No abstract

This study explored the relationship between childhood sexual abuse and gender role attitudes. Female university students rated themselves and their parents on gender role attitudes and history of childhood sexual abuse. Traditional participant gender role attitude and social isolation were associated with reporting being sexually abused as a child and may thus be risk factors for, or the result of a history of, CSA in women. Traditional participant gender role attitude and low income were associated with victim distress and therefore may be detrimental to coping with a history of childhood sexual abuse. Although replication of these results is needed, discovery of attitudinal and demographic variables associated with CSA may be important in the prevention and treatment of CSA.

Low intensity-high volume (LI-HV) interventions are increasingly being recognized as a means to communicate psychological principles and provide services to those with unmet mental health care needs. This article describes several different applications of LI-HV interventions in a central Canadian province, where underfunding of psychologists is well documented. The settings reviewed included tertiary hospital anxiety, depression, and sleep clinics, primary care, and a provincial mental health crisis setting. Descriptions of the LI-HV innovations and the impact of these innovations on referrals, providers, patients, and the healthcare system are reviewed. Some of the conclusions from these findings are that it is feasible to develop LI-HV interventions for psychological care, especially with limited psychologist resources. Patients find such interventions to be acceptable and satisfactory. Improvement in symptoms is often noted with LI-HV interventions, although the magnitude of improvement may be less than what is obtained with higher intensity services. Further, the provision of LI-HV services often results in changes to the higher intensity service. Anecdotally, psychologist providers report that the interventions are worth the investment. More work on investigating the efficacy of stepped care in this area is warranted. Public Significance StatementMental healthcare within the public health system in Canada is severely stretched in both human resource and economic capacities. Use of large group classes and internet-based programs represent a method to partially meet this need. Results suggest that these approaches are viewed favorably by patients and providers, and that implementation may change the nature of more intensive services.