{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:00:36Z","timestamp":1782752436087,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Oral Health Centre of Expertise in Southern Norway"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this paper was to explore child sexually abused survivors' experiences of dental treatment in order to obtain a deeper understanding of them as dental patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were drawn from qualitative semi\u2010structured interviews with 16 adult informants recruited from four different Centres against Sexual Abuse in Norway. Data analysis was developed according to the principles of grounded theory suggested by Charmaz.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A conceptual framework was generated, and a core concept was constructed from the informants' reports of their experiences of dental treatment: <jats:italic>Preparing for attack and recovering from battle<\/jats:italic> based on four main categories: <jats:italic>(a) Expecting danger, (b) Battling anxiety, (c) Reliving abuse and (d) Struggling with the aftermath<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The analyses increase the understanding of how child sexual abuse survivors prepare before\u2014battle during\u2014and recover after dental treatment. This study revealed child sexual abuse survivors' experiences of extensive anxiety, triggered by sensory stimuli such as sensations, movement, muscles, touch, sight, sound, smell and taste, associated with dental procedures per se, but also sensory stimuli similar to previous traumatic experiences. The findings suggest that child sexual abuse survivors' dental anxiety is primarily <jats:italic>trauma\u2010driven<\/jats:italic> and possibly being one of the long\u2010term effects of child sexual abuse. This may be an important contribution to the understanding of CSA survivors and should affect the approach of clinicians treating dental patients with such a history.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12536","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T05:31:04Z","timestamp":1590039064000},"page":"317-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Preparing for attack and recovering from battle: Understanding child sexual abuse survivors' experiences of dental treatment"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-5216","authenticated-orcid":false,"given":"Therese Varvin","family":"Fredriksen","sequence":"first","affiliation":[{"name":"Oral Health Centre of Expertise in Southern Norway Arendal Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siri","family":"S\u00f8ftestad","sequence":"additional","affiliation":[{"name":"Oral Health Centre of Expertise in Southern Norway Arendal Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vibeke","family":"Kranstad","sequence":"additional","affiliation":[{"name":"Oral Health Centre of Expertise in Southern Norway Arendal Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiril","family":"Willumsen","sequence":"additional","affiliation":[{"name":"Oral Health Centre of Expertise in Southern Norway Arendal Norway"},{"name":"Institute of Clinical Dentistry University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2006.12.018"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.01.015"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0722.2001.00069.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2009.36.5.294"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2004.00120.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2002.00083.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/452814"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2010.09.007"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511403920"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2005.0344"},{"key":"e_1_2_7_12_1","first-page":"950","article-title":"Forekomsten av seksuelle overgrep i et representativt befolkningsutvalg i Norge","volume":"49","author":"Steine IM","year":"2012","journal-title":"Tidsskift for Norsk Psykolog Forening"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2006.11.009"},{"key":"e_1_2_7_14_1","volume-title":"Waking the Tiger \u2013 Healing Trauma","author":"Levine PA","year":"1997"},{"key":"e_1_2_7_15_1","volume-title":"Tannhelse sett fra perspektivet til mennesker som har v\u00e6rt utsatt for seksuelle overgrep I oppveksten [Dental Health as Seen from the Perspective of People Sexual Abused During Childhood. 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