelica R,Mullins Larry L,Fedele David A,Ryan Jamie L,Junghans Ashley N
The Journal of asthma : official journal of the Association for the Care of Asthma
OBJECTIVE:The current study investigated whether differences existed in dating anxiety and fear of intimacy between individuals with childhood-onset asthma and individuals without a chronic illness. Analyses were also conducted to determine if dating anxiety or fear of intimacy were predictors of health-related quality of life in individuals with asthma and healthy controls. Additionally, potential gender differences in dating anxiety and fear of intimacy in individuals with childhood-onset asthma were explored. METHODS:College undergraduates at least 17 years of age who self-identified as having childhood asthma were randomly matched by age and gender to healthy control participants. Participants completed a demographic form, the Dating Anxiety Scale for Adolescents, the Fear of Intimacy Scale, and the SF-36 Health Survey, a measure of health-related quality of life. RESULTS:There were no significant differences between self-identified participants with asthma and matched healthy controls on the Dating Anxiety Scale or Fear of Intimacy Scale. However, dating anxiety was a significant predictor of mental health-related quality of life in participants with asthma but not in matched health controls. Fear of intimacy was not a significant predictor of mental or physical health-related quality of life in individuals with asthma. In addition, women with asthma endorsed significantly more dating anxiety and lower physical health-related quality of life than males with asthma. CONCLUSION:College students with asthma appear to experience similar levels of dating anxiety and fear of intimacy than healthy college students; however, their anxiety about dating may have a larger effect on health-related quality of life than healthy individuals. Additional examination of dating and interpersonal relationships among individuals with asthma appears warranted, particularly as it concerns possible gender differences in individuals with childhood-onset asthma.
10.3109/02770900903427003
Women with an avoidant attachment style show attenuated estradiol responses to emotionally intimate stimuli.
Edelstein Robin S,Kean Emily L,Chopik William J
Hormones and behavior
The current study examined neuroendocrine processes associated with emotional intimacy in humans. Despite the importance of this aspect of close relationships, emotional intimacy has received much less attention in neuroendocrine research compared to other aspects of close relationships. In this study, participants viewed movie clips depicting an emotionally intimate parent-child interaction or other, non-intimate themes, and we assessed whether depictions of emotional intimacy increased levels of estradiol, a steroid hormone associated with attachment and caregiving processes. We also examined whether estradiol responses were moderated by individual differences in attachment avoidance, or people's discomfort with closeness and intimacy. Our findings revealed that, among single participants, estradiol levels increased in response to the emotionally intimate clip, but this effect was not observed among currently partnered participants. Moreover, the effects of emotional intimacy were moderated by gender and attachment avoidance, such that highly avoidant women showed smaller increases in estradiol after watching the emotionally intimate clip. Women's avoidance was unrelated to estradiol responses in the non-intimate control conditions, however, suggesting that the effects of avoidance were specific to intimate contexts. Taken together, the current findings contribute to our understanding of the biological bases of attachment and caregiving processes. They also highlight the potential role of estradiol in avoidant individuals' regulation of closeness and intimacy.
10.1016/j.yhbeh.2011.11.007
Childhood Sexual Abuse and Sexual Motivations - The Role of Dissociation.
Gewirtz-Meydan Ateret,Lahav Yael
Journal of sex research
The present study sought to examine the relations between a history of childhood sexual abuse (CSA) and sexual motivations and to explore the moderating role of dissociation within these relations. The study was conducted among 889 men and women (ages 18-70). Results indicated a history of CSA was significantly related to higher scores on self-affirmation, coping, partner approval and peer pressure sexual motivations. Interactions between CSA and gender in explaining sexual motivations, were not significant. Among participants with a history of CSA (n = 365), dissociation was significantly related to sexual motivations, so that participants who had dissociation scores above the cutoff (reporting high levels of dissociation) scored higher on intimacy, self-affirmation, coping, and partner approval than did those with a history of CSA who reported low levels of dissociation. Analyzes revealed significant moderating effects for dissociation within the relations between CSA and intimacy, coping, and partner approval sexual motivations. The present study suggests CSA survivors and those who report high levels of dissociation in particular, utilize sex for intimacy, for coping with negative emotions, and for partner approval. Therapists working with CSA survivors should be aware of the potential effects the abuse has on the survivor's reasons to engage in sex.
10.1080/00224499.2020.1808564
People Are More Generous to a Partner Who Pays Attention to Them.
Evolutionary psychology : an international journal of evolutionary approaches to psychology and behavior
People use relatively low-cost signals to maintain close relationships, in which they engage in costlier exchanges of tangible support. Paying attention to a partner allows an individual to communicate his or her interest in the relationship with the partner. Previous studies have revealed that when Person A pays attention to Person B, B's feeling of intimacy toward A increases. If social attention strengthens the bond between A and B, it is predicted that A's attention will also increase B's generous behavior toward A. This study tested this prediction. Participants first engaged in a collaborative task using computers. In the task, the putative partner (a computer program) either paid or did not pay attention to participants (high attention condition vs. low attention condition). In the control condition, the partner could not choose when to pay attention to participants. They then played three rounds of the dictator game with the partner. Confirming the previous finding, perceived intimacy was highest in the high attention condition, in the middle in the control condition, and lowest in the low attention condition. More importantly, participants in the high attention condition decided to give more resources to their partner than those in the low attention condition (but the difference between the high attention condition and the control condition was not significant). In addition, self-reported intimacy was positively correlated with the resource allocated to the partner. The results of this study demonstrated that social attention fosters a partner's generosity.
10.1177/1474704916687310
The Dual Role of Media Internalization in Adolescent Sexual Behavior.
Rousseau Ann,Beyens Ine,Eggermont Steven,Vandenbosch Laura
Archives of sexual behavior
Sexualizing media content is prevalent in various media types. Sexualizing media messages and portrayals emphasize unattainable body and appearance ideals as the primary components of sexual desirability. The internalization of these ideals is positively related to self-objectification and sexual body consciousness. In turn, self-objectification and sexual body consciousness affect adolescents' sexual behavior, albeit in opposing directions. While objectifying self-perceptions are linked to higher levels of sexual behavior, body consciousness during physical intimacy is linked to lower levels of sexual behavior. Based on this knowledge, the present three-wave panel study of 824 Belgian, predominant heterosexual adolescents (M = 15.33; SD = 1.45) proposes a dual-pathway model that investigates two different pathways through which the internalization of media ideals may impact adolescents' sexual behavior. An inhibitory pathway links media internalization to lower levels of sexual behavior through sexual body consciousness, and a supportive pathway links media internalization to higher levels of sexual behavior through self-objectification. Structural equation analyses supported the proposed dual-pathway, showing that the impact of media internalization on adolescents' sexual behavior proceeds through an inhibitory pathway and a supportive pathway. Regarding the supportive pathway, media internalization (W1) positively predicted sexual behavior (W3), through valuing appearance over competence (W2). Regarding the inhibitory pathway, media internalization (W1) positively predicted body surveillance, which, in turn, positively predicted sexual body consciousness (all W2). Sexual body consciousness (W2) is negatively related to sexual behavior (W3). From a sexual developmental perspective, these findings emphasize the importance of guiding adolescents in interpreting and processing sexualizing media messages.
10.1007/s10508-016-0902-4
Exploring the mediating and moderating roles of body-related concerns and social interactions on the association between early puberty and psychological distress in young adult women.
Canadian journal of public health = Revue canadienne de sante publique
OBJECTIVE:To explore the mechanisms through which early puberty is associated with psychological distress in women aged 18-25. This cross-sectional study aims to investigate whether body-related concerns and social interactions moderate or mediate this association. METHODS:Participants were compared on measures evaluating psychological distress, body image dysphoria, bulimic symptomatology and negative intimacy with best friend according to three pubertal timing groups: (1) "very early" puberty (menarche at 9 years old or less), (2) "early" puberty (menarche at 10 years old), and (3) "on-time" puberty (menarche between 11 and 13 years old). Forward stepwise multiple regressions and multiple mediation analysis were successively performed to see whether body-related concerns and peer interactions mediate or moderate the relationship between premature puberty and psychological distress. RESULTS:Controlling for age and ethnicity, results indicated (1) that women who began puberty "very early" had significantly higher levels of psychological distress than their "on-time" counterparts; (2) the association found between very early puberty and psychological distress was mediated by body image dysphoria and negative intimacy with best friend and was moderated by bulimic symptomatology. No mediational effect was found in women whose puberty was "early". CONCLUSION:These findings highlight the importance of using more than one group of early pubertal timing and the role of body and intimacy concerns in the explanation of psychological distress in women. Intervention strategies addressing the increased risk of psychological distress in women who begin puberty very early should target their body image and ability to form intimate friendships.
10.17269/s41997-019-00213-4
Associations of sex and type of relationship on intimacy.
Salas Donna,Ketzenberger Kay E
Psychological reports
Sex differences in self-perceived intimacy were investigated in both same-sex friendships and romantic relationships. Men and women had significantly different means on intimacy with their same-sex friends but reported similar means with romantic partners. Both men and women reported significantly higher mean scores on intimacy with romantic partners than with friends.
10.2466/pr0.94.3c.1322-1324
Pleasure During Adolescents' Most Recent Partnered Sexual Experience: Findings from a U.S. Probability Survey.
Beckmeyer Jonathon J,Herbenick Debby,Fu Tsung-Chieh,Dodge Brian,Fortenberry J Dennis
Archives of sexual behavior
Compared to studies on sexually transmitted infections and pregnancy prevention, sexual pleasure has received limited attention in the adolescent sexual development literature. In the present study, we used data from 157 adolescents (66 females; 14 to 17 years old), with a partnered sexual experience in the past 12 months to explore adolescents' sexual pleasure. First, we examined adolescents' perceptions of pleasure during their most recent partnered sexual experience. We then used information about those sexual experiences to identify correlates of sexual pleasure. Adolescents' reports of sexual pleasure were mixed. Although 17.8% reported their sexual experience was extremely pleasurable and 36.5% reported it was quite pleasurable, 26.6% indicated moderate pleasure, 13.1% a little pleasure, and 3.3% reported no pleasure. Sexual pleasure was primarily associated with aspects of sexual experiences that reflected socioemotional intimacy and desire. Specifically, cuddling with partners, emotional intimacy, and wantedness were all associated with greater sexual pleasure. Additionally, adolescents found sex more pleasurable when it occurred with a friend, but less pleasurable when it involved genital rubbing. Most sexual behaviors, having experienced orgasm, and the situational context of sexual experiences were not associated with sexual pleasure. Thus, specific sexual behaviors and orgasm may have less impact on sexual pleasure than feelings of emotional intimacy and desire. The diversity of perceived sexual pleasure and its associations with intimacy and desire suggest that, during adolescence, partnered sexual experiences are not primarily motivated by anticipated physical pleasure.
10.1007/s10508-021-02026-4
Fatal anaphylaxis due to peanut exposure from oral intercourse.
McKibbin Lundy R,Siu Sidney Kin-Hung,Roberts Hannah T,Shkrum Michael,Jeimy Samira
Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
BACKGROUND:Intimacy-related allergic reactions, including anaphylaxis, are under-reported due to social stigma, lack of awareness, and misdiagnosis. The differential diagnosis for intimacy-related anaphylaxis is extensive and includes systemic human seminal plasma allergy, exercise-induced anaphylaxis, asthma exacerbation, latex allergy, and transference of food or drug allergens through saliva or seminal fluid. CASE PRESENTATION:Two adolescents met on a popular dating phone application. One individual had a long-standing history of asthma and peanut allergy. Although they never kissed, the male with peanut allergy received fellatio, while the other male had eaten peanut butter before they met. During fellatio, the peanut allergic male developed respiratory symptoms, used his bronchodilator, and collapsed. He remained unconscious despite aggressive interventions by emergency personnel called to the site. The clinical history and autopsy results suggested anaphylaxis to peanut allergen exposure from the intimate exposure as the cause of death. DISCUSSION AND CONCLUSIONS:To date, nearly all reported cases of intimacy-related anaphylaxis involve symptomatic women. This is the first report of intimacy-related anaphylaxis involving men who have sex with men and the first report of potential allergen transfer from oral mucosa to a patient receiving fellatio. Based on the paucity of published cases, death from intimacy-related anaphylaxis is exceedingly rare. Post-mortem analysis is inherently difficult, as an elevated tryptase level has myriad potential causes; nevertheless, the authors suggest that intimacy-related anaphylaxis due to peanut allergy is the most likely diagnosis. With increasing popularity of relationship applications, especially amongst stigmatized populations, this case highlights the importance of allergy awareness and patient education to decrease risk, particularly in the adolescent population, who are already at increased risk of severe anaphylaxis. Especially amongst those participating in intimate activities, disclosure of one's allergies warrants discussion, as the outcome can be fatal. Our case demonstrates the crucial need for increased advocacy in food allergy, education around intimacy-related anaphylaxis, and the importance of allergy awareness and prevention across all populations.
10.1186/s13223-021-00611-9
Caring through restraint: violence, intimacy and identity in mental health practice.
Hejtmanek Katie
Culture, medicine and psychiatry
In this article, I discuss the meanings of "restraints," or physical intervention strategies that are used at a total institution for mentally ill adolescents in the United States. This paper argues that this particularly complex form of mental health treatment is simultaneously a violent and an intimate way in which men relate to one another and also takes on complex meanings about trust and identity in mental health recovery. Using data from 18 months of ethnographic fieldwork at one residential treatment center, this article examines what restraints reveal and embody about intimate interpersonal staff/client relationships, how Black men relate to one another in this setting and how staff members use physical interventions to link institutional mental health treatment with street violence in the outside world. I conclude that understanding these meanings of restraints provides a valuable way of understanding local knowledge in mental health practice, treatment and recovery.
10.1007/s11013-010-9195-6
Does virtual intimacy exist? A brief exploration into reported levels of intimacy in online relationships.
Scott Veronica M,Mottarella Karen E,Lavooy Maria J
Cyberpsychology & behavior : the impact of the Internet, multimedia and virtual reality on behavior and society
This study examined the levels of intimacy reported by individuals in face-to-face and computer-mediated (or "virtual") romantic relationships. As suggested by the media and promised by online dating services, some degree of intimacy was reported in computer-mediated relationships, but stronger intimacy was reported in all participants' face-to-face relationships. Results also indicated that individuals who had online, virtual relationships reported less intimacy in their own face-to-face relationships compared to individuals who had engaged exclusively in face-to-face relationships, suggesting that people may turn to virtual relating after challenges in their face-to-face experiences.
10.1089/cpb.2006.9.759
Variations in wounding by relationship intimacy in homicide cases.
Trojan Carrie,Krull Amy C
Journal of interpersonal violence
There are numerous examples in the homicide literature of a presumed connection between the victim-offender relationship and the manner, extent, and body location of wounds inflicted in homicides. The current study examined variations in wounding patterns according to the intimacy of the victim-offender relationship in a sample of urban homicides to explore the investigative utility of this information in an average homicide event. The findings demonstrated that victims who had a current or former intimate relationship with their offender were more likely to receive wounds to the face and be injured with a weapon from the scene compared with all other relationship groups, whereas injury to the head and use of manual violence were more likely among intimates and family/friends compared with acquaintances or strangers. However, the groups did not significantly differ in terms of the overall amount of wounds inflicted. Implications of the findings and suggested areas of future research are discussed.
10.1177/0886260512438285
Self-disclosure, emotional expression and intimacy within romantic relationships of people with social phobia.
Sparrevohn Roslyn M,Rapee Ronald M
Behaviour research and therapy
The current study examined aspects of communication and intimacy between people with social phobia and their romantic partners. Forty-eight individuals with social phobia and 58 community controls completed a series of questionnaires to measure self-disclosure, emotional expression and levels of intimacy within their romantic relationships. Participants with social phobia reported less emotional expression, self-disclosure and intimacy than controls, even after controlling for a diagnosis of mood disorder. The group differences did not differ significantly by gender. A continuous measure of social anxiety also correlated significantly with the three relationship measures and these associations held for emotional expression and self-disclosure after controlling for levels of dysphoria. People with social phobia report reduced quality within their romantic relationships, which may have implications for impairment, social support and ultimately maintenance of the disorder.
10.1016/j.brat.2009.07.016
Laughter's influence on the intimacy of self-disclosure.
Gray Alan W,Parkinson Brian,Dunbar Robin I
Human nature (Hawthorne, N.Y.)
If laughter functions to build relationships between individuals, as current theory suggests, laughter should be linked to interpersonal behaviors that have been shown to be critical to relationship development. Given the importance of disclosing behaviors in facilitating the development of intense social bonds, it is possible that the act of laughing may temporarily influence the laugher's willingness to disclose personal information. We tested this hypothesis experimentally by comparing the characteristics of self-disclosing statements produced by those who had previously watched one of three video clips that differed in the extent to which they elicited laughter and positive affect. The results show that disclosure intimacy is significantly higher after laughter than in the control condition, suggesting that this effect may be due, at least in part, to laughter itself and not simply to a change in positive affect. However, the disclosure intimacy effect was only found for observers' ratings of participants' disclosures and was absent in the participants' own ratings. We suggest that laughter increases people's willingness to disclose, but that they may not necessarily be aware that it is doing so.
10.1007/s12110-015-9225-8