A descriptive study of adverse childhood experiences (ACEs) among female patients with sexual dysfunctions in Armenia
Słowa kluczowe:
Armenia, adverse childhood experiences, ACEs, sexual dysfunctions, ArmenianAbstrakt
Background:
Adverse childhood experiences (ACEs) are associated with increased risk for a wide range of negative health outcomes, in-cluding sexual dysfunctions. There is a growing interest to advance the science of ACEs to improve the lives of children and families worldwide.
Participants and procedure:
The purpose of the present study was to explore the extent to which ACEs occur in patients with sexual dysfunctions in Armenia. To this end, the ACE questionnaire was used to assess the presence of adverse experiences from 85 female patients with sexual dysfunctions and 155 sex- and age-adjusted controls.
Results:
More than two-thirds of the patients (74.1%) had been exposed to one or more ACEs and 27.2% had been exposed to four or more ACEs. In the control group, these numbers were 56.1% and 18.1% respectively. Patients had significantly higher ACE scores (M = 2.06, SD = 1.95) than the control group (M = 1.65, SD = 2.50). Parental divorce and witnessing mother being abused (treated violently) were the most prevalent adversities in the patients.
Conclusions:
The presence of multiple adverse childhood experiences in the patient group suggests that psychogenic factors are likely involved in sexual dysfunctions. ACEs Aware initiatives in Armenia aimed at screening for childhood adversities can improve the treatment of sexual dysfunctions and ultimately improve health and wellbeing.
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Bibliografia
ACEs Aware (2020). Screening tools. Retrieved from https://www.acesaware.org/screen/screening-tools.
APA (2013). Diagnostic and statistical manual of mental disorders (DSM-5). APA Publishing.
Bigras, N., Daspe, M. È., Godbout, N., Briere, J., & Sabourin, S. (2017). Cumulative childhood trauma and adult sexual satisfaction: Mediation by affect dysregulation and sexual anxiety in men and women. Journal of Sex & Marital Therapy, 43, 377–396. https://doi.org/10.1080/0092623X.2016.1176609.
Brown, D. W., Anda, R. F., Tiemeier, H., Felitti, V. J., Edwards, V. J., Croft, J. B., & Giles, W. H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine, 37, 389–396. https://doi.org/10.1016/j.amepre.2009.06.021.
Conroy, M. A., & Brown, W. H. (2004). Early identification, prevention, and early intervention with young children at risk for emotional or behavioral disorders: Issues, trends, and a call for action. Behavioral Disorders, 29, 224–236. https://doi.org/10.1177/ 019874290402900303.
Clayton, A. H., McGarvey, E. L., Clavet, G. J., & Piazza, L. (1997). Comparison of sexual functional in clinical and nonclinical populations using the changes in Sexual Functioning Questionnaire (CSFQ). Psychopharmacology Bulletin, 33, 747–753.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14, 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8.
Fowler, C., Homandberg, L., Steele, C., Bolt, M. A., Tintle, N., Van De Griend, K., Ulrich, R., & Christians, M. (2020). Adult correlates of adverse childhood experiences in Ukraine. Child Abuse & Neglect, 107, 104617. https://doi.org/10.1016/j.chiabu.2020.104617.
Haahr-Pedersen, I., Perera, C., Hyland, P., Vallières, F., Murphy, D., Hansen, M., Spitz, P., Hansen, P., & Cloitre, M. (2020). Females have more complex patterns of childhood adversity: implications for mental, social, and emotional outcomes in adulthood. European Journal of Psychotraumatology, 11, 1708618. https://doi.org/10.1080/20008198.2019.1708618 Kachaeva, M. A., Sethi, D., Badmaeva, V. D., Novozhilov, A. V., & Ivanov, A. V. (2014). Survey on the prevalence of adverse childhood experiences among young people in the Russian Federation. WHO Regional Office for Europe. Kelly-Irving, M., Lepage, B., Dedieu, D., Bartley, M., Blane, D., Grosclaude, P., Lang, T., & Delpierre, C. (2013). Adverse childhood experiences and premature all-cause mortality. European Journal of Epidemiology, 28, 721–734. https://doi.org/10.1007/ s10654-013-9832-9.
Kiani, A., Ramezani, S., & Atadokht, A. (2019). Predicting suicidality and addictions among university students based on adverse childhood experiences and exposure to family members’ and friends’ suicide. Practice in Clinical Psychology, 7, 125–136. https://doi.org/10.32598/jpcp.7.2.125.
Kinzl, J. F., Traweger, C., & Biebl, W. (1995). Sexual dysfunctions: relationship to childhood sexual abuse and early family experiences in a nonclinical sample. Child Abuse & Neglect, 19, 785–792. https://doi.org/10.1016/0145-2134(95)00048-d.
Leco, G., Baban, A., Sethi, D., Boderscova, L., Chihai, J., & Luchian, A. (2018). Adverse childhood experiences and associated health-risk behaviours in university students from the Republic of Moldova. Retrieved from https://www.euro.who.int/__data/assets/pdf_ file/0007/373381/mda-ace-report-eng.pdf.
Levenson, J. S., & Socia, K. M. (2016). Adverse childhood experiences and arrest patterns in a sample of sexual offenders. Journal of Interpersonal Violence, 31, 1883– 1911. https://doi.org/10.1177/0886260515570751.
Loeber, R. (2003). Child delinquency: Early intervention and prevention. US Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. Lutfey, K. E., Link, C. L., Litman, H. J., Rosen, R. C., & McKinlay, J. B. (2008). An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: Results from the Boston Area Community Health Survey. Fertility and Sterility, 90, 957–964. https://doi.org/10.1016/j. fertnstert.2007.07.1352.
Staples, J., Rellini, A. H., & Roberts, S. P. (2012). Avoiding experiences: Sexual dysfunction in women with a history of sexual abuse in childhood and adolescence. Archives of Sexual Behavior, 41, 341–350. https://doi.org/10.1007/s10508-011-9773-x.
Ulukol, B., Kahiloğulları, A. K., & Sethi, D. (Eds.) (2014). Adverse childhood experiences survey among university students in Turkey. WHO Regional Office for Europe.
WHO (2018). Adverse Childhood Experiences International Questionnaire (ACE-IQ). Retrieved from https://www.who.int/publications/m/item/adverse-childhood-experiences-international-questionnaire-(ace-iq) WHO (2022). International statistical classification of diseases, 11th revision. Retrieved from https://icd. who.int/en.