Evidence map›Paper›PMID 28809134›Full record

ArticlePalliative & supportive care2018

Cancer treatment experiences among survivors of childhood sexual abuse: A qualitative investigation of triggers and reactions to cumulative trauma.

Julie B Schnur, Matthew J Dillon, Rachel E Goldsmith, Guy H Montgomery

Abstract read
In one paragraph

Article in Palliative & supportive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Impact of prior sexual trauma on patient experience and comfort in breast cancer radiation therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Gender and Patient Satisfaction in a Veterans Health Administration Outpatient Chemotherapy Unit.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  8. Sexual health and wellbeing after pelvic radiotherapy among women with and without a reported history of sexual abuse: important issues in cancer survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Julie B SchnurDepartment of Oncological Sciences,Integrative Behavioral Medicine Program,Icahn School of Medicine at Mount Sinai,New York,New York.
Matthew J DillonDepartment of Oncological Sciences,Integrative Behavioral Medicine Program,Icahn School of Medicine at Mount Sinai,New York,New York.
Rachel E GoldsmithDepartment of Oncological Sciences,Integrative Behavioral Medicine Program,Icahn School of Medicine at Mount Sinai,New York,New York.
Guy H MontgomeryDepartment of Oncological Sciences,Integrative Behavioral Medicine Program,Icahn School of Medicine at Mount Sinai,New York,New York.
Icahn School of Medicine at Mount Sinai · US

Funding

E-Counseling in psychosocial cancer care: A competency-based E-Learning approachR25CA166042 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MONTGOMERY, GUY H · 2012 to 2016
$1.5M
Cancer treatment retraumatization in sexual abuse survivorsR21CA173163 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SCHNUR, JULIE B. · 2014 to 2015
$406k
NCI NIH HHS R21 CA173163NCI NIH HHS R25 CA166042
6 · The paper itself

Abstract

ABSTRACTObjective:Some 25% of women and 8% of men in the United States have experienced childhood sexual abuse (CSA) before the age of 18. For these individuals, healthcare visits and interactions can be retraumatizing due to perceived similarities to past abuse (e.g., pain, undressing, lack of control). However, no prior studies have provided formal qualitative analyses regarding CSA survivors' reactions to cancer treatment. Therefore, our study's objective was to identify key themes pertaining to CSA survivors' cancer treatment experiences.

methodMale and female members of the Amazon Mechanical Turk (N = 159, mean age = 44.27 years, SD = 10.02) participated in an anonymous online survey study. The inclusion criteria included reporting: history of CSA; a diagnosis of colorectal, gynecological, breast, or skin cancer; and experience of triggers and/or difficulties during cancer treatment. Participants' responses to open-ended questions were analyzed using inductive thematic analysis.

resultsWe identified two primary themes describing CSA survivors' experiences: Theme 1: treatment-related triggers (key subthemes: procedure-related, provider-related, and emotional triggers); and Theme 2: questioning the meaning of cumulative trauma (e.g., "Why me again?"). SIGNIFICANCE OF

resultsFor CSA survivors, cancer and its treatment can trigger thoughts and emotions associated with the original abuse as well as negative evaluations of themselves, the world, and their future. Our findings are consistent with past research on CSA survivors' experiences in non-cancer healthcare settings and add to the literature by highlighting their struggles during cancer treatment. The present results can inform further research on trauma survivors' reactions to cancer treatment and give cancer care providers the context they need to understand and sensitively serve a substantial yet often overlooked patient group.

Indexed as

Adverse Childhood ExperiencesAdultFemaleHumansMaleMiddle AgedNeoplasmsQualitative ResearchQuality of Health CareSex OffensesSurveys and QuestionnairesSurvivorsCancerChildhood sexual abusePatient experienceQualitativeRetraumatization

Identifiers

PMID28809134
PMCPMC5812828
OpenAlexW2746971444

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.