The development and bicultural validation of the New Sexual Satisfaction Scale (NSSS)--a 20 item, multidimensional, composite measure of sexual satisfaction--is presented. The development of the scale was based on a five-dimension, conceptual model that emphasized the importance of multiple domains of sexual behavior including sexual sensations, sexual awareness and focus, sexual exchange, emotional closeness, and sexual activity. Scale construction and validation were carried out using seven independent samples with over 2,000 participants aged 18 to 55 in Croatia and the United States. Primary data collection was completed using online survey tools. Analyses did not confirm the proposed conceptual framework but suggested a two-dimensional structure focusing on self ("ego-centered") and the other (a "partner- and sexual activity-centered" factor) domains, each containing items representing all five conceptual dimensions. Scale reliability (k = 20) was satisfactory for all samples, and construct validity was confirmed in both cultures. The NSSS was also found to have acceptable one-month stability. It is suggested that the NSSS may be a useful tool for assessing sexual satisfaction regardless of a person's gender, sexual orientation, and relationship status.

In spite of a growing presence of pornography in contemporary life, little is known about its potential effects on young people's sexual socialization and sexual satisfaction. In this article, we present a theoretical model of the effects of sexually explicit materials (SEM) mediated by sexual scripting and moderated by the type of SEM used. An on-line survey dataset that included 650 young Croatian men aged 18-25 years was used to explore empirically the model. Descriptive findings pointed to significant differences between mainstream and paraphilic SEM users in frequency of SEM use at the age of 14, current SEM use, frequency of masturbation, sexual boredom, acceptance of sex myths, and sexual compulsiveness. In testing the model, a novel instrument was used, the Sexual Scripts Overlap Scale, designed to measure the influence of SEM on sexual socialization. Structural equation analyses suggested that negative effects of early exposure to SEM on young men's sexual satisfaction, albeit small, could be stronger than positive effects. Both positive and negative effects-the latter being expressed through suppression of intimacy-were observed only among users of paraphilic SEM. No effect of early exposure to SEM was found among the mainstream SEM users. To counterbalance moral panic but also glamorization of pornography, sex education programs should incorporate contents that would increase media literacy and assist young people in critical interpretation of pornographic imagery.

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The hypothesis on the role of exposure to pornography during adolescence in predicting intimacy among young adults was tested using a sample of 544 Croatian college students (aged 18-25 years) who were surveyed online. Respondents provided information about pornography use at ages 14 and 17, perceived realism of pornographic depictions of sexual activities, attitudes towards recreational sex and relationship intimacy. Significant gender differences in pornography exposure, perceived realism of pornographic contents and attitudes towards recreational sex were found. No direct relationship was found between adolescent exposure to pornography and relationship intimacy in young adulthood. As hypothesised, the realism of pornography was related both to exposure and intimacy, but only among female participants. Furthermore, the association between the appraisal of pornographic realism and intimacy was shown to be mediated by attitudes towards recreational sex. In light of contemporary concerns over the normalisation of pornography use, particularly among young people, our findings do not support the view that adolescent exposure to sexually explicit materials is a determinant of relationship intimacy among young Croatian adults.

This is the first study to show a significantly higher concentration of pro-inflammatory cytokine IL-12 in the aqueous humor of non-treated diabetic retinopathy patients in comparison with diabetic patients treated for retinopathy, without retinopathy, or with healthy individuals. Because the serum levels of IL-12 did not differ considerably between the studied groups, it is plausible that this is due to its local production and secretion.