Recipients of children’s and adolescents’ disclosures of childhood sexual abuse: A systematic review

Manay, Natalia; Collin‐Vézina, Delphine

doi:10.1016/j.chiabu.2019.104192

Cited by 49 publications

(29 citation statements)

References 76 publications

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“…Therefore, accessing someone to trust, expecting to be believed, and being asked are critical facilitators for purposeful disclosure (Brennan & McElvaney, 2020 ; Lemaigre et al, 2017 ; Watkins-Kagebein et al, 2019 ). In line with this, most survivors tell friends or family first (Brattfjell & Flåm, 2019 ; Kogan, 2004 ; Malloy et al, 2013 ), with a substantial group of survivors only disclosing to peers (Kogan, 2004 ; Manay & Collin-Vézina, 2021 ; Priebe & Svedin, 2008 ). This typical behavioural pattern has important clinical implications for facilitating early disclosure within the context of CAP, including the crucial role of the therapeutic relationship as a base for disclosure.…”

Section: Introductionmentioning

confidence: 94%

“…Therefore, they are qualified to serve as suitable first disclosure recipients for CSA. However, health professionals are seldom chosen as first disclosure recipients (Brattfjell & Flåm, 2019 ; Kogan, 2004 ; Lahtinen et al, 2018 ; Manay & Collin-Vézina, 2021 ). This is a paradox, as we know that the prevalence of CSA is higher among children and adolescents receiving mental health care than in the general population (Spataro et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

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Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Stige

Andersen

Halvorsen

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Background Efforts are directed both towards prevention and early detection of Child sexual abuse (CSA). Yet, only about 50% of CSA survivors disclose before adulthood, and health professionals rarely are the first disclosure recipients. Increasing the detection rate of CSA within the context of Child and Adolescent Psychiatry (CAP) therefore represents a significant secondary prevention strategy. However, facilitating CSA disclosure when the survivor is reluctant to tell is a highly complex and emotionally demanding clinical task. We therefore argue that efforts to increase detection rates of CSA within CAP need to rest on knowledge of how both survivors and health professionals experience addressing CSA. Method Using meta-ethnography as method, we present separate sub-syntheses as well an overarching joint synthesis of how survivors and health professionals experience addressing CSA. Results Results show how both survivors and health professionals facing CSA disclosure feel deeply isolated, they experience the consequences of addressing CSA as highly unpredictable, and they need support from others to counteract the negative impact of CSA. Conclusion The results indicate that adapting the organization of CAP to knowledge of how the survivors and health professionals experience addressing CSA is critical to facilitate earlier disclosure of CSA within CAP.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Stige

Andersen

Halvorsen

et al. 2022

International Journal of Qualitative Studies on Health and Well

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“…As women have been found to more readily disclose incidents of child maltreatment (e.g. 78 ), they might more readily participate in exploratory surveys. The uneven gender distribution and small male sample might also be responsible for a lack of reproducing previously reported effects of gender on sleep disturbances.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Can You Sleep? – Effect of Retrospective Recall of Child Maltreatment on Sleep Parameters and the Mediating Role of Psychological Distress Among Students of Two German Universities

Jarczok¹,

Lange²,

Domhardt³

et al. 2022

NSS

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Purpose Child maltreatment may be linked with long-term sleeping disorders and limited coping with stress. Yet, the potential relationships are only marginally studied. Patients and Methods Based on a sample of young adults (n = 312) this study aims at exploring the effects of child maltreatment and the experience of threat to personal safety and life in childhood on sleep disturbances in early adulthood. Data were collected at the two study sites, Ulm University and Bielefeld University, by an online survey. For both risk factors, child maltreatment and the experience of threat to personal safety and life in childhood, a direct impact on sleep disturbances and an indirect path via psychological distress were tested using Structural Equation Modelling (SEM). Results In these models, the direct path to sleep disturbances turned out to be significant for the experience of threat to personal safety and life (Path C: b = 0.18, p = 0.013), but not for child maltreatment (Path C: b = 0.05, p = 0.491). However, the current level of psychological distress was found to have a mediating effect on sleep disturbances for both risk factors, thereby confirming indirect significant effects. Conclusion Considering that the etiological pathway of child maltreatment on sleeping disturbances is mediated via psychological distress, this provides a venue to test in future research whether stress reduction interventions can reduce the negative consequences of child maltreatment on sleep disorders.

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“…Although consistent with most research on CSA, the current sample included only 4 participants who identified as male. It is important for future research to better understand youth-directed disclosures for boys and young men to address any specific barriers that they might encounter in disclosing to peers, as research suggests that there are significant differences in how boys and girls cope with trauma (Foster, 2017;Gallo et al, 2018;Manay & Collin-Vézina, 2021;Ullman & Filipas, 2005).…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

“It’s Complicated Because We’re Only Sixteen”: A Framework for Understanding Childhood Sexual Abuse Disclosures to Peers

Manay

Collin‐Vézina

Alaggia

et al. 2020

J Interpers Violence

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The process of disclosing childhood sexual abuse (CSA) is very difficult for young people. Researchers have consistently found that young people disclose CSA to other youth at much higher rates than to familiar adults or authorities and indicate that CSA remains largely unknown to adults. However, no study to date has focused exclusively on understanding the process of youth-directed disclosures from young people’s perspectives. Using grounded theory methodology, this qualitative study aimed to understand the process of CSA disclosures to peers based on interviews with 30 young people from Canada and Ireland who have experienced CSA. The findings reflect the iterative and dialogical nature of the peer disclosure process and provide a framework for youth-directed disclosures that is centered on the theme of uncertainty. An underlying sense of uncertainty permeated the entire disclosure experience as participants’ narratives reflected six stages that were interrelated in a cyclical process: experiencing internal conflict, needing to tell and choosing to confide in peers, expecting emotional support from peers, gradual telling and making sense of the abuse, burden on peers, and assessing peer responses and further disclosures. In addition, this model was not static, as with time, participants reinterpreted their peers’ responses. The presented framework is consistent with previous conceptualizations of CSA disclosures, but the focus on youth-directed disclosures from the perspective of young people also allowed for a model that explains processes that are unique to peer disclosures. Practice and policy implications as well as limitations and future research directions are discussed.

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Recipients of children’s and adolescents’ disclosures of childhood sexual abuse: A systematic review

Cited by 49 publications

References 76 publications

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Can You Sleep? – Effect of Retrospective Recall of Child Maltreatment on Sleep Parameters and the Mediating Role of Psychological Distress Among Students of Two German Universities

“It’s Complicated Because We’re Only Sixteen”: A Framework for Understanding Childhood Sexual Abuse Disclosures to Peers

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