Pub Date : 2026-01-08DOI: 10.1007/s10508-025-03320-1
Lijuan Xiao, Baolin Li, Fang Wang
This research explored how laywomen perceive and prioritize the functions of physical attractiveness, with particular attention to how sociocultural beliefs and structural inequality, such as gender earnings disparities, shape these views. Study 1 employed a qualitative approach to examine women's beliefs from both third-person (Study 1a) and first-person (Study 1b) perspectives. Most participants viewed attractiveness as a valuable asset across domains such as mate selection, employment, and social relationships, while a minority expressed more limited or skeptical views, often describing themselves as having average attractiveness. Study 2 used an experimental design to test how women prioritize the mating versus job-hunting functions of attractiveness when exposed to high or low gender earnings inequality. Results showed that while attractiveness was generally seen as beneficial, prioritization patterns depended on traditional gender ideology. Women with weaker traditional beliefs were more likely to emphasize the labor market utility of attractiveness, especially under high gender inequality. In contrast, women with stronger traditional beliefs showed no clear preference. These findings suggest that women's instrumental use of appearance is shaped by sociocultural beliefs and structural inequality.
{"title":"Beauty Is Currency: Laywomen's Perceptions of the Social and Instrumental Functions of Physical Attractiveness.","authors":"Lijuan Xiao, Baolin Li, Fang Wang","doi":"10.1007/s10508-025-03320-1","DOIUrl":"https://doi.org/10.1007/s10508-025-03320-1","url":null,"abstract":"<p><p>This research explored how laywomen perceive and prioritize the functions of physical attractiveness, with particular attention to how sociocultural beliefs and structural inequality, such as gender earnings disparities, shape these views. Study 1 employed a qualitative approach to examine women's beliefs from both third-person (Study 1a) and first-person (Study 1b) perspectives. Most participants viewed attractiveness as a valuable asset across domains such as mate selection, employment, and social relationships, while a minority expressed more limited or skeptical views, often describing themselves as having average attractiveness. Study 2 used an experimental design to test how women prioritize the mating versus job-hunting functions of attractiveness when exposed to high or low gender earnings inequality. Results showed that while attractiveness was generally seen as beneficial, prioritization patterns depended on traditional gender ideology. Women with weaker traditional beliefs were more likely to emphasize the labor market utility of attractiveness, especially under high gender inequality. In contrast, women with stronger traditional beliefs showed no clear preference. These findings suggest that women's instrumental use of appearance is shaped by sociocultural beliefs and structural inequality.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145931939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 10.1007/s10508-025-03351-8
Nancy Rodríguez-Vázquez, María Guadalupe Moreno-Monsiváis, Jorge Zamarripa, José Luis Hernández-Torres
The objective of the study was to test a structural equation model in which sexual communication, life goals, basic psychological needs, and self-determined motivation were incorporated in order to explain their effect on sexual behavior to prevent adolescent pregnancy. This research was conducted with a sample of 620 Mexican adolescents of both sexes. The results of the model showed satisfactory goodness-of-fit indexes and it was determined that sexual communication with their mother predicted their intrinsic life goals. Sexual communication with friends predicted life goals and the satisfaction of basic psychological needs, and self-determined motivation decreased. Sexual communication with the partner increased basic psychological needs satisfaction. The greater basic psychological needs satisfaction, the greater self-determined motivation. Self-determined motivation can increase sexual behaviors to prevent pregnancy.
{"title":"Model Based on Self-Determination Theory for Sexual Behavior to Prevent Adolescent Pregnancy.","authors":"Nancy Rodríguez-Vázquez, María Guadalupe Moreno-Monsiváis, Jorge Zamarripa, José Luis Hernández-Torres","doi":"10.1007/s10508-025-03351-8","DOIUrl":"10.1007/s10508-025-03351-8","url":null,"abstract":"<p><p>The objective of the study was to test a structural equation model in which sexual communication, life goals, basic psychological needs, and self-determined motivation were incorporated in order to explain their effect on sexual behavior to prevent adolescent pregnancy. This research was conducted with a sample of 620 Mexican adolescents of both sexes. The results of the model showed satisfactory goodness-of-fit indexes and it was determined that sexual communication with their mother predicted their intrinsic life goals. Sexual communication with friends predicted life goals and the satisfaction of basic psychological needs, and self-determined motivation decreased. Sexual communication with the partner increased basic psychological needs satisfaction. The greater basic psychological needs satisfaction, the greater self-determined motivation. Self-determined motivation can increase sexual behaviors to prevent pregnancy.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-06DOI: 10.1007/s10508-025-03344-7
Domenic P Roberto,Marina Morris,Melissa M McDonald
Sexual rape fantasies are commonly reported among women. Rape fantasies can range anywhere from violent, forceful encounters to seduction fantasies where the fantasizer is coerced by an attractive partner. Although rape fantasies often contain aversive content, research tends to broadly conceptualize sexual fantasy as a universally pleasurable experience. The current research explored the possible function of aversive rape fantasy in women, hypothesizing that such fantasies are part of the output of a threat management system for rape avoidance. The fantasy is argued to function as a form of mental rehearsal wherein more realistic and forceful rape fantasies provide the fantasizer a low-cost, high-reward method for simulating and preparing for a potential future attack. Results of an online survey study indicated that women's fear of rape was positively associated with the presence of aversiveness in rape fantasies, but not other types of fantasies, when controlling for the eroticism of women's rape fantasies and other types of fearfulness. Women's history of sexual assault was also positively associated with the aversiveness of their rape fantasies-a relationship that was mediated by women's fear of rape. These findings are consistent with the threat management system model and may imply that women who are more vulnerable to victimization are more fearful of rape and therefore engage in mental rehearsal of possible rape encounters through aversive rape fantasies as a means of defensive vigilance against potential future assaults.
{"title":"A Threat Management Approach to Explaining Women's Aversive Rape Fantasies.","authors":"Domenic P Roberto,Marina Morris,Melissa M McDonald","doi":"10.1007/s10508-025-03344-7","DOIUrl":"https://doi.org/10.1007/s10508-025-03344-7","url":null,"abstract":"Sexual rape fantasies are commonly reported among women. Rape fantasies can range anywhere from violent, forceful encounters to seduction fantasies where the fantasizer is coerced by an attractive partner. Although rape fantasies often contain aversive content, research tends to broadly conceptualize sexual fantasy as a universally pleasurable experience. The current research explored the possible function of aversive rape fantasy in women, hypothesizing that such fantasies are part of the output of a threat management system for rape avoidance. The fantasy is argued to function as a form of mental rehearsal wherein more realistic and forceful rape fantasies provide the fantasizer a low-cost, high-reward method for simulating and preparing for a potential future attack. Results of an online survey study indicated that women's fear of rape was positively associated with the presence of aversiveness in rape fantasies, but not other types of fantasies, when controlling for the eroticism of women's rape fantasies and other types of fearfulness. Women's history of sexual assault was also positively associated with the aversiveness of their rape fantasies-a relationship that was mediated by women's fear of rape. These findings are consistent with the threat management system model and may imply that women who are more vulnerable to victimization are more fearful of rape and therefore engage in mental rehearsal of possible rape encounters through aversive rape fantasies as a means of defensive vigilance against potential future assaults.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"15 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-04DOI: 10.1007/s10508-025-03271-7
Randi Beth Singer, Jessica Zemlak, Sara Jacobs, Natasha Crooks, Oscar Daniel Bahena, Maya Green, Susan G. Sherman, Geri Donenberg, Alicia K. Matthews, Crystal L. Patil
Reducing new HIV infections is crucial. Sex workers continue to face disparities in both HIV infection rates and inadequate prevention care. Stigma, criminalization, and financial instability hinder access to vital HIV prevention methods, including Pre-exposure Prophylaxis (PrEP). Evidence-based, community-centered PrEP care may help address these issues. An evidence-based group PrEP care model, Centering PrEP (C-PrEP +), could empower communities and reduce healthcare burdens. This study explored care professionals’ perspectives on barriers and facilitators of C-PrEP + for sex workers. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, we aimed to develop a pilot implementation plan for C-PrEP + . Individual interviews were held with care professionals at a U.S. Midwestern Community Health Center serving sex workers. To reflect the diverse roles and backgrounds of participants, we interviewed 14 healthcare professionals, including care providers, patient navigators, and billing specialists. Guided by a semi-structured interview guide, we sought care providers’ views on obstacles and enablers related to prescribing PrEP and implementing group PrEP care for sex workers. Using Dedoose, we used directed content analysis to systematically explore their perspectives about C-PrEP + using predefined constructs from the EPIS framework to guide coding and interpretation. Major themes included healthcare for sex workers, challenges in standard PrEP care, perceptions of Centering PrEP, and barriers and facilitators for implementing C-PrEP + . Participants viewed group PrEP care as a means to foster patient-centered approaches and strengthen community ties, while addressing the demands of care. Thoughtful integration of C-PrEP + into clinics may be a promising strategy to improve HIV prevention for sex workers.
{"title":"Provider Perspectives on Group PrEP Care for Sex Workers: A Pre-implementation Study in a U.S. Midwestern Community Health Center","authors":"Randi Beth Singer, Jessica Zemlak, Sara Jacobs, Natasha Crooks, Oscar Daniel Bahena, Maya Green, Susan G. Sherman, Geri Donenberg, Alicia K. Matthews, Crystal L. Patil","doi":"10.1007/s10508-025-03271-7","DOIUrl":"https://doi.org/10.1007/s10508-025-03271-7","url":null,"abstract":"Reducing new HIV infections is crucial. Sex workers continue to face disparities in both HIV infection rates and inadequate prevention care. Stigma, criminalization, and financial instability hinder access to vital HIV prevention methods, including Pre-exposure Prophylaxis (PrEP). Evidence-based, community-centered PrEP care may help address these issues. An evidence-based group PrEP care model, Centering PrEP (C-PrEP +), could empower communities and reduce healthcare burdens. This study explored care professionals’ perspectives on barriers and facilitators of C-PrEP + for sex workers. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, we aimed to develop a pilot implementation plan for C-PrEP + . Individual interviews were held with care professionals at a U.S. Midwestern Community Health Center serving sex workers. To reflect the diverse roles and backgrounds of participants, we interviewed 14 healthcare professionals, including care providers, patient navigators, and billing specialists. Guided by a semi-structured interview guide, we sought care providers’ views on obstacles and enablers related to prescribing PrEP and implementing group PrEP care for sex workers. Using Dedoose, we used directed content analysis to systematically explore their perspectives about C-PrEP + using predefined constructs from the EPIS framework to guide coding and interpretation. Major themes included healthcare for sex workers, challenges in standard PrEP care, perceptions of Centering PrEP, and barriers and facilitators for implementing C-PrEP + . Participants viewed group PrEP care as a means to foster patient-centered approaches and strengthen community ties, while addressing the demands of care. Thoughtful integration of C-PrEP + into clinics may be a promising strategy to improve HIV prevention for sex workers.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"14 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145895664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-04DOI: 10.1007/s10508-025-03400-2
Brian D. Earp, Morgan Carpenter, Sebastian Porsdam Mann
{"title":"On Whether Sex Is Binary","authors":"Brian D. Earp, Morgan Carpenter, Sebastian Porsdam Mann","doi":"10.1007/s10508-025-03400-2","DOIUrl":"https://doi.org/10.1007/s10508-025-03400-2","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"35 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-04DOI: 10.1007/s10508-025-03340-x
Jeong Eun Cheon, Young-Hoon Kim
Affection exchange theory posits that affectionate communication is crucial in fostering relational bonds and facilitating procreation. Building on this theory, this study examined whether affectionate communication is positively related to sexual satisfaction. Furthermore, considering that affectionate communication partially satisfies the need for sexual intimacy among couples, this study investigated whether affectionate exchanges compensated for infrequent sexual activity. Specifically, it assessed whether affectionate communication's frequency moderated the association between sexual frequency and sexual and marital satisfaction, such that couples engaging in frequent affectionate communication exhibit less reduction in well-being when sexual activity is infrequent. These hypotheses were tested by collecting data from 700 married individuals in South Korea. The findings revealed that affectionate communication mitigated the negative association between infrequent sexual activity and sexual and marital satisfaction. Notably, receiving affection from one's partner and expressing affection toward one's partner attenuated the association between sexual frequency and satisfaction levels. These findings underscore affectionate communication's importance in maintaining sexual and marital satisfaction, particularly in relationships characterized by lower sexual frequency.
{"title":"Compensatory Effects of Affectionate Communication in Marriages with Infrequent Sexual Activity","authors":"Jeong Eun Cheon, Young-Hoon Kim","doi":"10.1007/s10508-025-03340-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03340-x","url":null,"abstract":"Affection exchange theory posits that affectionate communication is crucial in fostering relational bonds and facilitating procreation. Building on this theory, this study examined whether affectionate communication is positively related to sexual satisfaction. Furthermore, considering that affectionate communication partially satisfies the need for sexual intimacy among couples, this study investigated whether affectionate exchanges compensated for infrequent sexual activity. Specifically, it assessed whether affectionate communication's frequency moderated the association between sexual frequency and sexual and marital satisfaction, such that couples engaging in frequent affectionate communication exhibit less reduction in well-being when sexual activity is infrequent. These hypotheses were tested by collecting data from 700 married individuals in South Korea. The findings revealed that affectionate communication mitigated the negative association between infrequent sexual activity and sexual and marital satisfaction. Notably, receiving affection from one's partner and expressing affection toward one's partner attenuated the association between sexual frequency and satisfaction levels. These findings underscore affectionate communication's importance in maintaining sexual and marital satisfaction, particularly in relationships characterized by lower sexual frequency.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"39 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145895663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-04DOI: 10.1007/s10508-025-03325-w
Ellen Ek, Cecilia Fredlund, Sofia Hammarström
Earlier research has found that sex could be used as a means of self-injury with functions comparable to other self-injurious behaviors such as cutting or burning the skin. A suggested definition for sex as self-injury (SASI) is “a pattern of seeking sexual situations involving psychological or physical harm to themselves.” The research concerning SASI is sparse and the behavior is still in need of further understanding. The aim of this study was to investigate the prevalence of SASI among visitors to youth clinics in Sweden and the associations with sexual risk-taking, drug and alcohol consumption, and experience of violence. The study was based on data collected through the SEXual health Identification Tool (SEXIT) at youth clinics in multiple Swedish cities. A total of 813 participants were included in the study (Median = 19 years, SD 2.52 years, 734 identified as women, 78 as men, and 1 as other). Overall, 12.30% of the participants reported experience of SASI. SASI was most strongly associated with experience of sexual harassment or assault (OR 6.22), ever being diagnosed with a sexually transmitted infection (OR 3.07), drug use (OR 3.02), and experience of physical and/or psychological violence (OR 2.78). In conclusion, SASI is occurring among youth clinic visitors and is associated with factors that endanger young people’s physical and psychological well-being. Healthcare professionals need to have knowledge of SASI to offer proper help and support.
{"title":"Sex as Self-Injury Among Youth Clinic Visitors in Sweden","authors":"Ellen Ek, Cecilia Fredlund, Sofia Hammarström","doi":"10.1007/s10508-025-03325-w","DOIUrl":"https://doi.org/10.1007/s10508-025-03325-w","url":null,"abstract":"Earlier research has found that sex could be used as a means of self-injury with functions comparable to other self-injurious behaviors such as cutting or burning the skin. A suggested definition for sex as self-injury (SASI) is “a pattern of seeking sexual situations involving psychological or physical harm to themselves.” The research concerning SASI is sparse and the behavior is still in need of further understanding. The aim of this study was to investigate the prevalence of SASI among visitors to youth clinics in Sweden and the associations with sexual risk-taking, drug and alcohol consumption, and experience of violence. The study was based on data collected through the SEXual health Identification Tool (SEXIT) at youth clinics in multiple Swedish cities. A total of 813 participants were included in the study (Median = 19 years, SD 2.52 years, 734 identified as women, 78 as men, and 1 as other). Overall, 12.30% of the participants reported experience of SASI. SASI was most strongly associated with experience of sexual harassment or assault (OR 6.22), ever being diagnosed with a sexually transmitted infection (OR 3.07), drug use (OR 3.02), and experience of physical and/or psychological violence (OR 2.78). In conclusion, SASI is occurring among youth clinic visitors and is associated with factors that endanger young people’s physical and psychological well-being. Healthcare professionals need to have knowledge of SASI to offer proper help and support.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"29 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145895666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1007/s10508-025-03305-0
Paola P. Mattey-Mora, Trey V. Dellucci, Michael P. Smoker, Matthew C. Aalsma, Leslie A. Hulvershorn
Impulsivity, a multidimensional construct characterized by rash decision-making and difficulty delaying gratification, is a trait of externalizing disorders (e.g., attention-deficit/hyperactivity, disruptive, oppositional defiant, and conduct disorders) and has been associated with risk-taking behaviors. However, its association with risky sexual behaviors in this population remains limited. This observational study examined the association between impulsivity and early sexual behaviors in 96 adolescents (male n = 63) with externalizing disorders. Impulsivity at baseline was assessed using the Urgency-Premeditation-Perseverance-Sensation Seeking-Positive Urgency (UPPS-P) scale. Engagement in early sexual behaviors was categorized into three groups: sexting; other sexual behaviors (e.g., genital touch, oral sex); and sexual intercourse. Relative risk (RR) was estimated using unadjusted and adjusted (A) modified Poisson regressions with robust variance. Adjusted models included biological sex, family history of substance use, and parental education as potential confounders. Significant associations were found between sexting and both overall impulsivity (ARR = 1.11, 95% CI = 1.02–1.21) and sensation seeking (ARR = 1.45, 95% CI = 1.18–1.79). Sensation seeking was also significantly associated with other sexual behaviors (ARR = 1.44, 95% CI = 1.01–2.08). No significant associations were found between impulsivity subscales and sexual intercourse. These findings highlight the role of sensation seeking in early sexting and other sexual behaviors among adolescents with externalizing disorders. Interventions targeting sensation seeking may be beneficial for reducing sexual risk-taking in high-risk youth. Future studies are needed to understand the effects of impulsivity in risky sexual behaviors over time, particularly across late adolescence and young adulthood in this population.
冲动性是一种以草率决策和难以延迟满足为特征的多维结构，是外化障碍（如注意力缺陷/多动、破坏性、对立违抗和行为障碍）的一种特征，与冒险行为有关。然而，在这一人群中，它与危险性行为的关联仍然有限。本观察性研究调查了96例外化障碍青少年（男性63例）冲动与早期性行为之间的关系。基线时的冲动性采用紧急-预谋-坚持-感觉寻求-积极紧急（UPPS-P）量表进行评估。早期性行为被分为三类：发性短信；其他性行为（如生殖器接触、口交）；还有性交。相对风险（RR）使用未调整和调整(A)修正泊松回归进行稳健方差估计。调整后的模型包括生物性别、药物使用家族史和父母教育作为潜在的混杂因素。性短信与总体冲动（ARR = 1.11, 95% CI = 1.02-1.21）和寻求感觉（ARR = 1.45, 95% CI = 1.18-1.79）之间存在显著关联。感觉寻求也与其他性行为显著相关（ARR = 1.44, 95% CI = 1.01-2.08）。冲动性量表与性行为之间无显著关联。这些发现强调了感觉寻求在外化障碍青少年早期性短信和其他性行为中的作用。针对感觉寻求的干预措施可能有助于减少高风险青少年的性冒险行为。随着时间的推移，冲动对危险性行为的影响需要进一步的研究，特别是在这个人群的青春期晚期和成年早期。
{"title":"Impulsivity and Early Initiation of Sexual Behaviors in Adolescents with Externalizing Disorders","authors":"Paola P. Mattey-Mora, Trey V. Dellucci, Michael P. Smoker, Matthew C. Aalsma, Leslie A. Hulvershorn","doi":"10.1007/s10508-025-03305-0","DOIUrl":"https://doi.org/10.1007/s10508-025-03305-0","url":null,"abstract":"Impulsivity, a multidimensional construct characterized by rash decision-making and difficulty delaying gratification, is a trait of externalizing disorders (e.g., attention-deficit/hyperactivity, disruptive, oppositional defiant, and conduct disorders) and has been associated with risk-taking behaviors. However, its association with risky sexual behaviors in this population remains limited. This observational study examined the association between impulsivity and early sexual behaviors in 96 adolescents (male <jats:italic>n</jats:italic> = 63) with externalizing disorders. Impulsivity at baseline was assessed using the Urgency-Premeditation-Perseverance-Sensation Seeking-Positive Urgency (UPPS-P) scale. Engagement in early sexual behaviors was categorized into three groups: sexting; other sexual behaviors (e.g., genital touch, oral sex); and sexual intercourse. Relative risk (RR) was estimated using unadjusted and adjusted (A) modified Poisson regressions with robust variance. Adjusted models included biological sex, family history of substance use, and parental education as potential confounders. Significant associations were found between sexting and both overall impulsivity (ARR = 1.11, 95% CI = 1.02–1.21) and sensation seeking (ARR = 1.45, 95% CI = 1.18–1.79). Sensation seeking was also significantly associated with other sexual behaviors (ARR = 1.44, 95% CI = 1.01–2.08). No significant associations were found between impulsivity subscales and sexual intercourse. These findings highlight the role of sensation seeking in early sexting and other sexual behaviors among adolescents with externalizing disorders. Interventions targeting sensation seeking may be beneficial for reducing sexual risk-taking in high-risk youth. Future studies are needed to understand the effects of impulsivity in risky sexual behaviors over time, particularly across late adolescence and young adulthood in this population.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1007/s10508-025-03356-3
David Lafortune, Valérie A. Lapointe, Cloé Canivet, Jonathan Bonneau, Ghayda Hassan, Marie-Aude Boislard, Franklin Calazana, Christian Labrie, Simon Dubé
Amid rising global rates of loneliness and romantic distress, many individuals seek connection with romantic chatbots-AI-driven companions designed to simulate intimate interactions. Although chatbot-assisted interventions have shown promise in mental health care, their therapeutic potential for addressing romantic distress remains largely underexplored. Men experiencing involuntary singlehood often report elevated psychological, relational, and sexual distress, yet many avoid conventional therapy, underscoring the need for innovative, accessible interventions. This mixed-methods proof-of-concept study evaluated the feasibility, acceptability, adequacy, and preliminary effects of a one-session therapist-guided chatbot intervention targeting involuntary singlehood-related distress. Thirty-two Canadian men reporting involuntary singlehood completed a three-level intervention program based on a romantic chatbot simulating dating app interactions: (1) initiating contact, (2) practicing self-disclosure, and (3) navigating romantic rejection. Outcomes were assessed using validated measures of relational, psychological, and sexual distress at baseline (T1), one-month (T2), and three-month (T3) post-intervention follow-ups, while acceptability and adequacy were assessed during and immediately following the intervention through standardized instruments and open-ended questions. Data were analyzed using descriptive statistics, repeated-measures ANOVAs, and qualitative content analysis. Significant reductions were observed in relational, psychological, and sexual distress (moderate-to-large effect sizes). Most participants rated the intervention format as appropriate and found the chatbot interactions realistic, reflective of real-life romantic challenges, and beneficial for developing romantic skills. These findings suggest that this chatbot-assisted intervention may hold promise in accompanying individuals navigating involuntary singlehood. Future randomized controlled trials need to confirm its clinical effects, optimize its technical architecture and therapeutic delivery (e.g., through modules tailored to individual needs), and assess skill transfer to real-life contexts.
{"title":"“I Could Practice Flirting Without Pressure”: A Proof-of-Concept Study of an AI Chatbot-Assisted Intervention for Men Facing Distressing Involuntary Singlehood","authors":"David Lafortune, Valérie A. Lapointe, Cloé Canivet, Jonathan Bonneau, Ghayda Hassan, Marie-Aude Boislard, Franklin Calazana, Christian Labrie, Simon Dubé","doi":"10.1007/s10508-025-03356-3","DOIUrl":"https://doi.org/10.1007/s10508-025-03356-3","url":null,"abstract":"Amid rising global rates of loneliness and romantic distress, many individuals seek connection with romantic chatbots-AI-driven companions designed to simulate intimate interactions. Although chatbot-assisted interventions have shown promise in mental health care, their therapeutic potential for addressing romantic distress remains largely underexplored. Men experiencing involuntary singlehood often report elevated psychological, relational, and sexual distress, yet many avoid conventional therapy, underscoring the need for innovative, accessible interventions. This mixed-methods proof-of-concept study evaluated the feasibility, acceptability, adequacy, and preliminary effects of a one-session therapist-guided chatbot intervention targeting involuntary singlehood-related distress. Thirty-two Canadian men reporting involuntary singlehood completed a three-level intervention program based on a romantic chatbot simulating dating app interactions: (1) initiating contact, (2) practicing self-disclosure, and (3) navigating romantic rejection. Outcomes were assessed using validated measures of relational, psychological, and sexual distress at baseline (T1), one-month (T2), and three-month (T3) post-intervention follow-ups, while acceptability and adequacy were assessed during and immediately following the intervention through standardized instruments and open-ended questions. Data were analyzed using descriptive statistics, repeated-measures ANOVAs, and qualitative content analysis. Significant reductions were observed in relational, psychological, and sexual distress (moderate-to-large effect sizes). Most participants rated the intervention format as appropriate and found the chatbot interactions realistic, reflective of real-life romantic challenges, and beneficial for developing romantic skills. These findings suggest that this chatbot-assisted intervention may hold promise in accompanying individuals navigating involuntary singlehood. Future randomized controlled trials need to confirm its clinical effects, optimize its technical architecture and therapeutic delivery (e.g., through modules tailored to individual needs), and assess skill transfer to real-life contexts.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"20 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Online sexual activities (OSA) are widespread and linked to both benefits and risks for sexual health. Experiences with OSA often differ by gender, potentially leading to distinct perceived outcomes. Understanding these differences is essential for tailoring education, prevention, and intervention strategies. However, current data on OSA use and their subjective outcomes among adults in Germany are limited. To address this gap, this study aimed to assess gender-specific prevalence, experiences, and perceived outcomes of OSA. A national online sample of 2832 adults in Germany (aged 18-65; 50% women, 50% men) reported in December 2022 on their 12-month prevalence of OSA overall, their engagement and subjective experiences with specific types of OSA, and the overall perception of positive and negative impact of OSA on their personal lives. A total of 62% of participants reported engaging in at least one type of OSA in the past 12 months, with sexual entertainment and sexual information being the most common types. Men were significantly more likely than women to engage in OSA overall and across most types, except for purchasing sex-related products. Subjective experiences with specific types of OSA were predominantly positive and largely similar between genders. Both men and women generally evaluated the impact of OSA on their personal lives as more positive than negative, with men reporting slightly higher perceived benefits. Results illustrate that OSA are common and generally experienced positively among men and women. Sexual health professionals need to address not only potential risks but also the personal benefits of OSA in their work.
{"title":"Prevalence and Outcomes of Online Sexual Activities Among Women and Men in Germany: A National Online Survey.","authors":"Nicola Döring,Veronika Mikhailova,Denise Schönnenbeck","doi":"10.1007/s10508-025-03353-6","DOIUrl":"https://doi.org/10.1007/s10508-025-03353-6","url":null,"abstract":"Online sexual activities (OSA) are widespread and linked to both benefits and risks for sexual health. Experiences with OSA often differ by gender, potentially leading to distinct perceived outcomes. Understanding these differences is essential for tailoring education, prevention, and intervention strategies. However, current data on OSA use and their subjective outcomes among adults in Germany are limited. To address this gap, this study aimed to assess gender-specific prevalence, experiences, and perceived outcomes of OSA. A national online sample of 2832 adults in Germany (aged 18-65; 50% women, 50% men) reported in December 2022 on their 12-month prevalence of OSA overall, their engagement and subjective experiences with specific types of OSA, and the overall perception of positive and negative impact of OSA on their personal lives. A total of 62% of participants reported engaging in at least one type of OSA in the past 12 months, with sexual entertainment and sexual information being the most common types. Men were significantly more likely than women to engage in OSA overall and across most types, except for purchasing sex-related products. Subjective experiences with specific types of OSA were predominantly positive and largely similar between genders. Both men and women generally evaluated the impact of OSA on their personal lives as more positive than negative, with men reporting slightly higher perceived benefits. Results illustrate that OSA are common and generally experienced positively among men and women. Sexual health professionals need to address not only potential risks but also the personal benefits of OSA in their work.","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"50 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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