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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.

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]

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]

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]

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]

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]

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]

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]

Impaired ability to develop trusting relationships, self-dysregulation, poor emotional regulation, poor self valuation, and relational sensitivity are key challenges for survivors of Childhood Sexual Abuse. These increase the risk of ruptures in the therapeutic relationship and dropouts. Nevertheless, there is little evidence of the role of therapeutic trust in CSA. We collectively present the findings of a 15-year research journey into CSA recovering. Central to recovering was the establishment and maintenance of trust. Trust was also key for client satisfaction and facilitating the recovering process. Trust mediated regulation of threat responses, facilitated empathy, and enabled accurate symbolisation and re-contextualisation of traumatic narratives. In an increasingly traumatogenic world, more clinicians will be called to respond to disclosures of abuse and maintain engagement. Given the lack of effective interventions for CSA/complex trauma, trust-based person-centred psychotherapies are a promising alternative for managing dropouts, supporting the therapeutic relationship, and facilitating change. [ABSTRACT FROM AUTHOR]

Purpose: Studies on sexual health following male child sexual abuse (CSA) have identified the negative effects of such experiences on body functioning, but little is known about male CSA survivors' ability to create emotional and physical closeness in romantic relationships. The purpose of this article is to explore how male CSA survivors perceive, experience and develop intimacy in romantic relationships, including both the challenges they face and the positive changes that enable them to grow and achieve healthy relationships. Method: The study has employed a qualitative research approach and is based on in-depth interviews conducted among adult male CSA survivors residing in Sweden. Participants were recruited through civil society organizations and an ad in a daily newspaper. Using reflexive thematic analysis, the results are presented in relation to two themes: (a) challenges of intimacy; and (b) building trust and close relationships. Results: The results show that participants desired couple relationships that included both sexual and emotional intimacy. The challenges of intimacy were related to compromised sexual identity, sexual dysfunctions and compulsions, emotional dysregulation, and body shame. Efforts to achieve intimacy were facilitated by disclosing abuse experiences, developing emotional bonds or awareness, embracing sensitivity, and having an empathetic and supportive partner. Conclusions: Reconstructions of abuse histories were both challenged and facilitated by the accessibility of various and shifting ideas about masculinities that co-exist in Sweden, which were important sources for meaning making and assisted the men in developing positive valuations of themselves as men. [ABSTRACT FROM AUTHOR]

Purpose: Previous studies shed light on the potential role of secure parental attachment in mitigating the effects of child sexual abuse (CSA) on the survivors' long-term psychological distress. However, few studies have explored both approach and avoidance coping strategies as mediators of the link between parental attachment and psychological distress in a nonclinical sample. The purpose of this study was to examine the respective mediating effects of approach coping and avoidance coping on the relationship between perceived parental attachment, CSA severity, and psychological distress. Method: Our sample included 427 adults with a history of CSA. Participants were recruited from various social media websites (e.g., Facebook, Craigslist, discussion board, university announcement board). We conducted a mediation analysis with bootstrapping. Results: We found that parental attachment significantly predicted CSA survivors' psychological distress. Additionally, both approach coping and avoidance coping mediated the effect of perceived parental attachment on psychological distress. CSA severity was found to be a nonsignificant predictor of psychological distress. Conclusion: These findings may help develop interventions that enhance CSA survivors' effective copings strategies to ultimately reduce psychological distress. [ABSTRACT FROM AUTHOR]

Purpose: Few studies have explored young child sexual abuse (CSA) survivors experience as Participatory Action Research (PAR) researchers, and no studies have included participant researchers who were survivors unknown to statutory child protection services, the latter, a particularly vulnerable group. This exploratory study aimed to trace the nature of engagement and discover the perceived practical benefits and drawbacks of PAR for survivor researchers who had conducted a study into survivor views on confidentiality. Methods: The 8 PAR researchers included six females and two males, aged 12 to 20 years. All self-reported significant mental health problems, and 2 reported a learning disability. PAR participation was traced over 7-months and their views on their experience was sought through an online discussion forum and face to face interviews. Results: PAR was found to increase survivor researcher self-confidence because of learning new skills and discovering others shared experience of abuse and isolation. PAR researchers reported a growth in trust with each other leading to further disclosure, and the seeking of support services. Drawbacks included sustaining engagement because of personal crises. Conclusions: PAR is reported as an empowering process for CSA survivors, however, future research is needed into the relevance of PAR for the development of support services, especially for those unknown to statutory child protection services. [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]

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]

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]

Child maltreatment and removal from home have been increasingly examined among marginalized groups but less so among multiracial youth. The present study examined 99 multiracial youth aged 11–17 (M = 14.18, SD = 1.79) years. Classification and regression tree analysis was conducted on demographic (age, gender, family religion, self-identified religious, English first language), type of maltreatment, and psychological (depression, dissociation, anger, post-traumatic cognitions) variables for three post-traumatic symptom clusters. Pathways of low and high risk were identified for reexperiencing symptoms, avoidance, and hyperarousal. The findings have implications for tailoring assessment and intervention processes for this highly vulnerable population. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the associations between adverse childhood experiences (ACEs) and the high levels of social service usage by women who are sex trafficked. Fifty (N = 50) women who were sex trafficked were surveyed using purposive and snowball sampling methods. The ACEs score for respondents ranged from 2 to 10 with an average score of 7.4 (SD = 2.3). Emotional and sexual abuse tied at 88 percent as the most frequently cited ACEs among the women in this sample. The prevalence of ACEs was significantly higher in this sample compared with known estimates in similar populations, ranging from 20 percent to 54 percent (p <.001). Considering the well-established link between ACEs and poor health outcomes, these findings point to the need for innovative and targeted social service provisions to women who were formerly sex trafficked that take into consideration the high level of ACEs of the women. Given the sociodemographic diversity of this sample, there is a need for services that are trauma-informed, innovative, and culturally sensitive in a variety of social service settings. [ABSTRACT FROM AUTHOR]

Objectives Childhood abuse has been extensively studied in relation to later-life health, yet relatively little attention has been given to understanding the nuanced dynamics across victim–perpetrator relationships. This study addresses this gap by identifying typologies of familial perpetrators of childhood abuse in a national sample and examining their associations with various health outcomes, including physical and mental health as well as substance abuse. Methods We used 2 waves of data from the Midlife in the US Study (n  = 6,295, mean age = 46.9 at baseline). The analysis was completed in 3 stages. Using Latent Class Analysis (LCA), we identified subpopulations of victims with distinct familial perpetrator histories. With assigned LCA memberships and propensity score weighting, we investigated the extent to which specific victim–perpetrator relationships are associated with health outcomes measured at baseline and a 10-year follow-up adjusting for other early-life risks. We evaluated whether the observed associations differ across the waves. Results Parental and sibling abuse commonly co-occur, surpassing the occurrence of single perpetrators. Although minimal health disparities are evident between sibling-only abuse and no/little abuse groups at baseline, parent-only abuse is associated with compromised health outcomes. Severe abuse from both siblings and parents is linked to the most adverse health outcomes. At the follow-up survey, the associations between familiar abuse and health outcomes weakened, particularly for substance abuse. Discussion This study, delving into family relationships, family violence, and health disparities, provides new evidence to augment our comprehension of the enduring link between childhood abuse and health within the family context. [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 [ABSTRACT FROM AUTHOR]

Experiencing childhood maltreatment by mothers could have both short-term and long-term negative consequences for them and their children. The current study attempted to evaluate the mediating role of parenting stress and meta-parenting in the association between maternal childhood maltreatment and the quality of child-mother relationships. A total of 468 Iranian mothers of preschool children (five to six years old) were selected using a purposeful sampling method and were assessed in a cross-sectional study. A broad set of psychometric instruments such as childhood maltreatment, stress parenting, meta-parenting, and child-parent relationships were used. The mediating role of parenting stress was supported by the association between maternal childhood maltreatment and child-mother conflict (positively and significantly) and child-mother closeness (negatively and significantly). Furthermore, the mediating role of meta-parenting was supported for the association between maternal childhood maltreatment and child-mother closeness (positively and significantly) and child-mother dependency (negatively and significantly). It was concluded that the existence of maternal child maltreatment affects the quality of child-mother relationships through parenting stress and meta-parenting (both directly and indirectly). Consequently, it is recommended to focus on the mother's childhood and the need to hold psychological sessions for them before her delivery to reduce the negative consequences of her childhood maltreatment. The findings highlighted the importance of meta-parenting and parenting stress in the relationships between mothers who have experienced childhood maltreatment and their children. Highlights: Maternal childhood maltreatment only through meta-parenting associated with child-mother dependency. Parenting stress was a mediating variable for the negative association between maternal childhood maltreatment and child-mother closeness. Parenting stress was a mediating variable for the positive association between maternal childhood maltreatment and child-mother conflict. In the present model, the child-mother conflict could be explained by more than two styles of child-mother relationship quality. [ABSTRACT FROM AUTHOR]

Purpose: Children exposed to domestic violence are at risk of adverse short- and long-term psychosocial effects and of being abused themselves. However, mothers and children face systemic gaps when seeking safety from domestic violence services and police. Safety planning typically focuses on women, overlooking their multiple social identities and excluding their children. We explored safety strategies used by mothers and children coping together with severe domestic violence. Method: Interviews with 30 mothers who experienced severe or potentially life-threatening domestic violence and 5 adults who experienced domestic violence in childhood were qualitatively analyzed using thematic analysis, revealing five major themes: ongoing communication, appeasing the abuser, soothing activities, exposure reduction, and fostering independence. Results: Interpreting participants' experiences in terms of the mother-child dyad, we found that mothers and their children worked together to reassure each other, keep each other safe, and make plans to leave their abuser. Conclusions: Safety planning for the mother-child dyad could build on children's existing coping strategies and recognize and support children's desire to protect their mother and themselves effectively and safely according to their developmental stage. [ABSTRACT FROM AUTHOR]

Childhood maltreatment is a risk factor for loneliness and is linked to breast cancer. Parental bonding experienced during one's childhood also plays a significant role in increasing or decreasing the risk of loneliness later in life. Previous research has highlighted the significance of ambivalence over emotional expression (AEE) and self-discrepancy in the psychological adaptation of breast cancer patients, particularly concerning the impact of parental care and control experienced by patients in their relationship with their parents during childhood. Nevertheless, previous studies have not examined the mediating effects of AEE and self-discrepancy on parental care and control, as well as loneliness, in breast cancer patients. This study aimed to investigate whether AEE and self-discrepancy mediate the association of childhood parental care and control with loneliness in breast cancer patients with a history of childhood maltreatment. One hundred and thirty-three breast cancer patients who were receiving chemotherapy within the first 3 months post-diagnosis were recruited from one private and three public hospitals in Tabriz, Iran, to complete questionnaires. Parental bonding, loneliness, AEE, and self-discrepancy were assessed using the Parental Bonding Instrument (PBI), University of California Los Angeles (UCLA) Loneliness Scale, Ambivalence over the Expression of Emotion Questionnaire (AEQ), and Self-Discrepancies Scale (S-DS). Mediation models were tested using structural equation modeling. Effects of parental care (β = −.17, p <.05) and control (β =.21, p <.001) on loneliness were significant. Furthermore, both AEE (β =.19, p <.05) and self-discrepancy (β =.23, p <.01) significantly predicted loneliness. The pathway between parental care and AEE was significant (β = −.21, p <.001), as was the direct effect of parental control on self-discrepancy (β =.19, p <.05). Bootstrapping results showed that AEE significantly mediated the relationship between parental care and loneliness (95% confidence interval [CI] [−0.09, −0.01]). In addition, there was a significant indirect effect from parental control to loneliness via self-discrepancy (95% CI [0.11, 0.01]). These findings suggest that AEE and self-discrepancy could potentially be utilized in preventing or addressing loneliness in breast cancer patients who have a history of childhood maltreatment. Future research could, for example, assess whether integrating psychosocial interventions focusing on these variables as part of medical care can improve the mental health status of this subgroup of breast cancer patients who have experienced childhood maltreatment. [ABSTRACT FROM AUTHOR]

One reason why patients may seek therapy is to address constricting beliefs about themselves, others and the world that diminish the quality of their lives. These pathogenic beliefs interfere with the pursuit of personal goals and are often the source of considerable distress. In this paper, we discuss the perspective from Control-Mastery Theory that such beliefs were once adaptive in the context of earlier traumatic relational experience, and are often held in place by loyalties and attachment ties to important figures. Therapists can facilitate patients' efforts to disconfirm these beliefs by empathically understanding the form and function of the patient's pathogenic beliefs historically and in the present. Such understanding is termed "person empathy" and is found to contribute to positive therapeutic outcomes. With the aim of helping to facilitate therapists' empathy regarding patients' pathogenic beliefs, we describe in this paper some of the original functions and subsequent consequences of such beliefs in patients' lives. [ABSTRACT FROM AUTHOR]

Background: Childhood trauma has been linked to increased risk of schizophrenia and social dysfunction, and oxytocin and its receptor gene have been implicated in regulating social behavior. This study investigated the potential role of oxytocin and oxytocin receptor gene (OXTR) in mediating the effects of childhood trauma on social functioning in schizophrenia. Methods: The study consisted of 382 patients with schizophrenia and 178 healthy controls who were assessed using the Taiwanese version of the Childhood Trauma Questionnaire (CTQ-SF), the Social Functioning Scale (SFS), and plasma oxytocin levels. DNA was extracted to genotype the OXTR and ten single-nucleotide polymorphisms (SNPs; rs2254298, rs237885, rs237887, rs237899, rs53576, rs9840864, rs13316193, rs7632287, rs1042778, and rs237895) were selected. Results: Patients with schizophrenia showed higher CTQ-SF scores (t = 12.549, p < 0.001), lower SFS scores (t = −46.951, p < 0.001), and lower plasma oxytocin levels (t = −5.448, p < 0.001) compared to healthy controls. The study also found significant differences in OXTR SNPs between both groups, with risk alleles being more prevalent in patients with schizophrenia (t = 2.734, p = 0.006). Results indicated a significant moderated mediation effect, with oxytocin and the OXTR SNPs partially mediating the relationship between childhood trauma exposure and social functioning in patients with schizophrenia (index of mediation = 0.038, 95% CI [0.033–0.044]). Conclusions: The findings suggest that oxytocin and its receptor gene may be promising targets for interventions aimed at improving social functioning in patients with a history of childhood trauma and schizophrenia. However, further research is needed to fully understand these effects and the potential of oxytocin-based interventions in this population. [ABSTRACT FROM AUTHOR]

The study utilized a latent profile analysis to evaluate distinct combinations of men's childhood victimization experiences and their communal predictive ability for sexual aggression (SA) and intimate partner violence (IPV) perpetration. Men living in the United States (N = 399) completed assessments of emotional, physical, and sexual childhood victimization, as well as SA and IPV toward women. The results indicated that members of profiles characterized by moderate to high frequencies of childhood victimization—especially sexual victimization—were at increased risk of SA and IPV perpetration. Contrary to expectations, adult- versus peer-perpetrated victimization did not appear to substantially alter risk of perpetration. [ABSTRACT FROM AUTHOR]

Purpose: Human trafficking occurs when a person uses force, fraud, or coercion to obtain an act or service from another person. While trafficking is often depicted as a crime perpetrated by strangers, recent literature has found family members can also be traffickers. Only four peer reviewed studies have specifically examined familial trafficking. Method: The current study builds upon this sparse literature by reviewing medical charts of patients in a large hospital system who were identified as survivors of familial trafficking between October 2017 and September 2021. Descriptive statistics are reported for all 39 identified patients. Results: Majority of patients were female (92.3%) and under 36 years old (56.4%; M = 34.2, SD = 11.6). Despite most patients now being adults, all except one were minors at the time the trafficking began. Parents were the most common perpetrator (66.7%) followed by aunt/uncle (12.8%). Nine cases were chosen, given level of detail in patient charts, to be highlighted in a case series to further describe the experiences of these survivors. Cases examined included labor trafficking, parents as perpetrators, intersection of substance use, and males as victims. Force was the most common means of control used and often manifested as physical or sexual abuse that preceded the exploitation. Another reoccurring theme was substance use being a factor when parents were perpetrators. Conclusion: The findings from this paper can help inform screening techniques by encouraging providers to inquire about familial relationships. Findings may also be helpful for providers working with this population and future research endeavors. [ABSTRACT FROM AUTHOR]

Purpose: Child sexual abuse (CSA) has short-term and long-term effects on survivors, but distress after the abuse varies widely and not all survivors show a significant degree of distress. Factors contributing to the variations of CSA outcomes need to be further investigated. The present study examines the moderating role of childhood attachment in the relationship between the experience of CSA and adult attachment, psychological distress, and self-esteem. Methods: Seven hundred and sixty-seven adults participated in this study, of which 427 (55.67%) reported a history of CSA. Participants were recruited from various social media websites (e.g., Facebook, Craigslist, discussion board, university announcement board). To examine the moderating role of childhood attachment between the experience of CSA and adult attachment, we conducted path analysis. Results: Childhood attachment significantly predicted adult attachment, psychological distress, and self-esteem in adulthood and moderated the relation between CSA and anxious adult attachment; CSA survivors with more secure childhood attachment were less likely to develop anxious attachment in adulthood. Additionally, CSA survivors reported less secure adult attachment, more psychological distress, and lower self-esteem than did individuals without a history of CSA. Furthermore, secure childhood attachment was significantly associated with secure adult attachment, lower levels of psychological distress, and higher levels of self-esteem. Conclusions: The results suggested that secure childhood attachment at least partially protected against negative long-term effects of CSA and fostered healthier intrapersonal and interpersonal adjustment in CSA survivors. [ABSTRACT FROM AUTHOR]

Given the alarming increase in incidences of child sexual abuse (CSA), the present study was conceived to conduct a feasibility trial for a brief CSA-focused cognitive-behavioral intervention for children. A quasi-experimental single-group pre-post design with convenient sampling was adopted. The intervention module was administered to 20 children aged 7–13 years (M = 10.4, SD = 1.3) with a CSA history. The intervention was spread across a minimum of six required sessions and a maximum of 12 sessions held weekly for approximately 90 to 120 minutes' duration to restore the child's functioning and to assist the child in processing and managing trauma effectively along with initiating the process of growth. Child PTSD Symptom Scale (CPSS), Children's Impact of Events Scale−13 (CRIES-13), Developmental Psychopathology Checklist (DPCL), Multidimensional Scale for Child Sexual Abuse (MSCSA) and Children's Global Assessment Scale (CGAS) were used to measure the impact of the intervention on the children. Estimation of improvement was done using Wilcoxon signed rank test, effect size and subjective feedback from children. Feasibility assessment was done across five parameters: recruitment, data collection, attrition, adherence and improvement. We found that the intervention led to significant improvement in scores of all scales with a large effect size of.50 for MSCSA and CRIES-13 and medium effect size for CGAS, CRIES-13 (Intrusion & Avoidance), CPSS, and DPCL. Feasibility was estimated to be high across all five parameters of the assessment. Thus, the newly developed intervention was found to be helpful in restoring the child's functioning, and assisting the child in processing, and managing trauma effectively. [ABSTRACT FROM AUTHOR]

This was a record-linkage analysis of a birth cohort to examine the association between self-reported self-harm in adulthood and childhood maltreatment (CM) as prospectively notified to authorities and self-reported on the Child Trauma Questionnaire. There were 2507 participants at 30-year follow-up with data on both CM and self-reported self-harm including an intent to die. Of the participants, 304 (12.1%) had self-harmed at some time in their lives while 150 (4.2%) had wanted to die. The prevalence of self- and agency-reported maltreatment was 513 (20.5%) and 143 (5.7%) respectively. On adjusted analyses, CM irrespective of reporting source showed significant associations with both suicidal outcomes. Physical and emotional abuse showed the strongest associations while findings for neglect were mixed. The only association for sexual abuse was for self-reported maltreatment and intent to die but numbers may have been under-powered. [ABSTRACT FROM AUTHOR]

Childhood sexual abuse (CSA) devastatingly impacts an individual's behavioral, psychological, and social health. Childhood, a developmental stage directly influenced by the home or school environment, leaves a life-long imprint. Compared with the general population, CSA prevalence is doubled among people living with HIV. Thus, the study aimed to explore CSA circumstances among older adults living with HIV (OALH) in South Carolina (SC). We included 24 OALH aged 50 and above who reported CSA. The data were collected at an immunology center in SC. In-depth semi-structured interviews were conducted, audio-recorded, transcribed, and analyzed using a thematic analysis approach. The iterative analytic process included a discussion of initial thoughts and key concepts, identification, and reconciliation of codes, and naming of emergent themes. Six themes emerged: known perpetrators, re-victimization, "nobody believed me", "cannot live like others", lack of CSA disclosure, and interconnections with other adverse childhood experiences (ACEs). CSA experiences and non-disclosure were found to be linked with shame, embarrassment, fear, and trust issues. Hence, trauma-focused interventions are required to resolve these issues and improve the quality of life of OALH with past trauma. Counseling or therapy programs should incorporate psychological and behavioral theoretical models to best target OALH who are CSA survivors. [ABSTRACT FROM AUTHOR]

Purpose: Early experiences of childhood maltreatment have been linked to intimate partner violence (IPV) later in adulthood. Few studies, however, have examined the prospective relationship between child maltreatment and IPV perpetration in the context of proximal and distal risk factors for violence, such as depression and alcohol misuse. Method: Data from 370 adult respondents are from the Lehigh Longitudinal Study. Child maltreatment was measured prospectively at preschool ages and school-ages. Proximal and distal risk factors for adult IPV perpetration were measured in adolescence and at two time points in adulthood (age 36 and 46 years of age, on average). Hierarchical regression models were used to examine the prediction of IPV perpetration from earlier time points. Results: Results indicate that exposure to child maltreatment, frequent alcohol use in adolescence, adolescent depression, frequent alcohol use at age 36, and adult depression at age 36 are predictive of IPV perpetration at age 36. Adolescent aggression and frequent alcohol use at age 46 were significantly predictive of IPV perpetration at age 46. Conclusions: Findings identify multiple points across the life course for intervention. Interventions targeting adolescent and adult mental health and alcohol use may lessen the risk for adult IPV perpetration. [ABSTRACT FROM AUTHOR]

Past research has emphasized the impact of prior trauma on adult depression and anxiety rates. However, few studies have examined the simultaneous connection between various trauma characteristics (e.g., type, variety, repetition, timing) and symptoms of depression and anxiety in adults. Understanding how these different trauma characteristics relate to mental health issues can offer valuable insight into predicting the onset of such problems. We conducted a cross-sectional analysis with 356 adult participants to explore the associations between lifetime trauma history and depression/anxiety scores. Participants retrospectively reported on five different traumatic experiences from birth to the present, including childhood physical abuse, witnessing parental violence, lifetime experiences of rape, witnessing trauma to loved ones, and the unexpected death of loved ones. For each trauma type, participants indicated the timing of their first exposure and the frequency of subsequent occurrences. Depression and anxiety symptoms in the past 2 weeks were also self-reported. Multiple regression analyses with covariates were employed. On average, participants experienced two out of the five trauma types. Regardless of the type, having at least one traumatic experience was linked to higher depression and anxiety scores. Those who experienced all five trauma types reported the highest levels of depression and anxiety. Repeated instances of rape, witnessing trauma to loved ones, and the death of loved ones were significantly associated with elevated depression and anxiety scores. The timing of exposure to the unexpected death of loved ones predicted higher depression scores in childhood compared to adulthood, while no relationship between timing and anxiety scores was observed. Other trauma types did not show significant associations. Our study enhances knowledge of the link between trauma and depression/anxiety by elucidating how various trauma characteristics, such as type, variety, repetition, and timing of trauma, have differential influences on depression and anxiety scores. [ABSTRACT FROM AUTHOR]

To date, the majority of research examining the effect of childhood abuse on relational aspects in adulthood is almost exclusively based on intraindividual data. The current study explores a moderating-mediating model from a dyadic perspective, examining the mediating effect that perceived intimacy has on the associations between concern couple caregiving and relationship satisfaction. It further investigates whether these mediation paths are moderated by a history of childhood abuse (physical/emotional/sexual). A total of 143 nonclinical couples (n = 286) in enduring relationships were recruited. A moderated mediation actor–partner interdependence model (moderated mediation actor-partner interdependence model (APIM)) comprised of three segments, was conducted. Results indicated that intimacy mediated the link between concern caregiving and relationship satisfaction on the actor's level, with effects applying equally to both husbands and wives. A higher level of intimacy among husbands and wives alike is linked, in turn, with higher relationship satisfaction. The path between actors' concern caregiving and their level of intimacy was moderated by the actors' childhood emotional and physical abuse; specifically, concern caregiving exerts greater effect on intimacy among participants who experienced high levels of emotional abuse, or low levels of physical abuse. Our findings highlight how different types of childhood abuse affect adult romantic relationships differently. [ABSTRACT FROM AUTHOR]

Programs aimed at preventing child sexual abuse typically focus on skilling up young children and, to a lesser extent, parents by imparting a range of protective messages. Many sexual abuse prevention programs include a focus on identifying or vetting "safe" or "trustworthy" people. The authors qualitatively analyzed the content of narratives from individuals with childhood experience of intrafamilial sexual abuse, an under-represented voice in the development of child sexual abuse prevention programs. The analysis of impediments to protection indicated that, within the family context, reductionistic judgments of familiar individuals' perceived safety or trustworthiness impaired child safety. In addition to adults and children being unable to recognize sexually abusive behavior and warning signs, child-victim survivor narratives highlighted the barriers for prevention in family environments characterized by maltreatment, a lack of child rights or that were unsupported by external authorities. Implications for the content of messages young children and their parents need to prevent child sexual victimization in the context of everyday family life are discussed. [ABSTRACT FROM AUTHOR]

Sibling sexual abuse may be the most prevalent type of intrafamilial sexual abuse, however, the dearth in empirical knowledge lends to its great obscurity and lack of awareness, prevention and intervention by clinicians, researchers and families alike. The current study fills this knowledge gap through an inductive analysis with written testimonies of 28 survivors of sibling sexual abuse. Findings indicate familial and external circumstances surrounding the abuse that contribute to its occurrence. Three main themes emerge from the analysis: (1) Survivor reflections on their perceptions at the time of the abuse, (2) Responses to disclosure of abuse both in childhood and in adulthood and, (3) Survivors' reflections upon their perceptions and feelings concerning SSA. The analysis indicates the critical need to listen to the voices of survivors and put an end to the marginalisation and minimisation of their experiences especially when attempting to make waves in practice, policy and prevention. Survivors of sexual abuse, especially SSA, rarely disclose the abuse and even more rarely receive the proper interventions to allow them to cope with these experiences. The current study is thus an important step forward in terms of listening to the lived experiences of survivors and presenting to the scientific audience the invaluable information that they have bravely shared which will invariably further the research, awareness and policy. [ABSTRACT FROM AUTHOR]

Background: Identification in UK general practice of women affected by domestic violence and abuse (DVA) is increasing, but men and children/young people (CYP) are rarely identified and referred for specialist support. To address this gap, we collaborated with IRISi (UK social enterprise) to strengthen elements of the IRIS + intervention which included the identification of men, direct engagement with CYP, and improved guidance on responding to information received from other agencies. IRIS + was an adaptation of the national IRIS (Identification and Referral to Improve Safety) model focused on the needs of women victim-survivors of DVA. Without diminishing the responses to women, IRIS + also responded to the needs of men experiencing or perpetrating DVA, and CYP living with DVA and/or experiencing it in their own relationships. Our study tested the feasibility of the adapted IRIS + intervention in England and Wales between 2019–21. Methods: We used mixed method analysis to triangulate data from various sources (pre/post intervention questionnaires with primary care clinicians; data extracted from medical records and DVA agencies; semi-structured interviews with clinicians, service providers and referred adults and children) to assess the feasibility and acceptability of the IRIS + intervention. Results: The rate of referral for women doubled (21.6/year/practice) from the rate (9.29/year/practice) in the original IRIS trial. The intervention also enabled identification and direct referral of CYP (15% of total referrals) and men (mostly survivors, 10% of total referrals). Despite an increase in self-reported clinician preparedness to respond to all patient groups, the intervention generated a low number of men perpetrator referrals (2% of all referrals). GPs were the principal patient referrers. Over two-thirds of referred women and CYP and almost half of all referred men were directly supported by the service. Many CYP also received IRIS + support indirectly, via the referred parents. Men and CYP supported by IRIS + reported improved physical and mental health, wellbeing, and confidence. Conclusions: Although the study showed acceptability and feasibility, there remains uncertainty about the effectiveness, cost-effectiveness, and scalability of IRIS +. Building on the success of this feasibility study, the next step should be trialling the effectiveness of IRIS + implementation to inform service implementation decisions. [ABSTRACT FROM AUTHOR]

Exposure to traumatic events during childhood is common, and the consequences for physical and mental health can be severe. Adverse childhood experiences (ACEs) such as physical abuse, sexual abuse, emotional abuse, and neglect appear to contribute to the onset and severity of a variety of somatic inflictions, including obesity, diabetes, cancer, and heart disease. The aim of this scoping review was to try to gain insight into how this might occur. Given the evidence of indirect (i.e., through unhealthy behaviours such as excessive drinking or poor eating habits) and direct (i.e., through its impact on the endocrine, immune, and cardiovascular systems as well as on the brain) effects of attachment on health, we examined the possibility that insecure attachment might contribute to the development of somatic symptoms in adult survivors of childhood trauma. Eleven studies met our inclusion criteria. Findings from this review suggest that insecure and disorganized attachment orientations are related to DNA damage, metabolic syndrome and obesity, physical pain, functional neurological disorder, and somatization in adults exposed to childhood trauma. We discuss the implications of this for the conceptualization and treatment of trauma and stress disorders. [ABSTRACT FROM AUTHOR]

A healing and recovery perspective related to child sexual abuse (CSA) has gained attention in the past two decades, a concept that accurately refers to the process is posttraumatic growth (PTG). Scarce empirical research on PTG in clergy-perpetrated CSA survivors shows evidence of the presence of growth after the abusive experience and a tendency to create accounts of trauma as a way to heal. The general aim of the study is to explore the experiences and meanings of PTG as lived by survivors of clergy-perpetrated CSA. Seven clergy-perpetrated CSA survivors were interviewed with semi-structured in-depth interviews conducted in person. Using reflexive thematic analysis, we identified three dominant themes in the participants' stories: (a) the hindering of PTG; (b) the meanings of PTG, and (c) the internal and contextual and facilitators of PTG. The present study brings new insights into the meanings of PTG, the close relationship between damage and growth, and the mechanisms (both internal and contextual) that are involved in healing from clergy-perpetrated CSA in Spanish culture. [ABSTRACT FROM AUTHOR]

Theoretical and empirical evidence has suggested that child maltreatment victimization is associated with rejection sensitivity. However, empirical evidence on this association is inconsistent. Therefore, this meta-analysis aimed to examine the overall association between child maltreatment and rejection sensitivity, and to investigate variables that may affect the strength of this association. Studies eligible for inclusion were searched in the databases: Web of Science, Science Direct, PubMed, MEDLINE, and China National Knowledge Infrastructure after which relevant studies were coded. Studies were synthesized in advanced three-level meta-analytic models in R. A total of 16 studies (N = 5,335 participants) yielding 41 effect sizes were included. Results showed that child maltreatment is significantly and positively related to rejection sensitivity (mean r = 0.230; p <.001), and to a small extent. Furthermore, this association is stronger for emotional abuse (r = 0.275) than for physical abuse (r = 0.157). It is not affected by the mean age and gender distribution of primary study samples nor by sample type (community sample versus clinical sample). It is concluded that child maltreatment is a risk factor for developing rejection sensitivity later in life. Therefore, interventions for rejection sensitivity should consider potential trauma resulting from prior child maltreatment experiences. [ABSTRACT FROM AUTHOR]

Daycare maltreatment refers to abusive and/or neglectful acts perpetrated by teachers, directors, non-professionals or volunteers, family members of staff, and peers in a daycare setting. Despite growing evidence of its occurrence, the prevalence and consequences of daycare maltreatment for the child, the parent(s), and their dyad are largely unknown. This qualitative systematic literature review was conducted to synthesize the existing literature referring to daycare maltreatment, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. In order to be included in the analysis, the manuscripts needed to report empirical findings regarding maltreatment in daycare settings, be written in English, be published in a peer-reviewed journal or a dissertation, and be accessible by our research team. In all, 25 manuscripts met the above criteria and were included in the review. Our results indicate that reports of daycare maltreatment are characterized by early age of abused children, inferring mainly to sexual, physical, and emotional abuse. The majority of these manuscripts reported caregivers' and teachers' abuse, while peer victimization was reported much less. In addition, the findings demonstrated a higher representation of female perpetrators compared to abuse in other scenarios. Although some indications of long-term implications are reported in the manuscripts, a well-validated measure for assessment of daycare maltreatment seems to be lacking. These findings contribute to a more nuanced understanding of the complex experience and ramifications of daycare maltreatment, providing insight into its multi-faceted implications. [ABSTRACT FROM AUTHOR]

There is established evidence that childhood/adolescent victimization is associated with victimization in adulthood although the underlying mechanisms are not still clear. The current study aimed to systematically review empirical studies examining potential psychological factors linking childhood maltreatment to victimization in adulthood and the gaps in the literature. Following PRISMA protocol, 71 original studies consisting of a total sample of n = 31,633 subjects were analyzed. Symptom severity for various trauma-related disorders, dissociation, emotion dysregulation, and risky sexual behaviors emerged as potential predictors of revictimization. While these potential risk factors mediate the relationship between childhood maltreatment and adulthood victimization, evidence for additional factors such as social support, attachment styles, maladaptive schemas, and risk detection is very limited. Addressing these intrapersonal risk factors, found by prior studies, in interventions and preventive programs might decrease the probability of revictimization. The interactions between the identified risk factors have not been studied well yet. Hence, more research on mediating risk factors of revictimization is needed. [ABSTRACT FROM AUTHOR]

Livestreaming of child sexual abuse (LSCSA) is an established form of online child sexual exploitation and abuse (OCSEA). However, only a limited body of research has examined this issue. The Covid-19 pandemic has accelerated internet use and user knowledge of livestreaming services emphasizing the importance of understanding this crime. In this scoping review, existing literature was brought together through an iterative search of eight databases containing peer-reviewed journal articles, as well as grey literature. Records were eligible for inclusion if the primary focus was on livestream technology and OCSEA, the child being defined as eighteen years or younger. Fourteen of the 2,218 records were selected. The data were charted and divided into four categories: victims, offenders, legislation, and technology. Limited research, differences in terminology, study design, and population inclusion criteria present a challenge to drawing general conclusions on the current state of LSCSA. The records show that victims are predominantly female. The average livestream offender was found to be older than the average online child sexual abuse offender. Therefore, it is unclear whether the findings are representative of the global population of livestream offenders. Furthermore, there appears to be a gap in what the records show on platforms and payment services used and current digital trends. The lack of a legal definition and privacy considerations pose a challenge to investigation, detection, and prosecution. The available data allow some insights into a potentially much larger issue. [ABSTRACT FROM AUTHOR]

The sexual abuse of children is a global catastrophe. Several research have already established the detrimental effects of child sexual abuse on the survivors, ranging from physical to psychological repercussions. As a result, survivors of trauma utilize different coping techniques to deal with the negative impacts of the trauma, such as confronting these challenges and viewing them as an opportunity for personal development which can be referred to as posttraumatic growth. It is therefore the goal of this study to facilitate posttraumatic growth among Filipino survivors of child sexual abuse through a logotherapy – based intervention. This study included 50 Filipino child sexual abuse survivors who were mostly female and within the age range of 11 – 17 years old. The Posttraumatic Growth Inventory and the National Stressful Events Survey PTSD Short Scale were administered to assess the variables in this study. Using an independent sample t – test, results revealed that there is a significant difference in the posttraumatic symptoms and posttraumatic growth between the groups. This implies that the logotherapy – based treatment plan was an effective tool to reduce the posttraumatic symptoms and improve the posttraumatic growth of the experimental group. [ABSTRACT FROM AUTHOR]

The scarcity of organs for transplant and significant rates of organ transplantation failure mean it is important to identify factors relating to transplant success and failure. Experiencing psychosis or mania is often seen as a contraindication for transplant, and many transplant teams have been cautious at transplanting people with significant mental health difficulties. In this paper we explore whether there is any evidence to support this attitude towards psychiatric diagnosis and transplantation; consider modifiable risks to transplantation; and ask what is needed to provide equitable care for individuals with experience of psychosis. To place context to our discussion, we present the experience of a person who had a history of psychotic experience and who was assessed for double lung transplant. [ABSTRACT FROM AUTHOR]

Introduction: Social anxiety is among the most common disorders in early adulthood that has huge adverse effects on the desired function of individuals. Although previous research emphasized the effect of childhood maltreatment on the emergence of social anxiety symptoms, it is still unclear how childhood maltreatment affects these symptoms. It seems that the mentalization ability, understanding and reflecting on one's own and another's mental world, is effective in this association. Method: This study conducted structural equation modeling based on mediation analysis in terms of correlation methods. For this reason, 219 college students of the Shiraz University of Iran were investigated in this research. Participants completed self-report questionnaires assessing social anxiety, the Social Interaction Anxiety Scale (SIAS), reflective functioning with the short version of the Reflective Functioning Questionnaire (RFQ), and childhood trauma with the Childhood Trauma Questionnaire (CTQ). SmartPLS-3 and SPSS-26 were used for data analysis. Results: The results showed that only emotional abuse has a direct effect on social anxiety symptoms (β= 0.22, p< 0.01). Moreover, uncertainty about mental states partially mediated the associations between emotional abuse and social anxiety in early adulthood (β= 0.19, p< 0.01). After gender analysis, it seemed that there were no differences between the male and female groups. Conclusion: The results of this study extend current research and clarify the importance of the effect of emotional abuse as one of the types of childhood maltreatment on mentalization capacity and the effect of this relationship on social anxiety symptoms in early adulthood. Based on the findings of this research, it is possible to use improved mentalization ability for the prevention and treatment of social anxiety disorder. [ABSTRACT FROM AUTHOR]

Childhood trauma confers tremendous negative consequences for development, including the emergence of psychopathology and behavioral problems, yet the impact of different dimensions of trauma exposure remains unknown. Existing research suggests that, due to increased neuroplasticity, early childhood and puberty may serve as sensitive periods that elevate risk, but also provide windows of opportunity for prevention and intervention. We examined whether the developmental timing of exposure to potentially traumatic events is differentially associated with engagement in violence during early adulthood. College students (n = 356, 81% women) reported the nature and extent of their violent behavior as well as their exposure to potentially traumatic events using a developmentally sensitive measure of trauma exposure relative to individual differences in pubertal timing. Negative binomial regression models revealed that men and women who were exposed to at least one potentially traumatic event during puberty reported engagement in significantly more past year violent behavior. Additionally, men, but not women, exposed to trauma during early and middle childhood reported engagement in significantly more violent behavior. Findings suggest that puberty may serve as a unique sensitive period for trauma-related violent behavior among women, whereas exposure to potentially traumatic events at any time during or prior to puberty serves as a risk factor for men's violent behavior in adulthood. This study informs future research on underlying mechanisms linking trauma exposure to violent behavior and suggests possible opportunities for increasing intervention efficiency and effectiveness when administered during puberty. [ABSTRACT FROM AUTHOR]

Child abuse is a worldwide public health problem, while its characteristics (e.g., timing, feelings, and characteristics of perpetrators) still need further exploration, particularly in the Chinese cultural context. This study translated and validated the ISPCAN Child Abuse Screening Tools-Retrospective version in the Chinese cultural context, and delineated child abuse using the Chinese version of ISPCAN Child Abuse Screening Tool-Retrospective Version (ICAST-R-C). A total of 2,223 college students were recruited from seven major geographical divisions of China. The results showed that internal consistency of physical, emotional, sexual, and overall abuse were.66,.56,.63, and.72, respectively. A three-factor model of the ICAST-R-C fitted well, and it had good criterion-related validity with the Childhood Trauma Questionnaire-short form (CTQ-SF). Prevalence of physical, emotional, and sexual abuse was 9.90%, 28.90%, and 6.30%, respectively. These findings suggest that the reliability and validity of ICAST-R-C are acceptable and it reflects more detailed characteristics of abuse, which indicates that ICAST-R-C is an acceptable measure for evaluating childhood abuse in Chinese college students. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences (ACEs) are traumatic events during childhood known to affect health and well-being across the life span. The detrimental impact ACEs have on children and young people is well-established. It is also known that 85 to 90% of children have at least one sibling. Using this as the foundation for our inquiry, the purpose of this scoping review was to understand what we currently know about the experiences of siblings living with ACEs. Sibling relationships are unique, and for some the most enduring of experiences. These relationships can be thought of as bonds held together by love and warmth; however, they can also provide scope for undesirable outcomes, such as escalation of conflicts and animosities. This scoping review was conducted following Arksey and O'Malley's (2005) methodological framework, complemented by the PAGER framework (Bradbury-Jones et al. 2021), offering a structured approach to the review's analysis and reporting through presenting the P atterns, A dvances, G aps, and E vidence for practice and R esearch. In June 2020, we searched 12 databases, with 11,469 results. Articles were screened for eligibility by the review team leaving a total of 148 articles meeting the inclusion criteria. Included articles highlighted overwhelming evidence of older siblings shielding younger siblings, and the likelihood that when one sibling experiences adversity, other siblings will be experiencing it themselves or vicariously. The implications of this in practice are that support services and statutory bodies need to ensure considerations are given to all siblings when one has presented with experiencing childhood adversity, especially to older siblings who may take far more burden as regards care-giving and protection of younger siblings. Given that more than half of the included articles did not offer any theoretical understanding to sibling experiences of ACEs, this area is of importance for future research. Greater attention is also needed for research exploring different types of sibling relationships (full, step, half), and whether these influence the impact that ACEs have on children and young people. [ABSTRACT FROM AUTHOR]

Background: Examining neurobiological mechanisms that may transmit the effects of childhood maltreatment on mental health in youth is crucial for understanding vulnerability to psychopathology. This study investigated associations between childhood maltreatment, adolescent structural brain development, and mental health trajectories into young-adulthood. Methods: Structural magnetic resonance imaging data was acquired from 144 youth at three time points (age 12, 16, and 18 years). Childhood maltreatment was reported to occur prior to the first scan. Linear mixed models were utilized to examine the association between total childhood maltreatment, neglect, abuse and (i) amygdala and hippocampal volume development, and (ii) maturational coupling between amygdala/hippocampus volume and the thickness of prefrontal regions. We also examined whether brain development mediated the association between maltreatment and depressive and anxiety symptoms trajectories from age 12 to 28. Results: Total maltreatment, and neglect, were associated with positive maturational coupling between the amygdala and caudal anterior cingulate cortex (cACC), whereby at higher and lower levels of amygdala growth, maltreatment was associated with lower and higher PFC thinning, respectively. Neglect was also associated with maturational coupling of the hippocampus with prefrontal regions. While positive amygdala-cACC maturational coupling was associated with greater increases in anxiety symptoms, it did not significantly mediate the association between maltreatment and anxiety symptom trajectories. Conclusion: We found maltreatment to be associated with altered patterns of coupling between subcortical and prefrontal regions during adolescence, suggesting that maltreatment is associated with the development of socio-emotional neural circuitry. The implications of these findings for mental health require further investigation. [ABSTRACT FROM AUTHOR]