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https://www.readbyqxmd.com/read/29148289/birth-as-restorative
#1
Jenna A LoGiudice
A woman's past history of sexual trauma is inextricably woven into her pregnancy and birth experience. Two cases are presented by a practicing certified nurse midwife to demonstrate trauma-informed care in the childbearing setting. Providing trauma-informed care universally in the women's healthcare setting is imperative given not all women disclose their history. Empowering survivors may allow for a restorative birth, in which trust of one's own body can be regained.
November 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29142909/transgender-women-s-drug-use-in-the-dominican-republic
#2
Henna Budhwani, Kristine R Hearld, Adrienne N Milner, Elaine McGlaughlin, Rebecca Charow, Rosa Mayra Rodriguez-Lauzurique, Santo Rosario, Robert Paulino-Ramirez
Purpose: Studies on drug use in transgender populations, particularly those in resource-limited settings, are scarce. Considering that drug use can be a coping mechanism to deal with stigma and traumatic experiences, we examined associations between stigma, trauma, and drug use in a national sample of transgender women from the Dominican Republic. Methods: Bivariate analyses examined differences between drug users and abstainers (n=287). Multivariate analyses reported odds ratios (OR) with general drug, marijuana, and cocaine use as outcomes (n=243)...
2017: Transgender Health
https://www.readbyqxmd.com/read/29140905/gender-confirmation-surgery-using-the-pedicle-transverse-colon-flap-for-vaginal-reconstruction-a-clinical-outcome-and-sexual-function-evaluation-study
#3
Oscar J Manrique, M Diya Sabbagh, Pedro Ciudad, Jorys Martinez-Jorge, Kidakorn Kiranantawat, Ngamcherd Sitpahul, Todd B Nippoldt, Ali Charafeddine, Hung-Chi Chen
INTRODUCTION: Vaginal reconstruction and vaginoplasty are indicated in vaginal agenesis, following pelvic tumor resection, trauma and for gender confirmation surgery. Different surgical options have been described when using these techniques. Herein, we present the clinical outcomes and sexual function evaluation using the pedicle transverse colon flap (TCF) for gender confirmation surgery in transgender women. METHODS: This is a retrospective chart review of all transgender women who underwent gender confirmation surgery using the pedicle TCF...
November 11, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29134840/the-ongoing-rediscovery-of-apr%C3%A3-s-coup-as-a-central-freudian-concept
#4
Jonathan House
Après-coup, Freud's Nachträglichkeit, is an essential psychoanalytic concept structuring each of four concepts, four mental processes that lie at the foundation of Freud's thinking: psychic trauma, repression, the creation of the unconscious, and the creation of infantile sexuality. It is argued here that infantile sexual drives, in contrast to the self-preservative instincts, arise from a two-step process of translation and repression in which the residues of failed translation become source-objects of the drives...
October 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/29131716/compassion-focused-therapy-as-an-intervention-for-adult-survivors-of-sexual-abuse
#5
Lisa McLean, Stanley R Steindl, Matthew Bambling
Child sexual abuse can have long-term negative impacts across psychological, physical, and interpersonal domains. Some of the common issues for survivors of sexual abuse include shame and self-blame, attachment-based difficulties, avoidant coping strategies, and reduced capacity for self-compassion. Compassion-focused therapy is a transdiagnostic intervention that specifically responds to these concerns. Compassion-focused therapy was originally developed for clients who experience high levels of shame and self-criticism and aims to strengthen the soothing and affiliative system through the cultivation of compassion...
November 13, 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/29129318/does-childhood-trauma-moderate-polygenic-risk-for-depression-a-meta-analysis-of-5765-subjects-from-the-psychiatric-genomics-consortium
#6
Wouter J Peyrot, Sandra Van der Auwera, Yuri Milaneschi, Conor V Dolan, Pamela A F Madden, Patrick F Sullivan, Jana Strohmaier, Stephan Ripke, Marcella Rietschel, Michel G Nivard, Niamh Mullins, Grant W Montgomery, Anjali K Henders, Andrew C Heat, Helen L Fisher, Erin C Dunn, Enda M Byrne, Tracy A Air, Bernhard T Baune, Gerome Breen, Douglas F Levinson, Cathryn M Lewis, Nick G Martin, Elliot N Nelson, Dorret I Boomsma, Hans J Grabe, Naomi R Wray, Brenda W J H Penninx
BACKGROUND: The heterogeneity of genetic effects on major depressive disorder (MDD) may be partly attributable to moderation of genetic effects by environment, such as exposure to childhood trauma (CT). Indeed, previous findings in two independent cohorts showed evidence for interaction between polygenic risk scores (PRSs) and CT, albeit in opposing directions. This study aims to meta-analyze MDD-PRS × CT interaction results across these two and other cohorts, while applying more accurate PRSs based on a larger discovery sample...
September 21, 2017: Biological Psychiatry
https://www.readbyqxmd.com/read/29125803/religiosity-and-the-concept-of-god-moderate-the-relationship-between-the-type-of-trauma-posttraumatic-cognitions-and-mental-health
#7
Justyna Kucharska
The aim of the study was to examine the role of religiosity as a moderator in the relationships between trauma, posttraumatic cognitions and mental health. A one-dimensional measure of religiosity and a multidimensional "concept of god" measure were used; sexual and non-sexual traumatic events were assessed and posttraumatic cognitions related to either sexual or non-sexual trauma were taken into account. A total of 337 females from Poland participated in the cross-sectional study. It was predicted that the relationships between sexual trauma and mental health would be stronger in religious individuals - this hypothesis was supported in the case of negative mental health (PTSD, z = -1...
November 10, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29123449/fracture-with-urethral-injury-evaluation-by-retrograde-urethrogram
#8
Abdulkadir Kandemir, Mehmet Balasar, Necdet Poyraz, Mehmet Mesut Piskin
Penile fracture is a rare condition. It primarily involves the rupture of the corpus cavernosum during erection, which may also affect the corpus spongiosum and urethra. We describe the case of a 35-year-old man who presented with acute penile pain, penile swelling, and a hematuria after a blunt trauma during sexual intercourse. The emergency retrograde urethrogram revealed a rare condition, extravasation of the opaque material from the penile urethra into the cavernous structure. The partial rupture of the corpus cavernosum with urethral disruption was repaired surgically...
October 2017: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/29117923/genital-injuries-acute-evaluation-and-management
#9
REVIEW
Heather N Lopez, Mariel A Focseneanu, Diane F Merritt
Genital trauma may result in external injuries to the labia, vulva or vagina, urethra and anus and internal injuries to the bony pelvis, bladder, bowels and reproductive organs. Worldwide, the most common cause of genital trauma in reproductive age women is injury sustained during childbirth, but in this chapter we will focus on accidental genital injuries as well as those arising from sexual violence, and female genital mutilation. While genital injuries alone rarely result in death; if not properly managed, chronic discomfort, dyspareunia, infertility, or fistula formation may result...
September 28, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29117877/post-traumatic-symptomatology-and-compulsions-as-potential-mediators-of-the-relation-between-child-sexual-abuse-and-auditory-verbal-hallucinations
#10
Simon McCarthy-Jones
BACKGROUND: Whilst evidence is mounting that childhood sexual abuse (CSA) can be a cause of auditory verbal hallucinations (AVH), it is unclear what factors mediate this relation. Recent evidence suggests that post-traumatic symptomatology may mediate the CSA-AVH relation in clinical populations, although this hypothesis has not yet been tested in the general population. There is also reason to believe that obsessive ideation could mediate the CSA-AVH relation. AIMS: To test for evidence to falsify the hypotheses that post-traumatic symptomatology, obsessions, compulsions, anxiety and depression mediate the relation between CSA and AVH in a general population sample...
November 9, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29111300/ano-genital-findings-in-3569-pediatric-examinations-for-sexual-abuse-assault
#11
Tanya D Smith, Sudha R Raman, Sheri Madigan, Judy Waldman, Michelle Shouldice
OBJECTIVES: Accurate interpretation of ano-genital examination findings in the context of suspected child and adolescent sexual abuse/assault is essential, as misinterpretation has significant child protection and criminal justice implications. A consensus approach to the interpretation of ano-genital examination findings is widely utilized to support accurate diagnosis; however, a large-scale study using this standardized approach is lacking. The objectives of this study are to: 1) determine the proportion of ano-genital examinations for sexual abuse concerns with findings diagnostic of trauma and/or sexual contact; 2) determine whether frequency of diagnostic findings varies by age, gender, timing of examination; and 3) characterize diagnostic findings...
October 27, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29104114/newfound-sex-differences-in-axonal-structure-underlie-differential-outcomes-from-in-vitro-traumatic-axonal-injury
#12
Jean-Pierre Dollé, Andrew Jaye, Stewart A Anderson, Hossein Ahmadzadeh, Vivek B Shenoy, Douglas H Smith
Since traumatic axonal injury (TAI) is implicated as a prominent pathology of concussion, we examined potential sex differences in axon structure and responses to TAI. Rat and human neurons were used to develop micropatterned axon tracts in vitro that were genetically either male or female. Ultrastructural analysis revealed for the first time that female axons were consistently smaller with fewer microtubules than male axons. Computational modeling of TAI showed that these structural differences place microtubules in female axons at greater risk of failure during trauma under the same applied loads than in male axons...
November 13, 2017: Experimental Neurology
https://www.readbyqxmd.com/read/29102835/the-differential-association-between-history-of-childhood-sexual-abuse-and-body-mass-index-in-early-and-late-stages-of-bipolar-disorder
#13
Emilie Leclerc, Rodrigo B Mansur, Rodrigo Grassi-Oliveira, Quirino Cordeiro, Flavio Kapczinski, Roger S McIntyre, Elisa Brietzke
BACKGROUND: History of distal stressors such as childhood trauma is a well-established, non-specific vulnerability factor for multiple mental illnesses. The objective of this study was to investigate the possible association between history of childhood trauma and body mass index (BMI) in individuals in early and late stages of bipolar disorder (BD) and to verify is there was any difference in the association of sexual abuse history and obesity in early versus late stages of BD. METHODS: Seventy-one euthymic BD-type I patients and eighty-one healthy controls were evaluated using the Childhood Trauma Questionnaire (CTQ) and body mass index (BMI)...
October 20, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29101832/transformational-change-in-parenting-practices-after-child-interpersonal-trauma-a-grounded-theory-examination-of-parental-response
#14
Jorden A Cummings
Child interpersonal trauma is associated with a host of negative outcomes, both concurrently and in adulthood. Parental responses following trauma can play an important role in modulating child responses, symptoms, and post-trauma functioning. However, parents themselves are also impacted after their child experiences trauma, reporting distress, psychopathology, concerns about the child's safety, changes in discipline and protectiveness, and feelings of blame. Most of this previous research, however, suffers from methodological limitations such as focusing on description and correlations, providing static "one shot" assessments of parenting after trauma, and relying mainly on results related to child sexual abuse...
November 1, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29098784/describing-the-healthcare-experiences-and-strategies-of-women-survivors-of-violence
#15
Elizabeth A Reeves, Janice C Humphreys
BACKGROUND: Survivors of traumatic life events are at increased risk for an array of negative health consequences, which can be complicated when distressing healthcare experiences act as a barrier to accessing needed care. Implications for trauma-informed and sensitive practice are well established, but evidence to-date on survivors' healthcare experiences and patient engagement is limited. DESIGN: The purpose of this qualitative descriptive study was to develop knowledge on women survivors' healthcare experiences and strategies...
November 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29091779/towards-a-psychopathology-specific-to-substance-use-disorder-should-emotional-responses-to-life-events-be-included
#16
Angelo G I Maremmani, Marco Maiello, Manuel Glauco Carbone, Alessandro Pallucchini, Francesca Brizzi, Iacopo Belcari, Ciro Conversano, Giulio Perugi, Icro Maremmani
INTRODUCTION: The severity of emotional responses to life events (PTSD spectrum) as part of Post Traumatic Stress Disorder (PTSD) in Substance Use Disorder (SUD) patients has often been considered from a unitary perspective. Light has also been shed on the possible definition of a specific psychopathology of SUD patients. This psychopathology has been proved to be independent of treatment choice, of being active in using substances, of lifetime psychiatric comorbidity and primary substance of abuse (heroin, alcohol, cocaine)...
October 6, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29079946/depressive-symptoms-alcohol-and-drug-use-and-physical-and-sexual-abuse-among-men-who-have-sex-with-men-in-kisumu-kenya-the-anza-mapema-study
#17
Colin P Kunzweiler, Robert C Bailey, Duncan O Okall, Susan M Graham, Supriya D Mehta, Fredrick O Otieno
Men who have sex with men (MSM) are disproportionately burdened by depressive symptoms and psychosocial conditions including alcohol and substance abuse as well as physical and sexual abuse. We examined sociodemographic and psychosocial factors associated with depressive symptoms at baseline among a cohort of MSM in Kisumu, Kenya. Depressive symptoms were assessed via the Personal Health Questionnaire 9 instrument and examined dichotomously. We performed multivariable modified Poisson regression with robust standard errors for the binary outcome...
October 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29075426/trauma-and-ptsd-in-the-who-world-mental-health-surveys
#18
Ronald C Kessler, Sergio Aguilar-Gaxiola, Jordi Alonso, Corina Benjet, Evelyn J Bromet, Graça Cardoso, Louisa Degenhardt, Giovanni de Girolamo, Rumyana V Dinolova, Finola Ferry, Silvia Florescu, Oye Gureje, Josep Maria Haro, Yueqin Huang, Elie G Karam, Norito Kawakami, Sing Lee, Jean-Pierre Lepine, Daphna Levinson, Fernando Navarro-Mateu, Beth-Ellen Pennell, Marina Piazza, José Posada-Villa, Kate M Scott, Dan J Stein, Margreet Ten Have, Yolanda Torres, Maria Carmen Viana, Maria V Petukhova, Nancy A Sampson, Alan M Zaslavsky, Karestan C Koenen
Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their 'worst.' Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained representative data on trauma-specific PTSD. Method: WMH Surveys in 24 countries (n = 68,894) assessed 29 lifetime traumas and evaluated PTSD twice for each respondent: once for the 'worst' lifetime trauma and separately for a randomly-selected trauma with weighting to adjust for individual differences in trauma exposures...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29075319/a-qualitative-analysis-of-psychosocial-outcomes-among-women-with-sexual-violence-related-pregnancies-in-eastern-democratic-republic-of-congo
#19
Jennifer Scott, Colleen Mullen, Shada Rouhani, Philipp Kuwert, Ashley Greiner, Katherine Albutt, Gillian Burkhardt, Monica Onyango, Michael VanRooyen, Susan Bartels
BACKGROUND: Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC) and has potentially devastating psychosocial consequences. Previous studies have reported on sexual violence and its impact on the mental health of survivors, but there are few studies conducted among women with sexual violence-related pregnancies (SVRPs). Women with SVRPs may be at greater risk of complex psychosocial outcomes, including social stigmatization. This study aimed to describe psychosocial outcomes among this subgroup of sexual violence survivors in order to inform future interventions...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29074261/examining-the-relationship-between-higher-educational-attainment-trauma-symptoms-and-internalizing-behaviors-in-child-sexual-abuse-survivors
#20
Kimberly Hardner, Molly R Wolf, Elaine S Rinfrette
The trauma symptoms of child sexual abuse (CSA) survivors don't end with the abuse, or even with the advent of adulthood. Instead, these symptoms can persist into all the realms of a survivor's life, including education, which sets the foundation for career advancement. This retrospective study of adult survivors of childhood sexual abuse (n=260) examined the relationships between trauma symptoms, dissociation, dissociative amnesia, anxiety, depression, sleep problems and higher education attainment. The purpose of this study was to determine if these factors are associated with higher education completion for childhood sexual abuse (CSA) survivors...
October 23, 2017: Child Abuse & Neglect
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