Victim's Response and Alcohol-Related Factors as Determinants of Women's Responses to Violent Pornography

Compulsive Internet Pornography Use and Mental Health: A Cross-Sectional Study in a Sample of University Students in the United States

Background

The sustained rise in negative mental health reports among university students is a source of continued global concern, and investigation continues into potential contributors to this rise. This includes the increased prevalence of risky sexual behaviors. Related is the increased prevalence of pornography use. Our study sought to explore the potential relationship between compulsive use of pornography and mental health in university students.

Methods

Our sample consisted of university students (N = 1031; 34% male, 66% female) from Franciscan University of Steubenville, Steubenville, Ohio. An anonymous survey was sent to all students at the university over the age of 18. The survey was comprised of the following: (1) demographic questions, (2) questions on pornography use and perception, (3) a modified version of the Compulsive Internet Use Scale (mCIUS) assessing various factors associated with compulsive internet pornography use, (4) questions assessing emotional and sexual states relative to pornography use (EmSS), and (5) the 21-question version of the Depression, Anxiety and Stress Scale (DASS-21).

Results

Our results indicate that 56.6% of those surveyed reported lifetime pornography use, with a significantly higher proportion of males than females reporting such use. The majority of students reported accessing pornography through internet-related technologies. Additionally, 17.0, 20.4, and 13.5% of students reported severe or extremely severe levels of depression, anxiety and stress, respectively, with compulsive pornography use significantly affecting all three mental health parameters in both sexes. Exploratory Factor Analysis identified three factors suggesting emotional coping, dependence and preoccupation for the mCIUS items and three factors reflecting interoceptive, impotent, and extrinsic characteristics for the EmSS items. Regression analysis indicated that various demographics, items pertaining to reduced control and social impairment, and other variables pertaining to pornography use predicted mental health outcomes. Faith, morals and personal motivation were the primary variables reported to help reduce pornography use.

Conclusion

Our analyses indicate a significant relationship between mental health and pornography use, including behaviors reflecting behavioral addictions, highlighting the necessity for a better understanding and consideration of the potential contribution of internet pornography to negative mental health among university students.

Association Between Alcohol Use and Female Sexual Dysfunction From the Data Registry on Experiences of Aging, Menopause, and Sexuality (DREAMS)

Introduction

Sexual dysfunction is a common problem in women and the nature of its association with alcohol use remains unclear.

Aim

To explore the association between alcohol use and female sexual dysfunction (FSD).

Methods

Associations between self-reported drinking and sexual function were evaluated in 2,253 women presenting for consultation to a women’s health specialty clinic. A short version of the Alcohol Use Disorders Identification Test (AUDIT-C) was used to evaluate alcohol use. Women with an AUDIT-C ≥3 were considered at risk for hazardous drinking. Multivariable regression, controlling for depression, anxiety, and abuse (childhood and recent), was used to assess the association between alcohol consumption and FSD (defined as a Female Sexual Function Index [FSFI] ≤26.55 and Female Sexual Distress Scale [FSDS] ≥11) in sexually active women.

Main Outcome Measure

The main study outcome measure was the presence of FSD as defined by a score ≤26.55 on the FSFI and ≥11 on the FSDS.

Results

57% of the 1,649 sexually active women were classified as having FSD; 80% reported any alcohol use and 38% reported drinking patterns with the potential to be hazardous. The women at risk for hazardous drinking had significantly higher FSFI domain scores indicating better sexual function (P ≤ .001). However, in multivariable analyses, there was no significant difference in the rates of FSD across alcohol use categories in women.

Conclusion

In women presenting for consultation to a women’s health specialty clinic, an association between alcohol use and FSFI scores was seen, in which greater risk of hazardous drinking was associated with better sexual function scores. However, when sexual distress was included to define sexual dysfunction, those with FSD were not at higher risk of hazardous drinking. Given the complex nature of FSD, additional study is needed to further clarify these relationships.

Kling JM, Sidhu K, Rullo J, et al. Association Between Alcohol Use and Female Sexual Dysfunction From the Data Registry on Experiences of Aging, Menopause, and Sexuality (DREAMS). Sex Med 2019;7:162–168.

Predictors of Sexual Aggression Victimization and Perpetration Among Polish University Students: A Longitudinal Study

This two-wave study investigated predictors of sexual aggression victimization and perpetration in a convenience sample of 318 Polish university students (214 women), considering males and females from the perspective of both victims and perpetrators. At T1, we assessed participants' risky sexual scripts (defined as cognitive representations of consensual sexual interactions containing elements related to sexual aggression), risky sexual behavior, pornography use, religiosity, sexual self-esteem, and attitudes toward sexual coercion. These variables were used to predict sexual aggression perpetration and victimization reports obtained 12 months later (T2) for two time windows: (a) since the age of 15 until a year ago and (b) in the past year. As expected, risky sexual scripts were linked to risky sexual behavior and indirectly increased the likelihood of victimization in both time windows. Lower sexual self-esteem predicted sexual victimization since age 15, but not in the past 12 months. Pornography use and religiosity indirectly predicted victimization via risky scripts and behavior. Attitudes toward sexual coercion were a prospective predictor of sexual aggression perpetration. The results extend the international literature on sexual aggression and have implications for sexual education and sexual aggression prevention programs.

Predicting Bystander Efficacy and Willingness to Intervene in College Men and Women

Students from two research universities completed items measuring the frequency of their using different kinds of pornography, and measures of their willingness and intent to intervene to help a bystander who might be experiencing sexual violence. Hierarchical logistic regressions showed that for men, violent/degrading pornography use, but not explicit but non-degrading pornography use, was significantly associated with reduced bystander willingness to intervene, but not associated with bystander efficacy. Women did not show the same impact of violent/degrading pornography use on the two bystander intervention variables. Results suggest violence/degrading pornography may contribute to a culture of acceptance of violence against women.

Women's sexual arousal: effects of high alcohol dosages and self-control instructions

The basic relationship between alcohol and women's sexual arousal - especially genital arousal - received little research attention for nearly 30 years (e.g. Wilson and Lawson, 1978) until very recently (e.g. George et al., 2009). To investigate hypotheses based on earlier findings and Alcohol Myopia Theory (AMT), two experiments evaluated the effects of high blood alcohol concentrations (BACs) and arousal instructional demands on indices of vaginal responding and self-reported sexual arousal. In Experiment 1, self-control instructions to maximize (versus suppress) arousal increased peak and average Vaginal Pulse Amplitude (VPA) change. Self-control also interacted with a target BAC of .08% (versus .00%) to influence latency to peak arousal onset: Intoxicated women instructed to maximize showed a shorter latency to peak arousal than did intoxicated women instructed to suppress; however, sober women showed an undifferentiated pattern. Also, in Experiment 1, the target BAC of .08% had no effect on VPA or subjective arousal measures. In Experiment 2, a target BAC of .10% (versus .00%) attenuated peak change and average change in VPA, but this dosage had no effects on latency to peak achieved arousal, or on subjective arousal. Instructions to maximize arousal (versus no instruction) had no effect on any arousal measures. Overall, among young moderate drinking women, alcohol had attenuating effects but only at the higher dosage. Maximize versus suppress instructions about arousal had predicted effects on arousal and interactive effects on latency, but only at the lower dosage. The findings highlight the importance of dosage and contextual factors in alcohol's impact on the variability of women's sexual responding.

Effects of Alcohol on Women’s Risky Sexual Decision Making During Social Interactions in the Laboratory

This experiment examined the effects of alcohol on women’s sexual decision making during a laboratory social interaction with a potential dating partner. Participants completed an assessment of sex-related alcohol expectancies, were randomly assigned to consume alcohol, no alcohol, or a placebo, and then interacted with a male confederate. Stronger sex-related alcohol expectancies and actual alcohol consumption significantly increased women’s sexual relationship interest in their interaction partner, which in turn was associated with lower ratings of partner sexual risk. Lower ratings of partner sexual risk predicted increased intention to engage in unprotected sex. These findings demonstrate alcohol consumption’s causal effects on sexual risk judgments made during analogue social interactions, delineate the indirect effects of alcohol expectancies and alcohol consumption on sexual risk decisions, and provide support for a Cognitive Mediation Model of women’s sexual decision making. These findings can inform empirically based intervention programs designed to reduce the sexual risk taking of women.

Sexual violence victimization among female secondary school students in eastern Ethiopia

Behavioral, lifestyle, and relationship factors have all been identified as risk factors that increase a woman's vulnerability to sexual violence victimization. However, it remains unclear which risk factors most strongly increase young women's vulnerability to sexual violence victimization because most studies only examine a few factors simultaneously. Using a cross-sectional sample of 764 female secondary school students from eastern Ethiopia, multivariate analyses revealed that high-rejection sensitivity, having multiple sexual partners, the frequent watching of pornography, and use of alcohol or other soft drugs (Khat or shisha) are factors associated with higher levels of sexual violence victimization. The overall rates of victimization is high in this group, with 68% of the young women studied having experienced at least one instance of sexual violence victimization. Based on type of sexual perpetration, 52% of the young women were victimized by at least one instance of sexual offence, 56% by sexual assault, 25% by sexual coercion, and 15% by sexual aggression. Qualitative data gathered from interviews of extracurricular club members and school officials and focus group discussion with students were used to further augment and illustrate results from the quantitative data. Several suggestions for intervention are presented in light of these results.

Rape-myth congruent beliefs in women resulting from exposure to violent pornography: effects of alcohol and sexual arousal

Previous research findings indicate that women suffer a variety of detrimental effects from exposure to violent pornography. This study used an experimental paradigm to examine the effects of a moderate alcohol dose and alcohol expectancies on women's acute reactions to a violent pornographic stimulus. A community sample of female social drinkers (N = 134) read an eroticized rape depiction after completing an alcohol administration protocol. As predicted, intoxicated participants were less likely to label the depicted events as rape than their sober counterparts. A path analytic model illustrated that participants' self-reported sexual arousal to the stimulus, as influenced by alcohol consumption and expectancies, resulted in increased rape myth congruent perceptions of the victim and decreased labeling of the incident as rape. Findings suggest that acute alcohol intoxication during violent pornography exposure may ultimately result in women developing more calloused attitudes toward rape and rape victims.

Impact of interaction with a partner or friend on the exposure effects of pornography and erotica

Past studies on the effects of sexually explicit materials on women have tended to study them alone, in pairs, or in groups of strangers. By contrast, our study randomly assigned women to bring either a same-sex friend or a male partner to reflect more natural viewing conditions. Discussion between the participant and her companion followed exposure to the sexual images. Women who viewed pornography maintained their (quite high) level of negative mood, whereas women who viewed erotica experienced a substantial improvement in mood. The sex of the companion did not have a direct influence on participants' mood, with discussion improving mood across the board. However, participants' ratings of their satisfaction with the discussion were significantly influenced by the sex of their companion. We suggest that future research should focus more on the interpersonal aspects of male-female relationships when exploring the effects of sexually explicit materials on heterosexual women.