How does it feel to be treated like an object? Direct and indirect effects of exposure to sexual objectification on women's emotions in daily life

Exposure to sexual objectification is an everyday experience for many women, yet little is known about its emotional consequences. Fredrickson and Roberts’ (1997) objectification theory proposed a within-person process, wherein exposure to sexual objectification causes women to adopt a third-person perspective on their bodies, labeled self-objectification, which has harmful downstream consequences for their emotional well-being. However, previous studies have only tested this model at the between-person level, making them unreliable sources of inference about the proposed intraindividual psychological consequences of objectification. Here, we report the results of Bayesian multilevel structural equation models that simultaneously tested Fredrickson and Roberts’ (1997) predictions both within and between persons, using data from 3 ecological momentary assessment (EMA) studies of women’s (N = 268) experiences of sexual objectification in daily life. Our findings support the predicted within-person indirect effect of exposure to sexual objectification on increases in negative and self-conscious emotions via self-objectification. However, lagged analyses suggest that the within-person indirect emotional consequences of exposure to sexual objectification may be relatively fleeting. Our findings advance research on sexual objectification by providing the first comprehensive test of the within-person process proposed by Fredrickson and Roberts’ (1997) objectification theory

A Multi-institutional Prospective Trial in the USA Confirms that the 4Kscore Accurately Identifies Men with High-grade Prostate Cancer

The 4Kscore combines measurement of four kallikreins in blood with clinical information as a measure of the probability of significant (Gleason ≥7) prostate cancer (PCa) before prostate biopsy. To perform the first prospective evaluation of the 4Kscore in predicting Gleason ≥7 PCa in the USA. Prospective enrollment of 1012 men scheduled for prostate biopsy, regardless of prostate-specific antigen level or clinical findings, was conducted at 26 US urology centers between October 2013 and April 2014. The 4Kscore. The primary outcome was Gleason ≥7 PCa on prostate biopsy. The area under the receiver operating characteristic curve, risk calibration, and decision curve analysis (DCA) were determined, along with comparisons of probability cutoffs for reducing the number of biopsies and their impact on delaying diagnosis. Gleason ≥7 PCa was found in 231 (23%) of the 1012 patients. The 4Kscore showed excellent calibration and demonstrated higher discrimination (AUC 0.82) and net benefit compared to a modified Prostate Cancer Prevention Trial Risk Calculator 2.0 model and standard of care (biopsy for all men) according to DCA. A possible reduction of 30–58% in the number biopsies was identified with delayed diagnosis in only 1.3–4.7% of Gleason ≥7 PCa cases, depending on the threshold used for biopsy. Pathological assessment was performed according to the standard of care at each site without centralized review. The 4Kscore showed excellent diagnostic performance in detecting significant PCa. It is a useful tool in selecting men who have significant disease and are most likely to benefit from a prostate biopsy from men with no cancer or indolent cancer. The 4Kscore provides each patient with an accurate and personalized measure of the risk of Gleason ≥7 cancer to aid in decision-making regarding the need for prostate biopsy. The 4Kscore accurately predicts the probability of significant cancer on prostate biopsy. The test showed excellent calibration and discrimination for Gleason ≥7 cancer and is helpful for shared decision-making regarding the need for prostate biopsy