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Previous investigations into Female Sexual Desire (FSD) have been focused on women's biological, cognitive, and emotional processes, despite evidence that FSD is also responsive to relational contexts. Past research consistently demonstrates a general association between relationship satisfaction and FSD. There remains, however, a need to expound this connection. In response, this study explored the role of relationship equity in relationship satisfaction and FSD. For this cross-sectional study, 299 Australian women aged 18 to 39 years responded to an online questionnaire measuring relationship factors and dimensions of sexual desire. Two mediation models were tested to examine how relationship equity was associated with solitary and dyadic sexual desire, via a connection with relationship satisfaction. As expected, equality in relationships predicted relationship satisfaction, which, subsequently, was related to higher levels of dyadic sexual desire. No significant mediation was found for solitary desire, indicating that relationship factors may not play a critical role in this domain. This result also demonstrates a distinct divergence between the two domains of desire that requires further examination. These results solidify the notion of FSD as a multifaceted construct and present meaningful implications for theory, research, and clinical practice.

Objective: To develop and validate a novel patient-reported measure to assess internally and externally driven expectations for change after a cosmetic procedure, termed the aesthetic procedure exp...

Background The popularity of videoconferencing platforms has skyrocketed during the COVID-19 pandemic; however, concerns have been expressed regarding the potential for video calls to promote appearance dissatisfaction because individuals are exposed to an image of themselves on camera for extended periods. Objectives The aim of the current study was to characterize current video usage behaviors and their relation to appearance dissatisfaction and interest in aesthetic procedures in the general population. Methods An online survey was completed by 335 adults currently living in Australia. Multiple aspects of video usage were assessed, including engagement in video-manipulation techniques to enhance appearance and the focus of visual attention (ie, on self or others) while on video calls. The Dysmorphic Concern Questionnaire was administered to determine if video-use behaviors were associated with greater body image disturbance. Results Over one-third of participants had identified new appearance concerns while on video. Dysmorphic concern was associated with self-focused attention, greater engagement in video-manipulation behaviors, and increasing appearance concerns due to their time on video calls. Individuals who identified new video-based appearance concerns reported greater interest in obtaining future beauty treatments (eg, waxing) and aesthetic procedures (eg, nonsurgical procedures such as antiwrinkle injections). Conclusions This is one of first empirical studies to report the potential consequences of video-call usage for increasing appearance dissatisfaction and dysmorphic concern, and to demonstrate a link between the use of video calls and interest in cosmetic procedures.

Objectives: Body dysmorphic disorder is commonly considered a contraindication for major cosmetic surgery, but whether body dysmorphic disorder relates to poorer outcomes from minor cosmetic treatment remains unknown. This study aimed to explore the prevalence of body dysmorphic disorder in clients seeking non-surgical cosmetic procedures and to examine whether body dysmorphic disorder clients are vulnerable in minor cosmetic settings. Vulnerability was explored in terms of psychological distress, unrealistic expectations and motivations for treatment outcome, and reduced satisfaction with past cosmetic procedures. Method: A cross-sectional online survey was completed by 154 women seeking minor cosmetic procedures which included the Body Dysmorphic Disorder Questionnaire – Dermatology Version to screen for body dysmorphic disorder, and measures of cosmetic treatment motivation, expectations and satisfaction. Results: Roughly 25% of women in the current sample screened positive for a potential body dysmorphic disorder diagnosis. Participants with suspected body dysmorphic disorder demonstrated higher levels of psychological distress and more unrealistic expectations and motivations for cosmetic treatment, such as improving social or romantic relationships. However, body dysmorphic disorder participants reported similar levels of satisfaction with past minor cosmetic treatments to the non–body dysmorphic disorder group. Conclusion: While the relationship between body dysmorphic disorder and treatment outcome warrants further investigation in prospective research tracking satisfaction and adverse reactions over time, this preliminary evidence suggests clients with suspected body dysmorphic disorder display several vulnerabilities in non-surgical cosmetic settings. Given the rapidly increasing accessibility of minor cosmetic procedures, further research is needed to determine their safety for clients with body dysmorphic disorder. Detection of body dysmorphic disorder in non-surgical cosmetic settings could facilitate earlier psychological intervention, promoting superior long-term outcomes.

The purpose of this study was to investigate nonconsensual condom removal (NCCR), also termed “stealthing,” which involves a male partner removing a condom during sex without knowledge or consent. Young women ( N = 364) provided self-report data on sociodemographic characteristics, NCCR experiences, and sexual self-perceptions. Almost 10% of the participants reported experiencing NCCR, with increased risk linked to nonheterosexuality, nonexclusive relationship status, and more sexual partners. Women with NCCR histories reported less confidence to refuse unwanted sexual advances and felt less in control of themselves as sexual beings. Together, the findings suggested NCCR is a somewhat common sexual risk behavior which may pose acute and sustained psychosexual harm to victims.

The popularity of videoconferencing platforms has skyrocketed during the COVID-19 pandemic, however, there have been concerns regarding the potential for video-calls to promote appearance dissatisfaction, as individuals are exposed to their reflection on camera for extended periods. The current study characterised current video-usage behaviours and their relationship with appearance dissatisfaction and interest in beauty procedures in the general population. An online survey was completed by 379 adults currently living in Australia. Multiple aspects of video usage were assessed, including engagement in ‘video-manipulation’ techniques to enhance appearance and the focus of visual attention while on video-calls (i.e. on self or others). The Dysmorphic Concern Questionnaire was administered to determine if video-use behaviours were associated with greater body image disturbance. Over one-third of participants had identified new appearance concerns while on video. Dysmorphic concern was associated with self-focused attention, video manipulation behaviours and increasing appearance concerns. Individuals who identified new video-based appearance concerns reported greater interest in obtaining future beauty and cosmetic procedures. This is the first study to report the potential risks of video-call usage on body image and appearance dissatisfaction. Further research is needed to understand how best to mitigate these risks, as COVID-19 accelerates a virtual age of communication.

OBJECTIVE: During the COVID-19 pandemic, Australia implemented widespread closure of beauty and cosmetic services to control the virus spread. The effect of these restrictions is unknown, given that beauty services are widely used for stress relief or to enhance confidence. The current study explored the relationship between engagement in appearance-focused behaviors and distress regarding beauty service closure. Participants with high and low levels of dysmorphic concern were compared to determine whether COVID-19 restrictions may affect these groups differently. METHOD: An online survey was completed by 216 participants living in Australia. Questions addressed engagement in appearance-focused behaviors during the COVID-19 pandemic and attitudes toward beauty service closure. The Dysmorphic Concern Questionnaire (DCQ) was used to group participants by low and high dysmorphic concern. RESULTS: Appearance-focused behaviors decreased in the low DCQ group (n = 163) during the COVID-19 pandemic, while such behaviors in the high DCQ group (n = 53) remained unchanged. Individuals who were living alone, younger, reported higher dysmorphic concern and greater distress over beauty service closure engaged in more frequent appearance-focused behaviors (R2 = .57, p < .001). The high DCQ group reported greater distress over beauty service closure and increased desire to obtain future beauty treatments. DISCUSSION: While COVID-19 restrictions may have provided a break from societal appearance pressure for those with low dysmorphic concern, appearance-focused behaviors persisted in individuals with high dysmorphic concern. A greater understanding of the long-term impacts on appearance-related distress is needed to determine mental health priorities emerging from the COVID-19 pandemic.

Quality of life (QoL) is increasingly a target of interventions for bipolar disorders (BD). While the subjective experience of consumers is often elevated as central to the construct of QoL in BD, limited investigation in this area means subjective QoL remains poorly understood. The present qualitative study seeks to address this by investigating how people with BD appraise the quality of their lives in the context of a QoL self-management intervention. Semi-structured interviews were conducted with 43 individuals who had participated in a self-management intervention for improving QoL in BD. Individuals were questioned about experiences of the intervention and perceptions of their QoL. Thematic analysis was used to explore participants’ appraisal of their QoL. An overarching theme concerned the intrinsic relativity of subjective QoL: individuals located QoL as relative to self, others and possible futures. Incorporating illness-related reference points for QoL (‘given my circumstances…’) was associated with perceptions of improved QoL. Deliberately modifying reference points for QoL was perceived as self-compassionate. The present study generates novel hypotheses about how individuals with BD make sense of their QoL. Data suggest that individuals located their QoL relative to a variety of reference points, use of which was flexible. In accord with gap theories of QoL, individuals experienced acceptance of illness impacts as improving subjective sense of QoL. Rather than ‘settling for’ a lower standard of QoL, individuals experienced these changes as adaptive and positive. Findings are discussed in relation to the measurement and amelioration of QoL in BD.

BACKGROUND Self-monitoring of symptoms is a cornerstone of psychological interventions in bipolar disorder (BD), but individuals with lived experience also value tracking holistic outcomes, such as quality of life (QoL). Importantly, self-monitoring is not always experienced positively by people with BD and may have lower than expected rates of engagement. Therefore, before progressing into QoL tracking tools, it is important to explore user perspectives to identify possible risks and benefits, optimal methods to support engagement, and possible avenues to integrate QoL self-monitoring practices into clinical work. OBJECTIVE This study aimed to conduct a qualitative exploration of how individuals with BD engaged with a Web-based version of a BD-specific QoL self-monitoring instrument, the QoL tool. METHODS A total of 43 individuals with BD engaged with a self-management intervention with an optional Web-based QoL self-assessment tool as part of an overarching mixed method study. Individuals were later interviewed about personal experiences of engagement with the intervention, including experiences of gauging their own QoL. A thematic analysis was used to identify salient aspects of the experience of QoL self-monitoring in BD. RESULTS In total, 4 categories describing people’s experiences of QoL self-monitoring were identified: (1) breadth of QoL monitoring, (2) highlighting the positive, (3) connecting self-monitoring to action, and (4) self-directed patterns of use. CONCLUSIONS The findings of this research generate novel insights into ways in which individuals with BD experience the Web-based QoL self-assessment tool. The value of tracking the breadth of domains was an overarching aspect, facilitating the identification of both areas of strength and life domains in need of intervention. Importantly, monitoring QoL appeared to have an inherently therapeutic quality, through validating flourishing areas and reinforcing self-management efforts. This contrasts the evidence suggesting that symptom tracking may be distressing because of its focus on negative experiences and positions QoL as a valuable adjunctive target of observation in BD. Flexibility and personalization of use of the QoL tool were key to engagement, informing considerations for health care providers wishing to support self-monitoring and future research into Web- or mobile phone–based apps.

Background Self-monitoring of symptoms is a cornerstone of psychological interventions in bipolar disorder (BD), but individuals with lived experience also value tracking holistic outcomes, such as quality of life (QoL). Importantly, self-monitoring is not always experienced positively by people with BD and may have lower than expected rates of engagement. Therefore, before progressing into QoL tracking tools, it is important to explore user perspectives to identify possible risks and benefits, optimal methods to support engagement, and possible avenues to integrate QoL self-monitoring practices into clinical work. Objective This study aimed to conduct a qualitative exploration of how individuals with BD engaged with a Web-based version of a BD-specific QoL self-monitoring instrument, the QoL tool. Methods A total of 43 individuals with BD engaged with a self-management intervention with an optional Web-based QoL self-assessment tool as part of an overarching mixed method study. Individuals were later interviewed about personal experiences of engagement with the intervention, including experiences of gauging their own QoL. A thematic analysis was used to identify salient aspects of the experience of QoL self-monitoring in BD. Results In total, 4 categories describing people’s experiences of QoL self-monitoring were identified: (1) breadth of QoL monitoring, (2) highlighting the positive, (3) connecting self-monitoring to action, and (4) self-directed patterns of use. Conclusions The findings of this research generate novel insights into ways in which individuals with BD experience the Web-based QoL self-assessment tool. The value of tracking the breadth of domains was an overarching aspect, facilitating the identification of both areas of strength and life domains in need of intervention. Importantly, monitoring QoL appeared to have an inherently therapeutic quality, through validating flourishing areas and reinforcing self-management efforts. This contrasts the evidence suggesting that symptom tracking may be distressing because of its focus on negative experiences and positions QoL as a valuable adjunctive target of observation in BD. Flexibility and personalization of use of the QoL tool were key to engagement, informing considerations for health care providers wishing to support self-monitoring and future research into Web- or mobile phone–based apps.

The increase in Australian Human Immunodeficiency Virus (HIV) infections since the 1990s is considered to be due to a subgroup of MSM (men who have sex with men) who engage in behaviors that increase the risk of sexual transmission of HIV. A population of MSM at risk are those who present for PEP (Post-Exposure Prophylaxis). In this article, data from a sample of N = 23 MSM who repeatedly attended an Australian PEP program and sought psychological assistance regarding sexual risk taking are examined. Findings revealed the current sample had more sexual risk behaviors than those of the wider MSM population and had higher Sexual Compulsivity (SC) and Sexual Sensation Seeking (SSSS) scores than previous samples of gay men, along with the finding that SC and SSSS were positively associated with sexual risk taking. Unfortunately, sexual behavior syndromes may be resistant to change, leaving affected MSM at ongoing risk of HIV. If these data can be replicated with larger samples, they point to the value...

Background Self-management (SM) is increasingly emphasised as a key aspect of bipolar disorder (BD) treatment. However, little is known about the subjective experience of SM, which might have both positive and negative impacts. The present study aimed to advance this literature through qualitative investigation of the experiences of people with BD who participated in an SM intervention targeting quality of life (QoL). Methods Forty-three individuals with BD engaged with an SM intervention and were later questioned about personal experiences of engagement with the intervention, including attempts to enact self-management strategies. Thematic analysis was used to identify important aspects of the experience of SM in BD. Results Four themes describing people's experiences of SM were identified: 1) SM for BD is empowering, 2) individual responsibility to self-manage BD, 3) SM strategies lack power to control BD, and 4) the relationship of SM to the healthcare system. Limitations Potential limitations to generalisability may occur from self-selection bias in favour of SM and the QoL-focused nature of the present intervention. Conclusions The findings of this research generate novel insights into ways in which individuals with BD engage with SM interventions. For most people with BD, SM invokes a sense of empowerment and responsibility, although some feel symptoms remain beyond their control. A sense of partnership between consumers and clinicians may emerge from attention to SM, but traditional medical approaches were perceived as neglecting this aspect of care. Considerations from consumer perspectives are presented to assist clinicians and researchers utilising SM interventions in BD.

The increase in popularity of group work in higher education has been accompanied by an increase in the frequency of reports of students not equally contributing to work within the groups. Referred to as ‘free-riders’, the effect of this behaviour on other students can make group work an unpleasant experience for some. Of most frustration to students is receiving the same mark as their fellow non-contributing group members despite producing much of the group’s work. Identifying free-riding behaviour early on in a project can help reduce the impact it has on other group members. What can also be identified is that free-riding behaviour is not necessarily due to apathy or a deliberate attempt to do as little work as possible. Numerous underlying reasons can lead a student to not contribute equally to a group even if he or she is willing. This study involved surveying students (N = 205) from all faculties of an Australian university and asking them of their attitudes towards group work. Free-text responses from the students were thematically analysed, and results showed that free-riding was the greatest concern across all disciplines.

This study developed a psychometrically sound measure of closeness in Australian men's ( n = 59) and women's ( n = 77) same-sex friendships, the Friendship Closeness Inventory. Subscales were developed to measure both masculine and feminine styles of closeness in three domains of Emotional Closeness, Behavioural Closeness, and Cognitive Closeness. The inventory was subjected to reliability checks which supported the reliability of each scale, and factor analyses which supported the 3-factor design. Correlations among ratings on subscales suggested that the affective, behavioural, and cognitive dimensions are distinguishable but related components of friendship. Group comparisons indicated that women rated themselves closer to their same-sex friends on the affective dimension than men. Researchers have suggested that sex-role socialisation may partly account for sex differences in self-ratings of emotional expressiveness in friendships. There were no significant differences between men's and women's ratings on the behavioural and cognitive aspects of friendships. The cognitive element may need further exploration in further scale development as it measures only one aspect of cognitive closeness: the perceived influence of friends. Pending further validation, the inventory appears potentially useful for research exploring affective, behavioural, and cognitive elements of young men's and women's friendships.

Unemployed adolescents may be at substantial risk of the negative consequences of sexuality. This study investigated the sexual perceptions and practices of 125 unemployed adolescents. Gender, but not age, differences were found in sexual perceptions and practices. Overall, this sample was engaging in high levels of sexual activity with a low rate of condom use.

The proportion of Higher Education students studying online has increased exponentially in the last decade, however not much is known about this cohort and what they want from their university experience. Furthermore, most universities are attempting to enhance the online resources provided to their on-campus students; however, there is a lack of clarity regarding what aspects of online study on-campus students may value. Do on-campus students value the same aspects of learning as their online counterparts, or do universities need to develop different resources for the various cohorts? In the current study, 525 first year psychology students studying across three study modes (on-campus, online via Open Universities Australia and online via a private provider affiliated with a university) responded to an online questionnaire assessing characteristics associated with both online and face-to-face teaching, and asking what students value in teaching academics. The results are discussed in terms of how universities can best improve their online offerings and how they may incorporate desired ‘offline’ experiences into an online environment.

This study was a randomised control trial with a waiting control group. It was designed to evaluate the effectiveness of a 6-month, group-based diabetes prevention programme, The Healthy Living Course and assess whether participation in the programme led to changes in modifiable risk factors for type 2 diabetes among an already at-risk pre-diabetic population. Individuals designated at risk for diabetes by their general practitioners (GPs) were screened using an Oral Glucose Tolerance Test. Volunteers (N = 307) with pre-diabetes were assigned to an intervention or wait-control group in the ratio of approximately 2 : 1. The sample was pre-tested on biochemical, anthropometric and self-report behavioural, cognitive and mood variables and post-tested either at the end of the educational/support-based lifestyle programme or the end of the wait period. The intervention group significantly improved their diabetes knowledge, motivation to change, positive affect, healthy eating and activity levels and showed significantly greater reductions in weight, body mass index, waist circumference, diastolic blood pressure and fasting plasma glucose in comparison with controls. The intervention group also changed their diagnostic status from pre-diabetes to non-diabetes at a greater rate than the wait group (43% vs. 26%) who received standard care from their GPs.

Objectives: To conduct initial analyses and examine ways in which depression and anxiety are associated with outcomes after participation in the Healthy Living Course (HLC), an early-intervention diabetes prevention program for adults with prediabetes. Design: Randomised controlled study using pre-intervention and postintervention measures to examine relationships between depression, anxiety and diabetes-related program outcomes. Participants and setting: 185 adults from urban and rural Victoria with prediabetes who had completed the HLC program and for whom postintervention measure data were available. Data were collected between 15 June 2006 and 15 June 2008. Main outcome measures: Baseline and postintervention scores on mood (anxiety, depression), biochemical (fasting plasma glucose, oral glucose tolerance), anthropometric (body mass index [BMI], waist circumference), cognitive (self-efficacy, diabetes knowledge) and behavioural (healthy eating, physical activity) measures; correlations between these measures. Results: The intervention alleviated depression, and improved eating patterns and scores on cognitive, anthropometric and biochemical measures. Cultural group and sex did not influence most results. Baseline mood was not associated with anthropometric or biochemical outcomes; however, more positive baseline mood factors were associated with activity changes, and with greater subsequent activity rates, self-efficacy and diabetes knowledge. In turn, baseline self-efficacy was associated with postintervention healthy eating. Changes towards healthier eating correlated with anthropometric and biochemical changes, while baseline cognitive measures were also associated with physiological outcomes. As expected, reductions in BMI and waist circumference were related to biochemical changes. Conclusion: Our findings highlight the importance of assessing mood factors in prediabetes, and the need to develop theoretical models of change mechanisms for

In this study a profile is presented of a group of people diagnosed with pre-diabetes and who volunteered to be part of a lifestyle intervention to improve their health. Baseline (pre-intervention) data on biochemical, anthropometric, psychosocial, cultural and lifestyle factors were collected, providing a picture of the extent to which the behaviours of the participants were suboptimal for health. The sample enabled comparison of a Chinese-Australian group with an Anglo-Australian group, as well as male-female comparisons. Participants reported several barriers to healthy eating and exercise, with negative mood, particularly depression, significantly associated with more perceived barriers and weaker motivation to change. Men were less healthy eaters than women. The Anglo-Australian pre-diabetics were characterised by biochemical and anthropomorphic features reflecting the metabolic syndrome, showing risk factors not only for diabetes but also for cardio-vascular disease. The Chinese sample did not reflect metabolic syndrome risk factors to the same extent and, possibly as a consequence, were less motivated to change their behaviour in response to their diagnosis of pre-diabetes. The implications for lifestyle interventions were discussed.

A style of coping with stress is described which has been observed in cancer patients and in highly dependent, insecurely attached individuals. This coping style includes the suppression of negative emotions and avoidance of support seeking. It is suggested that this pattern of responses is potentially dysfunctional insofar as it tends to perpetuate distress and may increase vulnerability to a broad range of illnesses. These considerations provide the basis for a provisional conceptual model, which links avoidant attachment style to the regulation of negative affect and to symptoms of psychological and physical ill-health. This is tested on a sample of young adults under stress and predictions from the model are largely supported.

Homeless, Anglo-Australian and Greek-Australian 16-year-olds were questioned about their sexual behaviour and sexual beliefs. Measures of sexual risk-taking included type of behaviour, condom use and number of partners. Drug risk was assessed by extent of i.v. drug use, and sharing and cleaning needles. Sexual beliefs included self-perceptions of sexual anxiety, arousal, exploration and commitment. In addition, motivations for engaging in, or avoiding, sex were elicited. The behaviour patterns of homeless adolescents placed them at considerable risk of HIV infection for both sexual and drug risk, and significantly more so than their home-based peers. Gender stereotypic self-perceptions were reported, and homeless and Anglo-Australian youths demonstrated a more masculine style in their self-perceptions than were Greek-Australians. Preferred motivations for sex differed, with homeless youths less concerned about the consequences of sex and more with self-gratification than the home-based adolescents. For homeless girls, higher levels of sexual risk were predicted by perceptions of greater arousal and by less concern about the consequences of sexual activity. Implications for targeted interventions are discussed.

Background The concept of resilience has captured the imagination of researchers and policy makers over the past two decades. However, despite the ever growing body of resilience research, there is a paucity of relevant, comprehensive measurement tools. In this article, the development of a theoretically based, comprehensive multi-dimensional measure of resilience in adolescents is described. Methods Extensive literature review and focus groups with young people living with chronic illness informed the conceptual development of scales and items. Two sequential rounds of factor and scale analyses were undertaken to revise the conceptually developed scales using data collected from young people living with a chronic illness and a general population sample. Results The revised Adolescent Resilience Questionnaire comprises 93 items and 12 scales measuring resilience factors in the domains of self, family, peer, school and community. All scales have acceptable alpha coefficients. Revised scales closely reflect conceptually developed scales. Conclusions It is proposed that, with further psychometric testing, this new measure of resilience will provide researchers and clinicians with a comprehensive and developmentally appropriate instrument to measure a young person's capacity to achieve positive outcomes despite life stressors.