{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:32:56Z","timestamp":1784010776590,"version":"3.55.0"},"reference-count":49,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2015,7,14]]},"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The childhood sexual abuse (CSA) survivor population is substantial and survivors have been identified as part of the population who were under-screened or never-screened for breast, cervical and colon cancer. Our objective was to learn CSA survivor perspectives on, and experiences with, breast, cervical and colon cancer screening with the intention of generating recommendations to help healthcare providers improve cancer screening participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A pragmatic constructivist qualitative study involving individual, semistructured, in-depth interviews was conducted in January 2014. Thematic analysis was used to describe CSA survivor perspectives on cancer screening and identify potential facilitators for screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A diverse purposive sample of adult female CSA survivors was recruited. The inclusion criteria were: being a CSA survivor, being in a stable living situation, where stable meant able to meet one's financial needs independently, able to maintain supportive relationships, having participated in therapy to recover from past abuse, and living in a safe environment. 12 survivors were interviewed whose ages ranged from the early 40s to mid-70s. Descriptive saturation was reached after 10 interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Interviews were conducted over the phone or Internet. CSA survivors were primarily from urban and rural Ontario, but some resided elsewhere in Canada and the USA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The core concept that emerged was that compassionate care at every level of the healthcare experience could improve cancer screening participation. Main themes included: desire for holistic care; unique needs of patients with dissociative identity disorder; the patient-healthcare provider relationship; appointment interactions; the cancer screening environment; and provider assumptions about patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compassionate care can be delivered by: building a relationship; practising respect; focusing attention on the patient; not rushing the appointment; keeping the environment positive and comfortable; maintaining patient dignity; sharing control whenever possible; explaining procedures; and using laughter to reduce power imbalance through shared humanity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-007628","type":"journal-article","created":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T22:19:42Z","timestamp":1438813182000},"page":"e007628","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care"],"prefix":"10.1136","volume":"5","author":[{"given":"Dionne","family":"Gesink","sequence":"first","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian","family":"Nattel","sequence":"additional","affiliation":[{"name":"Moonlily Manuscripts Inc., Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,8,5]]},"reference":[{"key":"2025121411170469000_5.8.e007628.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.08.003"},{"key":"2025121411170469000_5.8.e007628.2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1080\/15299732.2013.769478","article-title":"Dissociative symptoms over a year in a sample of sexually abused children","volume":"14","author":"Bernier","year":"2013","journal-title":"J Trauma Dissociation"},{"key":"2025121411170469000_5.8.e007628.3","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1300\/J229v06n01_05","article-title":"The role of depression and dissociation in the link between childhood sexual abuse and later parental practices","volume":"6","author":"Collin-Vezina","year":"2005","journal-title":"J Trauma Dissociation"},{"key":"2025121411170469000_5.8.e007628.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000149218.76592.26"},{"key":"2025121411170469000_5.8.e007628.5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J229v07n02_02","article-title":"Evidence for a dissociative subtype of post-traumatic stress disorder among help-seeking childhood sexual abuse survivors","volume":"7","author":"Ginzburg","year":"2006","journal-title":"J Trauma Dissociation"},{"key":"2025121411170469000_5.8.e007628.6","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3182948096"},{"key":"2025121411170469000_5.8.e007628.7","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.ctcp.2006.08.004","article-title":"Dissociation reduction in body therapy during sexual abuse recovery","volume":"13","author":"Price","year":"2007","journal-title":"Complement Ther Clin Pract"},{"key":"2025121411170469000_5.8.e007628.8","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1080\/10538712.2014.864746","article-title":"Post-traumatic stress disorder, dissociation, and neuropsychological performance in Latina victims of childhood sexual abuse","volume":"23","author":"Rivera-Velez","year":"2014","journal-title":"J Child Sex Abus"},{"key":"2025121411170469000_5.8.e007628.9","doi-asserted-by":"crossref","first-page":"e65524","DOI":"10.1371\/journal.pone.0065524","article-title":"Association between adverse childhood experiences and diagnosis of cancer","volume":"8","author":"Brown","year":"2013","journal-title":"PLoS ONE"},{"key":"2025121411170469000_5.8.e007628.10","doi-asserted-by":"crossref","unstructured":"Bellis MA , Hughes K , Leckenby N , et al . 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