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Impulsivity and Early Initiation of Sexual Behaviors in Adolescents with Externalizing Disorders 外化障碍青少年的冲动性与性行为的早期开始
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-03 DOI: 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。
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引用次数: 0
“I Could Practice Flirting Without Pressure”: A Proof-of-Concept Study of an AI Chatbot-Assisted Intervention for Men Facing Distressing Involuntary Singlehood “我可以在没有压力的情况下练习调情”:一项人工智能聊天机器人辅助干预的概念验证研究,用于面对痛苦的非自愿单身的男性
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-03 DOI: 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.
随着全球孤独感和浪漫压力的上升,许多人寻求与浪漫聊天机器人建立联系——人工智能驱动的伴侣,旨在模拟亲密互动。尽管聊天机器人辅助干预在精神卫生保健方面已经显示出前景,但它们在解决爱情困扰方面的治疗潜力仍未得到充分开发。经历非自愿单身的男性经常报告心理、关系和性困扰加剧,但许多人回避传统治疗,强调需要创新的、可获得的干预措施。这项混合方法的概念验证研究评估了治疗师指导的聊天机器人干预非自愿单身相关困扰的可行性、可接受性、充分性和初步效果。32名报告非自愿单身的加拿大男性完成了一个基于模拟约会应用互动的浪漫聊天机器人的三级干预项目:(1)发起接触,(2)练习自我表露,(3)应对浪漫拒绝。在干预后的基线(T1)、1个月(T2)和3个月(T3)随访中,通过有效的关系、心理和性困扰测量来评估结果,同时通过标准化工具和开放式问题在干预期间和干预后立即评估可接受性和充分性。数据分析采用描述性统计、重复测量方差分析和定性内容分析。在关系、心理和性困扰方面观察到显著的减少(中等到较大的效应量)。大多数参与者认为干预形式是适当的,并且发现聊天机器人的互动是真实的,反映了现实生活中的浪漫挑战,有利于培养浪漫技巧。这些发现表明,这种聊天机器人辅助的干预可能会在陪伴个人度过非自愿单身生活方面带来希望。未来的随机对照试验需要确认其临床效果,优化其技术架构和治疗递送(例如,通过针对个人需求量身定制的模块),并评估技能在现实生活中的转移。
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引用次数: 0
Prevalence and Outcomes of Online Sexual Activities Among Women and Men in Germany: A National Online Survey. 德国女性和男性在线性活动的流行程度和结果:一项全国性在线调查。
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-27 DOI: 10.1007/s10508-025-03353-6
Nicola Döring,Veronika Mikhailova,Denise Schönnenbeck
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.
网上性活动(OSA)很普遍,对性健康既有好处也有风险。阻塞性睡眠呼吸暂停的经历通常因性别而异,可能导致不同的感知结果。了解这些差异对于调整教育、预防和干预策略至关重要。然而,目前关于德国成年人使用OSA及其主观结果的数据有限。为了解决这一差距,本研究旨在评估OSA的性别患病率、经历和感知结果。2022年12月,德国2832名成年人(年龄在18-65岁之间,50%为女性,50%为男性)的全国在线样本报告了他们12个月的总体OSA患病率,他们对特定类型OSA的参与和主观体验,以及OSA对他们个人生活的积极和消极影响的总体看法。在过去的12个月里,62%的参与者报告至少有一种类型的OSA,其中性娱乐和性信息是最常见的类型。除了购买与性有关的产品外,男性比女性更有可能在大多数类型的OSA中出现。特定类型OSA的主观体验主要是积极的,性别之间基本相似。男性和女性普遍认为睡眠呼吸暂停对个人生活的影响是积极的,而不是消极的,男性报告的好处略高。结果表明,阻塞性睡眠呼吸暂停在男性和女性中都是常见的,并且通常是积极的。性健康专业人员在工作中不仅要考虑到阻塞性睡眠呼吸暂停的潜在风险,还要考虑到对个人的好处。
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引用次数: 0
Correction: Parental and Artificial Intelligence Perspectives on Adolescent Sexting: A Comparative Analysis. 更正:父母和人工智能对青少年性短信的看法:比较分析。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-27 DOI: 10.1007/s10508-025-03390-1
Tsameret Ricon, Michal Dolev-Cohen
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引用次数: 0
The Relationship Between School Bullying and Suicide-Related Behaviors Among Sexual Minorities: A Systematic Review and Meta-Analysis 性少数群体校园欺凌与自杀相关行为的关系:系统回顾与元分析。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-27 DOI: 10.1007/s10508-025-03290-4
Huan Chen, Siwen Sun, Yu-Pei Yang, Feng Zhang, Haixiao Chen, Tao-Hsin Tung

Suicide is the third leading cause of death among adolescents and young adults (aged 10–24). Among sexual minorities, various forms of bullying victimization are strongly associated with suicide. This review aimed to explore the relationship between school bullying and suicide-related behaviors among sexual minority adolescents. We searched PubMed, Web of Science, EMBASE, Cochrane, Scopus, APA PsycInfo, and ProQuest databases from inception to June 16, 2025. A meta-analysis was performed to combine odds ratios (ORs) with 95% CIs. The heterogeneity of the studies was assessed using the I2 statistic. Publication bias was evaluated using a funnel plot analysis and Egger's test. A meta-regression model was developed to examine the associations between school bullying and suicide-related behaviors. This systematic review and meta-analysis included 11 studies, involving a sample of 113,039 sexual minority students. The results revealed that, among sexual minorities, bullying was positively associated with suicidal ideation (OR 2.36, 95% CI 1.65, 3.36, p < .001) and suicide attempts (OR 2.30, 95% CI 1.71, 3.11, p < .001) but was not significantly associated with self-harm (OR 1.56, 95% CI 0.82, 2.96, p = .06). Sexual minorities who reported being bullied in schools are at a higher risk of suicidal ideation, suicide attempts, and suicide plan. This finding suggests that, to reduce suicide risk in sexual minority students, it is crucial to focus on and prevent school bullying.

自杀是青少年和青年(10-24岁)死亡的第三大原因。在性少数群体中,各种形式的欺凌受害者与自杀密切相关。本研究旨在探讨性少数青少年校园欺凌与自杀相关行为的关系。我们检索了PubMed、Web of Science、EMBASE、Cochrane、Scopus、APA PsycInfo和ProQuest数据库,检索时间从成立到2025年6月16日。进行荟萃分析,结合优势比(ORs)和95% ci。使用I2统计量评估研究的异质性。采用漏斗图分析和Egger检验评估发表偏倚。建立了一个元回归模型来检验校园欺凌与自杀相关行为之间的关系。这项系统回顾和荟萃分析包括11项研究,涉及113039名性少数学生的样本。结果显示,在性少数群体中,欺凌与自杀意念呈正相关(OR 2.36, 95% CI 1.65, 3.36, p <。001)和自杀企图(OR 2.30, 95% CI 1.71, 3.11, p <。001),但与自我伤害无显著相关(OR 1.56, 95% CI 0.82, 2.96, p = 0.06)。在学校被欺负的性少数群体有更高的自杀意念、自杀企图和自杀计划的风险。这一发现表明,为了降低性少数学生的自杀风险,关注和防止校园欺凌至关重要。
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引用次数: 0
Does Sex Today Relieve Stress Tomorrow? Examining Lagged Associations Between Partnered Sexual Activity and Stress Among Newlywed Couples 今天的性爱能缓解明天的压力吗?研究新婚夫妇的性行为和压力之间的滞后关系
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1007/s10508-025-03295-z
Sierra D. Peters, Devon S. Glicken, Andrea L. Meltzer
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引用次数: 0
Viewing Time Behavior in a Diverse Sample of 320 Pedohebephilic and Teleiophilic Men Who Have Committed Child Sexual Offense and Who Have Not 320名有和没有儿童性侵犯的恋童癖和电视癖男性不同样本的观看时间行为
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1007/s10508-025-03286-0
Charlotte Hoffmann, Christopher Sinke, Till Amelung, Klaus M. Beier, Henrik Walter, Inka Ristow, Martin Walter, Kolja Schiltz, Boris Schiffer, Jonas Kneer, Tillmann H. C. Krueger
With this study, we explored the complex interplay between sexual preference, behavior, and viewing time (VT) as an assessment tool for pedohebephilic interest by using a 2 × 2 factorial design. The design included two factors: sexual preference (pedohebephilic vs. teleiophilic) and history of child sexual abuse (with vs. without a prior child sexual offense [CSO]). A total of 320 men participated, including individuals with a sexual preference for children ( n = 151) and those with a preference for adults ( n = 169), encompassing those who had committed a CSO ( n = 102) and those who had not ( n = 218). By crossing these factors, the study investigated how preference and offense history interact to influence VT. Both ipsatized and raw VT data were analyzed. The clinical diagnosis of pedohebephilia and a prior CSO showed a significant association with the VT index. The study also revealed methodological insights, with raw VT data showing a primary effect of pedohebephilia and of CSO not visible in the ipsatized data. In a subsample of men with pedohebephilia, those who had not committed CSOs had longer absolute and relative VTs. In a subsample of men with teleiophilia, those who had committed CSO showed lower absolute and relative VTs for adults compared to healthy controls. They also showed higher relative VTs for Tanner stages 2–3. This study deepened our understanding of the complex interplay between sexual preference, behavior, and assessment methodologies, suggesting pathways for developing targeted interventions and preventive strategies for CSOs.
本研究采用2 × 2因子设计,探讨了性偏好、行为和观看时间(VT)作为恋童癖兴趣评估工具之间的复杂相互作用。该设计包括两个因素:性偏好(恋童癖者与电视癖者)和儿童性虐待史(有与没有儿童性侵犯前科[CSO])。共有320名男性参与了这项研究,其中包括对儿童有性偏好的人(n = 151)和对成年人有性偏好的人(n = 169),其中包括有过性取向性取向的人(n = 102)和没有性取向性取向的人(n = 218)。通过交叉这些因素,本研究探讨了偏好和进攻历史如何相互作用影响攻击行为,并分析了实验和原始攻击行为数据。恋童癖的临床诊断和既往的CSO显示与VT指数显著相关。该研究还揭示了方法论上的见解,原始VT数据显示恋童癖和CSO的主要影响在分析数据中不可见。在一个有恋童癖的男性的子样本中,那些没有犯下cso的人有更长的绝对和相对的VTs。在一组恋远症患者的子样本中,与健康对照组相比,那些患有CSO的人显示出较低的成人绝对和相对VTs。在坦纳病的第2-3阶段,他们也显示出较高的相对vt值。这项研究加深了我们对性偏好、行为和评估方法之间复杂相互作用的理解,为制定针对性的干预措施和预防策略提供了途径。
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引用次数: 0
Intrasexual Competition and Rival Derogation in Women Are Associated With Visual Processing of Emotional Facial Expressions 女性的性内竞争和对手贬损与情绪面部表情的视觉加工有关
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1007/s10508-025-03284-2
Ray Garza, Jenna D. Arsuaga, Farid Pazhoohi
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引用次数: 0
Rising Prevalence of Premarital Sex and Its Correlates among Bangladeshi Reproductive-Aged Women: Evidence from Demographic and Health Surveys, 2011–2022 孟加拉国育龄妇女婚前性行为发生率上升及其相关因素:2011-2022年人口与健康调查证据
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1007/s10508-025-03299-9
Ahbab Mohammad Fazle Rabbi, Abdullah Al Mamun, Md. Anwer Hossain, Md. Zakiul Alam, Mohammad Bellal Hossain
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引用次数: 0
A Dyadic Analysis of Posttraumatic Stress Clusters and Sexual Satisfaction with U.S. Veteran Couples. 美国退伍军人夫妇创伤后应激群与性满意度的二元分析。
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-24 DOI: 10.1007/s10508-025-03321-0
Julie A Hurd,Julian M Libet,Karen Petty,Jenna B Teves
Posttraumatic stress symptoms (PTSS) are associated with adverse relationship outcomes, including sexual satisfaction. This is particularly true for veteran samples; yet, these associations have rarely been studied in dyadic contexts. This study aimed to examine the individual and dyadic associations among DSM-5 PTSS clusters and sexual satisfaction in trauma-exposed, veteran couples. The study included 125 treatment-seeking veterans (i.e., men) and their civilian partners (i.e., women), where at least one partner reported a lifetime history of trauma exposure. An actor-partner interdependence model was conducted to test the individual and dyadic associations among partners' PTSS clusters and sexual satisfaction. Veterans' negative alterations in cognition and mood symptoms were adversely associated with their own sexual satisfaction and their partners' sexual satisfaction whereas veterans' intrusion symptoms showed a favorable association with their partners' sexual satisfaction. These findings emphasize the dyadic context of traumatic stress and sexual well-being for veterans and their romantic partners. Interventions targeting veterans' PTSS and both partners' sexual satisfaction may be particularly beneficial for trauma-exposed veteran couples.
创伤后应激症状(PTSS)与不良关系结果相关,包括性满意度。对于资深玩家来说尤其如此;然而,这些关联很少在二元语境中被研究。本研究旨在探讨DSM-5创伤后应激障碍集群与创伤暴露的退伍军人夫妇的性满意度之间的个体和二元关联。这项研究包括125名寻求治疗的退伍军人(即男性)和他们的平民伴侣(即女性),其中至少有一名伴侣报告了一生的创伤暴露史。采用行为者-伴侣相互依赖模型来检验伴侣的创伤后应激障碍集群与性满意度之间的个体和二元关联。退伍军人的认知和情绪症状的负向改变与自身和伴侣的性满意度呈负相关,而退伍军人的入侵症状与伴侣的性满意度呈正相关。这些发现强调了退伍军人及其伴侣的创伤压力和性健康的双重背景。针对退伍军人创伤后应激障碍和双方性满意度的干预措施可能对暴露于创伤的退伍军人夫妇特别有益。
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引用次数: 0
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Archives of Sexual Behavior
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