Experiences Of Abuse Research Articles

Association between longitudinal patterns of child maltreatment experiences and adolescent substance use

BackgroundAlthough there is a well-established link between child maltreatment and adolescent substance use, it remains unclear if and how longitudinal patterns of maltreatment experiences are associated with substance use in adolescence. ObjectiveThe purpose of the study was to examine how distinct patterns of longitudinal maltreatment experiences are associated with adolescent substance use. Participants and settingThe participants were 899 adolescents from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). MethodsWe conducted repeated measures latent class analysis (RMLCA) to identify patterns of physical abuse, sexual abuse, and neglect from birth to age 17 and their relations to tobacco, alcohol, and marijuana use at age 18. ResultsRMLCA identified three physical abuse classes (Stable low physical abuse; School age peak physical abuse; Physical abuse primarily in infancy/toddlerhood), two sexual abuse classes (Stable no/low sexual abuse; School age peak sexual abuse), and three neglect classes (High neglect in childhood; Neglect primarily in infancy/toddlerhood; Neglect primarily at school age). Adolescents in the school age peak physical abuse class showed greater alcohol, cigarette, and marijuana use, compared to other physical abuse classes. Similarly, adolescents in the school age peak sexual abuse class showed greater substance use than those in the stable no/low sexual abuse class. Lastly, adolescents in the neglect primarily in infancy/toddlerhood class showed significantly less substance use than those in the other two neglect classes. ConclusionsFindings highlight the importance of early intervention and ongoing maltreatment prevention.

Place-based understandings of ‘risk’ and ‘danger’ through a gendered lens – experiences of sexual violence in a deprived coastal town in the UK

ABSTRACT Foregrounding the voices of young women in a deprived coastal context in the UK, this paper explores the intersection of place, class, gender and marginalisation. Drawing upon participatory qualitative research, the paper focuses on the following key themes: (1) how young women navigate perceptions of ‘risk’ through the everyday realities of the locale, (2) experiences of sexual violence and abuse (3) and finally, how normative depictions of ‘risky behaviour’ correspond to the accounts of women’s (sexual) agency. By rooting the analysis of place-based inequalities through a gendered lens, the findings help illuminate the complex relationship between structural context and the regulation of gender and sexuality. The paper also draws attention to the structural factors that reproduce class-based stigma for people who are deemed ‘at risk’ in places that are characterised as ‘left behind’. In doing so, the paper provides alternative agendas for policy and practice that aim to support young women who experience place-based marginalisation.

Does biological age mediate the relationship between childhood adversity and depression? Insights from the Detroit Neighborhood Health Study

The link between childhood adversity and adulthood depression is well-established; however, the underlying mechanisms are still being explored. Recent research suggests biological age may mediate the relationship between childhood adversity and depression in later life. This study examines if biological age mediates the relationship between childhood adversity and depression symptoms using an expanded set of biological age measures in an urban population-based cohort. Data from waves 1–3 of the Detroit Neighborhood Health Study (DNHS) were used in this analysis. Questions about abuse during childhood were coded to form a childhood adversity score similar to the Adverse Childhood Experience measure. Multiple dimensions of biological age, defined as latent variables, were considered, including systemic biological age (GrimAge, PhenoAge), epigenetic age (Horvath, SkinBlood), and immune age (cytomegalovirus, herpes simplex virus type 1, C-reactive protein, interleukin-6). Depression symptoms, modeled as a latent variable, were captured through the Patient Health Questionnaire-9 (PHQ-9). Models were adjusted for age, gender, race, parent education, and past depressive symptoms. Total and direct effects of childhood adversity on depression symptoms and indirect effects mediated by biological age were estimated. For total and direct effects, we observed a dose-dependent relationship between cumulative childhood adversity and depression symptoms, with emotional abuse being particularly influential. However, contrary to prior studies, in this sample, we found few direct effects of childhood adversity on biological age or biological age on depression symptoms and no evidence of mediation through the measures of biological age considered in this study. Further research is needed to understand how childhood maltreatment experiences are embodied to influence health and wellness.

Sexual Violence Among Higher Education Students in the United Kingdom: Results from the Oxford Understanding Relationships, Sex, Power, Abuse and Consent Experiences Study.

Sexual violence (SV) experienced by higher education students is a prevalent public health problem. Collecting data on SV through self-report surveys in higher education institutions (HEIs) is essential for estimating the scope of the problem, the first step to adequately resourcing and implementing prevention and response programming and policies. However, in the United Kingdom, data is limited. We used data from the cross-sectional Oxford Understanding Relationships, Sex, Power, Abuse and Consent Experiences survey, administered to all students at a university in the United Kingdom in May 2021 (n = 25,820), to estimate the past year prevalence of SV. We analyzed data from respondents who answered at least one question on SV (n = 1,318) and found that 20.5% of respondents experienced at least one act of attempted or forced sexual touching or rape, and 52.7% of respondents experienced at least one act of sexual harassment (SH). We found that women experienced the highest rates of SV. Attempted forced sexual touching was far more common than forced sexual touching, or rape. Sexist remarks or jokes were the most common act of SH. Most acts of SV took place at the university. These findings reveal that the prevalence of SV in HEIs in the United Kingdom could be far higher than what is experienced in the general population. While this study reflects the context in only one institution, it underlines the need for continued monitoring to develop rigorous, evidence-based, and targeted prevention and response strategies.

Child maltreatment associates with violent victimization in young adulthood: a Brazilian birth cohort study

BackgroundMaltreatment in childhood may leave people vulnerable to further experiences of violence and more severe effects of stress later in life. Longitudinal studies of risk for violent victimisation after maltreatment are lacking in low- and middle-income countries. The objective of this study was to quantify the risk for violent victimization in the family and community in young adulthood following experiences of childhood maltreatment (experiences of physical, emotional and sexual abuse and neglect) up to age 15 years in an urban Brazilian population.Methods3246 participants in a prospective, population-based birth cohort study in Pelotas, Rio Grande do Sul, Brazil, were assessed at birth, 15 and 22 years. Sociodemographic factors were reported by mothers at birth and adolescents at age 15 years. Maltreatment and violent victimisation were self-reported in confidential questionnaires at 15 and 22, respectively. Multinomial logistic regression analyses estimated the association between having experienced any maltreatment and later experiences of family and community violence in young adulthood (no adult violence, violence only in the family context, only in the community, or both violence in the family and community), adjusting for sociodemographic factors.Results39% of females and 27% of males reported any maltreatment up to age 15 years. At 22 years, rates of past year violence in the family or community were 17.6% for females and 20.2% for males. Maltreatment was strongly associated with community violence (Females: OR = 2.96, CI = 1.83–4.80; Males: OR = 2.01, 95%CI = 1.01-4.00) and its co-occurrence with family violence (Females: OR = 2.33, 95%CI = 1.34–4.04; Males: OR = 3.20, 95%CI = 1.82–5.65) in young adulthood, after adjustment for background sociodemographic factors.ConclusionChildhood maltreatment is an important risk factor for later violent victimisation in both the family and community context. The effects of repeated trauma through the life-course needs research and clinical attention.

‘I pretend to be an ideal woman just to keep their mouths shut’: Bangladeshi women’s contestation of abuse through social media platforms

ABSTRACT The current paper examines how women in Bangladesh contest abuse within patriarchal systems of control. In many cases, women will often decide the extent to which they adopt a particular technology to prevent experiences of abuse on social media platforms. In the current study, we analysed how women's online presence is controlled by patriarchal norms which impede their agency and recontextualise their empowerment through social media. As such, we rely on the narratives of three women in Dhaka, Bangladesh to understand how they exercise agency on social media platforms to ensure their own empowerment and avoid (further) experiences of abuse. Although we recognise that ICT for Development (ICT4D) can be a crucial way to ensure women’s empowerment, we argue that, as a male-dominated space, social media platforms promote restrictive and unequal gender stereotypes that require women to find alternative strategies to challenge and resist existing patriarchal structures.

The relationship between general psychopathology in young people with family functioning and engagement with psychotherapy

ABSTRACT Objective to examine whether an underlying general psychopathology factor (p factor) existed in children and adolescents attending psychodynamic psychotherapy and whether this general psychopathology factor was associated with family functioning and engagement with psychotherapy. Method Participants were 1976 children and adolescents, and their families, who sought psychodynamic psychotherapy from a community-based clinic in Southern Brazil. The Child Behavior Checklist and the Family Adaptability and Cohesion Evaluation Scales for assessing symptoms and family functioning were used, with treatment engagement data available through linked records. Confirmatory factor analytic methods examined psychopathology and regression models were constructed to examine associations. Results A general psychopathology factor and specific internalizing and externalizing factors were identified. Higher general psychopathology scores at assessment were associated with an increased likelihood of dropout and poorer attendance compared to completing treatment. Father’s educational level, living with both parents, lack of family adaptability and cohesion, and maltreatment experience were related to increased p factor severity. Conclusion General psychopathology severity seems to contribute to child and adolescent psychotherapy outcomes, increasing the risk of non-adherence and dropout. Family difficulties and traumatic experiences may increase p factor severity. Identifying general psychopathology routinely can be crucial for developing effective treatment plans.

It's too late – the post has gone viral already: a novel methodological stance to explore K-12 teachers' lived experiences of adult cyber abuse

PurposeThe purpose of this scoping rapid review was to identify and analyse existing qualitative methodologies that have been used to investigate K-12 teachers' lived experiences of adult cyber abuse as a result of student content “going viral” to propose a novel methodological stance incorporating the Australian Online Safety Act 2021.Design/methodology/approachA search of Google Scholar was conducted using keywords and phrases related to cyber trauma, teachers, qualitative methods and the Online Safety Act. Inclusion criteria for the review were: (1) published in English, (2) focused on teachers' experiences of online abuse and cyberbullying associated with viral posts and (3) employed a qualitative inquiry methodology. Full-text articles were obtained for those that met the inclusion criteria. Data were extracted and analysed using a PRISMA flowchart and inductive thematic analysis.FindingsThis methodology is considered to be justified, as the eSafety Commissioner's Safety-by-Design principles do not have any legal or regulatory enforceability, whereas the Online Safety Act 2021 provides the Australian eSafety Commissioner an avenue to drive greater algorithmic transparency and accountability.Research limitations/implicationsThe findings of this review informed the development of a novel methodological stance for investigating Australian teachers' lived experiences of adult cyber abuse associated with viral posts. It provides a methodological positioning to support trauma informed qualitative research into adult cyber abuse, informed by the work of the eSafety Commissioner and the Online Safety Act.Originality/valueCybertrauma is described as “any trauma that is a result of self- or, other-directed interaction with, mediated through, or from any electronic Internet/cyberspace ready device or machine learning algorithm, that results in impact now or the future” (Knibbs, 2021). It may result from the tracking of movement through various mobile phone features and applications such as location sharing, non-consensual monitoring of social media, and humiliation or punishment through the sharing of intimate images online, through to direct messages of abuse or threats of violence or humiliation. These actions are further perpetuated through automated searches, insights and recommendations on social media (i.e. engagement metrics promote memes, Facebook posts, Tweets, Tiktoks, Youtubes and so on). This is a novel methodology, as it not only considers direct cybertrauma but also automated forms of cybertrauma.

‘I’m a red-blooded male’: Understanding men’s experiences of domestic abuse through a feminist lens

The ways in which gendered expectations of women are used to maintain power and control by male perpetrators of domestic abuse are now well understood. It is also increasingly recognised that men can be victims of domestic abuse. This has led to calls to de-gender theories of violence and abuse, and arguments that the feminist theories which underpin many interventions are outdated. We draw on the experiences of 344 men using a helpline for male victim–survivors of domestic abuse to show that patriarchal constructions of relationships, femininity and masculinity, which underpin women’s experiences of domestic abuse by men are also central to understanding men’s experiences of domestic abuse by women. We propose that men’s victimisation by women perpetrators is not incompatible with feminist understandings of domestic abuse. Rather, that the influence of patriarchal norms in men’s victimisation accentuates the importance of gender in understanding and responding to domestic abuse.

Narratives of childhood sexual abuse: healing through music in Ian McEwan’s On Chesil Beach

Narratives of survivors or by survivors offer useful and compelling insights into the experiences of abuse and its consequent effect on health. Reading such narratives can help a physician or...

Perceptions of parenthood and child development among parents who experienced child maltreatment.

Maltreatment survivors may be at risk for parenting challenges, although the previous literature is inconsistent, has focused on individual maltreatment forms, and has overlooked posttraumatic stress symptoms (PTSS) and other trauma exposure. The current study, thus, aimed to expand this research in four key ways by (a) examining all five maltreatment forms; (b) controlling for other nonmaltreatment trauma exposure to better isolate the role of maltreatment; (c) investigating maltreatment types and PTSS simultaneously; and (d) exploring novel parenting factors, specifically four types of parenting beliefs and developmental knowledge. Trauma-exposed parents (N = 301; Mage = 26.49 years, SD = 8.34, range: 18-69 years; 66.8% female; 59.8% White) participated in the study. A path analytic model indicated that, surprisingly, none of the maltreatment types nor cumulative trauma exposure corresponded with parental beliefs related to one's child, self, partner, or social relationships. PTSS, however, were tied to all four parenting belief types as well as developmental knowledge, βs = -.05-.40. Physical and emotional abuse were linked to less accurate developmental knowledge, β = .02, and maladaptive parenting practices, β = .03. Sexual abuse, neglect, and witnessing domestic violence were not associated with any of the parenting factors. Thus, current trauma symptoms are likely a more critical intervention focus than maltreatment experiences, although physical and emotional abuse may also play a role in parenting knowledge and behaviors. These findings also signal the importance of including all five maltreatment forms and PTSS when conducting research on the interaction between trauma and parenting.

Support worker’s experiences of self-disclosure within domestic abuse support services and women’s voluntary, community, and social enterprise (VCSE) organizations: a qualitative enquiry

ABSTRACT This article examines the experiences of self-disclosure of women’s support workers within domestic abuse support organizations in England. This research considers the voice of women support workers from a feminist epistemological perspective using thematic analysis , and invites the consideration of who decides readiness to work in the sector, and the appropriateness of organizations making this decision for women who wish to work in the milieu of domestic abuse support work. Semi-structured, qualitative interviews were held with twelve women support workers who identified their lived experience of surviving domestic abuse. Three key themes were generated through thematic analysis (ibid.): women’s choice in making a disclosure regarding lived experience, the impact of non-disclosure policies of women’s organizations on practitioners and the sense of hope emanating from practitioners with lived experience of domestic abuse. The findings from this study make a useful contribution to an under-researched and overlooked area within research on violence against women, that of the women who undertake such vital work in the sector.

A better understanding of the impact of childhood trauma on depression in early psychosis: A differential item functioning approach.

Childhood trauma (CT) has been shown to impact depressive symptoms measured broadly in early psychosis patients. Beyond the broad intensity of such impact, less is known about which depressive features are more impacted. Patients of a specialized early intervention programme were evaluated after the first two and six months of treatment with the Montgomery-Asberg Depression Rating Scale (MADRS). We used the first assessment available. We estimated an Item-response model to reveal potential differential item functioning (DIF) in order to highlight depressive features that could be impacted differently than others by experiences of abuse (sexual physical and emotional) and neglect (physical and emotional). Two hundred and sixty-two recent onset patients with psychosis were assessed. Results at the beginning of the Treatment and Early Intervention in Psychosis Program (TIPP) showed that abuse but not neglect was associated with more severe depression levels, measured at a global MADRS score. Concerning specific depressive symptoms, concentration difficulties were left largely unaffected by abuse in contrast with other aspects of depression. The cognitive item of the depressive dimension assessed by the MADRS was not impacted by experiences of abuse, while the remaining subdomains involving anxiety, suicidality, somatic symptoms, and anhedonia were. Trials focusing on improving the impact of depression in traumatised individuals should account for the possible diluting effect of concentration when measuring the depression broadly. DIF is a promising method to better understand the impact many variables may have on various psychological dimensions at the item level.

Adolescents’ experience of mistreatment and abuse during childbirth: a cross-sectional community survey in a low-income informal settlement in Nairobi, Kenya

BackgroundAdolescent girls in Africa have poorer maternal health outcomes than older women partly because they are less likely to access antenatal and facility-based delivery care. Mistreatment and abuse of adolescents...

Emerging adult college students' descriptions of exposure to childhood emotional abuse and associated factors: A qualitative exploration

BackgroundGrowing evidence on the long-term deleterious impacts of emotional abuse highlights the need to further understand childhood emotional abuse and its context to strengthen prevention efforts. ObjectiveTo describe emerging adults' experiences of emotional abuse in their childhoods and the household context surrounding that abuse. Participants and settingFifty-eight interviews were conducted with emerging adults, ages 18–25, recruited from four 2- and 4-year institutions of higher education. MethodsThematic analysis was conducted to identify and describe patterns in the data. A cyclical approach to codebook development and data analysis was followed by a team of four coders. ResultsThemes related to participants' experiences of emotional abuse included: inability to meet parent expectations; parent attacks on the child's character; parent negative comparisons to siblings and others; parent invalidation of the child's emotions and mental health needs; and evolution over time in the parent-child relationship. Aspects of childhood family environments contemporaneous with the childhood emotional abuse included: financial stress; parent mental illness; parent divorce, separation, or volatile relationship; parent adversity or trauma; physical abuse; and young parent age. Many participants identified these aspects of their family environment, most of which could potentially be improved with sufficient support, as playing causal roles in the emotional abuse they experienced. ConclusionThis descriptive qualitative study provides additional insight into child emotional abuse and its associated factors, providing invaluable insights that can enhance current measurement and intervention approaches.

Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta-analysis.

Street children face a disproportionately higher risk of human immunodeficiency virus(HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high-risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors among street children in Iran. We searched PubMed, Web of Science (ISI), Embase, Scopus, and Google Scholar for the English-language records and Iranian databases, including SID, Magiran, and IRANDOC for the Farsi-language records up to September 18, 2022. Random effects analysis was used to obtain prevalence estimates for each condition. Homogeneity across included studies was assessed using I 2. We extracted data from 18 eligible studies, representing 5646 children (83.2% boys), with a mean age of 10.2 (range: 5-18). The prevalence of HIV, HBV, and HCV were 0.79% (95% confidence intervals [CIs]: 0.0-5.56), 1.97% (95% CI: 1.01-3.19), and 1.88% (95% CI: 0.74-3.46), respectively. The prevalence of lifetime drug use and sexual abuse was 8.32% (95% CI: 4.83-12.62) and 10.18% (95% CI: 3.02-20.67) among street children, respectively. The estimated prevalence of HIV, HBV, and HCV among street children in Iran was higher than the estimates in the general population. Moreover, drug use and the experience of sexual abuse were prevalent among this population. These findings suggest the need for targeted prevention programs for street children in Iran.

Factors contributing to whether or not people with obesity undergo bariatric surgery

BackgroundBariatric surgery has been suggested as a safe and effective way to treat obesity by facilitating weight loss, but factors that predict the likelihood of bariatric surgery are unknown. The objective of this study was to describe factors associated with individuals with obesity that influence their decision to undergo bariatric surgery. Subjects and methodsThe study design was a cross-sectional study and participants were recruited via a survey link posted on the Obesity Action Coalition website. Demographic data, medical data, weight loss program data, and reports of personal experiences were gathered via an online survey. A multivariate logistic regression model was conducted to examine predictors associated with bariatric surgery (N = 4192). ResultsParticipants who took phentermine (OR=2.983), Phentermine-topiramate (Qsymia) (OR=2.863), Naltrexone-bupropion (Contrave) (OR=3.246), or Liraglutide (Saxenda) (OR=2.144) had a higher likelihood of undergoing bariatric surgery for weight loss. Participants with type 2 diabetes (OR=1.728), post-traumatic stress disorder (PTSD) (OR=1.489), or COVID-19 (OR=3.852) had a higher likelihood of undergoing bariatric surgery while sleep apnea (OR=0.760) was associated with a lower likelihood of receiving surgery. Those who used MyFitnessPal™ (OR=2.232), Noom™ (OR=1.400), Jenny Craig™ (OR=1.533), or Keto (OR=1.664) for weight loss had a higher likelihood of obtaining bariatric surgery. Personal trauma experiences of sexual abuse (OR=1.982) and physical abuse (OR=1.490) were more associated with participants who underwent surgery. ConclusionsA variety of characteristics were associated with decisions to undergo bariatric surgery. These findings may help to determine ways to support individuals who are considering bariatric surgery.

Stories of loss and healing: connecting non-economic loss and damage, gender-based violence and wellbeing erosion in the Asia–Pacific region

It is well-known that women, children, and other intersectional and marginalised social groups are disproportionately impacted by ‘non-economic wellbeing loss’ in the context of climatic changes. However, few empirical studies investigate its interrelation with violence against women and children (VAWC). We urgently need to widen our perceptions of what falls under the umbrella term ‘Non-Economic Loss (and Damage)’, NEL(D)s, for societies to appropriately be able to avert, minimise, and address losses and damages among vulnerable people. Through stories of loss and healing, we step into the realities of women and children who illustrate how they experience non-economic wellbeing loss within a climate-violence nexus in Bangladesh, Fiji, and Vanuatu. A storytelling and systems approach guided the analysis of personal narratives gathered through a secondary data review and empirical field work. The research findings identified different pathways through which women’s and children’s mental health was compromised in the context of structural violence and climatic risks. In Bangladesh, the narratives described wellbeing erosion in the context of gendered (im)mobility; in Fiji, the findings captured women’s and children’s experiences of sexual violence, domestic abuse, exploitation, and trafficking in the context of natural hazards, while in Vanuatu, hardship, gendered dependence, and healing were narrated by women in their stories surrounding disaster recovery. This article comprehensively lays out the longer-term societal wellbeing consequences of climatic changes and gender-based violence. It also identifies research gaps in need of further attention and proposes policy recommendations as well as methodological and disaster health service solutions to address wellbeing loss in a climate changed future.

Longitudinal impacts of adverse childhood experiences on multidimensional health outcomes: Predicting trajectories in mental, physical, and behavioral health

BackgroundAdverse childhood experiences (ACEs) elevate the risk of poor health later in life. ObjectiveThis study aims to provide a more comprehensive investigation of the multidimensional health risks associated with ACEs, to address a gap in the understanding of their longitudinal impact on mental, physical, and behavioral health domains. Participants and settingThis study included 6, 504 participants (51.61 % females) from the National Longitudinal Study of Adolescent to Adult Health (1994–2018). MethodsWe utilized latent class growth analysis to identify trajectories from adolescence to adulthood in three health domains: depression (Mental Health, MH), self-report physical health (SRH), and binge drinking frequency (BDF). Binary logistic regression was then used to assess the unique contributions of different types of ACEs to these longitudinal health trajectories. ResultsThree to four trajectories were identified for MH (consistently low, decreasing, increasing), SRH (consistently low, decreasing, increasing, consistently high), and BDF (consistently low, decreasing, moderate). Regression results showed that experience of emotional abuse and witnessed community violence elevated the risk associated with unfavorable trajectories in the mental health and behavioral health domains, respectively. ConclusionsIndividual ACEs differentially predicted mental, physical, and behavioral health trajectories, potentially through various pathways. Prevention of ACEs could mitigate health risks for adolescents and young adults across these domains.

Mapping digital dating abuse in Brasil and Australia.

Technology plays a key role in young people's relationships. While its benefits are well known, less is known about its negative impacts and experiences, such as digital dating abuse. Most studies originate from North American and European countries and have not framed digital dating abuse as a multidimensional phenomenon. Exploring this social and public health issue in the Global-South is necessary because it significantly impacts youths' lives. I use Brown and Hegarty's framework of digital dating abuse as a wide range of harmful behaviours and a gender perspective to review the extant literature on adolescent victimisation in digital dating abuse in heterosexual relationships from a southern perspective. This perspective is demonstrated by drawing primarily from the scholarship of two countries in the Global-South, Brasil and Australia. I argue that digital dating abuse is a multifaceted and gendered phenomenon and suggest a qualitative approach across multiple southern countries aids researchers to compile and study adolescent digital dating abuse experiences, contexts and impacts. This contemporary phenomenon of adolescent digital dating abuse merits scholarly attention as a social and public health problem.