Wolf Eva, Priebe Gisela
Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
Dent Traumatol. 2024 Mar;40 Suppl 2:43-52. doi: 10.1111/edt.12890. Epub 2023 Oct 11.
BACKGROUND/AIM: To analyse, from the perspective of adults with a history of sexual abuse, the impact of the experience on their general health and well-being.
The participants comprised 12 strategically selected informants (10 women), aged 19-56; all sexually abused during child- and/or adulthood. They were interviewed in-depth and encouraged to describe the impact of the sexual abuse on their daily lives. The consequences of sexual abuse on oral health have previously been reported. The interviews were recorded digitally, transcribed verbatim and analysed according to qualitative content analysis with an inductive approach.
The overall theme illustrating the latent content was Sexual abuse experience-limiting long-term consequences, always present in body and mind. The first category covering the manifest content was 'A lost foothold', with two subcategories: (i) emotional repercussions and (ii) physical health repercussions. The second category was 'The significance of distance to trauma', with two subcategories (i) keeping a distance and tending to escape and (ii) processing the trauma experience-a struggle towards balance.
A history of sexual abuse cannot be understood in isolation: the long-term repercussions pervade daily life. However, after disclosure of the abuse and processing the trauma, it is possible to ameliorate some of the negative effects. In this context, the dental setting emerges as a potentially important venue for disclosure as almost every person, sooner or later, visits the dentist.
背景/目的：从有性虐待史的成年人的角度分析，性虐待经历对他们整体健康和幸福感的影响。
参与者包括 12 名（10 名女性）经过策略选择的成年信息提供者，年龄 19-56 岁，均在儿童期和/或成年期受到过性虐待。对他们进行深入访谈，并鼓励他们描述性虐待对日常生活的影响。之前已经报告过性虐待对口腔健康的影响。访谈通过数字录音、逐字转录，并根据定性内容分析，采用归纳法进行分析。
总体主题表明潜在内容为性虐待经历——长期后果，始终存在于身心。涵盖明显内容的第一个类别是“失去立足点”，包括两个子类：（i）情绪影响和（ii）身体健康影响。第二个类别是“与创伤保持距离的意义”，包括两个子类：（i）保持距离和倾向于逃避，以及（ii）处理创伤经历——争取平衡。
性虐待史不能孤立地理解：长期影响贯穿日常生活。然而，在揭露虐待和处理创伤后，有可能减轻一些负面影响。在这种情况下，牙医诊室作为一个可能重要的揭露场所出现，因为几乎每个人迟早都会去看牙医。
