{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T22:34:22Z","timestamp":1779230062757,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002749","name":"Belgian Federal Science Policy Office","doi-asserted-by":"publisher","award":["BR\/175\/A5\/UN\u2010MENAMAIS"],"award-info":[{"award-number":["BR\/175\/A5\/UN\u2010MENAMAIS"]}],"id":[{"id":"10.13039\/501100002749","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Despite the important impact of sexual violence (SV) on mental health, few victims disclose their experiences. Although research in adult victims suggests that SV disclosure could protect against long\u2010term mental health problems, studies in older adults are lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To establish the prevalence of depression, anxiety, posttraumatic stress disorder (PTSD), suicide attempts, and self\u2010harm, their association with SV disclosure, and the moderating effect of sociodemographic characteristics and SV framing in the relation between SV disclosure and the different mental health outcomes in older SV victims.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on sexual victimisation, mental health, SV framing, and disclosure were collected through structured face\u2010to\u2010face interviews with 171 randomly selected sexually victimised adults of 70\u00a0years and older living in Belgium. SV was measured using behaviourally specific questions based on a broad definition. Mental health outcomes were measured using validated scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Depression, anxiety and PTSD were reported by 34%, 33% and 9% of participants respectively, 5% had attempted suicide and 1% reported self\u2010harm during lifetime. SV framing was associated with the kind of help victims consulted. SV disclosure was not linked with depression and anxiety, but was associated with an increase of PTSD symptoms in older victims with care dependency (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.004) or a chronic illness and\/or disability (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.025).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SV disclosure in itself does not protect against adverse mental health outcomes in old age. Capacity building of professionals trough training and development of clinical guidelines and care procedures may increase appropriate response to SV disclosure by older victims.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.6036","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T15:09:27Z","timestamp":1702480167000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["\u201cJust something that happened?\u201d: Mental health impact of disclosure and framing of sexual violence in older victims"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0596-1225","authenticated-orcid":false,"given":"Anne","family":"Nobels","sequence":"first","affiliation":[{"name":"Department of Psychiatry Ghent University Hospital  Ghent Belgium"},{"name":"International Centre for Reproductive Health Department of Public Health and Primary Care Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9319-9516","authenticated-orcid":false,"given":"Charlotte","family":"Meersman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Ghent University Hospital  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilbert","family":"Lemmens","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Ghent University Hospital  Ghent Belgium"},{"name":"Department of Head and Skin, Psychiatry and Medical Psychology Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ines","family":"Keygnaert","sequence":"additional","affiliation":[{"name":"International Centre for Reproductive Health Department of Public Health and Primary Care Ghent University  Ghent Belgium"},{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,13]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"World Report on Violence and Health","author":"World Health Organization","year":"2002"},{"key":"e_1_2_13_3_1","volume-title":"Global and Regional Estimates of Violence against Women: Prevalence and Health Effects of Partner Violence and Sexual Non\u2010partner Violence","author":"World Health Organisation","year":"2013"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2012.08.006"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)62300-4"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811425711"},{"key":"e_1_2_13_7_1","volume-title":"Violence against Women: An EU\u2010wide Survey: Main Results","author":"European Union Agency for Fundamental Rights","year":"2014"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2014.989265"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147360"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.10.095"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2012.08.012"},{"key":"e_1_2_13_12_1","volume-title":"2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non\u2010partner sexual violence against women","author":"World Health Organization","year":"2021"},{"key":"e_1_2_13_13_1","unstructured":"World Health Organization.Violence against Women Fact Sheet. 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