Sexual functioning and self-reported depressive symptoms among college women

We conducted an exploratory study comparing 47 college-aged women reporting depressive symptoms but not receiving antidepressant medication to 47 age-matched controls. We examined various dimensions of sexual functioning, including sexual desire, arousal, orgasm, pain, pleasure, and satisfaction. The women with depressive symptoms reported more inhibited sexual arousal, more inhibited orgasm, more sexual pain problems, and less sexual satisfaction and pleasure than control participants. Novel to this study, the women with depressive symptoms reported greater desire for sexual activity alone (masturbation) than the nondepressed women. The findings are discussed in terms of primary reinforcers and depressive symptomology.     

Adolescent victimization and problem drinking

This study explores the connection between violent victimization in adolescence and subsequent problem drinking. Using national data we estimate the effects of adolescent victimization on a 3-category problem drinking measure (Abstainers, Moderate, and Binge Drinkers). We also examine the differences in the social and personal consequences of drinking across victims and non-victims. These consequences include harm to friendships, health, outlook on life, marriage, work, studies, and financial position. Victims of adolescent violence are more likely to engage in subsequent binge drinking and experience negative drinking consequences, particularly negative financial consequences. The findings are consistent with the adolescent development literature, which has highlighted the importance of violent victimization in the transition to adult roles and responsibilities. Additional research, particularly longitudinal data on violent victimization and substance abuse on a nationally representative sample of young people and adults is needed to further explore the connection between violent victimization and subsequent problem drinking.     

Positive youth development: thriving as the basis of personhood and civil society

Positive youth development is conceptualized within a developmental systems theoretical model. The role of thriving processes and civic engagement in positive youth development is discussed.     

The competitive advantage: strategic thinking for physician leaders

Physician executives should manage their career strategies like a well-run company. Learn how to start thinking aout your career strategy.     

Do unintended pregnancies carried to term lead to adverse outcomes for mother and child? An assessment in five developing countries

This paper investigates whether children later reported as having been unwanted or mistimed at conception will, when compared with children reported as wanted, show adverse effects when the following criteria are applied: receipt of antenatal care before the sixth month of gestation, supervised delivery, full vaccination of the child, and child growth (stunting). The study uses data from five recent Demographic and Health Survey enquiries in Bolivia, Egypt, Kenya, Peru, and the Philippines. In Peru, children unwanted at conception were found to have significantly worse outcomes than other children, but in the other countries, a systematic effect was found only for receipt of antenatal care. Weak measurement of the complex concept of wantedness may have contributed to these results. Birth order of the child, with which wantedness is inextricably linked, has more powerful and pervasive effects, with first-born and second-born children being much less likely to show adverse effects.