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[PMID]:28471341
[Au] Autor:Smith DW; Sawyer GK; Heck NC; Zajac K; Solomon D; Self-Brown S; Danielson CK; Ralston ME
[Ad] Endereço:a National Crime Victims Research Treatment Center , Medical University of South Carolina , Charleston , South Carolina , USA.
[Ti] Título:Psychometrics of a Child Report Measure of Maternal Support following Disclosure of Sexual Abuse.
[So] Source:J Child Sex Abus;26(3):270-287, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The study examined a new child report measure of maternal support following child sexual abuse. One hundred and forty-six mother-child dyads presenting for a forensic evaluation completed assessments including standardized measures of adjustment. Child participants also responded to 32 items considered for inclusion in a new measure, the Maternal Support Questionnaire-Child Report (MSQ-CR). Exploratory factor analysis of the Maternal Support Questionnaire-Child Report resulted in a three factor, 20-item solution: Emotional Support (9 items), Skeptical Preoccupation (5 items), and Protection/Retaliation (6 items). Each factor demonstrated adequate internal consistency. Construct and concurrent validity of the new measure were supported in comparison to other trauma-specific measures. The Maternal Support Questionnaire-Child Report demonstrated sound psychometric properties. Future research is needed to determine whether the Maternal Support Questionnaire-Child Report provides a more sensitive approximation of maternal support following disclosure of sexual abuse, relative to measures of global parent-child relations and to contextualize discrepancies between mother and child ratings of maternal support.
[Mh] Termos MeSH primário: Abuso Sexual na Infância/psicologia
Relações Mãe-Filho/psicologia
Autorrevelação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Análise Fatorial
Feminino
Seres Humanos
Masculino
Meia-Idade
Psicometria
Reprodutibilidade dos Testes
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1296915


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[PMID]:28471339
[Au] Autor:López S; Faro C; Lopetegui L; Pujol-Ribera E; Monteagudo M; Avecilla-Palau À; Martínez C; Cobo J; Fernández MI
[Ad] Endereço:a Programmes for Sexual and Reproductive Care of Catalonia , Catalan Health Institute , Barcelona , Spain.
[Ti] Título:Child and Adolescent Sexual Abuse in Women Seeking Help for Sexual and Reproductive Mental Health Problems: Prevalence, Characteristics, and Disclosure.
[So] Source:J Child Sex Abus;26(3):246-269, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is a multicentric, descriptive, cross-sectional study of child and adolescent sexual abuse in women over 18 years in 24 primary care sexual and reproductive health centers in Catalonia. A total of 1,013 women were recruited; 345 (37.6%, 95% CI: 34.6-40.9) reported exposure to child sexual abuse: 32.4% disclosed being touched in a sexual way, and 9.6% reported completed sexual intercourse. Abuse occured before the age of 13 in 63.4% of respondents. The perpetrator was a relative or an acquaintance in almost 80% of cases. The risk was higher among women of Central or South American origin (OR: 2.86; 95% CI: 1.33-6.12). Only 31.9% of women disclosed the abuse and 17.3% were blamed. Abuse that involved attempted or completed sexual intercourse was significantly associated with recurrence, physical violence, and revictimization in adulthood.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Abuso Sexual na Infância/psicologia
Transtornos Mentais/epidemiologia
Serviços de Saúde Reprodutiva/utilização
Autorrevelação
Disfunções Sexuais Psicogênicas/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Adultos Sobreviventes de Maus-Tratos Infantis/estatística & dados numéricos
Criança
Abuso Sexual na Infância/estatística & dados numéricos
Estudos Transversais
Feminino
Comportamento de Busca de Ajuda
Seres Humanos
Transtornos Mentais/etiologia
Meia-Idade
Prevalência
Disfunções Sexuais Psicogênicas/epidemiologia
Disfunções Sexuais Psicogênicas/etiologia
Espanha/epidemiologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1288186


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[PMID]:27771551
[Au] Autor:Swingle JM; Tursich M; Cleveland JM; Gold SN; Tolliver SF; Michaels L; Kupperman-Caron LN; Garcia-Larrieu M; Sciarrino NA
[Ad] Endereço:Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, FL, USA.
[Ti] Título:Childhood disclosure of sexual abuse: Necessary but not necessarily sufficient.
[So] Source:Child Abuse Negl;62:10-18, 2016 12.
[Is] ISSN:1873-7757
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Prevention programs often encourage sexually abused children to disclose without fully considering the potential for adverse consequences. This study examined the impact of disclosure on abuse cessation and later adult symptomatology. A clinical sample of 301 adult survivors completed the Impact of Event Scale (IES/IES-R), and the Beck Depression Inventory (BDI-II). Participants were divided into 3 groups: Nondisclosure (n=221), Disclosure/Abuse Ended (n=25), and Disclosure/Abuse Continued (n=55). Multivariate analyses of covariance, adjusting for abuse characteristics (age of onset, penetration, and number of perpetrators) and other trauma exposure, revealed significant differences in psychiatric symptom severity among the three groups, Wilks' λ=0. 95, F (6, 584)=2.69, p=0.014, η =0.03. Specifically, those in the Disclosure/Abuse Continued group scored significantly higher on the IES/IES-R Intrusion subscale (p=0.04) and the BDI-II (p=0.01), as compared to the Nondisclosure group. The Disclosure/Abuse Ended group did not differ significantly from the other groups. Results suggest that disclosure may be detrimental unless adequate steps are taken to ensure abuse cessation and appropriate treatment.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Abuso Sexual na Infância/diagnóstico
Abuso Sexual na Infância/psicologia
Autorrevelação
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adolescente
Adulto
Criança
Maus-Tratos Infantis/diagnóstico
Maus-Tratos Infantis/psicologia
Abuso Sexual na Infância/prevenção & controle
Transtorno Depressivo/diagnóstico
Transtorno Depressivo/psicologia
Revelação
Feminino
Seres Humanos
Masculino
Meia-Idade
Psicometria/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28459379
[Au] Autor:Rossman K; Salamanca P; Macapagal K
[Ad] Endereço:a Trans and Sexuality Teaching, Advocacy, and Research (TSTAR) , Louisville , Kentucky , USA.
[Ti] Título:A Qualitative Study Examining Young Adults' Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers.
[So] Source:J Homosex;64(10):1390-1410, 2017.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Shifting cultural attitudes and legislation have increased focus on the health care needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient nondisclosure of LGBTQ identity creates a barrier to accessing care. This qualitative study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and nondisclosure to medical providers. Participants (n = 206, age range 18-27) completed questionnaires assessing health care access and use as part of a larger study. Participants' responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for nondisclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure and nondisclosure of LGBTQ identity. Reasons for participant nondisclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults' identity disclosure and provide avenues for health professionals' continuing education when working with LGBTQ patients.
[Mh] Termos MeSH primário: Pessoal de Saúde
Homossexualidade
Relações Médico-Paciente
Autorrevelação
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adolescente
Adulto
Atitude
Feminino
Acesso aos Serviços de Saúde
Seres Humanos
Masculino
Pesquisa Qualitativa
Comportamento Sexual
Estigma Social
Inquéritos e Questionários
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180120
[Lr] Data última revisão:
180120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1321379


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[PMID]:29195623
[Au] Autor:Byrd CT; Croft R; Gkalitsiou Z; Hampton E
[Ad] Endereço:The University of Texas, Austin, USA. Electronic address: Courtney.byrd@austin.utexas.edu.
[Ti] Título:Clinical utility of self-disclosure for adults who stutter: Apologetic versus informative statements.
[So] Source:J Fluency Disord;54:1-13, 2017 Dec.
[Is] ISSN:1873-801X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of the present study was to explore the clinical utility of self-disclosure, particularly, whether disclosing in an informative manner would result in more positive observer ratings of the speaker who stutters than either disclosing in an apologetic manner or choosing not to self-disclose at all. METHOD: Observers (N=338) were randomly assigned to view one of six possible videos (i.e., adult male informative self-disclosure, adult male apologetic self-disclosure, adult male no self-disclosure, adult female informative self-disclosure, adult female apologetic self-disclosure, adult female no self-disclosure). Observers completed a survey assessing their perceptions of the speaker they viewed immediately after watching the video. RESULTS: Results suggest that self-disclosing in an informative manner leads to significantly more positive observer ratings than choosing not to self-disclose. In contrast, use of an apologetic statement, for the most part, does not yield significantly more positive ratings than choosing not to self-disclose. CONCLUSION: Clinicians should recommend their clients self-disclose in an informative manner to facilitate more positive observer perceptions.
[Mh] Termos MeSH primário: Autorrevelação
Gagueira/psicologia
[Mh] Termos MeSH secundário: Adulto
Revelação
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
Gravação de Videoteipe
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE


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[PMID]:28471313
[Au] Autor:Kotze E; Bowman B
[Ad] Endereço:a Department of Psychology , University of the Witwatersrand , Johannesburg , South Africa.
[Ti] Título:Coming-Out Confessions: Negotiating the Burden of Lesbian Identity Politics in South Africa.
[So] Source:J Homosex;65(1):1-18, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:For lesbians, "coming out" or disclosing one's sexual orientation has come to be seen as a marker of self-acceptance, actualization, and the imperative first step in the authentication of a liberated subjectivity and social identity. However, other critical schools of thought, largely informed by Foucault's middle writings, have argued that "coming out" is merely a confessional response to an incitement to discourse about sex. This study explored constructions of coming out by a group of self-identified lesbians in South Africa. Data were collected via eight semistructured interviews and subjected to discourse analysis. Although the coming-out stories appear to conform to some discursive practices characterizing confessional modes of response to incitements to speak, they are also de-emphasized as central to the constitution of selfhood. The changing conditions of possibility for the production of sexual subjectivity in contemporary South Africa seem to disrupt understandings of coming out as either solely a confessional or liberatory practice.
[Mh] Termos MeSH primário: Homossexualidade Feminina
Autorrevelação
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevistas como Assunto
Política
Minorias Sexuais e de Gênero
Identificação Social
África do Sul
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1310545


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[PMID]:28973225
[Au] Autor:Miner AS; Milstein A; Hancock JT
[Ad] Endereço:Clinical Excellence Research Center, Stanford University, Stanford, California.
[Ti] Título:Talking to Machines About Personal Mental Health Problems.
[So] Source:JAMA;318(13):1217-1218, 2017 10 03.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Inteligência Artificial
Transtornos Mentais/terapia
Software
[Mh] Termos MeSH secundário: Seres Humanos
Autorrevelação
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.14151


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[PMID]:28837563
[Au] Autor:Adeniyi OV; Ajayi AI; Selanto-Chairman N; Goon DT; Boon G; Fuentes YO; Hofmeyr GJ; Avramovic G; Carty C; Lambert J; East London Prospective Cohort Study (ELPCS) Group
[Ad] Endereço:Department of Family Medicine and Rural Health, Walter Sisulu University, Cecilia Makiwane Hospital/East London Hospital Complex, East London, South Africa.
[Ti] Título:Demographic, clinical and behavioural determinants of HIV serostatus non-disclosure to sex partners among HIV-infected pregnant women in the Eastern Cape, South Africa.
[So] Source:PLoS One;12(8):e0181730, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Drawing from a baseline sample of a cohort study, the study examines the extent and correlates of serostatus non-disclosure to sex partners and family members, and reasons for non-disclosure among HIV-infected pregnant women in the Eastern Cape Province, South Africa. METHODS: This longitudinal cohort study recruited 1709 pregnant women living with HIV who attended three of the largest maternity centres in the Eastern Cape, South Africa, for delivery between September 2015 and May 2016. Relevant items on demographics, serostatus awareness, disclosure to sex partners and family members, and lifestyle behaviours were obtained using structured interviews. Age-stratified binary logistic regression models were used to determine the significant correlates of non-disclosure among the participants. RESULTS: A higher rate of HIV serostatus non-disclosure to sex partners (25.6%) in comparison to family members (20%) was reported by the participants. Younger age, not living with partners and alcohol use were significantly associated with non-disclosure of HIV serostatus to sex partners. Non-disclosure of HIV serostatus to sex partners was significantly (p<0.05) associated with poor adherence to the highly active anti-retroviral therapy (HAART), failure to keep clinic appointments and high viral load at the delivery of the baby. Perceived fear of intimate partner violence, fear of rejection, guilt of not disclosing at the onset of the relationship, sex partner's non-disclosure of HIV serostatus, and guilt of unfaithfulness were some of the reasons for non-disclosure of HIV serostatus to sex partners. CONCLUSIONS: Non-disclosure of HIV serostatus is a public health concern with serious implications for both mother-to-child transmission, as well as horizontal transmission, in our setting. Strategic efforts toward ending the epidemic of HIV and AIDS in South Africa should address the sociocultural and behavioural determinants of non-disclosure.
[Mh] Termos MeSH primário: Comportamento
Demografia
Infecções por HIV/psicologia
Complicações Infecciosas na Gravidez/psicologia
Autorrevelação
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/complicações
Infecções por HIV/epidemiologia
Infecções por HIV/transmissão
Seres Humanos
Estudos Longitudinais
Masculino
Gravidez
África do Sul/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170825
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181730


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[PMID]:28636608
[Au] Autor:Rausch D; Dekker A; Rettenberger M
[Ad] Endereço:Department of Psychology, Johannes Gutenberg-University Mainz (JGU), Mainz, Germany.
[Ti] Título:The construct of sexual openness for females in steady intimate relationships.
[So] Source:PLoS One;12(6):e0172274, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The analysis of open-minded attitudes towards sexuality in general requires a construct based on attitudinal dimensions. Although several existing studies involve sexual attitudes, they differ substantially and standardized conceptual work is missing. Thus, the authors introduce the latent variable sexual openness to develop a construct based on self-oriented attitudes towards different sexual topics. Available survey data of female German students in a steady relationship allowed providing a first empirical test for the applicability of this construct. Five subdimensions are acknowledged central for sexual openness: sexual practices, masturbation, bisexuality, permissiveness, and pornography consumption. Confirmatory factor analysis and correlations confirmed the idea of an underlying mechanism with an impact on all five variables. Though further validation of the construct of sexual openness is required, the findings strongly support the notion of an overarching latent attitude variable, which influences the individual relation to everything sexual. The results were compared to other studies and potential approaches for future analyses were proposed.
[Mh] Termos MeSH primário: Autorrevelação
Comportamento Sexual/estatística & dados numéricos
Sexualidade/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Relações Interpessoais
Masculino
Meia-Idade
Parceiros Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0172274


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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28538791
[Au] Autor:Ramos DO; Daly M; Seidl-de-Moura ML; Jomar RT; Nadanovsky P
[Ad] Endereço:Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
[Ti] Título:Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012).
[So] Source:Cad Saude Publica;33(4):e00145815, 2017 May 18.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:This study assessed the consistency of self-reports of risk behavior (overall and within four specific domains: alcohol use, tobacco use, drug use, and sexual activity) in two editions of the Brazilian National School Based Survey of Adolescent Health (PeNSE): 2009 and 2012. The overall proportion of cases with at least one inconsistent response in the two editions was 11.7% (2.7% on the alcohol items, 2.1% for drug use, 4.3% for cigarette use, 3% for sexual activity) and 22.7% (12.8% on alcohol items, 2.5% for drug use, 4.3% for cigarette use, 4.1% for sexual activity), respectively. Such inconsistency was more prevalent among males, delayed students, those who reported having experimented with drugs, and those who did not have a cellphone. Because inconsistent responses were more prevalent among the students who claimed to have engaged in risky activities, removing inconsistent responders affected the estimated prevalence of all risk behaviors in both editions of the survey. This study supports the importance of performing consistency checks of self-report surveys, following the growing body of literature on this topic.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas
Assunção de Riscos
Autorrevelação
Autoavaliação
Comportamento Sexual/estatística & dados numéricos
Estudantes/estatística & dados numéricos
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Comportamento do Adolescente
Saúde do Adolescente
Brasil/epidemiologia
Criança
Feminino
Seres Humanos
Masculino
Reprodutibilidade dos Testes
Fatores de Risco
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE



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