A theoretical framework that explains how survivors of childhood sexual abuse tell others about their abuse experiences is presented. Data are drawn from open-ended interviews conducted with 74 individuals who experienced ongoing childhood sexual abuse by a family member or close acquaintance. Grounded theory methods were used to develop the framework. The psychosocial problem shared by the participants is that childhood sexual abuse both demands and defies explanation. The core psychosocial process used in response to this problem is storying childhood sexual abuse. The framework includes five processes, and the stories associated with each process vary in their nature and function. The processes and associated stories are (a) starting the story: the story-not-yet-told, (b) coming out with the story: the story-first-told, (c) shielding the story: the story-as-secret, (d) revising the story: the story-as-account, and (e) sharing the story: the story-as-message. Clinical applications of the framework are discussed.
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http://dx.doi.org/10.1177/1049732308319925 | DOI Listing |
AIDS Care
January 2025
Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
In the current study, we examine associations between exposure to violence and antiretroviral medication adherence in persons with HIV (PWH) in a southern city in the United States. We include investigation of a variety of violence exposures including childhood sexual abuse, physical abuse, witnessing family violence, lifetime violence exposures and current stress related to violence experiences, as well as neighborhood violence exposure. We examined associations between violence exposures and adherence and mediational pathways between these variables including mental health symptoms - specifically depressive, anxiety, and posttraumatic stress symptoms - as well as coping strategies.
View Article and Find Full Text PDFPLoS One
January 2025
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
Although studies have investigated the association between adverse childhood experiences and chronic health outcomes including stroke, few studies have investigated the association between parental divorce and stroke among adults with no history of childhood abuse. The objectives of this study were to investigate the association between parental divorce in childhood and stroke in older adulthood among those who did not experience child abuse and to examine whether this association differs between men and women. This study utilized population-based data from the 2022 Behavioral Risk Factor Surveillance System.
View Article and Find Full Text PDFSemin Immunopathol
January 2025
Department of Obstetrics and Fetal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Overweight and obesity (OWO) are linked to dyslipidemia and low-grade chronic inflammation, which is fueled by lipotoxicity and oxidative stress. In the context of pregnancy, maternal OWO has long been known to negatively impact on pregnancy outcomes and maternal health, as well as to imprint a higher risk for diseases in offspring later in life. Emerging research suggests that individual lipid metabolites, which collectively form the lipidome, may play a causal role in the pathogenesis of OWO-related diseases.
View Article and Find Full Text PDFTrauma Violence Abuse
January 2025
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
We present the first systematic review and meta-analysis of the literature on intimate partner violence (IPV) among LGBTQ+ adults in Latin America and the Caribbean (LAC). Of 1,234 articles, 22 met inclusion criteria, and data were extracted for 4 key research areas: prevalence, measurement, risk and protective factors, and interventions. LGBTQ+ adults in LAC experience IPV at similar or higher rates than those documented among cisgender heterosexuals, with estimates ranging from 0.
View Article and Find Full Text PDFFront Med (Lausanne)
January 2025
Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal.
Introduction: Adverse childhood experiences (ACEs) refer to traumatic life events occurred in childhood that comprise abuse (e.g., psychological, physical, sexual), neglect (psychological and physical), indirect violence or household dysfunctions.
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