TY - JOUR
T1 - Childhood sexual abuse in advanced cancer patients in the palliative care setting
AU - Wygant, Carmella
AU - Hui, David
AU - Bruera, Eduardo
N1 - Funding Information:
This work was supported in part by the National Institutes of Health grants RO1NR010162-01A1 , RO1CA122292-01 , and RO1CA124481-01 (E. Bruera, Principal Investigator), and the Clinician Investigator Program, Royal College of Physicians and Surgeons of Canada (D. Hui, Principal Investigator). The authors declare no conflicts of interest.
PY - 2011/8
Y1 - 2011/8
N2 - Childhood sexual abuse (CSA) is a common, distressing, yet rarely discussed topic in palliative care. The long-term effects of CSA can have a significant impact on patients' quality of life, particularly at the end of life. In this article, we aim to initiate a discussion regarding the need to address CSA in the palliative care setting, using the example of an advanced cancer patient and her caregiver sister who revealed their common past. Specifically, we will be discussing 1) the comorbidities, psychological distress, and family distress associated with CSA, 2) its impact on health care delivery, 3) an approach to initiating conversations regarding CSA, and 4) various management strategies. Successful management of CSA necessitates an interprofessional team approach and may help to improve the quality of life of patients and their families.
AB - Childhood sexual abuse (CSA) is a common, distressing, yet rarely discussed topic in palliative care. The long-term effects of CSA can have a significant impact on patients' quality of life, particularly at the end of life. In this article, we aim to initiate a discussion regarding the need to address CSA in the palliative care setting, using the example of an advanced cancer patient and her caregiver sister who revealed their common past. Specifically, we will be discussing 1) the comorbidities, psychological distress, and family distress associated with CSA, 2) its impact on health care delivery, 3) an approach to initiating conversations regarding CSA, and 4) various management strategies. Successful management of CSA necessitates an interprofessional team approach and may help to improve the quality of life of patients and their families.
KW - Childhood sexual abuse
KW - cancer
KW - distress
KW - palliative care
KW - therapy
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U2 - 10.1016/j.jpainsymman.2010.11.011
DO - 10.1016/j.jpainsymman.2010.11.011
M3 - Article
C2 - 21444190
AN - SCOPUS:79960976706
SN - 0885-3924
VL - 42
SP - 290
EP - 295
JO - Journal of pain and symptom management
JF - Journal of pain and symptom management
IS - 2
ER -