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Millennials less sexually active + Depression screening tools + Women & combat exposu

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Millennials less sexually active than Gen-X peers
https://www.sciencedaily.com/releases/20...125209.htm

RELEASE: Since time immemorial, older generations have fretted over the sexual habits of young people. In today's world, however, elders might just be wondering why young people are having so little sex, according to a new study by San Diego State University psychology professor Jean M. Twenge.

A research team also including Ryne Sherman from Florida Atlantic University and Brooke Wells from Widener University analyzed data from 26,707 respondents to the General Social Survey, a nationally representative survey of U.S. adults that includes members of the current millennial generation and its predecessor, Generation X. The researchers found that today's young people are less likely to have had sex since turning 18.

According to Twenge, author of the book "Generation Me," 15 percent of 20- to 24-year-olds born in the 1990s reported having no sexual partners since age 18, compared to only 6 percent of Generation X'ers when they were young adults. This sexual inactivity stands in stark contrast to the so-called "hookup culture" reportedly pervasive among Millennials: More are not having sex at all, much less hooking up with multiple partners.

"Online dating apps should, in theory, help Millennials find sexual partners more easily," she said. "However, technology may have the opposite effect if young people are spending so much time online that they interact less in person, and thus don't have sex."

Concerns over personal safety and a media landscape saturated with reports of collegiate sexual abuse might also contribute to millennials' sexual inactivity compared to previous generations, Twenge continued.

"This generation is very interested in safety, which also appears in their reduced use of alcohol and their interest in 'safe spaces' on campus," she said. "This is a very risk-averse generation, and that attitude may be influencing their sexual choices."

Other factors contributing to fewer millennials having sex could include the widespread availability of pornography, the historically high number of young adults living with their parents, the later age at first marriage, and increased access to instant entertainment online. The researchers published their findings this week in the journal Archives of Sexual Behavior.

Today's teens also appear to be less sexually active. According to the Centers for Disease Control's Youth Risk Behavior Survey, the percentage of U.S. high school students who have ever had sex dropped from 51 percent in 1991 to 41 percent in 2015.

"This generation appears to be waiting longer to have sex, with an increasing minority apparently waiting until their early twenties or later," said Twenge. "It's good news for sexual and emotional health if teens are waiting until they are ready. But if young adults forgo sex completely, they may be missing out on some of the advantages of an adult romantic relationship."



Depression screening tools not accurate for children and adolescents: Researchers advise against routine screening in this age group
https://www.sciencedaily.com/releases/20...125608.htm

RELEASE: In Canada and the U.S., doctors are increasingly being encouraged to try to identify depression in children and adolescents -- even if they do not have obvious indications of the disease. In order to do so, the physicians often use short questionnaires that ask about symptoms of depression. But, according to new research, there is insufficient evidence to show that any of these questionnaires accurately screen 6- to 18-year-olds for the disease. The researchers believe that this calls into question the use of these assessment tools for this group and raises worries about possible misdiagnosis of the disease in this age range.

"Our study shows that if depression screening were carried out using existing screening tools, many non-depressed children and adolescents would be mistakenly identified as depressed," says Brett Thombs, who is affiliated with the Jewish General Hospital's Lady Davis Institute for Medical Research and McGill University's Faculty of Medicine. He is the senior author on a study that was recently published on the subject in the Canadian Journal of Psychiatry.

Inadequate testing of screening tools

In order to assess the quality of the screening tools that are currently being used to identify depression in children or adolescents, the researchers carried out an exhaustive search of the medical evidence looking for studies that put the screening tools to the test. In the end, they were able to identify just 17 studies where the test results from the screening tools were compared with results from a diagnostic interview to determine if the children or adolescents in the study actually had depression.

Thombs and colleagues, including lead author Dr. Michelle Roseman, then assessed the methodology and results of these 17 studies. They found that most of the studies were too small to make a valid determination about the accuracy of the screening tools and that the methods of most studies fell short of expected standards. They also found that there was inadequate evidence to recommend any single cut-off score for any of the questionnaires. (Patients scoring above a pre-defined cut-off score are considered likely to be depressed, whereas patients below the cutoff are not.)

Roseman says, "There was not a single tool with even moderate evidence of sufficient accuracy to effectively identify depressed children and adolescents without also incorrectly picking up many non-depressed children and adolescents."

Depression screening for children and adolescents is controversial

Depression in children is a disabling condition associated with behavioral problems and poor school performance. But routine screening for the disease in this age group is controversial. In the United Kingdom and Canada it is not recommended. On the other hand, the U.S. Preventative Services Task Force recently recommended routine screening of adolescents between 13-18, but not of younger children, as part of regular medical care.

Thombs believes that given the inaccuracy of the tools currently being used, some children could end up mislabeled as depressed. "This could lead to the unnecessary prescription of potentially harmful psychiatric medications and negative messages about the mental health of some children who do not have mental health disorders." Moreover, a potentially massive amount of resources would be needed to sort out which children may really be depressed. Research suggests relatively few would meet the criteria. "These resources would then not be available to provide treatment to large numbers of children and adolescents who are known to have severe mental health problems, but who do not receive adequate care."

The researchers say that to properly assess the accuracy of depression screening tools in children, large, well-designed studies that present results across a range of cut-off scores are needed.



Combat exposure may jeopardize the behavioral health of women in the military
https://www.sciencedaily.com/releases/20...130109.htm

RELEASE: In a recent study, combat exposure among Army enlisted women was associated with an increased likelihood of developing behavioral health problems post-deployment, including post-traumatic stress disorder (PTSD), depression, and at-risk drinking.

In the study, which was funded by the National Institute on Drug Abuse, 42,397 Army enlisted women who returned from Afghanistan or Iraq were assigned combat exposure scores of 0, 1, 2, or 3+ based on their self-reported experiences. Importantly, any report of combat exposure among Army women was associated with an increased likelihood of each post-deployment behavioral health problem (PTSD, depression, and at-risk drinking), suggesting that the impact of even one exposure event should not be overlooked.

The magnitude of the association between combat exposure and PTSD was most striking. Active duty and National Guard/Reserve women with combat exposure scores of 3+ had at least a 20 times higher likelihood of screening positive for PTSD compared with women with no combat exposure.

"Our findings suggest that injuries, assaults, and combat exposures experienced by women during deployment may have an additive, negative effect on their post-deployment behavioral health," said Dr. Rachel Sayko Adams, lead author of the Journal of Traumatic Stress study. "Ongoing force-wide screening for behavioral health problems should be coupled with development and evaluation of programs to improve the psychological wellbeing of the Armed Forces."
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