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Objective: Survivors of childhood emotional maltreatment (CEM) often report lower levels of romantic relationship satisfaction in later life, yet the mechanisms through which this occurs are unclear. Theoretical and empirical evidence suggests a potential pathway underlying this association is early maladaptive schemas (EMS), however, research is limited. The present study sought out to clarify the association between CEM and current romantic relationship satisfaction, and whether EMS mediate this relationship. Method: The final sample consisted of 230 undergraduate psychology students. An anonymous online survey was administered assessing childhood maltreatment, EMS and current romantic relationship satisfaction. Data pertaining to possible covariates were also collected. Results: CEM was found to be negatively correlated with relationship satisfaction. The results of path analysis additionally revealed emotional deprivation as the only early maladaptive schema to mediate this relationship. Conclusions: These findings contribute to the understanding of how CEM may be related to relationship satisfaction, via EMS. In particular, they suggest experiences of CEM may strengthen the belief that others will not meet one's emotional needs, which in turn, may be associated with reduced levels of romantic relationship satisfaction. Implications for clinical interventions to support adult survivors of CEM are discussed. KEY POINTS: What is already known about this topic: Childhood emotional maltreatment (CEM) is associated with lower romantic relationship satisfaction. The mechanisms underscoring the relationship between CEM and current relationship satisfaction are unclear. Early maladaptive schemas may influence the way in which survivors of CEM experience later romantic attachments. What this topic adds: While experiences of CEM were found to be associated with lower levels of current romantic relationship satisfaction, this relationship appears to be indirect. Emotion deprivation was the only early maladaptive schema found to mediate the relationship between CEM and current romantic relationship satisfaction. Addressing emotion deprivation schemas in clinical interventions for survivors of CEM may have implications for the cultivation of satisfying romantic relationships later in life. [ABSTRACT FROM AUTHOR]

Survivors of child sex trafficking (SCST) experience high rates of adverse health outcomes. Amidst the duration of their victimization, survivors regularly seek healthcare yet fail to be identified. This study sought to utilize artificial intelligence (AI) to identify SCST and describe the elements of their healthcare presentation. An AI-supported keyword search was conducted to identify SCST within the electronic medical records (EMR) of ∼1.5 million patients at a large midwestern pediatric hospital. Descriptive analyses were used to evaluate associated diagnoses and clinical presentation. A sex trafficking-related keyword was identified in.18% of patient charts. Among this cohort, the most common associated diagnostic codes were for Confirmed Sexual/Physical Assault; Trauma and Stress-Related Disorders; Depressive Disorders; Anxiety Disorders; and Suicidal Ideation. Our findings are consistent with the myriad of known adverse physical and psychological outcomes among SCST and illuminate the future potential of AI technology to improve screening and research efforts surrounding all aspects of this vulnerable population. [ABSTRACT FROM AUTHOR]

Background: Child sexual abuse is a universal social challenge and the victims of childhood sexual abuse suffer a range of short and long term psychological, social, behavioral and physical problems that vary in different cultures. The study was carried out to explore the perceived impacts of childhood sexual abuse in Pakistan, because no such study was conducted in Pakistan earlier. Methods: Interpretative phenomenological analysis was used to analyze the data. A snowball sampling technique was used to approach the sample of current study. The sample of the study comprised ten female survivors of childhood sexual abuse of age ranged between 18 and 22 years (Mage= 20.10 years) with the education ranging from matric to BSc. Out of these participants, four were married and six were unmarried and belonged to different cities of Punjab, Pakistan. Data were collected via a semi-structured interview schedule and all interviews were verbatim transcribed. Results: A rigorous iterative process of data analysis resulted in three super-ordinate themes and ten sub-ordinate themes: Experiencing Abuse (emotional trauma, and physical distress), Psycho-social Distress (low self-esteem, negative self-concept, psychological pain, social suffering, and retaliation vs. forgiveness), and Sexual Difficulties (passive role, emotionally aloof, aversion from hetero-sexuality and avoidance). Conclusion: It was concluded that childhood sexual abuse is an intense experience that has short- and long-term negative impacts on the lives of female survivors and engulfs their lives as a whole. The study has implications for psychiatrists, psychologists, family counselors, social scientists, educationists, and parents. [ABSTRACT FROM AUTHOR]

AbstractBackgroundAimsMethodsResultsConclusionSurvivors of Child Sexual Abuse (CSA) are reported to have difficulties in trusting. Yet no previous study investigating CSA survivors’ subjective experiences of trust exists and there is a paucity of clinical research into constructs and definitions of “trust.”To use a phenomenological lens to investigate CSA survivors’ descriptions of trust relationships and trustworthy others by privileging their subjective experience. To better understand how trust can be built within therapeutic relationships.A qualitative methodology using Interpretative Phenomenological Analysis was conducted within the survivor-research paradigm. The researcher was a person with lived experience of CSA who co-produced the study with CSA survivor advisors and co-constructed interviews with 17 adult CSA survivors.Findings present a “Survivor Trust Enactment Model” that delineates the process of building/repairing relational trust and advancing “transactional trust.” Trust is portrayed as nuanced and formed across and according to context, including the demarcation of generalised and relational trust. The findings emphasise that trustees’ trustworthiness is key to building trust which challenges assumptions that survivors are deficient in trust.The foregrounding of subjective trust experiences challenges diagnostic and clinical views on trust deficiency in adult CSA survivors. The study develops clinical constructs of trust, considers implications for clinical practice, and indicates areas for further research into trust dynamics in therapeutic relationships. [ABSTRACT FROM AUTHOR]

Attachment has emerged as a major topic of contemporary study on children’s social and personality development, with a rising acknowledgment of the impact of attachment type on children’s physical and mental health, personality development, and adult social connections. Although different factors determine attachment type in children, parental influence is the most essential. However, the impact of childhood maltreatment suffered by parents in their original families on the attachment type of their children and its internal mechanisms still needs to be investigated. Based on attachment theory and self-efficacy theory, this study explored the mediating role of parenting self-efficacy between parental childhood maltreatment and children’s different attachment types. The results showed that although parental childhood maltreatment did not directly predict children’s secure attachment, parenting self-efficacy significantly mediated the relationship between parental childhood maltreatment and children’s secure, resistant, avoidant and disorganized attachments. Meanwhile, parental childhood maltreatment negatively predicted parenting self-efficacy scores, and the mediating effect showed consistent significance between parents. These findings not only add to the existing literature of knowledge about the elements that influence attachment type but also give a theoretical foundation for mitigating the harmful impacts of parents’ early maltreatment experiences on their children’s attachment development. [ABSTRACT FROM AUTHOR]

This article presents a five-step clinical approach that describes a process for child sexual abuse survivors, who are now adults, to initiate a statement with their abuser, whereby the survivor can explain the abuse and its impact on their lives. This method may also have applicability for survivors of general child maltreatment. The timing of this intervention needs to be carefully assessed in a partnership between the survivor and clinician. Clinicians might consider this approach if they are conducting long-term psychotherapy with adult survivors of child maltreatment and child sexual abuse, in particular. In addition to delineating steps to be taken, the authors suggest a measurement path. This closure process provides a unique and unduplicated opportunity for personal and professional growth. [ABSTRACT FROM AUTHOR]

Although adverse childhood experiences (ACEs) are associated with lifelong health harms, current surveillance data on exposures to childhood adversity among adults are either unavailable or incomplete for many states. In this study, recent data from a nationally representative survey were used to obtain the current and complete estimates of ACEs at the national and state levels. Current, complete, by-state estimates of adverse childhood experiences were obtained by applying small area estimation technique to individual-level data on adults aged ≥18 years from 2019–2020 Behavioral Risk Factor Surveillance System survey. The standardized questions about childhood adversity included in the 2019–2020 survey allowed for obtaining estimates of ACE consistent across states. All missing responses to childhood adversity questions (states did not offer such questions or offered them to only some respondents; respondents skipped questions) were predicted through multilevel mixed-effects logistic small area estimation regressions. The analyses were conducted between October 2022 and May 2023. An estimated 62.8% of U.S. adults had past exposure to ACEs (range: 54.9% in Connecticut; 72.5% in Maine). Emotional abuse (34.5%) was the most common; household member incarceration (10.6%) was the least common. Sexual abuse varied markedly between females (22.2%) and males (5.4%). Exposure to most types of adverse childhood experiences was lowest for adults who were non-Hispanic White, had the highest level of education (college degree) or income (annual income ≥$50,000), or had access to a personal healthcare provider. Current complete estimates of ACEs demonstrate high countrywide exposures and stark sociodemographic inequalities in the burden, highlighting opportunities to prevent adverse childhood experiences by focusing social, educational, medical, and public health interventions on populations disproportionately impacted. [ABSTRACT FROM AUTHOR]

Childhood abuse can have long-term adverse outcomes in adulthood. These outcomes may pose a particular threat to the health and well-being of perinatal women; however, to date, this body of knowledge has not been systematically collated and synthesized. This systematic review examined the child abuse literature and a broad range of perinatal outcomes using a comprehensive search strategy. The aim of this review was to provide a clearer understanding of the distinct effect of different abuse types and areas where there may be gaps in our knowledge. Following PRISMA guidelines, EBSCO, PsychInfo, Scopus, Medline, CINAHL, PubMed, and Google Scholar databases and gray literature including preprints, dissertations and theses were searched for literature where childhood abuse was associated with any adverse perinatal outcome between 1969 and 2022. Exclusion criteria included adolescent samples, abuse examined as a composite variable, editorials, letters to the editor, qualitative studies, reviews, meta-analyses, or book chapters. Using an assessment tool, two reviewers extracted and assessed the methodological quality and risk of bias of each study. From an initial 12,384 articles, 95 studies were selected, and the outcomes were categorized as pregnancy, childbirth, postnatal for the mother, and perinatal for mother and child. The prevalence of childhood abuse ranged from 5–25% with wide variability (physical 2–78%, sexual 2–47%, and emotional/psychological 2–69%). Despite some consistent findings relating to psychological outcomes (i.e., depression and PTSD), most evidence was inconclusive, effect sizes were small, or the findings based on a limited number of studies. Inconsistencies in findings stem from small sample sizes and differing methodologies, and their diversity meant studies were not suitable for a meta-analysis. Research implication include the need for more rigorous methodology and research in countries where the prevalence of abuse may be high. Policy implications include the need for trauma-informed care with the Multi-level Determinants of Perinatal Wellbeing for Child Abuse Survivors model a useful framework. This review highlights the possible impacts of childhood abuse on perinatal women and their offspring and areas of further investigation. This review was registered with PROSPERO in 2021 and funded by an internal grant from Charles Sturt University. [ABSTRACT FROM AUTHOR]

Educational institutions and educators are significant in children's lives, and they have a crucial role in implementing policies, practices, and sexual education to enhance children's safety. Such policies and practices should be based on the voices of CSA survivors. This study explored child sexual abuse (CSA) survivors' viewpoints on their past experiences with educators and the educational system. A qualitative thematic approach was used to analyze 61 written testimonies collected in 2020–2021 by the Israeli Independent Public Inquiry on CSA. Two interrelated themes arose: (1) CSA survivors' retrospective perspectives of educators and the educational system's responses to signs of their CSA, described as ranging from abusive to life-saving. Specifically, they shared three types of responses: (a) harmful and hurtful; (b) dismissive and ignoring; and (c) accepting and attending. (2) The second theme described the survivors' messages to educators to promote constructive change. The survivors conveyed expectations that educators should play a central role in CSA prevention, detection, and intervention and, specifically, the need for educators to receive professional training, provide beneficial sexual education, and identify and respond to CSA. The findings promoted moving beyond individual-level interventions to focus on improving educational institutional and organizational cultures related to CSA in both national and international contexts. [ABSTRACT FROM AUTHOR]

Objective: Childhood maltreatment has been consistently linked to posttraumatic stress disorder (PTSD) symptoms among college students and yoga may buffer the effects. The current study examined the frequency of college student's yoga practice over the past year as a moderator of childhood maltreatment and PTSD symptoms in the past 30 days. Participants: A sample of 177 college students from a southern university. Methods: Participants competed an online survey in exchange for extra credit or entry into a gift card raffle. Results: Moderation analysis indicated that a more frequent yoga practice buffered the relationship between maltreatment and PTSD symptoms. Conclusion: Clinicians working with college students with a history of maltreatment are encouraged to make referrals to yoga classes. Universities are encouraged to adopt trauma-sensitive yoga programs. [ABSTRACT FROM AUTHOR]

Research on child sexual abuse (CSA) has increased in recent decades. However, the study of gender differences in this field is still scarce. The aim of this study was to analyze the differences in the characterization of CSA between Spanish adult men and women. The Juvenile Victimization Questionnaire was administered to 162 cisgender victims of CSA aged 18–63. Most of the abuses involved physical contact and were committed by a known person. Twenty percent of the victims indicated that they had developed a mental health problem that they believed was due to the CSA experience. Women suffered more CSA with physical contact and penetration, more types of abuse and more abuse by men, and were abused more frequently by a family member. Compared to women, men suffered more sexual abuse by women. Exploring gender differences in CSA could help to improve preventive strategies and interventions aimed at reducing the occurrence of this type of abuse and sequelae resulting from it. [ABSTRACT FROM AUTHOR]

The rate of incarceration in the United States has increased at an alarming rate in the past 30 years and thus so has the number of children having a household member incarcerated (referred to as household incarceration). Associations between experiencing household incarceration in childhood and later negative health and developmental outcomes are well-documented; however, the underlying mechanisms linking this childhood stressor and adult outcomes have been less well studied. Using state Behavioral Risk Factor Surveillance System survey data (N = 145,102), this study examines how experiencing household incarceration during childhood is associated with mental and physical health in adulthood and mediational pathways through suboptimal sleep (short or long sleep). Results indicate there were significant indirect effects of household incarceration to physical and mental distress through short sleep (≤6 hr per 24 hr) and long sleep (≥10 hr per 24 hr), and a significant indirect effect of household incarceration to body mass index through short sleep. Findings from the present study highlight indirect pathways through which household incarceration in childhood is linked with sleep health in adulthood and, in turn, to negative mental and physical health. Public Policy Relevance Statement: Mass incarceration in the United States has far-reaching health implications, including for the family and household members of those who are incarcerated. Healthy sleep functioning is known to buffer the effects of stress on health. Findings from the present study highlight that suboptimal sleep is one explanatory pathway linking household incarceration in childhood and diminished health in adulthood. Those who have experienced household incarceration in childhood should be targeted for preventive and interventive measures that optimize sleep duration, thus promoting overall mental and physical health. [ABSTRACT FROM AUTHOR]

Background: Childhood trauma plays a crucial role in the dysfunctional reward circuitry in major depressive disorder (MDD). We sought to explore the effect of abnormalities in the globus pallidus (GP)-centric reward circuitry on the relationship between childhood trauma and MDD. Methods: We conducted seed-based dynamic functional connectivity (dFC) analysis among people with or without MDD and with or without childhood trauma. We explored the relationship between abnormal reward circuitry, childhood trauma, and MDD. Results: We included 48 people with MDD and childhood trauma, 30 people with MDD without childhood trauma, 57 controls with childhood trauma, and 46 controls without childhood trauma. We found that GP subregions exhibited abnormal dFC with several regions, including the inferior parietal lobe, thalamus, superior frontal gyrus (SFG), and precuneus. Abnormal dFC in these GP subregions showed a significant correlation with childhood trauma. Moderation analysis revealed that the dFC between the anterior GP and SFG, as well as between the anterior GP and the precentral gyrus, modulated the relationship between childhood abuse and MDD severity. We observed a negative correlation between childhood trauma and MDD severity among patients with lower dFC between the anterior GP and SFG, as well as higher dFC between the anterior GP and precentral gyrus. This suggests that reduced dFC between the anterior GP and SFG, along with increased dFC between the anterior GP and precentral gyrus, may attenuate the effect of childhood trauma on MDD severity. Limitations: Cross-sectional designs cannot be used to infer causality. Conclusion: Our findings underscore the pivotal role of reward circuitry abnormalities in MDD with childhood trauma. These abnormalities involve various brain regions, including the postcentral gyrus, precentral gyrus, inferior parietal lobe, precuneus, superior frontal gyrus, thalamus, and middle frontal gyrus. Clinical trial registration: ChiCTR2300078193, Introduction Childhood trauma refers to distressing experiences that occur during the formative years, typically from 0-16 years of age. (1) Childhood trauma can be classified into 5 distinct categories, namely [...]

Background: To investigate the educational outcomes of siblings of childhood leukemia survivors, explore determinants of school difficulties, and compare the rates of repeating grades between siblings and the general population. Methods: A cross‐sectional study of childhood leukemia survivors' siblings recruited through the Leucémies de l'Enfant et de l'Adolescent cohort, a French long‐term follow‐up program, was conducted, and education‐related data were obtained via self‐report questionnaires. Adjusted logistic regression models were used to identify variables associated with school difficulties and time since diagnosis. Rates of repeating a grade in middle school were compared between siblings and the general population of the same generation. Results: A total of 564 siblings with a mean time from diagnosis of 14.1 ± 6.4 years were included, among whom 139 (24.6%) repeated a grade, at an average of 6.4 ± 4.5 years after diagnosis. In multivariate analysis, the risk factors for repeating a grade were older siblings (odds ratio [OR] 2.3, p = 0.006), family financial difficulties (OR 2.8, p = 0.008), and history of repetition in survivors (OR, 2.5, p = 0.001). Sibling hematopoietic stem cell donors were at greater risk of repeating a grade long‐term after diagnosis (p = 0.018). Overall, siblings did not have a higher risk of educational delays at the end of middle school than the general population. Conclusion: Although the results are reassuring, socioeconomic and cancer‐related factors may have an impact on siblings' schooling long after diagnosis. Paying attention to siblings contributes to identifying the most vulnerable families, allowing more attention and appropriate resources to avoid long‐term repercussions. Additionally, supportive and targeted interventions can be developed to improve the organization of education and the health care system. [ABSTRACT FROM AUTHOR]

Research has demonstrated the predictive effect of maternal childhood maltreatment on adolescent internalizing problems. However, few studies have explored the mediating mechanisms of how mothers' experiences of childhood maltreatment are transmitted to their offspring's internalizing problems over time. The present multi-informant study investigated the potential mediating effects of maternal depressive symptoms and offspring's childhood maltreatment experiences on the relation between maternal childhood maltreatment and adolescent internalizing problems. A total of 823 Chinese youth (43.4% girls; Mage = 10.26 years, SD = 0.94) and their mothers participated in a two-wave longitudinal study with one-year intervals. Mothers reported their experiences of childhood maltreatment and depressive symptoms, while youth reported their childhood maltreatment experiences and internalizing problems. Findings of path analysis indicated that maternal emotional abuse at T1 could significantly predict adolescent internalizing problems at T2, after controlling for a baseline of adolescent internalizing problems. Maternal emotional abuse, emotional neglect, and physical neglect at T1 can influence adolescent internalizing problems at T2 through maternal depressive symptoms at T1 to adolescent internalizing problems at T1. Maternal emotional abuse at T1 displayed statistically significant indirect effects on adolescent internalizing problems at T2 successively through the pathway from adolescent emotional abuse at T1 to adolescent internalizing problems at T1. The findings supported the cycle of maltreatment hypothesis. The present study highlights the intergenerational link between maternal childhood maltreatment and adolescent internalizing problems, as well as reveals the mediating mechanisms in this relation. [ABSTRACT FROM AUTHOR]

Although adverse childhood experiences (ACEs) have been positively associated with adiposity, few studies have examined long-term race-specific ACE–BMI relationships. A Black and White all-women cohort (N=611; 48.6% Black) was followed between 1987 and 1997 from childhood (ages 9–10 years) through adolescence (ages 19–20 years) to midlife (ages 36–43 years, between 2015 and 2019). In these 2020–2022 analyses, the interaction between race and individual ACE exposures (physical abuse, sexual abuse, household substance abuse, multiple ACEs) on continuous BMI at ages 19–20 years and midlife was evaluated individually through multivariable linear regression models. Stratification by race followed as warranted at α=0.15. Race only modified ACE–BMI associations for sexual abuse. Among Black women, sexual abuse was significantly associated with BMI (B adjusted =3.24, 95% CI=0.92, 5.57) at ages 19–20 years and marginally associated at midlife (B adjusted =2.37, 95% CI= −0.62, 5.35); among White women, corresponding associations were null. Overall, having ≥2 ACEs was significantly associated with adolescent BMI (B adjusted =1.47, 95% CI=0.13, 2.80) and was marginally associated at midlife (B adjusted =1.45, 95% CI= −0.31, 3.22). This was similarly observed for physical abuse (adolescent BMI: B adjusted =1.23, 95% CI= −0.08, 2.54; midlife BMI: B adjusted =1.03, 95% CI= −0.71, 2.78), but not for substance abuse. Direct exposure to certain severe ACEs is associated with increased BMI among Black and White women. It is important to consider race, ACE type, and life stage to gain a more sophisticated understanding of ACE–BMI relationships. This knowledge can help strengthen intervention, prevention, and policy efforts aiming to mitigate the impacts of social adversities and trauma on persistent cardiometabolic health disparities over the lifecourse. [ABSTRACT FROM AUTHOR]

Children who experience maltreatment from within their families can suffer trauma that is devastating to their physical and psychological development. The label developmental trauma has developed to describe this trauma and to guide diagnosis. The impact of this can increase when children live within marginalized communities or when their family is impacted by intergenerational trauma. The definition of developmental trauma has been expanded to describe seven domains of impairment. Together these help the clinician to provide a formulation of a child's difficulties which avoids multiple diagnoses and can guide treatment planning. Dyadic Developmental Psychotherapy and Practice (DDP) is an intervention model that can meet the therapeutic needs of the children alongside the support needs of parents and practitioners caring for them. The attitude of PACE (playfulness, acceptance, curiosity and empathy) is central within DDP interventions, used by therapists, parents and practitioners who together make up the network around the child. Tailoring DDP interventions can be guided by a pyramid of need developed by the author. This helps clinicians develop flexible intervention packages tailored to the needs of the child, family and practitioner. Within the article these ideas are explored illustrated by the fictional example of Janice. She was maltreated in early childhood and now lives in foster care with Mary and Simeon. [ABSTRACT FROM AUTHOR]

Child and family social workers routinely make professional judgements involving significant legal and moral questions (e.g. whether a child has been abused) and more 'everyday' issues (e.g. will the child be re‐referred again if we close the case now?) Yet the world is capricious, and we rarely know with certainty what is going to happen in future or the likely impact of our different choices. Given the consequences of their judgements and decisions, it is imperative that social workers are provided with the best possible support. This paper reports a proof‐of‐concept study of a set of interventions to improve the judgemental accuracy of social workers: (i) a survey to identify respondents with above‐average existing abilities, (ii) training sessions on cognitive debiasing and (iii) structured group working and (iv) three methods for aggregating individual judgements. Findings indicate that it is possible to measure the accuracy of social work judgements in relation to case‐study materials and retrospective questions, while the feedback about the training was largely positive. Any future studies should aim to recruit a more diverse set of respondents, test judgemental accuracy in relation to prospective judgements and explore what types of questions would be most helpful for real‐world decision‐making. [ABSTRACT FROM AUTHOR]

For families with an early history of parental abuse and neglect (EHPAN), personal and situational stressors can increase relational vulnerabilities. We examined relationship dynamics between midlife adults with EHPAN and their parents during the first year of the COVID-19 pandemic. Analysis of semi-structured qualitative interviews with 31 participants (aged 44–50), examined patterns of contact and support to provide insights into relationship dynamics and relational changes experienced during the pandemic. Three relational themes characterized midlife adult child-parent relationships during COVID-19: tightening ties with parents while taking few COVID-19 precautions; keeping customary ties to maintain the status quo centered around instrumental support; loosening ties in which the relationship drifted. We found areas of resilience and vulnerabilities within each type of relationship. Recognizing that past adversity continues to shape relationship dynamics throughout the life course underscores the need for further research to identify factors that contribute to long-term family resilience and challenges. [ABSTRACT FROM AUTHOR]

Children tend to answer yes-no questions with unelaborated "yes" and "no" responses, but the types of details likely omitted from unelaborated answers have not been explored. This study examined 379 4- to 12-year-olds' answers to yes-no questions in forensic interviews about CSA (N = 11,187), focusing on age differences in elaborated responses. As expected, older children elaborated more frequently than younger children. Our novel categorization of elaboration types revealed that although there were no age differences in children's use of nominal corrections (correcting a label), or in emphatic negations (giving forceful denials), older children were more likely to give narrative elaborations (providing additional narrative information), wh-elaborations (answering implicit wh-questions), and qualified elaborations (avoiding potentially misleading implications of unelaborated "yes" and "no" responses). The results suggest that children's developing understanding of the implied meaning of questions and responses helps to explain age differences in elaborative responses to yes-no questions. [ABSTRACT FROM AUTHOR]

This study examined the role of character evidence and other issues in criminal appeals of child sexual abuse (CSA) convictions. Character evidence includes uncharged acts and character witnesses who testify to another's reputation or opinion and is offered to prove an individual's propensities. Examining 168 appellate court opinions reviewing CSA convictions between 2005 and 2015 in Maricopa County, Arizona, we found that when specific types of evidence were at issue, they were most often character evidence issues (49%). However, appellate courts virtually never reversed convictions (n = 5), and when defendants did obtain relief, the reduction in charges or in sentences was minor. Of the small number of opinions that were published (n = 4), all focused on character evidence, including the single case reviewed by the Arizona Supreme Court. However, close examination of the published cases suggested they effected only modest change. [ABSTRACT FROM AUTHOR]

Earlier reviews to discover research on interventions for children after neglect have concluded little was available, despite the well-documented prevalence and harmful effects of neglect on children. We revisited this question through a systematic literature review to discover the state of research on interventions for children who have experienced neglect. We searched MEDLINE, PsycINFO, ERIC, Sociological Abstracts and EMBASE for studies published between 2003 and 2021. Studies were included if neglect could be distinguished, and child outcomes reported. Eight reports describing six studies about six interventions were identified. These studies differed in interventions, age-groups, definitions of neglect, and outcomes. Four studies reported positive child outcomes though with varying degree of quality. More research is needed to inform a coherent theory of change following neglect. There remains an urgent need for research on interventions to help children recover from neglect. [ABSTRACT FROM AUTHOR]

Accessible Summary: What is known on the subject?: This paper acknowledges the profound and lasting impact of childhood abuse on substance use and homelessness. What this paper adds to existing knowledge?: It underscores the inherent value and humanity of every individual, regardless of their struggles.That a comprehensive approach to mental health care, encompassing medication, therapy and a secure environment, is imperative. What are the implications for mental health nursing?: Early intervention and recognising individuals who suffer in silence are paramount. Mental health nurses must have the courage to ask uncomfortable questions and truly hear the unspoken words.Mental health nurses should never underestimate the power of simply being present with someone during their darkest moments. This simple act can wield significant influence. [ABSTRACT FROM AUTHOR]

Self‐reported lost memory of child sexual abuse (CSA) can be mistaken for "repressed memory." Based on our longitudinal studies of memory and disclosure in child maltreatment victims who are now adults, we discuss findings relevant to "repressed memory cases." We examined relations between self‐report of temporarily lost memory of CSA (subjective forgetting) and memory accuracy for maltreatment‐related experiences (objective memory). Across two studies involving separate samples, we find evidence for memory suppression rather than repression: (1) Most adults who claimed temporary lost memory of CSA reported memory suppression and clarified that they could have remembered the event if asked; (2) subjective forgetting was positively associated with accurate objective memory for maltreatment‐related experiences. Subjective forgetting was also related to increased adult trauma symptoms and related to childhood non‐disclosure of CSA. Moreover, trauma‐related psychopathology mediated the relation between non‐disclosure and subjective forgetting. Implications for psychological theory and repressed memory cases are discussed. Self‐reported forgetting of child sexual abuse (CSA) may be misattributed to repressed memory. Using evidence from two longitudinal studies with separate maltreatment samples, we identify memory suppression as a more viable explanation than repression for CSA memory that has been reportedly lost and then retrieved. Important relations between self‐reported lost memory of CSA, accuracy of abuse‐related memory, childhood non‐disclosure of CSA, and adult trauma symptoms emerged, with significant legal implications. [ABSTRACT FROM AUTHOR]

Emerging evidence suggests that social identities are an important determinant of adaptation following traumatic life experiences. In this paper, we analyse accounts of people who experienced child sexual abuse. Using publicly available talk of people who waived their right to anonymity following successful conviction of perpetrators, we conducted a thematic analysis focusing on trauma‐related changes in their social identities. Analysis of these accounts highlighted two themes. The first highlights the acquisition in these accounts of unwanted and damaging identity labels. The second presents child sexual abuse as a key destructive force in terms of important identity work during childhood. Discussion of this analysis centres on the pathological consequences of social identity change. Both the loss of valued identities and the acquisition of aberrant and isolating identities are experienced and constructed as devastating by those affected by child sexual abuse. This has important implications, not only for those impacted by child sexual abuse but for how abuse is discussed in society, and how it is approached by policy makers, educators and individuals working with survivors and their families. [ABSTRACT FROM AUTHOR]

Since the 1990s, cases of serious violence and abuse, particularly sexual abuse in educational and social institutions of the Catholic Church, have been reported in numerous countries, including Ireland, the United States, and Australia. In many countries, commissions have been set up to investigate the widespread cases of abuse that could not be prosecuted under criminal law. The testimonies of survivors and other witnesses are used by the commissions of inquiry in their work. Since 2016 the Independent Inquiry into Child Sexual Abuse in Germany has collected more than 2,500 reports from survivors of child sexual abuse. Forty-four testimonies were analyzed in a study seeking to understand more about lifetime abuse. In an explorative analysis, aspects of time as a key category in the reports were identified using the structured content analysis method. The results highlight the importance of time in the reports and during all phases of the survivors' lives. Overall, four themes are relevant: (a) the identification of turning points, (b) time to make sense of what happened, (c) the practice of waiting, and (d) time-bound experiences of testifying. [ABSTRACT FROM AUTHOR]

The article focuses on therapists' reflections on incestuous abuse continuing into adulthood, highlighting the complexity and scope of this phenomenon. Topics include the links between ongoing familial abuse and organized crime, the role of non-protective mothers in perpetuating abuse, and the need for better training for therapists to handle extreme trauma and dissociative disorders.

Child abuse, neglect, and maltreatment (CANM) represents a significant public health threat. The study's goal was to identify factors contributing to CANM and its high recurrence. We utilized 2019–2020 National Child Abuse data to test a structural equation model of Child/Caregiver Disability variables; Home Instability variables; and CANM recurrence. We hypothesized a six-factor model with Home Instability as a mediator. Of 1,221,176 victims, 29.9% had a prior victimization. A four-factor, mediational structural equation model showed strong fit (GFI = 0.946, NFI = 0.919) and was superior to alternative models. The study provides a framework for community leaders to reduce CANM. [ABSTRACT FROM AUTHOR]

Adult survivors of childhood sexual abuse (CSA) may experience emotional, social, and psychological difficulties, heightened due to the interpersonal nature of harm. Despite the demonstrated effectiveness of trauma-focused treatments in the West, a culturally specific understanding of the needs of and treatments for survivors in South Asia is still in its infancy. The study aimed to systematically review research findings on the mental health impacts of CSA on adult survivors and current treatment approaches and their efficacy and acceptability in South Asia. Seven databases (Scopus, Ovid, CINAHL, ProQuest, EThOS, Google Scholar, and Dogpile) and five peer-reviewed South Asian journals were searched from inception until March 30, 2023. Searches included participants who were adult survivors of CSA of South Asian origin residing in South Asia. Studies on their mental health, different treatments, and the efficacy and acceptability of these treatments were included. Quality assessment tools were used to appraise the quality of included studies. The results were synthesized narratively. A total of 3,362 records were retrieved, and 24 articles were included in the final review. Twenty studies reported mental health impacts of CSA on adult survivors, four studies reported current treatments offered, and two studies were on recovery. However, no study focused on the efficacy or acceptability of the treatments being delivered. Even though the needs of adult CSA survivors in South Asia have been partly identified, there is very little research into the treatments for them. [ABSTRACT FROM AUTHOR]

Background: Prior studies have established an association between a history of abuse and more severe migraine presentation. Objectives: This cross‐sectional, observational study of a clinic‐based migraine population used validated measures to elucidate migraine‐specific and migraine‐related burdens among patients with a history of abuse. Methods: Patients with migraine (n = 866) from the American Registry for Migraine Research self‐reported if they had a history of emotional, physical, and/or sexual abuse and completed questionnaires assessing migraine‐related burden: Migraine Disability Assessment, Subjective Cognitive Impairment Scale for Migraine Attacks, Work Productivity and Activity Impairment, Patient‐Reported Outcomes Measurement Information System Pain Interference, Patient Health Questionnaire‐2, and Generalized Anxiety Disorder‐7. Migraine‐related burden in patients with versus without a history of abuse was compared. Subsequently, a mediation analysis evaluated the impact of depression and anxiety symptoms in the relationship between abuse history and migraine burden. Results: A history of abuse was reported by 36.5% (n = 316/866) of participants. After controlling for patient age, sex, years lived with headache, and headache frequency, a history of abuse was significantly associated with more severe migraine‐related disability. The combined burden of depression and anxiety symptoms mediated the relationship. Conclusion: A history of abuse is associated with greater migraine‐related disability. Future studies should determine if identification and management of the psychological and physical sequelae of abuse reduce migraine burden. Plain Language Summary: In this study, we found that patients with migraine who participated in the American Registry for Migraine Research and self‐reported a history of emotional, physical, or sexual abuse had worse migraine‐related burden than patients with migraine without a history of abuse. For example, patients who are survivors of abuse described a greater impact of migraine on their work, day‐to‐day living, and cognition. This increased migraine burden may be because of depression and anxiety, and we wonder if treating the underlying causes of these mental health difficulties might reduce their migraine burden. [ABSTRACT FROM AUTHOR]

In this autoethnographic account of my experiences as a parent who discovers and attempts to respond to the abuse of her child, I highlight the ways trauma can remove access to storytelling as a sensemaking and healing tool in a crisis. I narrate how I experienced secondary trauma as a meaning-making black hole that blocked language's healing capacities, blinded me to important sensemaking turning points, and hampered my and my child's ability to ask for help. These experiences caused me to question many foundational assumptions I made as a health communication scholar and to see an interdisciplinary bias toward narrative resiliency. Narrating the inhibiting effects trauma has on emplotment, help-seeking, and meaning-making points to the uniquely communicative nature of trauma which enables narrative theory and health communication research to make strong theoretical contributions to better understand trauma and support appropriate trauma-informed practices. [ABSTRACT FROM AUTHOR]

Shifting towards trauma-informed practice and response (TIPAR) in law enforcement is crucial for reforming policing practices to reduce re-victimization among survivors of child sexual abuse and exploitation (CSA&E). Studies show that one in four Australians experience childhood sexual abuse (Haslam et al., 2023) highlighting the urgent need for effective law enforcement interventions. Police, as primary responders for children in the criminal justice system, experience significantly higher rates of stress and post-traumatic stress disorder (PTSD) compared to the general population. Current policing cultures often use ad hoc procedures that struggle to meet the unique needs of CSA&E victims. TIPAR advocates for comprehensive police training and trauma-informed policies to address these gaps. By integrating TIPAR consistently across law enforcement agencies (LEAs), this approach aims to enhance case progression, build police legitimacy, foster trust, and increase victims’ engagement with justice processes. Implementing TIPAR is expected to enhance compassion satisfaction among officers, improve staff retention, reduce organizational costs, and create a justice system that better supports CSA&E survivors and their families. This holistic approach is crucial for addressing the significant under-reporting of sexual offences, where over 85% fail to progress to prosecution (Attorney Generals Department, 2023). Piloting TIPAR is essential to gather empirical data supporting government adoption of minimum standards for trauma-informed practices in legislation, ensuring that TIPAR principles are embedded in all LEA activities. This Social Innovative Narrative aims to explain the benefits of implementing TIPAR within LEAs, advocating for a more compassionate and effective response to trauma within law enforcement. [ABSTRACT FROM AUTHOR]

Drawing on a reflexive and embodied approach, this article examines the researcher's narrative inquiry, consisting of the conflicting feelings and messy thoughts that arose through her interviews with adults who had experienced child sexual abuse. The article highlights how embodied writing can enable access to other worlds by activating the physical senses and bringing researchers back to core bodily ways of knowing; these latter may be evoked by preconceptions, entangled discourses and social views and taboos concerning child sexual abuse. The article speaks to the emerging field of Embodied Critical Thinking and the concept of emotional reflexivity in qualitative research on sensitive, challenging and difficult topics. [ABSTRACT FROM AUTHOR]

Understanding child maltreatment on a national level is complicated by lack of consistency in definitions of abuse and reporting by state. Adolescents experience child maltreatment, but responses to their maltreatment likely differ from younger children due to differences in development and vulnerability. The present study examined state variations of adolescent child protective systems reports using data from the 2015–2019 NCANDS. We calculated the rates of maltreatment reports, substantiations, and maltreatment subtypes per 1,000 adolescents in the population. Findings revealed wide variations across all three measured rates. Examining state variations involved with CPS is critical to informing policy and practice solutions. [ABSTRACT FROM AUTHOR]

Objectives: Recovery from sexual trauma can be complex and multi‐faceted. Most current psychological treatment protocols for trauma use a cognitive model of post‐traumatic stress disorder (PTSD). However, sexual trauma may include specific complexities beyond that of a cognitive model of PTSD, such as relational factors. The distress experienced after sexual abuse may involve variables not exclusive to a PTSD model. Compassion focused therapy (CFT) is an approach that incorporates evolutionary, relational and social perspectives. This study explored the relationships between variables associated with CFT, PTSD and distress in survivors of sexual abuse to determine the role of CFT‐related variables. Methods: 155 adults who had experienced sexual abuse or any unwanted sexual experience at any point in their lives completed online questionnaires pertaining to various CFT variables (self‐compassion, receiving compassion from others, having a fear of compassion from others, having a fear of compassion from the self, shame and self‐criticism) and questionnaires measuring global distress as the outcome of sexual abuse and PTSD symptoms. Results: An exploratory model involving CFT‐related variables explained significantly more of the variance (4.4%) in global distress than PTSD symptomology alone. Self‐criticism was found to be the variable with significant contribution. Conclusions: That CFT treatments, targeting self‐criticism, should be developed alongside the standard cognitive model of PTSD based treatments for survivors of sexual abuse was supported. Future research may explore experimental designs utilizing CFT in this population, as well as further investigations on the roles of these specific CFT variables. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) with history of childhood sexual abuse (CSA) are at high risk for HIV acquisition. One reason is posttraumatic responses compromise ability to accurately appraise risk for danger/vulnerability. Health behavior change models and related interventions assume risk perception can be changed in an enduring manner. Given paucity of studies examining how risk perception changes or sustains over time post-intervention, this underlying assumption is not confirmed. Among this particularly high-risk group who struggle with perceiving risk due to trauma-related cognitions, it may be accuracy of risk perception is fluid. The study primarily aimed to examine accuracy of HIV risk perception over time post-HIV prevention behavioral intervention. Leveraging data from a larger RCT, N = 190 MSM in Boston, MA and Miami, FL USA completed a psychosocial baseline assessment, an intervention aimed to increase awareness of personal HIV risk level, then four follow-up assessments three months apart for a year. Linear mixed effect models were used to examine the degree to which accuracy of HIV risk perception (vs. traditional construct of risk perception with no information about accuracy) predicts sex risk behavior over time delineated by between-person (trait level) and within-person (state level) effects. Majority (92%) of participants fluctuated in HIV risk accuracy over time post-intervention. Within-person risk accuracy (one's accuracy at any given timepoint) predicted sex risk behavior (condomless sex not protected by adherent PrEP) over time, but not between-person (one's average of accuracy). Findings have implications for intervention and counseling related to specific HIV prevention strategies. [ABSTRACT FROM AUTHOR]

Background Physical and sexual childhood abuse are associated with suicidal ideation and mental health disorders. However, less is known about non-physical types of maltreatment. This study examined associations between non-physical types of child maltreatment (e.g., emotional abuse, interpersonal aggression, exposure to physical intimate partner violence, emotional and physical neglect) and suicidal ideation, and mental health disorders. Data and methods Data from the 2018 Survey of Safety in Public and Private Spaces were used to estimate the proportion of individuals 15 years and older in Canada who experienced non-physical maltreatment during childhood. Multivariable regression analyses were used to examine associations between five types of nonphysical child maltreatment and suicidal ideation, and mental health disorders. Results Overall, interpersonal aggression was the most common (45.7%), followed by emotional abuse (40.4%) and emotional neglect (20.0%). Individuals who experienced any type of non-physical maltreatment in childhood had a higher probability of lifetime suicidal ideation than those who never experienced the maltreatment examined. Mood disorder diagnoses were more likely among those who experienced emotional abuse, interpersonal aggression, and emotional neglect than among those who never experienced these types of maltreatment. Compared with those who never experienced the maltreatment examined, individuals who experienced emotional abuse, interpersonal aggression, emotional neglect, or physical neglect were more likely to be diagnosed with an anxiety disorder. Diagnoses of post-traumatic stress disorder were more likely among those who experienced emotional and physical neglect than among those who never experienced these types of maltreatment. Interpretation Non-physical child maltreatment is associated with suicidal ideation and mental health disorders. The findings highlight the importance of including non-physical types of child maltreatment on population-based surveys to differentiate associations with mental health outcomes to better align interventions and policies. [ABSTRACT FROM AUTHOR]

Machiavellianism is characterized by manipulative behavior, lack of empathy, and a willingness to deceive and exploit others for personal gain. Research indicates that one factor that may increase the likelihood and severity of Machiavellianism in adulthood is maltreatment in childhood. However, few studies have attempted to untangle which specific instantiations of childhood maltreatment (e.g. abuse vs. neglect) are most associated with Machiavellianism. In our study, we investigate the association between childhood abuse and neglect on Machiavellianism in a sample of adult women and men recruited online (N = 278) using a Bayesian approach to multiple regression. Results suggest that higher levels of Machiavellianism are associated with physical neglect, with some influence of other forms of maltreatment depending on gender. These findings shed light on potential etiological influences on Machiavellianism and have implications for research on and clinical intervention with people with high levels of this trait. [ABSTRACT FROM AUTHOR]

Background/Objectives: The current study compared Self-Figure drawings from Thai and Indian adolescents to assess the cross-cultural applicability of a child abuse assessment tool. The research aims to understand the extent to which distinctions or similarities arise in Self-Figure drawings among adolescents from two culturally similar yet distinct backgrounds characterized by differences in religious affiliations, socioeconomic contexts, and political environments. Methods: Employing a mixed-methods approach, the study utilized quantitative measures, including the Traumatic Events Checklist (TEQ-5) and Medical Somatic Dissociation Questionnaire (MSDQ), alongside a qualitative analysis of Self-Figure drawings. Ethical approval was obtained with waived informed consent, and a convenience sample of 386 adolescents aged 13–18 years (193 from Thailand [M = 14.8, SD = 1.73; 135 females (69.9%) and 58 males (30.1%)], and 193 from India [M = 15.2, SD = 1.64; 135 females (69.9%) and 58 males (30.1%)]), who reported experiencing child abuse, participated in the study by completing questionnaires and drawing themselves. Results: The analysis revealed that Thai adolescents had higher MSDQ scores, while Indian adolescents exhibited more prominent pictorial indicators. Indian participants reported experiencing a broader range of event types, whereas Thai adolescents predominantly depicted verbal or emotional abuse. Variations in pictorial indicators were found significant, except for hair, cheek or chin, omitted legs or feet, and omitted eyes. Conclusions: These findings contribute to the understanding of how cultural factors influence adolescents' self-representations through drawing. The differences in pictorial indicators highlight the nuanced variations within similar cultures, emphasizing the cultural specificity of self-expression. [ABSTRACT FROM AUTHOR]

Sexual violence against children is a gross violation of children's rights and as well an undeniable global reality across all countries. This social ill occurs in various forms including rape, sexual assault, child sexual abuse etc. The objective of the study is to assess the level of knowledge, attitude and self-efficacy of secondary school teachers on child sexual abuse prevention. A descriptive cross-sectional design was used and a Convenience sampling technique was adopted for the study. A structured self-administered questionnaire was used. A sample of 164 teachers was administered questionnaires. The frequency table was used to find the percentages and descriptive statistics of the data, and also Chi-Square cross-tabulation was used to analyse the hypotheses with the aid of Statistical Packages for Social Science (SPSS) version 21.0 The findings revealed that 159 (97%) of the teachers have a good knowledge of child sexual abuse and 5 (3.0%) have poor knowledge of child sexual abuse prevention, 98 (59.8%) have positive attitude towards preventing child sexual abuse while 66 (40.2%) have negative attitude. 94 (57.3%) of the respondents have a high self-efficacy in child abuse prevention while 70 (42.7%) have low self-efficacy in child sexual abuse prevention. The results of this study showed that teacher's attitudes about child sexual abuse prevention are significantly related to self-efficacy in preventing sexual abuse but knowledge showed an insignificant relation to self-efficacy. It is recommended that teachers with poor knowledge of child sexual abuse should be trained on how to prevent the children from sexual abuse in the society which will enhance their knowledge. [ABSTRACT FROM AUTHOR]

Using a qualitative multi‐methods approach, this study explored the offence, survivor and perpetrator characteristics, and the lived experiences of child and adolescent survivors of child sexual abuse (CSA) in Ghana. We analysed the contents of local media reports of CSA cases from January 2015 to December 2020 in Ghana, after which we conducted semi‐structured interviews involving five female child and adolescent survivors of CSA. The media content analysis identified 529 eligible reports involving female (n = 516) and male (n = 13) survivors aged 11–18 years who knew the perpetrators. The perpetrators were all‐male youth and middle‐aged adults employed in low‐income status occupations. Defilement was the most reported sexual offence; the survivors were more likely to come from single‐parent families experiencing poverty and economic hardship. The perpetrators employed multiple methods to coerce and elicit compliance from their victims: confidence approaches, violence (blitz methods) and gifts. Content analysis showed that most of the survivors attributed their victimisation to family poverty and dysfunctional parent–child relationships. These findings underscore a need to develop prevention strategies that empower young females and males to identify, escape or avoid (potential) sexual predators and encourage reporting and disclosure of CSA victimisation to formal support institutions. [ABSTRACT FROM AUTHOR]

The essay titled "Splitting and the Use of the Object" by Steven H. Cooper explores the concept of splitting in psychoanalysis. Cooper argues that splitting should be understood as a cluster phenomenon that encompasses various psychic processes. He challenges the traditional view that splitting is a result of developmental deficiencies and suggests that it can also be a form of creative destruction and object finding. Cooper also discusses the historical and enduring nature of splitting in human society, highlighting its presence in debates about race and political conflict. Overall, the essay provides insights into the complexities of splitting and its significance in psychoanalytic theory. [Extracted from the article]

Background: Difficulties in access to therapy were highlighted by COVID-19 measures restricting in-person gatherings. Additional challenges arise when focusing on caregivers of child sexual abuse (CSA) survivors in particular, which are a population that has been historically difficult to engage with due to issues of stigma and confidentiality. Objectives: To present preliminary qualitative results from caregivers of CSA survivors. Methods: This study was conducted with caregivers of CSA survivors. Two hybrid webinar/focus groups were conducted using a video conferencing platform in fall of 2021 with two groups of stakeholders (11 caregivers and 5 moderators/clinical staff at Little Warriors, an intensive episodic treatment facility). Sessions were recorded, transcribed, and thematically-analyzed using standard qualitative methodology. Results: A total of 11 caregivers contributed to the data. Themes include: (1) Challenges of starting and maintaining treatment (i.e., emotional impact of intake day, challenges of enrolling), (2) Therapeutic benefits of specialized treatment (i.e., feeling safe and supported and the importance of trauma-informed care), and (3) Barriers and facilitators of treatment (i.e., avenues to scale-up and self-care). Conclusion: The importance of a strong therapeutic alliance was highlighted by both caregivers/clinical staff and further support is needed for families post-treatment. The present hybrid webinar/focus group also achieved engagement goals in a population that is typically difficult to reach. Overall, the response rate (12%) was equivalent to reported registrant attendance rates for general business to consumer webinars and the recommended focus group size. This preliminary approach warrants replication in other populations outside our clinical context. [ABSTRACT FROM AUTHOR]

There has been a drive toward the implementation of trauma-informed approaches within health and social care in Scotland. This paper reflects on my experiences of implementing such an approach within a legal setting, namely the Scottish Child Abuse Inquiry. [ABSTRACT FROM AUTHOR]

A correction to the article "Adverse Childhood Experiences, Women Who Are Sex Traficked, and Social Service Utilization: Implications for Social Work," that was published in the July 2024 issue is presented.

Background: Domestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts. Methods: An online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes. Results: 5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being. Conclusions: Findings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence. [ABSTRACT FROM AUTHOR]

Despite the well-documented link between child maltreatment (CM) and mental health, evidence suggests substantial variability in the post-traumatic sequelae of CM across cultures. The perceived acceptability of CM in one's community might moderate the association between CM and mental health, but little research has been conducted on it so far. This study examined how the perceived acceptability of CM may influence the relationship between CM experiences and post-traumatic symptoms in individuals from four different continents and if the pattern of associations is the same across countries. We recruited a sample of 478 adults from Cameroon (n = 111), Canada (n = 137), Japan (n = 108), and Germany (n = 122). We administered online questionnaires and performed multiple group moderation analyses for total CM, neglect, physical abuse, emotional maltreatment, sexual abuse, and exposure to domestic violence (DV). A significant positive main effect of CM on post-traumatic symptoms was found in the overall sample and in Cameroon; in Germany, only neglect and emotional maltreatment were positively associated to post-traumatic symptoms. Moderation effects were identified; the perceived acceptability of neglect in Cameroon and Germany and of exposure to DV in Cameroon had a dampening effect on the relationship between CM experiences and post-traumatic symptoms. Our findings confirm that CM experiences entail long-term post-traumatic sequelae that can vary across cultures and CM subtypes and further our understanding of this issue by showing that the perceived acceptability of CM may be an understudied moderator. [ABSTRACT FROM AUTHOR]

The paper examined how dissociation is experienced and manifested in the drawings and narratives of female survivors of childhood sexual abuse (CSA) diagnosed with dissociative identity disorder. Fifteen Israeli women filled out a self-report questionnaire consisting of demographics, traumatic events, and dissociation severity. Then, they were asked to draw a dissociation experience and provide a narrative. The results indicated that experiencing CSA was highly correlated with indicators such as the level of fragmentation, the figurative style, as well as with the narrative. Two main themes emerged: a constant movement between internal and external worlds, and distorted perceptions of time and space. [ABSTRACT FROM AUTHOR]