Sexual Self-Schemas in the Real World: Investigating the Ecological Validity of Language-Based Markers of Childhood Sexual Abuse

Linguistic markers for major depressive disorder: a cross-sectional study using an automated procedure

Introduction

The identification of language markers, referring to both form and content, for common mental health disorders such as major depressive disorder (MDD), can facilitate the development of innovative tools for early recognition and prevention. However, studies in this direction are only at the beginning and are difficult to implement due to linguistic variability and the influence of cultural contexts.

Aim

This study aims to identify language markers specific to MDD through an automated analysis process based on RO-2015 LIWC (Linguistic Inquiry and Word Count).

Materials and methods

A sample of 62 medicated patients with MDD and a sample of 43 controls were assessed. Each participant provided language samples that described something that was pleasant for them.

Assessment tools

(1) Screening tests for MDD (MADRS and DASS-21); (2) Ro-LIWC2015 - Linguistic Inquiry and Word Count - a computerized text analysis software, validated for Romanian Language, that analyzes morphology, syntax and semantics of word use.

Results

Depressive patients use different approaches in sentence structure, and communicate in short sentences. This requires multiple use of the punctuation mark period, which implicitly requires directive communication, limited in exchange of ideas. Also, participants from the sample with depression mostly use impersonal pronouns, first person pronoun in plural form - not singular, a limited number of prepositions and an increased number of conjunctions, auxiliary verbs, negations, verbs in the past tense, and much less in the present tense, increased use of words expressing negative affects, anxiety, with limited use of words indicating positive affects. The favorite topics of interest of patients with depression are leisure, time and money.

Conclusion

Depressive patients use a significantly different language pattern than people without mood or behavioral disorders, both in form and content. These differences are sometimes associated with years of education and sex, and might also be explained by cultural differences.

Understanding breast cancer survivors' information-seeking behaviours and overall experiences: a comparison of themes derived from social media posts and focus groups

OBJECTIVE

Using two different analysis techniques, this study explored differences and similarities in information-seeking discourse and overall breast cancer experiences between posters to a Reddit board and breast cancer survivor focus groups.

DESIGN

This study incorporates two qualitative methods for determining themes in breast cancer survivors' information-seeking behaviours and overall cancer experiences. First, posts from a breast cancer-specific Reddit community were extracted and analysed using the meaning extraction method (MEM) to determine core themes. Then, investigators performed a thematic analysis of two focus groups of breast cancer survivors (N = 18). Finally, themes derived from each analysis method were compared.

MAIN OUTCOME MEASURES

Outcome measures include themes extracted from Reddit posts and themes generated from breast cancer survivor focus groups.

RESULTS

Findings between qualitative methodologies represent similar yet nuanced themes in survivors' discourse. The MEM resulted in seven themes: diagnosis, treatment process, social support, existentialism, risk, information-seeking and surgery. Focus groups revealed the same initial four MEM themes plus the following: disclosure, coping and fears.

CONCLUSIONS

The MEM is a cost-effective research mechanism for informing common themes of experiences of cancer patients and survivors and may offer initial data to guide psychosocial oncology research design and recruitment.

Sexual Self-Schema Scale for Women-Validation and Psychometric Properties of the Polish Version

INTRODUCTION

The sexual self-schema is a part of a broader concept of the self that is believed to be crucial for intrapersonal and interpersonal sexual relationships.

AIM

To develop and perform psychometric validation of the Polish version of the Sexual Self-Schema Scale for Women (SSSS-W-PL).

METHODS

561 women 18 to 55 years old were included in the final analysis. Linguistic validation was performed in 4 steps in line with the MAPI Institute guidelines. Convergent validity was calculated using the Pearson r product-moment coefficient between different measures of sexuality (attitudes and experience, behavior, arousal, romantic relationship) and SSSS-W-PL total and factor scores. To test discriminant validity, we applied hierarchical regression analyses predicting the number of lifetime sexual partners, self-rating as a sexual person (1 item, "I feel sexually attractive"; on a 5-point Likert scale), and arousability, with independent variables being extraversion (Ten-Item Personality Inventory), self-esteem (Rosenberg Self-Esteem Scale), and the SSSS-W-PL (total and factor scores).

MAIN OUTCOMES MEASURES

Sexual self-schema was measured by the SSSS-W-PL, whereas arousability was measured by the arousal/excitement scale of the Changes in Sexual Functioning Questionnaire.

RESULTS

The mean age of the study population was 29.0 ± 7.6 years. The final scale consisted of 24 adjectives grouped within 4 factors: romantic, passionate, direct, and embarrassed. The 4-factor model accounted for 39% of the variance. The Cronbach α was 0.74 for the SSSS-W-PL total score and 0.61 to 0.84 for individual factors. Test-retest reliability of the scale after 2- to 8-week intervals was 0.87 (95% CI = 0.82-0.86, P < .001). The increment variances were statistically significant and ranged from 3.8% to 11.6%.

CONCLUSION

The analysis showed good psychometric properties and internal validity of the SSSS-W-PL. The SSSS-W-PL might be helpful in consulting and/or providing sexual therapy to gynecologic cancer survivors or women with a history of childhood sexual abuse. Nowosielski K, Jankowski KS, Kowalczyk R, et al. Sexual Self-Schema Scale for Women-Validation and Psychometric Properties of the Polish Version. Sex Med 2018;6:131-142.