El Sexting no siempre es deseado: consecuencias sobre la satisfacción y el papel de la coerción sexual y la victimización sexual en línea

The understanding of sexting as a new form of interpersonal communication is increasing; however, little is known about whether the incidence, correlates, and outcomes of sexting vary depending on whether such behavior is done willingly or not. In this non-experimental study, we aimed to investigate the prevalence, predictors, and consequences of sexting among 310 Spanish young adults, who completed an online survey re-garding their previous experiences of wanted and unwanted sexting behav-iors, their sexual coercion and online sexual victimization experiences, and their levels of sexual and life satisfaction. The results showed that more than half and one third of the sample had been involved in wanted and unwanted sexting behaviors, respectively. Additionally, sexual coercion and online sexual victimization predicted a higher probability of engaging in unwanted sexual behaviors and, with that, a decrease of life satisfaction. Finally, having experienced more instances of sexual coercion was associated with lower life satisfaction by increasing the likelihood of suffering online sexual victimization experiences and engaging in additional unwanted sexting behaviors. Our findings show the importance of discerning between wanted and unwanted sexting and how doing so differently conditions the predictors and consequences of this phenomena.La comprensión del sexting como una nueva forma de comunicación interpersonal es cada vez mayor; sin embargo, poco se sabe sobre si la incidencia, correlatos y resultados del sexting varían en función de si se realiza de forma voluntaria o no. En este estudio no experimental, nos proponemos investigar la prevalencia, los predictores y las consecuencias del sexting entre 310 jóvenes españoles, que completaron una encuesta online sobre sus experiencias previas de sexting deseado y no deseado, coerción sexual y victimización sexual online, así como sus niveles de satisfacción sexual y vital. Los resultados mostraron que la mitad y un tercio de la muestra habían estado involucrados en comportamientos de sexting deseados y no deseados, respectivamente. Además, la coerción sexual y la victimización sexual online predijeron una mayor probabilidad de participar en conductas sexuales no deseadas y, con ello, una disminución de la satisfacción vital. Por último, haber experimentado mayor coerción sexual se asoció con menor satisfacción vital al aumentar la probabilidad de sufrir victimización sexual online y de participar en conductas adicionales de sexting no deseado. Nuestros hallazgos muestran la importancia de discernir entre el sexting deseado y el no deseado y cómo el hacerlo de forma diferente condiciona los predictores y las consecuencias de este fenómeno

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Autoantibodies against type I IFNs in patients with critical influenza pneumonia

In an international cohort of 279 patients with hypoxemic influenza pneumonia, we identified 13 patients (4.6%) with autoantibodies neutralizing IFN-alpha and/or -omega, which were previously reported to underlie 15% cases of life-threatening COVID-19 pneumonia and one third of severe adverse reactions to live-attenuated yellow fever vaccine. Autoantibodies neutralizing type I interferons (IFNs) can underlie critical COVID-19 pneumonia and yellow fever vaccine disease. We report here on 13 patients harboring autoantibodies neutralizing IFN-alpha 2 alone (five patients) or with IFN-omega (eight patients) from a cohort of 279 patients (4.7%) aged 6-73 yr with critical influenza pneumonia. Nine and four patients had antibodies neutralizing high and low concentrations, respectively, of IFN-alpha 2, and six and two patients had antibodies neutralizing high and low concentrations, respectively, of IFN-omega. The patients' autoantibodies increased influenza A virus replication in both A549 cells and reconstituted human airway epithelia. The prevalence of these antibodies was significantly higher than that in the general population for patients 70 yr of age (3.1 vs. 4.4%, P = 0.68). The risk of critical influenza was highest in patients with antibodies neutralizing high concentrations of both IFN-alpha 2 and IFN-omega (OR = 11.7, P = 1.3 x 10(-5)), especially those <70 yr old (OR = 139.9, P = 3.1 x 10(-10)). We also identified 10 patients in additional influenza patient cohorts. Autoantibodies neutralizing type I IFNs account for similar to 5% of cases of life-threatening influenza pneumonia in patients <70 yr old

How Power Affects Emotional Communication During Relationship Conflicts: The Role of Perceived Partner Responsiveness

Prior research indicated that lack of power leads to emotional suppression and low emotional expression during conflicts among strangers. However, little is known about how power affects emotional inhibition in close relationships, where partners are highly interdependent, and achieving one’s goals greatly depends on their partner’s cooperation. In three studies among romantic couples (total N = 994), we examined whether (a) power is related to emotional inhibition during conflicts, (b) perceived partner responsiveness moderates this effect and, (c) which conflict-resolution responses are subsequently enacted. Findings consistently showed that powerless individuals were more likely to inhibit their emotions and consequently to use passive responses during conflicts. However, this only occurred when they perceived lack of responsiveness from their partner. If the partner was perceived as responsive (i.e., showed care, validation, and understanding), power was not related to emotional inhibition and passive resolutions. The importance of partner’s responses in relation to power asymmetry is discussed

El Sexting no siempre es deseado: consecuencias sobre la satisfacción y el papel de la coerción sexual y la victimización sexual en línea

The understanding of sexting as a new form of interpersonal communication is increasing; however, little is known about whether the incidence, correlates, and outcomes of sexting vary depending on whether such behavior is done willingly or not. In this non-experimental study, we aimed to investigate the prevalence, predictors, and consequences of sexting among 310 Spanish young adults, who completed an online survey regarding their previous experiences of wanted and unwanted sexting behaviors, their sexual coercion and online sexual victimization experiences, and their levels of sexual and life satisfaction. The results showed that more than half and one third of the sample had been involved in wanted and unwanted sexting behaviors, respectively. Additionally, sexual coercion and online sexual victimization predicted a higher probability of engaging in unwanted sexual behaviors and, with that, a decrease of life satisfaction. Finally, having experienced more instances of sexual coercion was associated with lower life satisfaction by increasing the likelihood of suffering online sexual victimization experiences and engaging in additional unwanted sexting behaviors. Our findings show the importance of discerning be-tween wanted and unwanted sexting and how doing so differently conditions the predictors and consequences of this phenomena.La comprensión del sexting como una nueva forma de comunicación interpersonal es cada vez mayor; sin embargo, poco se sabe sobre si la incidencia, correlatos y resultados del sexting varían en función de si se realiza de forma voluntaria o no. En este estudio no experimental, nos proponemos investigar la prevalencia, los predictores y las consecuencias del sexting entre 310 jóvenes españoles, que completaron una encuesta on-line sobre sus experiencias previas de sexting deseado y no deseado, coerción sexual y victimización sexual online, así como sus niveles de satisfacción sexual y vital. Los resultados mostraron que la mitad y un tercio de la muestra habían estado involucrados en comportamientos de sexting desea-dos y no deseados, respectivamente. Además, la coerción sexual y la victimización sexual online predijeron una mayor probabilidad de participar en conductas sexuales no deseadas y, con ello, una disminución de la satisfacción vital. Por último, haber experimentado mayor coerción sexual se asoció con menor satisfacción vital al aumentar la probabilidad de sufrir victimización sexual online y de participar en conductas adicionales de sexting no deseado. Nuestros hallazgos muestran la importancia de discernir entre el sexting deseado y el no deseado y cómo el hacerlo de forma diferente condiciona los predictores y las consecuencias de este fenómeno.This research was supported by the financing provided by (a) the Ministry of Economy, Knowledge, Business, and Universities, Junta de Andalucía [Ref.B-SEJ-472-UGR18]; and (b) the Grant PID2021-123125OB-100 funded by MCIN/AEI/10.13039/501100011033 and by the “European Union”

The Relationship Between the Motivation to Commit Infidelity and Negative Affect and Self-Esteem: How Cheating in Romance Might Signal Positive Well-Being in Adolescents

Infidelity occurs in adult romantic relationships quite often; however, little is known about this relational phenomenon in the adolescent stage, despite its being a surprisingly common behavior. Through a correlational study, we set out to examine how the various documented motivations to engage in an act of infidelity are associated with negative emotional responses, self-esteem, and psychological well-being. In a sample of Spanish adolescents (N = 346 [Mage = 15.71, SD = 1.27; range from 13 to 19]), results showed that committing an act of infidelity due to sexual or emotional dissatisfaction (vs. neglect and anger) is related to higher levels of psychological well-being by undermining negative affect, thereby increasing the levels of self-esteem. The discussion of the findings emphasizes that infidelity could favor adolescents’ personal growth, because of the need to explore new sensations and feelings that arise during this period.This paper was made possible thanks to the financing provided by the Spanish Ministry of Economy, Industry and Competitiveness for the R&D project “New forms of Gender Violence: Risks and protective factors for psychosocial well-being [PSI2017-84703-R (MINECO/AEI/FEDER/UE)]”

Infidelity in the Adolescence Stage: The Roles of Negative Affect, Hostility, and Psychological Well-Being

Background: Infidelity is a relational process common in all types of romantic relationships and has been established as one of the main causes of relationship breakdown. However, little is known about this type of transgression in adolescent romantic relationships, although it manifests as a fairly frequent behavior involving different motivations. Even less is known about the emotional impact of infidelity on the offending person and its association with hostile behavior and psychological well-being. Methods: Through an experimental study (N = 301 Spanish adolescents (190 female and 111 male; Mage = 15.59, SD = 0.69; range from 15 to 17), we sought to analyze the effect of manipulating two types of motivations for infidelity (sexual vs. emotional dissatisfaction) on negative affect, hostility, and psychological well-being. Results: The main results revealed that committing infidelity motivated by hypothetical sexual (vs. emotional) dissatisfaction was indirectly related to lower psychological well-being through its effects on increased negative affect and hostility. Conclusions: Last but not least, we discuss these findings, highlighting the possible implications of infidelity for the psychosocial and psychosexual development of adolescents.This research was funded by the Spanish Ministry of Science and Innovation (Ref: PSI-2017-84703-R; PID2021-123125OB-100 (MINECO/AEI/FEDER/UE))

Extraversion, social interactions, and well-being during the COVID-19 pandemic:Did extraverts really suffer more than introverts?

A large body of research suggests that extraversion is positively related to well-being. However, it is unclear whether this association can be explained by social participation (i.e., more extraverted individuals engage in social interactions more frequently) or social reactivity (i.e., more extraverted individuals profit more from social interactions) processes. Here, we examined the role of social interactions for the extraversion-well-being relationship during the COVID-19 pandemic, an unprecedented time of reduced social contact. We analyzed data from an international, longitudinal study (Study 1: 10,523 assessments provided by 4,622 participants) and two experience sampling studies (Study 2: 29,536 assessments provided by 293 participants; Study 3: 61,492 assessments provided by 1,381 participants). Preregistered multilevel structural equation models revealed that extraversion was robustly related to well-being, even when social restrictions were in place. Across data sets, we found some support for the social participation hypothesis (i.e., the relationship between extraversion and well-being is mediated by social interactions), but the social reactivity hypothesis (i.e., extraversion moderates the relationship between social interactions and well-being) was not consistently supported. Strikingly, however, exploratory analyses showed that the social reactivity hypothesis was supported for specific facets of extraversion (i.e., sociability) and well-being (i.e., activated positive affect). Moreover, changes in social interaction patterns during the COVID-19 pandemic (e.g., decreases in face-to-face interactions and interactions with friends) were unrelated to extraversion, and more extraverted individuals did not suffer more from these changes. Taken together, these findings underline the robustness of the effect of extraversion on well-being during a societal crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p

Extraversion, Social Interactions, and Well-Being During the COVID-19 Pandemic: Did Extraverts Really Suffer More Than Introverts?

A large body of research suggests that extraversion is positively related to well-being. However, it is unclear whether this association can be explained by social participation (i.e., more extraverted individuals engage in social interactions more frequently) or social reactivity (i.e., more extraverted individuals profit more from social interactions) processes. Here, we examined the role of social interactions for the extraversion–well-being relationship during the COVID-19 pandemic, an unprecedented time of reduced social contact. We analyzed data from an international, longitudinal study (Study 1: 10,523 assessments provided by 4,622 participants) and two experience sampling studies (Study 2: 29,536 assessments provided by 293 participants; Study 3: 61,492 assessments provided by 1,381 participants). Preregistered multilevel structural equation models revealed that extraversion was robustly related to well-being, even when social restrictions were in place. Across data sets, we found some support for the social participation hypothesis (i.e., the relationship between extraversion and well-being is mediated by social interactions), but the social reactivity hypothesis (i.e., extraversion moderates the relationship between social interactions and well-being) was not consistently supported. Strikingly, however, exploratory analyses showed that the social reactivity hypothesis was supported for specific facets of extraversion (i.e., sociability) and well-being (i.e., activated positive affect). Moreover, changes in social interaction patterns during the COVID-19 pandemic (e.g., decreases in face-to-face interactions and interactions with friends) were unrelated to extraversion, and more extraverted individuals did not suffer more from these changes. Taken together, these findings underline the robustness of the effect of extraversion on well-being during a societal crisis