Sophia Choukas-Bradley

University of Pittsburgh | Pitt

The present study uses latent class analysis to explore patterns of family communication about health-related topics during early adolescence. Directed parent–child communication is important for early adolescents to make informed health risk decisions, yet not all families discuss all health issues, especially surrounding sensitive topics such as...

The purpose of this paper is to provide a broad, multi-disciplinary overview of key insights, persistent gaps, and future paths in youth digital well-being research from the perspectives of researchers who are conducting this work. Participants included 38 researchers representing diverse disciplinary fields from universities and research institute...

Sexual and gender minority (SGM) adolescents have high risk for suicidal behavior (SB), and structural homophobia could contribute to inequities in suicidal ideation and behavior among SGM youth. Limited prior research has examined how comprehensive indicators of structural homophobia are related to suicidal ideation and behavior among SGM adolesce...

This paper provides a broad, multi-disciplinary overview of key insights, persistent gaps, and future paths in youth digital well-being research from the perspectives of researchers who are conducting this work.

With the rise and ubiquity of social media (SM), the context for peer interactions has changed drastically for adolescents, yet, little is known about how digital peer interactions compare to in-person interactions in their impact on adolescents’ emotional experiences. Adolescents employ various emotion regulation (ER) strategies to navigate the co...

During early and middle adolescence, individuals are at heightened risk of poor body image and subsequent negative mental health outcomes, and the highly visual nature of social media may play a role in this process. It remains unclear, however, if appearance preoccupation on social media—such as appearance-related social media consciousness (ASMC)...

There is much interest in the role of social media (SM) in the current mental health crisis among teens. In this review, we focus on the question of “for whom” SM experiences have the strongest impact on emotional health, considering neural sensitivity to social evaluation as a potential vulnerability factor that makes youth more susceptible to the...

Online appearance preoccupation may put adolescents at risk of developing mental health challenges, perhaps especially during early-to-middle adolescence. A random intercept cross-lagged panel model assessed within-person associations between appearance-related social media consciousness and depressive symptoms over three time-points with three mon...

Hookup culture has transformed the sexual behavior of emerging adults. Feminism, a movement that has advocated for liberating women from sexual repression, may be associated with hookup endorsement attitudes. This study explores the associations among multiple dimensions of feminism, gender, and hookup culture endorsement. Participants included 318...

White supremacy and racial inequities have long pervaded psychological research, including body image scholarship and practice. The experiences of white, heterosexual, able-bodied, cisgender (predominantly college) women from wealthy, Westernized nations have been centered throughout body image research and practice, thereby perpetuating myths of i...

This study examined whether conformity to high‐ but not low‐status e‐confederates was associated with increases in identification with popular peers and subsequent increases in self‐esteem. A sample of 250 adolescents (55.1% male; M age = 12.70 years; 40.3% White, 28.2% Black, 23.4% Hispanic/Latino, and 7.7% multiracial/other) participated in a wel...

Gender minority (GM) youth are at heightened risk for psychopathology, purportedly due to their experiences of GM stressors. However, few studies have examined how GM stressors are associated with depression and anxiety among GM youth. Furthermore, no prior studies have investigated how experiences of GM stressors differ across gender identity and...

Sexual health communication in adolescence is important for sexual well-being. With limited empirical work utilizing longitudinal methodologies, this study aimed to investigate how the frequency of sexual communication with parents, peers, and dating partners changes across adolescence and varies based on sex, race/ethnicity, and sexual orientation...

While most parents support their adolescents receiving school-based sex education, there is variability in which sex education topics receive the most support from parents. Conservative political orientation and greater religiosity have been independently associated with parents’ lack of support for school-based sex education; however, no studies h...

Appearance-related social media consciousness (ASMC) is the persistent awareness of one’s attractiveness on social media. The ASMC Scale, recently developed for use with adolescents (Choukas-Bradley et al., 2020), provides a promising tool for systematically examining ASMC and associations with mental health. The current study examined the psychome...

There is a dearth of research examining Black adolescents' body image, with even less work examining gender differences or the influence of ethnic-racial identity (ERI) commitment. It is critical to understand how culturally relevant aspects of appearance beyond commonly measured ideals such as thinness and muscularity are particularly relevant to...

Purpose: Transgender adolescents (TGAs) have high risk for experiencing mental health problems, but little is known about how aspects of gender identity relate to their mental health symptoms. Evidence from child and adult samples of transgender individuals indicates making progress in gender transition milestones and higher levels of congruence b...

Sexual and gender minority (SGM) rural adolescents are at risk for higher levels of social isolation, a well-known risk factor for depression and other negative health outcomes. We qualitatively examined how rural SGM youth seek emotional and informational support, which are protective factors for social isolation on social media (SM) regarding the...

Lesbian, gay, bisexual, and transgender (LGBT) youth report disproportionately high rates of mental health problems when compared to their heterosexual and cisgender peers, including suicidality, depression, and substance use. These mental health disparities likely result from experiences of minority stress, such as bullying and victimization, disc...

Sexual communication with partners is important for adolescents' sexual and socioemotional well-being. Behavioral assessments of partner sexual communication capture the complex and nuanced process of communication and are commonly used with adults, yet the existing literature among adolescents overwhelmingly relies on self-report measures. In the...

Sexual communication between adolescent partners is an important component of sexual health and wellbeing. Over 40 years of research on adolescent sexual communication has yielded rich information, yet there remain gaps in our understanding of the communication process. The purpose of this scoping review was to synthesize the body of research on ad...

In this theoretical review paper, we provide a developmental-sociocultural framework for the role of social media (SM) in adolescent girls' body image concerns, and in turn, depressive symptoms and disordered eating. We propose that the features of SM (e.g., idealized images of peers, quantifiable feedback) intersect with adolescent developmental f...

Social media is part of life for adolescents in the United States. Research on social media has increased, as scholars attempt to understand how social media could help and harm adolescents’ well-being. Prior research suggests social media affects users’ body image, with individuals sharing images of themselves at their most attractive while experi...

The tripartite influence model stipulates that appearance pressures from three sources (family, peers, traditional media) lead adolescent girls to internalize a thin appearance ideal and engage in social appearance comparisons, resulting in body dissatisfaction (Thompson et al., 1999). Social media is a modern source of appearance pressure and, inc...

PurposeLesbian, gay, bisexual, transgender, and queer (LGBTQ) youth living in rural areas who feel isolated are at high risk of depression and suicidality. Given the lack of support in their offline communities, many rural-living LGBTQ youth turn to social media for social support. In this qualitative study, we examined rural LGBTQ youth's social m...

Objective: Sexual and gender minority (SGM) adolescents disproportionately report disordered eating, yet have primarily been considered under a larger SGM umbrella. The current study 1) compared disordered eating between sexual minority (SM) and gender minority (GM) adolescents; 2) examined how general psychological factors (self-esteem, depressio...

Youths who are negatively affected by social determinants of health suffer adverse effects like increased risks of chronic health conditions and mental health issues. Part 2 of this series describes the adverse effects social determinants of health can have on vulnerable children around the world. Available for purchase at https://shop.aap.org/pedi...

“What defines a feminist?” is a heavily debated question within scholarly and mainstream discourse. Although prior studies have examined adults’ definitions of feminist, less is known about adolescents’ conceptualizations. This study explores definitions of “feminist” in a mixed-gender, racially/ethnically diverse sample of high-school adolescents...

The highly-visual nature of many social media platforms encourages appearance-related social media consciousness (ASMC), or the persistent awareness of how attractive one might look to a social media audience. The recently developed ASMC Scale, previously validated with high school-aged adolescents, provides a promising tool for systematically exam...

The stay-at-home orders of the COVID-19 pandemic disrupted U.S. adolescents’ lives in numerous ways during the spring of 2020, including substantial changes to in-person routines and increased reliance on digital media. For adolescent girls, stay-at-home practices may have implications for body image concerns. In this research brief, we examine ado...

Introduction Frequent social media use among adolescents is associated with depressive symptoms, though prior work has overwhelmingly used cross‐sectional designs and focused on “screen time.” Subjective social media experiences, such as the concern with one's physical appearance on social media, may be more relevant to adolescents' depressive symp...

A correction to this paper has been published: https://doi.org/10.1007/s12119-021-09883-0

The present study examined whether body esteem mediates the associations between psychosocial factors, including peer victimization and parent–adolescent relationship quality, and multiple categories of disordered eating (DE) within a diverse sample of adolescent sexual minority (SM) girls. Participants were 528 girls, aged 14–18 years, recruited a...

Social media has rapidly transformed the ways in which adolescents socialize and interact with the world, which has contributed to ongoing public debate about whether social media is helping or harming adolescents. The COVID-19 pandemic has magnified both the challenges and opportunities of adolescents’ social-media use, which necessitates revisiti...

During the COVID-19 pandemic, some ways of using social media-such as directly communicating with friends-may have helped adolescents thrive. We examined longitudinal associations between high school adolescents' social media use and gratitude across a 15-month period before and during the pandemic (n = 704, Mage = 15.10; 52% girls). The trajectori...

The purpose of this study was to move beyond a sexual risk framework to investigate the possible associations among three sex-positive constructs for adolescents: their sexual self-concept (i.e., their positive/negative feelings about themselves as sexual beings), their sexual communication with romantic/sexual partners, and their sexual communicat...

Sexual experience is considered an important developmental milestone for emerging adults. Whereas some sexual experiences incur benefits, others are associated with negative mental health outcomes. This chapter first describes the cultural context in which emerging adults experience their sexuality, including sexualized media, sexual scripts, hooku...

Online relationship seeking is a normative aspect of adolescent development and is common among sexual minority adolescents. Yet, little is known about transgender and gender diverse (TGD) adolescents’ subjective experiences with and needs related to online relationship seeking. This online, mixed-method study examined TGD adolescents’ patterns and...

The transformation framework (Nesi et al., 2018a, 2018b) describes the ways in which the features of social media shape adolescents’ peer experiences. In the current chapter, we build on this work in three ways. First, we expand on our previous conceptualization to consider the role of algorithms as a key feature of social media. Second, we offer a...

Background and objectives: Transgender adolescents (TGAs) exhibit disproportionate levels of mental health problems compared with cisgender adolescents (CGAs), but psychosocial processes underlying mental health disparities among TGAs remain understudied. We examined self-reported childhood abuse among TGAs compared with CGAs and risk for abuse wi...

For decades, psychological research has examined the extent to which children's and adolescents' behavior is influenced by the behavior of their peers (i.e., peer influence effects). This review provides a comprehensive synthesis and meta-analysis of this vast field of psychological science, with a goal to quantify the magnitude of peer influence e...

Transgender adolescents (TGAs) face many of the same sociocultural and biological influences on body dissatisfaction and disordered eating as cisgender peers. Additionally, TGAs experience unique body- and gender-related concerns. The purpose of this study is to explore the nuances of gender identity, gender transitioning, body image, and disordere...

Although prior work indicates an association between idealized media content and adolescents’ body-related concerns, such as self-objectification, body comparison, and body shame, few prior studies have examined the role of pornography. Even fewer studies have included adolescent girls, limiting our understanding of potential gender differences. In...

For decades, psychological research has examined the extent to which children’s and adolescents’ behavior is influenced by the behavior of their peers (i.e., peer influence effects). This review provides a comprehensive synthesis and meta-analysis of this vast field of psychological science, with a goal to quantify the magnitude of peer influence e...

For decades, psychological research has examined the extent to which children’s and adolescents’ behavior is influenced by the behavior of their peers (i.e., peer influence effects). This review provides a comprehensive synthesis and meta-analysis of this vast field of psychological science, with a goal to quantify the magnitude of peer influence e...

Two preregistered experiments with 2,733 U.S. high school students (age range = 13–19 years) compared the impact of different messages on adolescents’ motivation to control social media use (SMU). A traditional message emphasized the benefits of avoiding SMU, whereas a values‐alignment message framed controlling SMU as being consistent with autonom...

Online sexual behaviors like sexting, viewing pornography online, and using the internet to start relationships are increasingly common among adolescents, yet research has struggled to keep pace. This study fills a gap in the sexual communication literature by examining the extent to which a sample of high school adolescents are discussing digital...

Sharing "selfies" on social media is common among adolescents. The frequency with which adolescents post selfies may be less important than behaviors and cognitions underlying selfie-posting, and these practices may differ by gender. This multi-method study explored selfie practices in a school-based sample of 639 adolescents (M age=17.6; 53.5% fem...

In this theoretical review paper, we provide a developmental–sociocultural framework for the role of social media (SM) in contributing to adolescent girls’ body image concerns, and in turn, depressive symptoms and disordered eating. We propose that the features of SM (e.g., idealized images of peers, quantifiable feedback) intersect with adolescent...

Objective: Adolescence is a developmental period of increased risk for disordered eating. Gender minority adolescents (GMAs), or those whose gender identity does not align with their sex assigned at birth, may experience body image concerns related to unique gender-related stressors. GMAs may use disordered eating to affirm a feminine, masculine, o...

The transformation framework (Nesi et al., 2018a, Nesi et al., 2018b) describes the ways in which the features of social media shape adolescents’ peer experiences. In the current chapter, we build on this work in three ways. First, we expand on our previous conceptualization to consider the role of algorithms as a key feature of social media. Secon...

The health of transgender adolescents (i.e., those identifying with a gender other than their sex assigned at birth) is gaining attention from researchers, yet little work has examined normative sexual behaviors among this population. Self-identified gender minority adolescents, including those identifying as trans boys, trans girls, nonbinary, and...

Background Mostly heterosexual adolescents experience heightened depressive symptoms compared to heterosexual adolescents, though prior comparisons with other sexual minority adolescents have been inconsistent and rarely used a comprehensive measure of sexual orientation. Method U.S. high school adolescents were considered mostly heterosexual if t...

Social media (SM) use has increasingly changed how adolescents interact with their peers, yet it remains unclear how peer interactions on social media differ from in-person peer interactions. The current study evaluated whether the context (social media or in-person) of adolescent girls’ worst and best peer interactions influenced their emotional r...

Communication about sexual health issues with parents is an important component of sexual well-being for youth. Indeed, communication about safe sex practices is predictive of condom use and safe sexual behavior (Widman, et al., 2016). These discussions are extremely important for this age group since adolescents make up one-fourth of sexually acti...

Recent research has documented significant mental health disparities for transgender adolescents. However, the extant literature is hindered by vague operationalizations of gender identity and limited measurement of trans-specific stressors. In this article, we (1) introduce and describe the Gender Minority Youth (GMY) Study, a large-scale study of...

Study objectives: Stigmatized youth experience poorer sleep than those who have not experienced stigma. However, no studies have examined the sleep of gender minority adolescents (GMAs). Examining sleep disparities between GMAs and non-gender minority adolescents (non-GMAs) is critical, since poor sleep is associated with mental health outcomes ex...

Adolescence is a developmental period during which youth tend to initiate sexual behavior, which may include sexual risk behavior. Symptoms of borderline personality disorder (BPD) are associated with increased rates of risky behaviors. However, little is known about longitudinal associations between BPD symptoms and sexual risk behaviors during ad...

Although scientific research on adolescent romantic and sexual development has proliferated in recent years, currently, too little is known about how development in these areas can be understood across diverse populations (e.g., different socio‐cultural groups within countries) and contexts (e.g., countries or different proximal social environments...

Appearance-related social media consciousness (ASMC) is defined as the extent to which individuals’ thoughts and behaviors reflect ongoing awareness of whether they might look attractive to a social media audience. In this 3-study paper, we report the development and validation of the ASMC Scale for adolescents. In Study 1, we developed 18 items an...

Introduction Sleep problems are germane to the majority of adolescents, but stigmatized youth may experience poorer sleep than those who have not experienced stigma. However, no prior studies have examined sleep among transgender adolescents (TGAs). Investigating these sleep disparities is critical, since low sleep duration and poor sleep quality a...

The COVID-19 pandemic has affected the health, safety, and daily lives of all individuals. Adolescents may be uniquely sensitive to this abrupt disruption in their lives due to the biological and psychological changes that occur during this developmental period. Social media has rapidly transformed the ways in which adolescents socialize and intera...

Sexual experience is considered an important developmental milestone for emerging adults. While some sexual experiences incur benefits, others are associated with negative mental health outcomes. This chapter first describes the cultural context in which emerging adults experience their sexuality, including sexualized media, sexual scripts, hook-up...

Lesbian, gay, bisexual, and transgender (LGBT) youth report disproportionately high rates of mental health problems when compared to their heterosexual and cisgender peers, including suicidality, depression, and substance use. These mental health disparities likely result from experiences of minority stress, such as bullying and victimization, disc...

As youth transition from childhood to adolescence, they spend significantly more time with peers and are highly attuned to peer feedback, which becomes central to identity formation and sense of self-worth. Many decades of research have documented peer influence processes, in which adolescents’ behaviors and attitudes become more similar to their p...

Objective: Sexual and gender minority (SGM) adolescents report elevated risk for psychopathology. Identifying as a racial/ethnic minority and sexual minority (SM) or gender minority (GM) may lead to greater stress/discrimination and psychopathology. We examined nonsuicidal self-injury, suicide ideation, and suicide attempts (i.e., self-injurious t...

The Appearance-Related Social Media Consciousness Scale is available to use for research purposes. The scale is attached. This scale was first published in the following open access paper: Citation: Choukas-Bradley, S., Nesi, J., Widman, L., & Galla, B. M. (2020). The Appearance-Related Social Media Consciousness Scale: Development and validation...

In Reply We appreciate the thoughtful critique made by Yuan and Niuregarding our meta-analysis¹ on parent-based sexual health interventions. They call attention to 3 types of heterogeneity (clinical, methodologic, and statistical), and they suggest we focused exclusively on statistical heterogeneity. Clinical heterogeneity refers to variability in...

A clear understanding of sexual consent is important for sexual violence prevention. To date, most research has focused on how college students understand and negotiate consent. Although adolescence is a critical period for the development of sexual attitudes, identity, and intimate relationships, the perspectives of high school-aged youth have bee...

Introduction Adolescents misperceive and are heavily influenced by the behavior of their popular peers, yet research has not yet investigated this phenomenon for a relatively new and potentially risky behavior: adolescent sexting. The present study investigates rates of sexting among popular and non‐popular adolescents and the association between a...

Introduction Adolescents are heterogeneous in how they define and experience their sexual orientation, which can include specific identity labels, romantic attractions, and other‐ and/or same‐sex sexual behavior. These three components of sexual orientation are not always concordant, and studies suggest adolescents—particularly girls—are fluid in t...

Background and objectives: Emerging evidence indicates transgender adolescents (TGAs) exhibit elevated rates of suicidal ideation and attempt compared with cisgender adolescents (CGAs). Less is known about risk among subgroups of TGAs because of limited measures of gender identity in previous studies. We examined disparities in suicidality across...

Popularity and likability—two measures of adolescent peer status—have been examined frequently within Western cultures but relatively rarely within Eastern cultures. This study offered a cross-cultural comparison of adolescent peer status to examine whether these constructs and their correlates vary between the United States and China. The study co...

Background: Emotional support is highly protective against poor mental health. Though several measures of emotional support exist, none specifically addresses social media (SM) as a source of emotional support. Therefore, the objectives of this study were to determine if SM-based emotional support is an extension of or distinct construct from face...

This study evaluated the feasibility, acceptability, and preliminary efficacy of a 45-minute interactive, online sexual health program for adolescents, called Health Education and Relationship Training (HEART). The program was originally developed and evaluated among adolescent girls (HEART for Girls); the current project describes and evaluates a...

Despite the centrality of adult romantic relationships to the conceptualization of borderline personality disorder (BPD), little is known about the earlier development of this interdependency during adolescence. Thus, we examined the co-development of romantic relationships and BPD symptoms from ages 15 to 19 in a large urban sample of girls (N = 2...

Indoor tanning among U.S. young women is a major public health concern that increases risk for skin cancer. Many young women engage in indoor tanning despite the risks, and prior evidence suggests that appearance-related motivations for tanning may outweigh health concerns. The present study examined appearance expectations as a mediator of the ass...

Social media use is now ubiquitous among young women in the United States. The current study examines a new construct related to young women’s experiences with social media: appearance-related social media consciousness (ASMC), the tendency for a woman’s thoughts and behaviors to reflect an ongoing awareness of whether she might look attractive to...

Investigators have long recognized that adolescents’ peer experiences provide a crucial context for the acquisition of developmental competencies, as well as potential risks for a range of adjustment difficulties. However, recent years have seen an exponential increase in adolescents’ adoption of social media tools, fundamentally reshaping the land...

As social media use becomes increasingly widespread among adolescents, research in this area has accumulated rapidly. Researchers have shown a growing interest in the impact of social media on adolescents’ peer experiences, including the ways that the social media context shapes a variety of peer relations constructs. This paper represents Part 2 o...