Evidence map›Paper›PMID 34459692›Full record

ArticleJournal of interpersonal violence2022

Bringing Shame Out of the Shadows: Identifying Shame in Child Sexual Abuse Disclosure Processes and Implications for Psychotherapy.

Rosaleen McElvaney, Rusan Lateef, Delphine Collin-Vézina, Ramona Alaggia, Megan Simpson

Open access · hybridAbstract read
In one paragraph

Article in Journal of interpersonal violence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Sexual Violence and Shame: A Meta-Analysis.Trauma, violence & abuse · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Expert interviewers' approach to navigating forensic interviews with adolescents who are reluctant to disclose sexual abuse.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025
    Article
  7. Article
  8. Research Review: Why do prospective and retrospective measures of maltreatment differ? A narrative review.Journal of child psychology and psychiatry, and allied disciplines · 2024
    Review
  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

5 authors at 3 institutions in 2 countries.

Rosaleen McElvaneyDublin City University, Dublin, Ireland.ORCID 0000-0002-0204-7270
Rusan LateefMcGill University, Montreal, Canada.ORCID 0000-0002-1068-7067
Delphine Collin-VézinaMcGill University, Montreal, Canada.
Ramona AlaggiaUniversity of Toronto, Canada.
Megan SimpsonCarlton University, Ottawa, Canada.
McGill University · CADublin City University · IEUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Child sexual abuse (CSA) has been described as a highly stigmatizing experience. Despite the recognition of shame as a significant contributor to psychological distress following CSA, an inhibitor of CSA disclosure, and a challenging emotion to overcome in therapy, limited research has explored the experience of shame with young people who have been sexually abused. This study is unique in examining the transcripts of 47 young people aged 15-25 years from a large-scale study conducted in Ireland and Canada and exploring manifestations of shame in CSA disclosure narratives. Using a thematic analysis of both inductive and deductive coding, the data were examined for implicit, as distinct from explicit, manifestations of shame. Three key themes were identified in this study: languaging shame, avoiding shame, and reducing shame. The study supports previous authors in highlighting the need for nuanced measures of shame in research that takes account of the complexity of this emotion. Conceptualizations in the literature of the distinction between shame and guilt are challenged when these emotions are explored in the context of CSA. Finally, recommendations for working therapeutically with young people who have experienced CSA are offered with a view to addressing shame in therapeutic work.

Indexed as

Child AbuseChild Abuse, SexualAdolescentChildDisclosureGuiltHumansPsychotherapyShameadolescent victimschild abusesexual abusesexual assaultsupport seeking

Identifiers

PMID34459692
PMCPMC9554283
OpenAlexW3197355453

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.