Cancer treatment retraumatization in sexual abuse survivors

性虐待幸存者的癌症治疗再创伤

• 批准号: 8929173
• 负责人: Julie B. Schnur
• 金额: $ 22.12万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-18 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8929173
• 关键词: Adult; Advanced Malignant Neoplasm; Age; Anus; Appointment; Behavioral; Body part; Breast; Cancer Control Research; Cancer Patient; Cancer Survivor; Characteristics; Child Abuse; Child Sexual Abuse; Cognitive; Colonoscopy; Colorectal; Communities; Development; Diagnosis; Dissociation; Event; Exhibits; Exposure to; Feeling; Female; Foundations; Future; Gel; Gender; Genital system; Goals; Health; Health Personnel; Healthcare; Healthy People 2020; Individual; Internet; Intervention; Knowledge; Latex; Life; Literature; Lubricants; Malignant Neoplasms; Mechanics; Medical; Memory; Methodology; Minor; Mission; Modeling; Nature; Nursing Research; Oral; Outcome Study; Pain; Participant; Patient Care; Patients; Penetration; Population; Procedures; Public Health; Quality of Care; Quality of life; Reaction; Recruitment Activity; Research; Risk; Scientific Advances and Accomplishments; Seminal fluid; Severities; Sexual abuse; Shame; Site; Surveys; Survival Rate; Survivors; Testing; Theoretical model; Touch sensation; Ultrasonography; Underserved Population; United States National Institutes of Health; Vulnerable Populations; Woman; cancer care; cancer prevention; cancer therapy; condoms; experience; fear memory; improved; innovation; male; member; men; programs; public health relevance; response; statistics; survivorship; therapy development; tool; web site

DESCRIPTION (provided by applicant): The statistics on sexual abuse (SA) are staggering: 1 in 4 women and 1 in 6 men have experienced abusive sexual experiences before the age of 18. Healthcare procedures, even those that may seem minor or routine, share similarities with childhood sexual abuse (e.g., insertion of objects into the body, exposure, vulnerability, pain, powerlessness). Due to these similarities, SA survivors can feel retraumatized by healthcare procedures. Not surprisingly, to avoid this retraumatization, SA survivors may avoid healthcare (e.g., delay or cancel treatment). Despite the often invasive/intimate medical procedures involved in cancer treatment, and the serious consequences of cancer treatment avoidance, there has been no empirical study to date of the relationship between cancer treatment retraumatization and cancer treatment avoidance in sexually abused cancer (SACA) patients. Objectives: The overall goal of the project is to develop a greater understanding of SACA patients experiences of cancer treatment, how this suffering relates to treatment avoidance, and which SACA patients are most at risk for cancer treatment retraumatization and avoidance. Specific Aims are to: 1) test the hypothesis that increased cancer treatment retraumatization will be associated with increased cancer treatment avoidance in SACA individuals; 2) test the hypotheses that increased cancer treatment retraumatization and avoidance will be associated with: a) SA severity (e.g., duration, force), b) exposure to other types of childhood abuse, and c) exposure to pre-cancer traumatic life events; and, 3) explore the influence of gender and cancer characteristics on study outcomes. Methodology: The study is guided by the Healthcare Retraumatization Avoidance (HRA) model. Aims 1-3 will be accomplished through an online survey administered to 600 SACA patients (300 men, 300 women) recruited from SA survivor support websites, a cancer support website, and a crowdsourcing website (Amazon Mechanical Turk). The online approach will improve patient experience by providing anonymity, and will improve the generalizability of the project by allowing for nationwide recruitment. Path analysis will be used for study analyses. Long-term goals: The proposed study is a critical first step toward improving quality of care and quality of life of SACA patients undergoing cancer treatment. The project will advance scientific knowledge and will aid the cancer care community in understanding the difficulties SACA patients experience during cancer treatment. Results will serve as a foundation for a program of research including the development of interventions and assessment tools to reduce cancer treatment retraumatization and avoidance in this vulnerable population. Connection to NIH/NCI mission: This project is consistent with the Healthy People 2020 goal of improving quality of life of cancer patients and survivors.

描述（由申请人提供）：关于性虐待（SA）的统计数据令人震惊：1 / 4的女性和1 / 6的男性在18岁之前经历过虐待性经历。保健程序，即使是那些看似次要或常规的程序，也与儿童性虐待有相似之处（例如，将物体插入身体、暴露、脆弱、痛苦、无力）。由于这些相似之处，SA幸存者可能会因医疗保健程序而感到再创伤。毫不奇怪，为了避免这种再创伤，SA幸存者可能会避免医疗保健（例如，延迟或取消治疗）。尽管癌症治疗通常涉及侵入性/亲密性医疗程序，并且回避癌症治疗的严重后果，但迄今为止还没有关于性虐待癌症（SACA）患者癌症治疗再创伤与癌症治疗回避之间关系的实证研究。目的：该项目的总体目标是更好地了解SACA患者的癌症治疗经历，这种痛苦与治疗逃避之间的关系，以及哪些SACA患者最容易遭受癌症治疗的再创伤和逃避。具体目的是：1)检验SACA个体癌症治疗再创伤增加与癌症治疗回避增加相关的假设；2)检验癌症治疗再创伤和回避增加与以下因素相关的假设：a) SA严重程度（例如，持续时间，力量），b)暴露于其他类型的儿童虐待，c)

项目成果

Hypnosis for Symptom Control in Cancer Patients at the End-of-Life: A Systematic Review.

癌症临终患者症状控制的催眠：系统评价。

• DOI: 10.1080/00207144.2017.1314728
• 发表时间: 2017
• 期刊: The International journal of clinical and experimental hypnosis
• 作者: Montgomery,GuyH;Sucala,Madalina;Baum,Tessa;Schnur,JulieB
• 通讯作者: Schnur,JulieB

The Necessity of the Nipple: Redefining Completeness in Breast Reconstruction.

乳头的必要性：重新定义乳房重建的完整性。

• DOI: 10.1097/sap.0000000000000943
• 发表时间: 2017
• 期刊: Annals of plastic surgery
• 影响因子: 1.5
• 作者: Weissler,EHope;Schnur,JulieB;Lamelas,AndreasM;Cornejo,Marisa;Horesh,Elan;Taub,PeterJ
• 通讯作者: Taub,PeterJ

Interest and Attitudes about Hypnosis in a Large Community Sample.

• DOI: 10.1037/cns0000141
• 发表时间: 2018-06-01
• 期刊: Psychology of consciousness (Washington, D.C.)
• 作者: Montgomery, Guy H;Sucala, Madalina;Schnur, Julie B
• 通讯作者: Schnur, Julie B