Boston College School of Social Work, 140 Commonwealth Avenue, McGuinn Hall, Room 207, Chestnut Hill, MA, 02467, USA.
Boston College School of Social Work, 140 Commonwealth Avenue, McGuinn Hall, Room 135, Chestnut Hill, MA, 02467, USA.
Child Abuse Negl. 2021 Feb;112:104922. doi: 10.1016/j.chiabu.2020.104922. Epub 2021 Jan 1.
There is a growing awareness of the prevalence and consequences of childhood sexual abuse (CSA) for boys. Disclosure experiences often impact long-term functioning following CSA. Current understanding around disclosure has evolved from a singular act of telling to a broader, reciprocal process that can include discussion. However, there is limited empirical evidence about what constitutes a helpful response from others during the discussion of CSA for men.
This study examines the characteristics of a helpful response during the discussion of CSA among a large sample of men with histories of CSA.
Participants included 487 men ranging in age from 19 to 84 years (mean = 50.1) who completed an anonymous, one-time online survey as part of a larger project on men's health and well-being. Participants were recruited through research announcements on web sites and discussion boards of national organizations that support adult survivors of CSA.
Narrative data from an open-ended prompt were analyzed using qualitative content and inductive thematic analyses over eleven months.
The analysis yielded five superordinate themes on men's perceptions of helpful responses from others during discussions of CSA: (1) experience; (2) personal characteristics; (3) specific actions; (4) therapeutic interventions; and (5) insights.
Clinicians and health care professionals should convey an awareness of CSA for boys, reach out to men dealing with difficulties tied to early trauma, and implement helpful response strategies in discussions of CSA. Family members, friends, and colleagues within men's social networks can also support recovery with helpful response strategies.
人们越来越意识到儿童期性虐待（CSA）对男孩的普遍性和后果。披露经历通常会影响 CSA 后的长期功能。目前，对披露的理解已经从单一的告知行为发展为更广泛的、相互的过程，其中可能包括讨论。然而，关于在男性 CSA 讨论中他人的帮助性反应是什么，这方面的实证证据有限。
本研究考察了在有 CSA 病史的大量男性中，在 CSA 讨论中帮助性反应的特征。
参与者包括 487 名年龄在 19 岁至 84 岁之间的男性（平均年龄为 50.1 岁），他们作为一项关于男性健康和福祉的更大项目的一部分，完成了一次匿名的在线调查。参与者是通过在支持 CSA 成年幸存者的全国性组织的网站和讨论板上发布研究公告招募的。
使用定性内容分析和归纳主题分析，对来自开放式提示的叙事数据进行了十一个月的分析。
该分析产生了五个关于男性对 CSA 讨论中他人帮助性反应的看法的超主题：（1）经历；（2）个人特征；（3）具体行动；（4）治疗干预；和（5）见解。
临床医生和医疗保健专业人员应该传达对男孩 CSA 的认识，接触到因早期创伤而面临困难的男性，并在 CSA 讨论中实施帮助性反应策略。男性社交网络中的家庭成员、朋友和同事也可以通过帮助性反应策略来支持康复。
