Evidence map›Paper›PMID 42182824›Full record

ArticleFrontiers in behavioral neuroscience2026

From use to abuse: psychological, neurobiological, and spiritual pathways in relational harm and recovery.

Shilpa Bhardwaj, Arif Ali, Fayaz Ahmad Paul

Abstract read
In one paragraph

Article in Frontiers in behavioral neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Shilpa BhardwajDepartment of Neurochemistry, Institute of Human Behavior and Allied Sciences (IHBAS), Delhi, India.
Arif AliDepartment of Psychiatric Social Work, Institute of Human Behavior and Allied Sciences (IHBAS), Delhi, India.
Fayaz Ahmad PaulDepartment of Social Work, Rajagiri College of Social Sciences, Kochi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This viewpoint examines the distinction between relational "use" and "abuse" through psychological, neurobiological, relational, and spiritual lenses. It conceptualizes use as a form of mutual and ethical interdependence, whereas abuse is understood as a persistent pattern of control that undermines an individual's autonomy and self-worth. The paper highlights the profound impact of chronic emotional abuse on both mind and body, including dysregulation of stress-response systems, alterations in brain functioning, increased inflammation, and accelerated biological aging. It further emphasizes that the experience and impact of abuse vary across gender, age, and sociocultural contexts, often remaining unrecognized due to prevailing cultural norms. Additionally, the paper explores the role of spirituality in recovery, suggesting that it can facilitate meaning-making, enhance emotional regulation, and foster resilience, while acknowledging that its effectiveness is not universal. Ultimately, the paper positions relational abuse as a significant public health concern that requires nuanced, interdisciplinary, and culturally sensitive responses.

Indexed as

abuseneurosciencepathwayspsychologicalrecoveryspiritualityuse

Identifiers

PMID42182824
PMCPMC13194484

What OpenQuestion holds

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LicenceCC BY
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.