The Dual Role of Media Internalization in Adolescent Sexual Behavior

Self-objectification and sexual satisfaction: A preregistered test of the replicability and robustness of Calogero & Thompson (2009) in a sample of U.S. women

Objectification theory has provided a useful framework for the study of women's sexual outcomes. However, little research has been conducted on the role of self-objectification in predicting sexual satisfaction. We conducted a replication of Calogero and Thompson (2009a), which reported a direct relationship between self-surveillance and sexual satisfaction, and expanded upon their work. We tested four path analysis models: Calogero and Thompson's reported and hypothesized models, and two previously untested models, all containing our variables of interest (media internalization, self-surveillance, body shame, sexual self-esteem, and sexual satisfaction). Each model was tested with the full sample (N = 349) and a restricted sample (N = 127) that met Calogero and Thompson's relationship status and sexual frequency inclusion criteria, and with and without BMI covaried. Both samples consisted of U.S. college women recruited in Fall 2019, with a mean age of M = 19.68 in the restricted sample. Results showed good fit for all tested models but failed to replicate the direct pathway between self-surveillance and sexual satisfaction. Instead, our models supported an indirect effect of self-surveillance on sexual satisfaction through body shame and sexual self-esteem. Findings support the role of sociocultural channels in influencing college women's body image and sexual experiences.

Pelvic inflammatory disease in the adolescent and young adult: An update

Pelvic inflammatory disease (PID) is an infection of the female upper genital tract that is typically polymicrobial with classic core involvement of Neisseria gonorrhoeae and/or Chlamydia trachomatis, though other endogenous flora from the vagino-cervical areas can be involved as well. It is often a sexually transmitted disease but other etiologic routes are also noted. A variety of risk factors have been identified including adolescence, young adulthood, adolescent cervical ectropion, multiple sexual partners, immature immune system, history of previous PID, risky contraceptive practices and others. An early diagnosis and prompt treatment are necessary to reduce risks of PID complications such as chronic pelvic pain, ectopic pregnancy and infertility. Current management principles of PID are also reviewed. It is important for clinicians to screen sexually active females for common sexually transmitted infections such as Chlamydia trachomatis and provide safer sex education to their adolescent and young adult patients. Clinicians should provide comprehensive management to persons with PID and utilize established guidelines such as those from the US Centers for Disease Control and Prevention (CDC).

Becoming an object: A review of self-objectification in girls

Objectification theory (Fredrickson & Roberts, 1997) provides a framework for understanding how cultural pressure on women's appearance (i.e., sexual objectification) impacts their psychological and physical well-being. Although objectification theory proposes that objectification processes commence with the onset of puberty, much of the existing research on self-objectification has been conducted with adult women. Thus, less is known about how self-objectification operates with younger girls and adolescent girls. In this paper, we provide a comprehensive review of self-objectification research on girls under the age of 18 including the prevalence, predictors, and outcomes of self-objectification as well as protective factors (n = 66 studies). In addition, we discuss how development is relevant to objectification theory and self-objectification. Finally, we call for a program of research that addresses methodological and conceptual concerns in existing research, fills gaps in the research literature, and pays further attention to developmental processes in self-objectification. An especially notable pattern we identified is that self-objectification is strongly related to age, such that older girls experience higher levels of self-objectification compared to younger girls. The aim of this paper is to provoke deeper considerations of development and the inclusion of girls in future research on self-objectification.

Depression in Turner Syndrome: A Systematic Review

Turner syndrome (TS) is a genetic condition characterized by partial or complete monosomy X. Alterations in hormonal function, height, and peer relationships, among other features and correlates of TS, appear to be risks for depressive illness. In order to summarize what is known about depression in Turner syndrome, with the aim of determining whether individuals with TS are at increased risk for depression, a literature search and analysis were conducted. In total, 69 studies were identified and 35 met criteria of being peer-reviewed English language articles that collected original data on the experience of depression in individuals with TS. Most studies used patient or parent questionnaires to evaluate depressive symptoms. These studies, a majority of which examined adults and half that examined adolescents, found that individuals with TS experienced more frequent and severe depressive symptoms than individuals without TS diagnoses. Articles studying children with TS did not demonstrate a difference in their depressive experience compared to individuals without TS. Three articles used clinician-administered scales, such as the Structured Clinical Interview for DSM-IV; all diagnosed depression in those with TS at higher rates than others. Five studies relied on expert opinion to evaluate depression. The remaining eight articles were case reports or case series that relied on expert opinion. From these data, we conclude that adolescents and adults with TS are at risk for depression and adulthood appears to be the period of the highest risk. Studies in the last 12 years show consistently more severe depressive symptoms in individuals with TS than in previous years. Implications, risk factors, and recommendations for future research are discussed.

Examining the unique contribution of body appreciation to heterosexual women's sexual agency

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.

Adolescent Sexting: The Roles of Self-Objectification and Internalization of Media Ideals

We examined adolescent sexting using objectification theory as a framework. We hypothesized that sexting is a manifestation of trait self-objectification and the internalization of gender-specific media ideals about attractiveness. We conducted a cross-sectional survey of 201 Midwestern adolescents, 14–17 years old. We tested a three-stage path model, which differed for female and male adolescents. For female adolescents, self-objectification was positively associated with favorable attitudes about sexting, which further predicted two types of intentions to engage in sexting: sexting when there is trust in the sexting partner (security-based intentions) and sexting that is spurred by situational cues. Although there was a serial mediation effect of self-objectification on sexting behaviors through sexting attitudes and total sexting intentions, only the indirect effect of sexting attitudes on behaviors through security-based intentions was individually significant. For male adolescents, internalization of media ideals was positively associated with sexting attitudes, which further predicted the two types of sexting intentions. Similar to female adolescents, there was a serial mediation effect of internalization of media ideals on sexting behaviors through sexting attitudes and total sexting intentions; however, only security-based sexting intentions predicted sexting behaviors. Our results have implications regarding how to conceptualize adolescent sexting and how researchers, parents, and educators may help teenage youth to establish healthy sexting attitudes and behaviors. Additional online materials for this article are available to PWQ subscribers on PWQ’s website at http://journals.sagepub.com/doi/suppl/10.1177/0361684318809383