{"title":"Cognitive Impairment as A Vulnerability for Exploitation: A Scoping Review.","authors":"Imogen Lambert, Nicola Wright, Alison Gardner, Rachel Fyson, Aisha Abubakar, Rachael Clawson","doi":"10.1177/15248380241282993","DOIUrl":"10.1177/15248380241282993","url":null,"abstract":"<p><p>Exploitation is a form of abuse that occurs when one person unfairly manipulates another for profit or personal gain. Various individual and social characteristics have the potential to increase an individual's risk of being exploited. Cognitive impairment is one potential vulnerability factor that has received minimal research attention. This scoping review aimed to investigate cognitive impairment as a factor that may increase an individual's vulnerability to exploitation. Study inclusion criteria were: (a) empirical studies; (b) studies presenting extractable data related to cognitive impairment and exploitation; (c) studies exploring cognitive impairment as a vulnerability factor for exploitation; (d) studies published after 1998; and (e) studies available in English. A six-step search strategy was employed: (a) electronic searches of bibliographic databases; (b) screening reference lists of included studies; (c) forward citation tracking in Google Scholar; (d) expert recommendations; (e) website searches of relevant Non-Governmental Organizations (NGOs); and (f) a call for evidence. Twenty studies met the inclusion criteria. Three types of exploitation were reported: sexual (<i>n</i> = 10), financial (<i>n</i> = 8), and criminal (<i>n</i> = 2). Intellectual disability (<i>n</i> = 8) and mental health (<i>n</i> = 8) were the most frequently described forms of cognitive impairment. The results indicate that cognitive impairment is a factor that increases vulnerability to exploitation. However, the limited number and disparate nature of the studies means that it is impossible to disentangle all the complexities in the relationship between cognitive impairment and exploitation. Further research is needed to understand if cognitive impairment increases vulnerability to all types of exploitation or if it results in varying levels of susceptibility to different types of exploitation.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"468-482"},"PeriodicalIF":5.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trauma Violence & AbusePub Date : 2025-07-01Epub Date: 2024-10-01DOI: 10.1177/15248380241282995
Aino Elina Sirparanta, Camille Danner Touati, Chantal Cyr, Raphaële Miljkovitch
{"title":"Parental History of Childhood Maltreatment and Offspring Attachment Insecurity and Disorganization: Two Meta-Analyses.","authors":"Aino Elina Sirparanta, Camille Danner Touati, Chantal Cyr, Raphaële Miljkovitch","doi":"10.1177/15248380241282995","DOIUrl":"10.1177/15248380241282995","url":null,"abstract":"<p><p>Research findings have shown that parental history of childhood maltreatment (CM) increases the risk of insecure and disorganized attachment in offspring. However, the extent of the detrimental effects of childhood trauma on attachment in the next generation is unclear. The current meta-analyses aimed at synthesizing the available literature on the link between parental history of CM and offspring attachment insecurity and disorganization (with no restriction of offspring age). In total, 25 studies (23 unique samples; <i>N</i> = 2,592) comprising <i>u</i> = 61 effect sizes were included. Offspring age ranged from 12 to 79 months (<i>M</i><sub>weighted</sub> = 18.69; <i>SD</i><sub>weighted</sub> = 11.53). Findings from two three-level random effects meta-analyses revealed a weak but significant combined effect of parental history of CM on child attachment insecurity (<i>k</i> = 20, <i>u</i> = 35, <i>r</i> = .06) and a non-significant effect on child attachment disorganization (<i>k</i> = 12, <i>u</i> = 26, <i>r</i> = .03). For the meta-analysis on disorganization, effect sizes were weaker in more recent studies, and trim and fill analyses provided evidence of publication bias. These findings provide a nuanced view of the intergenerational transmission of childhood trauma phenomenon, whereby parents' self-reported history of CM does not appear decisive for child attachment. Conclusions could not be drawn for specific types of CM because of the small number of studies. Research with more objective measures of parental exposure to CM is needed to gain a more comprehensive view of the possible intergenerational effects of CM on child attachment.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"420-435"},"PeriodicalIF":5.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trauma Violence & AbusePub Date : 2025-07-01Epub Date: 2024-11-06DOI: 10.1177/15248380241286839
Emma A Adams, Kerry Brennan-Tovey, Joanne McGrath, Steven Thirkle, Neha Jain, Maria Raisa Jessica Aquino, Victoria Bartle, Joanne Kennedy, Margaret Ogden, Jeff Parker, Sophie Koehne, Eileen Kaner, Sheena E Ramsay
{"title":"A Co-produced International Qualitative Systematic Review on Lived Experiences of Trauma During Homelessness in Adulthood and Impacts on Mental Health.","authors":"Emma A Adams, Kerry Brennan-Tovey, Joanne McGrath, Steven Thirkle, Neha Jain, Maria Raisa Jessica Aquino, Victoria Bartle, Joanne Kennedy, Margaret Ogden, Jeff Parker, Sophie Koehne, Eileen Kaner, Sheena E Ramsay","doi":"10.1177/15248380241286839","DOIUrl":"10.1177/15248380241286839","url":null,"abstract":"<p><p>Trauma can be both a cause and a consequence of homelessness and has lasting impacts on mental health and wellbeing. Often research focusses on trauma and adversity in childhood leading to homelessness, but understanding traumatic experiences during adulthood homelessness can be just as important for informing intervention development and policies to mitigate and eradicate homelessness. Working with people with lived experience of homelessness, this review aimed to synthesis the qualitative evidence exploring the impact of trauma during homelessness on mental health (including substance use) from the perspective of adults (18 years of age and older) experiencing homelessness. Alongside gray literature, ASSIA, CINAHL, Cochrane, EMBASE, MEDLINE, Proquest theses and dissertations, PsychInfo, Scopus and Web of Science were searched from inception until February 2024. No language, date, or geographical limits were applied. A 'best-fit' framework synthesis of 26 papers, covering the experience of over 900 people, identified three overarching themes linked with the SAMHSA three E's of trauma: 1) making sense of homelessness as a trauma, 2) dealing with the impacts of trauma and 3) responses to repeated exposure to trauma. Trauma rarely takes place in isolation and often prior experiences shape how people experiencing homelessness make sense and cope with trauma. Policy and prevention should prioritise early intervention to reduce the mental health burden of trauma and homelessness. Additionally, creating support that empowers and builds resilience will encourage more positive management strategies.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"510-527"},"PeriodicalIF":5.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trauma Violence & AbusePub Date : 2025-07-01Epub Date: 2024-09-19DOI: 10.1177/15248380241277267
Sumaita Choudhury, Melissa F Peskin, Timothy J Walker, Emily T Hébert, Nivedhitha Parthasarathy, Kaitlyn L Zajack-Garcia, Lea Sacca, Christine M Markham
{"title":"The Impact of Household Dysfunction on Dating Violence Perpetration Among Adolescents in the United States: A Scoping Review.","authors":"Sumaita Choudhury, Melissa F Peskin, Timothy J Walker, Emily T Hébert, Nivedhitha Parthasarathy, Kaitlyn L Zajack-Garcia, Lea Sacca, Christine M Markham","doi":"10.1177/15248380241277267","DOIUrl":"10.1177/15248380241277267","url":null,"abstract":"<p><p>Adverse childhood experiences, such as household dysfunction (HD), play a central role in how adolescents establish, experience, and navigate the challenges of relationship formation, maintenance, and dissolution. HD exposures have been independently associated with dating violence (DV) perpetration in both adolescents and adults. However, research examining the association between the concurrent effect of HD on DV perpetration, especially among adolescents remains scarce. Thus, we conducted a scoping review to accumulate and summarize existing research regarding the impact of HD on DV perpetration among adolescents aged 10 to 17 years in the United States. We used three electronic databases, Medline (Ovid), PsycINFO, and EMBASE, to search for studies published in English between 2013 and August 2023. A total of 14 studies were retained for this review after full-text screening. Most of the included studies (64%) were longitudinal. Concerning HD measurement, 71% of studies evaluated witnessing intimate partner violence (IPV), and the remaining 29% assessed family conflict, both using different instruments. Regarding DV measurement, 43% of studies utilized the Safe Dates Abuse measures to assess various forms of DV perpetration. Findings from 3/4 (75%) studies that evaluated family conflict found it to be a significant predictor of DV perpetration. Additionally, 8/10 (80%) studies that assessed exposure to IPV reported significant associations with various forms of DV perpetration among adolescents. None of the included studies measured HD comprehensively; thus, measurement development is imperative. Findings from this review may help initiate the development of a more comprehensive HD measure, promote early intervention, and foster resilience among adolescents.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"377-388"},"PeriodicalIF":5.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trauma Violence & AbusePub Date : 2025-07-01Epub Date: 2024-10-10DOI: 10.1177/15248380241284782
Sithara Wanni Arachchige Dona, Genevieve Bloxsom, Julie Green, Mary Rose Angeles, Cathy Humphreys, Lisa Gold
{"title":"Economic Evaluation of Prevention Interventions for Child Sexual Exploitation or Child Sexual Abuse: A Systematic Review.","authors":"Sithara Wanni Arachchige Dona, Genevieve Bloxsom, Julie Green, Mary Rose Angeles, Cathy Humphreys, Lisa Gold","doi":"10.1177/15248380241284782","DOIUrl":"10.1177/15248380241284782","url":null,"abstract":"<p><p>Child sexual abuse, including sexual exploitation, is a global issue, affecting 8% to 31% of girls and 3% to 17% of boys worldwide. This systematic review aims to synthesize economic evidence on the cost-effectiveness of community interventions to prevent child sexual abuse/exploitation to inform decision-making. A systematic search was conducted on eight databases for studies published until April 2023. Gray literature was searched using Google. The inclusion criteria were economic evaluation of interventions targeted at children, perpetrators/offenders, or professionals addressing child sexual abuse/exploitation. There was no limitation by country, but an English language abstract was required for non-English articles. Studies without a specific focus on child sexual abuse/exploitation, such as physical, emotional, and domestic violence-related abuse, were excluded. All costs were adjusted to US$ 2023. Reporting quality assessment was conducted using the Consolidated Health Economic Evaluation Reporting Standards 2022 checklist. Of 5,180 screened articles, 17 were included in the final synthesis, with most from the United States and focused on tertiary prevention delivered to offenders. While the intervention components varied across studies, all demonstrated promising and cost-effective results. The findings highlight a small but growing body of economic evidence for child sexual abuse/exploitation interventions. The existing economic evaluation evidence is dominated by tertiary prevention, which focuses on offenders and child victims and highlights the need for more research and action on primary and secondary preventative interventions for general and at-risk populations.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"546-559"},"PeriodicalIF":5.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women and Girls who Carry Knives: A Systematic Review.","authors":"Isabella Pellien, Jane Wood, Emma Alleyne","doi":"10.1177/15248380251338781","DOIUrl":"https://doi.org/10.1177/15248380251338781","url":null,"abstract":"<p><p>This systematic review explores knife carrying among women and girls, a behavior often overlooked in research and policy. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and using the Population, Intervention, Comparison and Outcome (PICO) framework, seven databases were searched in February 2022. Studies were included if they examined female knife carrying or knife-related offenses, using all-female or mixed-gender samples, and published in English since 2000. Thirty-three studies met the inclusion criteria, including quantitative, qualitative, and mixed-method designs. Findings indicate that female knife carrying is often examined within broader weapon carrying research, with prevalence rates ranging from less than 1% to 52%, and influenced by sample type (e.g., gang-involved youth). Key situational factors include peer associations, gang membership, and self-protection, while psychological drivers such as status seeking, respect, and fear induction also emerged. However, most research is U.S.-based, limiting generalizability. This review highlights the need for further research on the unique social and psychological dynamics of female knife carrying to inform female-specific interventions.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"15248380251338781"},"PeriodicalIF":5.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathryn L Falb, Alexandra Blackwell, Manya Balanchander, Christine Bourey, Christina T Yuan, Michele R Decker
{"title":"Adapting, Sustaining and Scaling Violence against Women and Children Prevention Interventions in Low- and Middle-Income Countries: A Scoping Review on the Use of Implementation Science.","authors":"Kathryn L Falb, Alexandra Blackwell, Manya Balanchander, Christine Bourey, Christina T Yuan, Michele R Decker","doi":"10.1177/15248380251340640","DOIUrl":"https://doi.org/10.1177/15248380251340640","url":null,"abstract":"<p><p>The field of violence against women and children (VAW/C) prevention has made significant progress in identifying effective strategies to prevent violence. However, there are still gaps in understanding how to sustain and scale evidence-based interventions across diverse settings. At the same time, implementation science offers approaches that could help achieve greater scale, sustainability, and equity. Despite its potential, implementation science approaches have not been fully applied to VAW/C research. To address this gap, a scoping review was conducted to identify the frameworks employed, understand the most frequently studied implementation domains, examine any specific challenges captured within the applied implementation science frameworks related to delivering survivor-centered violence prevention programming, and illuminate the role of practice-based knowledge within implementation science efforts for violence prevention programming. The review, conducted between 2023 and 2024, identified 40 VAW/C evaluation studies that included implementation or process evaluation components, with most studies published after 2020. Commonly used implementation science frameworks included the Consolidated Framework for Implementation Research (CFIR), the Exploration, Preparation, Implementation, and Sustainment (EPIS) model, and the Medical Research Council (MRC) frameworks. Key implementation domains studied were fidelity, acceptability, and feasibility. However, scale and sustainability-critical priorities for practitioners, policymakers, and donors-were only minimally addressed in the literature. In addition, there was limited focus on implementing survivor-centered practices and incorporating practice-based knowledge. The findings highlight the need for long-term collaborations between researchers and practitioners that explicitly integrate implementation science. Such partnerships could help adapt, scale, and sustain evidence-based VAW/C prevention programs more effectively while ensuring they remain survivor-centered.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"15248380251340640"},"PeriodicalIF":5.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrick Lussier, Evan McCuish, Elisabeth St-Pierre, Arthur-Lou Baguet
{"title":"Examining Benchmarks of Sexual Recidivism Rates for Short, Moderate, and Long-Term Follow-Up Periods: A Meta-Analysis of Canadian and American Studies.","authors":"Patrick Lussier, Evan McCuish, Elisabeth St-Pierre, Arthur-Lou Baguet","doi":"10.1177/15248380251338791","DOIUrl":"https://doi.org/10.1177/15248380251338791","url":null,"abstract":"<p><p>Measuring sexual recidivism involves both a behavioral and a temporal component. The behavioral component is sexually reoffending, generally measured using official sources. The temporal component is the follow-up period during which sexual recidivism is examined. Research has shown that if the length of the follow-up period is extended, rates of sexual recidivism increase. What is less clear is the functional form of this relationship. The present study examines this relationship through a meta-analysis of 468 sexual recidivism studies conducted in Canada and the United States and published since 1940. The weighted pooled mean recidivism rates ranged from 0.06 (95% CI [0.05, 0.09]; mean follow-up of less than 3 years) to 0.17 ([0.12, 0.23]; mean follow-up of 12 years or more). These benchmarks should be used with caution given the wide variability of recidivism rates observed in studies with similar mean follow-up periods. Such caution is especially needed in when communicating the risk of recidivism over longer-term follow-up periods given the limited number of such studies.</p>","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":" ","pages":"15248380251338791"},"PeriodicalIF":5.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood Maltreatment and Complex PTSD: A Systematic Literature Review.","authors":"Zahra Omidbakhsh,Zahra Mohammadi,Samaneh Soltanabadi","doi":"10.1177/15248380251320985","DOIUrl":"https://doi.org/10.1177/15248380251320985","url":null,"abstract":"There is established evidence that childhood maltreatment is associated with Complex Posttraumatic Stress Disorder (C-PTSD), although the underlying mechanisms are not still precise. The current study aimed to systematically review empirical studies examining potential psychological factors linking childhood maltreatment to C-PTSD and the gaps in the literature. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol, 19 original studies with a total of n = 1,075 subjects were analyzed. Five mediating processes were identified: (a) Emotional Processing as approaching, accepting, symbolizing, tolerating, regulating, making meaning of, and utilizing or transforming emotions; (b) Intrapersonal Factors describing factors operating or constructs occurring within the person, such as attitudes, decisions, self-concept, self-esteem, or self-regulation; (c) Interpersonal Factors are elements that shape how individuals engage with each other, including personal characteristics, and communication dynamic; (d) Dissociation that is a defense mechanism in which conflicting impulses are kept apart or threatening ideas and feelings are separated from the rest of the psych; and (e) Social Factors are factors (e.g., attitudes) that affect thought or behavior in social contexts or that affect self-concept vis-à-vis other individuals or groups. Further research is required to examine the extent to which targeting these mediators may act as mechanisms for change in supporting individuals to heal from childhood maltreatment.","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":"30 1","pages":"15248380251320985"},"PeriodicalIF":6.4,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie Vaccarezza,Nicolás Labbé,Alberto López,Adrian P Mundt,Paula Errázuriz
{"title":"Psychotherapeutic Process in Adults with Depressive and Anxiety Symptoms Who Report Childhood Maltreatment: A Scoping Review.","authors":"Stephanie Vaccarezza,Nicolás Labbé,Alberto López,Adrian P Mundt,Paula Errázuriz","doi":"10.1177/15248380251335040","DOIUrl":"https://doi.org/10.1177/15248380251335040","url":null,"abstract":"Extensive research exists regarding the impact of childhood maltreatment (CM) on depression and anxiety in adulthood. Still, its effect on the psychotherapeutic process, particularly symptomatic change and working alliance, remains unclear. Evaluating studies on the impact of CM on the psychotherapeutic process can help identify research gaps. This study aimed to conduct a scoping review of studies on the psychotherapeutic process in individual psychotherapy of adults with symptoms of depression and anxiety who report CM. The study followed the JBI Scoping Review Methodology. Searches were conducted in October 2022 across eight databases for peer-reviewed articles, books, and gray literature. Eligible studies examined the psychotherapeutic process in individual psychotherapy of adults with depression and/or anxiety who reported CM. A narrative method was employed to analyze and synthesize the studies. A total of 39 studies were included, consisting of 35 scientific articles and four doctoral dissertations. Most were randomized controlled trials evaluating different psychotherapeutic approaches, primarily cognitive-behavioral, interpersonal, and psychodynamic therapies. Patients with CM responded to psychotherapies for anxiety and depression, but showed higher symptom levels at both the beginning and end of treatment, along with delayed responses. A strong working alliance was essential for outcomes across different psychotherapeutic approaches. Psychotherapies for anxiety and depression in patients with CM should focus on building a strong working alliance and consider additional time for treatment responses. Future psychotherapy research on people with CM should report on the processes, including the working alliance. More studies assessing personality, anxiety, therapists' perspectives, and employing qualitative methodologies are needed.","PeriodicalId":54211,"journal":{"name":"Trauma Violence & Abuse","volume":"32 1","pages":"15248380251335040"},"PeriodicalIF":6.4,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}