Onset Of Abuse Research Articles

Sexual Behavior in Sexual Minority and Non-Minority Youth from Eight European Countries

ABSTRACT Sexual minority youth, compared to their heterosexual peers, have a disproportionate burden of sexual risks, but it remains unclear whether such inequalities exist across cultures and countries. We used data from eight European countries participating in the 2018 Health Behaviour in School-aged Children (HBSC) study to analyze sexual behavior in representative samples of adolescents aged 14.5–16.5 years (N = 10,583). Overall, 19.1% of the participants reported that they had had sexual intercourse. Compared to their non-minority peers (those exclusively attracted to opposite-gender partners), sexual minority youth – attracted to same- or both-gender partners – were significantly more likely to report having had sexual intercourse and sex before age 14. Those attracted to both-gender partners had similar odds of having had sexual intercourse, but higher odds of not using condoms, or neither condoms nor contraceptive pill use at last intercourse. Those not attracted to anyone had similar odds of having had sexual intercourse but were more likely to report early sex and not using protection at last intercourse. Adjusting for gender, country and family affluence did not substantially change the pattern of results. In interpreting the findings, the onset of puberty, sexual abuse, stigma management and experimentation with sexual identity should be considered. We discuss the practical, clinical and research implications of the findings.

Expressing Anger with Robot for Tackling the Onset of Robot Abuse

Service robots in public spaces can sometimes become victims of ‘abuse’, manifesting as persistent blocking of the robot’s path, physical violence such as pushing or pulling, or abusive language. This kind of abuse can be a serious obstacle to the deployment of robots. We studied the possibility of mitigating obstructive behaviour towards the robot, which is known to happen in the early stages of robot abuse, by having the robot express anger-like emotions. We identified and implemented three distinct anger behaviours: furious, quiet and scolding anger. Through an online video survey, we confirmed that all three designed robot behaviours were perceived as expressions of anger. Finally, we ran an in-lab experiment with child participants to study the influence of the robot’s expressions of anger on children’s obstructive behaviours. The results show that ‘furious anger’ was effective in reducing the frequency of obstructions, whereas the other two anger types were not.

Perceptions of forensic interviewers on the sexual education of individuals with a disability exposed to sexual victimisation

ABSTRACT This qualitative study examines the perspectives of forensic interviewers on the education of individuals with a disability who have been exposed to sexual abuse and violence. Data were collected through semi-structured interviews with 25 forensic interviewees in six provinces in Turkey. The data were analysed using thematic analysis. Thematic analysis results revealed four themes: types of disabilities of individuals subjected to sexual violence and abuse; family; education and sexual violence and abuse; and the effect of difficulties in self-expression during the forensic interview process. The findings emphasise the necessity for tailored, visually supported education aligned with developmental stages to prevent sexual violence. The inclusion of parents in these sexual education sessions could prove to be effective in preventing the onset of sexual abuse perpetrated against individuals with a disability. The insights provided by forensic interviewers underscore the importance of an interdisciplinary approach in developing and implementing sexual education programmes, aiming to address deficiencies in current sexual education frameworks. Personal safety and sexual education could be useful in preventing negative incidents that individuals with a disability may encounter at every stage of their lives. PRACTICE IMPACT STATEMENT Our results highlight the critical importance of customised sexual education programmes for reducing the vulnerability of individuals with a disability to sexual violence and abuse. It addresses the role of identifying practical measures to address the risks associated with these individuals, promoting parental involvement, and raising awareness in the community. Interdisciplinary collaboration across various fields, such as health care, psychology, and law, and the development of inclusive sexual education initiatives, may be important for protecting the rights and well-being of individuals with a disability and their families.

Clinical and Sociodemographic Characteristics that May Affect Delays in Child Sexual Abuse Disclosures: Ten Years in Practice.

This study covers Child Sexual Abuse (CSA) survivors who had never disclosed the abuse until their psychiatric interview. There is a clear lack of understanding of which factors contribute to delays in the disclosure of CSA. Thus, we aimed to examine the risk factors and sociodemographic variables that may inhibit CSA disclosures. We retrospectively analyzed the files of patients who presented to a child and adolescent psychiatry clinic with diferent complaints between 2010 and 2020 in a tertiary hospital. All of these sexual assaults were ofcially reported by a child and adolescent psychiatrist to the competent authorities. The mean period of time from abuse to disclosure was 28.4 ± 32.5 months. The time from abuse to disclosure was significantly negatively correlated with mothers' education years (r=-.430, P < .01) and with the age of onset of sexual abuse (r=-.589, P < .001). Results of multiple linear regression showed that female sex and the earlier age of onset of sexual abuse were significant predictors of increased duration from abuse to disclosure. Our results provide insights into several risks that may afect the time from abuse to disclosure for CSA survivors. Studies with larger samples are needed to understand the factors afecting the time from abuse to disclosure.

Vulnerability to incest – Findings from a comparative single-case study of the onset of intrafamilial child sexual abuse

Previous research about intrafamilial child sexual abuse was not able to identify specific risk factors that distinguish this unique subgroup from other sexual offending subgroups. In comparison to other groups of sexual offenders, men convicted of intrafamilial sexual child abuse (ICSA) are found to exhibit more similarities to non-offending fathers than extrafamilial sexual offenders. Consequently, the risk assessment of sexual recidivism among “incest offenders” lacks evidence-based evaluation criteria. Given the suggestion that family system factors should be included in research on the onset of ICSA, we employed the Vulnerability to Incest Model proposed by Trepper and Barrett (1989, https://doi.org/10.4324/9780203776605) in a qualitative single-case analysis. A comparative analysis of ten court evaluations of ICSA offenders revealed that all families in which ICSA has occurred demonstrated at least two vulnerability factors. The analyzed offenders exhibited comparable patterns of masculine sexual entitlement. The utility of this recently developed construct for sexual violence research is discussed and implications for further research proposed.

“But I wanted to talk about it”: Technology-assisted child sexual abuse victims’ reasoning for delayed disclosure

BackgroundVictim disclosure is crucial in uncovering and preventing child sexual abuse, but many victims are reluctant to disclose. While research on child sexual abuse has identified a range of barriers and facilitators for disclosure, the disclosure process for technology-assisted child sexual abuse (TA-CSA) is largely unexplored. ObjectiveGain a first-person perspective on TA-CSA disclosure. Participants and settingSeven young women (aged 7–13 at onset of abuse, 17–24 at interview) were interviewed about the barriers to disclosure they had faced and potential facilitating factors that would have helped them disclose earlier. MethodsThe interviews were analyzed using data-driven reflexive thematic analysis. ResultsA wish to tell captures the desire to have had someone to share abusive experiences with. Fearing who would find out encapsulates the fear that disclosing to one person will spread beyond the initial disclosure. A need for a cue reflects the participants' lack of knowledge and the need for invitations to talk about sex and abuse. Fearing it was my fault conveys the participants' sense of guilt and their wish to understand that they were not to blame. ConclusionsDespite a wish to disclose, shame, guilt, and fear were barriers that held them back. Knowledge about TA-CSA, and invitations to the topic were seen as potential facilitators. Four suggested facilitating factors for disclosure, which society and the adult world should prioritize, were synthesized from the interviews: open dialogue on sensitive topics, providing an opportunity to tell, allowing the child to be in control of the story, and lifting the shame and self-blame.

Domestic Violence and Drug Addiction Among Adolescents: A Case Study of Union Council Bilitang-District Kohat

Aim of the Study: The recent literature about drug addiction reveals several causes in the least developed societies. Very little attention has been given to domestic violence which is also a major contributor to this menace in developing societies. This study is designed to explore the role of domestic violence in promoting drug addiction among adolescents of District Kohat. Methodology: The nature of the study was qualitative where the data was collected from 20 participants selected purposively through in-depth interviews. Thematic analysis was used for the data analysis which reveals that familial affairs such as conflict among parents, divorce, financial unrest, conflict among siblings, and disintegration among family members are the major contributors to drug addiction. Findings: The finding highlights that a holistic and institutionalized approach needs to be undertaken with vivid policy implications at a societal and communal level to eliminate the increasing rate of drug use among adolescents in the study area. Conclusion: The study concluded that a stable, nurturing family environment, free from violence and financial distress, is critical in preventing the onset of poly-substance abuse among adolescents. Interventions aimed at strengthening family bonds, improving economic conditions, and addressing cultural norms that perpetuate adverse childhood experiences are essential in mitigating the risk of drug addiction in vulnerable populations.

Pattern of substance abuse among patients in a rehabilitation center

Background: Substance use disorders have profound implications for individuals, their families, and society as a whole. At present, drug trafficking and addiction have ensnared every corner of the globe, impacting millions of individuals worldwide. This pressing issue of drug abuse is concerning due to the underlying conditions fueling it, including shifting cultural values, increasing economic stress, and weakened social support networks. Aims and Objectives: This study aimed to identify the trends in drug abuse and its influencing factors among patients undergoing treatment for addiction in rehabilitation centers in Telangana. Materials and Methods: The study, a descriptive cross-sectional analysis, involved 222 individuals grappling with drug addiction at the primary rehabilitation center for drug addiction treatment in Telangana. Information was gathered using a pre-tested, structured questionnaire between September and December 2022 under the Department of Pharmacology. Results: Among the respondents, 95% were male and 5% were female, with a majority falling in the 21–30 age brackets. The religious breakdown comprised 151 Hindus, 32 Muslims, and 30 Christians, while 41% hailed from tribal regions. Injection emerged as the most prevalent method of substance abuse among 194 participants. The onset of drug abuse mostly occurred between ages 11 and 20, primarily driven by self or peer pressure. Notably, 89% of participants reported being compelled to consume substances. Conclusion: The study found a significant correlation between male gender and drug consumption (P&lt;0.05), as well as between the 21 and 30 age group and drug intake (P&lt;0.05). Additionally, the research highlighted a high prevalence of drug dependence among educated individuals, with familial conflicts and peer pressure being cited as common triggers for various forms of substance abuse.

ADHD - Treatment Options and Consequences of Neglect

Purpose of Research: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most frequently diagnosed neurodevelopmental disorders. It is estimated to occur in approximately 5-10% of children and adolescents. This paper aims to highlight the challenges faced by individuals suffering from ADHD, present risk factors, summarize current treatment methods, and outline the consequences of neglecting treatment. Methods: Databases such as PubMed, Medline, and ResearchGate were used. Basic Results: The goal of ADHD treatment is to reduce the severity of symptoms and improve the social, academic, and emotional functioning of children and adolescents. The choice of treatment and the selection of a specific medication depend on the patient's age and coexisting disorders. Conclusions: ADHD often coexists with other mental disorders, complicating diagnosis and treatment. Lack of or ineffective treatment has consequences such as learning difficulties, disruptions in peer and family relationships. It correlates with higher rates of traffic accidents, accidental injuries, earlier onset, and higher rates of substance abuse.

Factors influencing adult cognitive appraisals of childhood sexual abuse

BackgroundAdult appraisals of their childhood sexual experiences as abusive are associated with increased risk for long-term psychological problems. Factors that underlie whether adults appraise their childhood sexual experiences as abusive remain unknown. ObjectiveTo determine factors associated with adult cognitive appraisals of childhood sexual abuse. Participants and settingParticipants were 1196 adults ages 19–41 (M = 29.23, SD = 3.84) with documented cases of childhood maltreatment (sexual abuse, physical abuse, and neglect) during the years 1967–1971 and demographically matched controls who were followed-up and interviewed in adulthood. MethodsUsing a prospective cohort design, participants were asked to recall whether they had any sexual experiences in childhood, and if so, the frequency of abuse, age at the onset of abuse, relationship to perpetrator, and whether they appraised the experiences as sexually abusive. ResultsOver half of the sample (52%) reported childhood sexual experiences, yet only 44% considered those experiences sexually abusive. Participants with documented cases of child sexual abuse and neglect were more likely to appraise their childhood sexual experiences as abusive compared to controls. Participants who reported more severe abuse, more frequent abuse, younger age at the onset of abuse, and intrafamilial and both intra- and extrafamilial abuse (vs. extrafamilial abuse) were more likely to consider their experiences abusive. Compared to males and Black participants, females and White participants were more likely to appraise their experiences as abusive. ConclusionsUnderstanding factors that determine adult cognitive appraisals of childhood sexual experiences as abusive can inform clinical interventions for maltreated populations.

The experience of childhood sexual abuse: An exploratory description of psychological and adaptive functioning in Canadian men

BackgroundChildhood sexual abuse (CSA) affects a number of men yet knowledge gaps remain around comprehensively describing psychological and adaptive outcomes for this population. ObjectiveExamine how a Canadian sample of men with and without CSA histories compares on broader areas of psychological and adaptive functioning. Participants and settingThis exploratory study included 109 adult men aged 25–60 years who were grouped according to whether they experienced CSA (n = 69) or not (n = 40). Participants were recruited from Ottawa, Ontario, Canada. MethodUsing a multi-method approach, we conducted an exploratory and comprehensive examination of how CSA contributes to various areas of psychological (e.g., depression, anxiety, stress, dissociation, anger, PTSD) and adaptive functioning (e.g., friendship quality, employment) using self-report and clinician-administered measures. ResultsCSA men were an average of 8.5 years old at abuse onset. Most (62.3 %) had disclosed their CSA experience, waiting an average of 13.6 years before disclosure. After controlling for covariates (i.e., other types of maltreatment, non-maltreatment adversities, education, income), results indicated a significant association between CSA and men's psychological functioning, but not their adaptive functioning. ConclusionsFindings highlight the importance of broadening our understanding of how the experience of CSA, controlling for important covariates, can contribute to the well-being of men in order to better respond to their psychological needs.

Hazard of substance abuse onset among adults diagnosed with epilepsy or migraine

ObjectiveWe investigated adult-onset epilepsy as a risk factor for the development of substance use disorder (SUD) by comparing the rate of SUD diagnosis among adults diagnosed with epilepsy with presumably healthy controls with lower extremity fractures (LEF). For additional comparison, we investigated the risk for adults with migraine only. Epilepsy and migraine are both episodic neurological disorders and migraine is frequently comorbid with epilepsy. MethodsWe conducted a time-to-event analysis using a subset of surveillance data of hospital admissions, emergency department visits, and outpatient visits in South Carolina, USA from January 1, 2000, through December 31, 2011. Individuals aged 18 years or older were identified using the International Classification of Disease, 9thRevision Clinical Modification (ICD-9) with a diagnosis of epilepsy (n = 78,547; 52.7% female, mean age 51.3 years), migraine (n = 121,155; 81.5% female, mean age 40.0 years), or LEF (n = 73,911; 55.4% female, mean age 48.7 years). Individuals with SUD diagnosis following epilepsy, migraine, or LEF were identified with ICD-9 codes. We used Cox proportional hazards regression to model the time to SUD diagnosis comparing adults diagnosed with epilepsy, migraine, and LEF, adjusting for insurance payer, age, sex, race/ethnicity, and prior mental health comorbidities. ResultsCompared to LEF controls, adults with epilepsy were diagnosed with SUD at 2.5 times the rate [HR 2.48 (2.37, 2.60)] and adults with migraine only were diagnosed with SUD at 1.12 times the rate [HR 1.12 (1.06, 1.18)]. We found an interaction between disease diagnosis and insurance payer, with hazard ratios comparing epilepsy to LEF of 4.59, 3.48, 1.97, and 1.44 within the commercial payer, uninsured, Medicaid, and Medicare strata, respectively. SignificanceCompared to presumably healthy controls, adults with epilepsy had a substantially higher hazard of SUD, while adults with migraine only showed a small, but significant, increased hazard of SUD.

Trauma Across the Life Span and Multisystem Morbidity in Women With HIV.

Sexual and physical abuse are highly prevalent among women living with HIV (WLWH) and are risk factors for the development of mental health and substance use disorders (MHDs, SUDs), and cognitive and medical comorbidities. We examined empirically derived patterns of trauma, MHD, and SUD, and associations with later cognitive and health outcomes. A total of 1027 WLWH (average age = 48.6 years) in the Women's Interagency HIV Study completed the World Mental Health Composite International Diagnostic Interview from 2010 to 2013 to identify MHDs, SUDs, and age at onset of sexual and physical abuse. Then, cognitive impairment, cardiovascular/metabolic conditions, and HIV disease outcomes were assessed for up to 8.8 years. Latent class analysis identified patterns of co-occurring trauma, MHDs, and/or SUDs. Generalized estimating equations determined associations between these patterns and midlife cognitive and medical outcomes. Six distinct profiles emerged: no/negligible sexual/physical trauma, MHD, or SUD (39%); preadolescent/adolescent sexual trauma with anxiety and SUD (22%); SUD only (16%); MHD + SUD only (12%); early childhood sexual/physical trauma only (6%); and early childhood sexual/physical trauma with later MHD + SUD (4%). Profiles including early childhood trauma had the largest number of midlife conditions (i.e., cognitive, cardiovascular, HIV-related). Preadolescent/adolescent sexual trauma with anxiety and SUD predicted both global and domain-specific cognitive declines. Only SUD without trauma predicted lower CD4, whereas childhood trauma with MHD + SUD predicted increased CD8. WLWH have complex multisystem profiles of abuse, MHD, and/or SUD that predict midlife cognitive, metabolic/cardiovascular, and HIV outcomes. Understanding the interplay between these factors over time can identify risks and personalize preventative and treatment interventions.

Disorders of cognitive decision-making mechanisms related to reward in alcohol use disorders

To assess the relationship of disorders of cognitive decision-making mechanisms related to reward with clinical indicators of alcohol dependence. Forty-five patients with alcohol dependence were studied. A control group consisted of 30 age- and sex-matched healthy individuals. To quantify cognitive functions, the Go/NoGo task, the Balloon test (BART), the Cambridge Game Task (CGT) and the Iowa Game task (IGT) were used. The age of the first alcohol sample, the age of the beginning of systematic alcohol abuse, the average amount of alcohol consumption over the past month, the number of hospitalizations, the age of the first visit to a narcologist and the duration of the last remission were used as clinical indicators. The indicators of executive functions are significantly reduced in patients with alcohol dependence compared with the control group. In the Go/NoGo task, patients have more errors, both on the Go signal (p=0.012) and on the NoGo signal (p=0.009). Significant differences in the group of patients with alcohol dependence from the control group were also revealed in CGT: patients had lower values of decision quality (QDM) (p=0.002), higher values of risk acceptance (OBR) (p=0.015), and they also needed more time to make decisions (DT) (p=0.012). It was also found that the age of the onset of systematic alcohol abuse directly correlates with the quality of decision-making in CGT (rs=0.407, p=0.048). The results emphasize the importance of studying cognitive impairment in patients with alcohol dependence, since the severity of these disorders is associated with the clinical course of the disease.

The effect of web-based family-centered empowerment program in preventing the risk factors of substance abuse in students' parents; application of the health promotion model.

The age of onset of substance abuse among adolescents has recently decreased worldwide. Parents play an important role in preventing their children from drug abuse. This study aimed to investigate the effect of web-based family-centered empowerment program in preventing the risk factors of substance abuse in students' parents, using the health promotion model (HPM). This interventional study was based on 118 parents of high school students in Sabzevar, Iran (2019). Multi-stage random sampling was used to divide the participants into the experimental (n = 65) and control (n = 65) groups. The data were collected through a researcher-made questionnaire based on Pender's HPM. A website was designed to perform all stages of the study. The web-based educational intervention was performed for the experimental group. Both groups completed the questionnaires 2 months after the educational intervention. The data were analyzed using t-test, paired t-test, regression, correlation, and analysis of covariance. There was a significant difference between the scores of prior related behavior, perceived benefits of action, activity-related effect, situational influences, competitors, and commitment in the parents of the experimental group compared to the control group after the educational intervention (P-value < 0.05). Moreover, a significant difference was observed between preventive behaviors of substance abuse and the mean score of perceived barriers to action, perceived self-efficacy, interpersonal influences, and role model in the parents of the experimental group compared to the control group after the educational intervention (P-value < 0.05). Overall, designing an educational intervention based on the constructs of Pender's HPM could be an effective strategy for promoting preventive behaviors of substance abuse in parents.

The effects of circadian desynchronization on alcohol consumption and affective behavior during alcohol abstinence in female rats.

Disruption of circadian rhythmicity distorts physiological and psychological processes and has major consequences on health and well-being. A chronic misalignment within the internal time-keeping system modulates alcohol consumption and contributes to stress-related psychiatric disorders which are known to trigger alcohol misuse and relapse. While there is growing evidence of the deleterious impact of circadian disruption on male physiology and behavior, knowledge about the effect in females remains limited. The present study aims to fill the gap by assessing the relationship between internal desynchronization and alcohol intake behavior in female rats. Female Wistar rats kept under standard 24-h, 22-h light-dark conditions, or chronic 6-h advanced phase shifts, were given intermittent access to 20% alcohol followed by an extended alcohol deprivation period. Alcohol consumption under altered light-dark (LD) conditions was assessed and emotional behavior during alcohol abstinence was evaluated. Internally desynchronization in female rats does not affect alcohol consumption but alters scores of emotionality during alcohol abstinence. Changes in affective-like behaviors were accompanied by reduced body weight gain and estrous irregularities under aberrant LD conditions. Our data suggest that internal desynchronization caused by environmental factors is not a major factor contributing to the onset and progression of alcohol abuse, but highlights the need of maintaining circadian hygiene as a supportive remedy during alcohol rehabilitation.

Alcohol use among Congolese Babembe male refugees in Tarrant County: A qualitative study.

Refugees are at high risk of alcohol abuse due to experiences in their country of origin, transit camps, and in host countries. Congolese have been the largest group of refugees resettled in the US since 2016 and Babembe represent one of the largest Congolese refugee sub-groups. There is a growing body of literature highlighting substance abuse among refugees resettled in the US, but little is known about Congolese Babembe. This study aimed to explore factors and practices contributing to alcohol abuse among Congolese Babembe refugees. A qualitative research design employing a narrative inquiry approach was used in this study. One focus group discussion was conducted with a semi-structured guide in February 2020.A total of 19 hard-to-reach male refugee participants were recruited through snowball sampling. Audio recordings were translated and transcribed before a thematic content analysis was conducted using Nvivo 10. The main themes arose in the focus group analysis. First, the role of war, trauma, and migration in the onset of alcohol abuse in a community that once limited alcohol use to only older men for socialization. Second, refugees viewed alcohol abuse in their community as a result of post- resettlement cultural loss. Third, refugees perceived alcohol as serving a purpose to help cope with stressful conditions in the US and bad news received from loved ones in Africa. Further analysis shows the role of interactions with armed forces and other cultures during war and migration contributed to the adoption of alcohol abuse behavior. Findings from this study suggest that factors contributing to alcohol abuse among Congolese Babembe refugees include personal traumatic experiences, loss of cultural identity, and conducive conditions in the host country. Understanding these factors can guide the development of appropriate interventions to prevent alcohol abuse in this vulnerable community. Further research is needed to include Babembe women's perspectives.

Late-Onset Alcohol Abuse as a Presenting Symptom of Neurodegenerative Diseases.

The association between lifetime alcohol abuse and a higher risk to develop dementia is well known. However, it is unknown whether older adults who begin abusing alcohol late in life have an underlying neurodegenerative disease. Identify the frequency of lifelong alcohol abuse (L-AA), late-onset alcohol abuse (LO-AA), and alcohol abuse as a first symptom of dementia (AA-FS) in patients with neurodegenerative diseases. Cross-sectional retrospective study of patients evaluated at an academic referral center with a clinical diagnosis of behavioral variant frontotemporal dementia (bvFTD), Alzheimer-type dementia (AD), and semantic variant primary progressive aphasia (svPPA) (n = 1,518). The presence of alcohol abuse was screened with the National Alzheimer's Coordinating Center questionnaire. L-AA was defined as onset < 40 years, LO-AA as onset ≥40 years, and AA-FS was defined when the abuse started within the first three years from symptom onset. The frequency of LO-AA was 2.2% (n = 33/1,518). LO-AA was significantly more frequent in patients with bvFTD than AD (7.5%, n = 13/173 versus 1.3%, n = 16/1,254, CI:1.0;11.4%), but not svPPA (4.4%, n = 4/91, CI: -4.4;10.7%). Similarly, AA-FS was more frequent in bvFTD patients than AD (5.7%, n = 10/173 versus 0.7%, n = 9/1,254, CI:0.5%;9.5%), but not svPPA (2.2%, n = 2/91, CI:-2.4;9.1%). LO-AA can be a presenting symptom of dementia, especially bvFTD. Alcohol abuse onset later in life should prompt a clinical investigation into the possibility of an underlying neurodegenerative process because delay in diagnosis and treatment may increase patient and caregiver burden. The results need to be interpreted with caution due to the limitations of the study.

Silent screams: Listening to and making meaning from the voices of abused children

BackgroundSexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behaviours, which may be salient in the course of growth but later present in adulthood as severe cases of comorbid psychopathologies. It is expected therefore that CSV cases be treated with urgency and policies/laws against perpetrators be translated into visible outcomes. However, many CSV cases go unreported; and where there are attempts at reporting, the manner and approach of handling these cases is discouraging and futile. In this study, we explored the lived experiences of CSV survivors in Nigeria who tried reporting and opening up their experiences.MethodUsing the hermeneutic phenomenological approach, responses from 11 girls aged 15 to 17 years at the time of the study and 8 to 16 years at onset of abuse were obtained. Data were gathered through interviews, and the victims' experiences were aggregated using content analysis.ResultsThe major findings were summarized under the following themes: (a) silent screams, (b) trauma and the search for a therapeutic ear, (c) stigma and (d) withdrawal: our last resort. Respondents reported crying out and begging perpetrators to stop the act. They also reported experiencing trauma and related physical/mental health issues after the act. As they sought whom to disclose to, they reported feeling stigmatized and eventually having to withdraw and recoil.ConclusionsImplications of the study cut across medical practice, social work, therapeutics and policy formation/implementation for the prevention of CSV and attending to CSV victims in hospitals, homes and schools. The importance of empathic therapeutic processes was discussed. The need for a multisectoral and multistakeholder approach in tackling CSV was also highlighted.

Tell me who your friends are?! The mediating role of friends' use in cannabis abuse.

Objectives To evaluate the relationship between age at onset of cannabis use and cannabis abuse in a sample of Portuguese cannabis users, testing the mediating role of the number of friends using cannabis and comparing these relationships between male and female subsets.Method A sample of 529 Portuguese cannabis users comprising 276 males and 244 females aged from 14 to 21 years completed a sociodemographic questionnaire, the Cannabis Abuse Screening Test (CAST), and answered four questions related to cannabis use. Data were analyzed using the PROCESS macro in SPSS version 26.0.Results Age at onset of cannabis use was negatively related to the number of friends using cannabis, while the number of friends using cannabis had a positive relationship with cannabis abuse. As predicted, the number of friends using cannabis seems to have a mediating role in the relationship between cannabis onset age use and cannabis abuse, since the indirect effect was found to be significant. The pattern of the relationships among the variables observed was found to be similar for both male and female subsets of the sample. However, males reported higher cannabis abuse than females.Conclusion The results highlight the mediating role of friends’ use of cannabis in the relationship between age at onset of cannabis use and users’ abuse. These results highlight the importance of early intervention in cannabis use. In particular, the pattern of the relationships observed among the studied variables emphasizes the need to monitor and conduct peer training interventions or interventions to promote of social skills.