>>938139215
The ResearchGate article seems to only deal with disclosure process and PTSD severity: "Conclusion
Research investigating the relationship between disclosure processes and PTSD
responses is in the early stages of development and additional, validated measures for aspects of
disclosure processes (e.g., disclosures vs. no disclosure, disclosures to caregivers or friends,
timing of disclosures, level of disclosures, etc.) are needed. Ecological theories of trauma
responses help to draw attention to the many different ways in which disclosure can occur over
CHILD SEXUAL ABUSE, DISCLOSURE, & PTSD
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time, such as to close friends and families (microsystem) or healthcare providers (exosystem), as
well as the impact of broader cultural factors (macrosystem) and the impact of co-occurring or
recurring violence exposures (chronosystem). As many studies evaluate only individual,
exposure, and specific microsystem factors, it is perhaps not surprising to find that the literature
indicates an inconsistent relationship between disclosure processes and PTSD."
The second link (PMC) states: "Increased odds for belonging to the trajectory with clinical level symptoms was found among those who reported higher levels of exposure to other types of childhood maltreatment (OR=3.69, p=0.002), sexual abuse enforced by physical violence (OR=3.04, p=0.003) or threats (OR=2.56, p=0.014), very painful sexual abuse (OR=2.73, p=0.007), or who had experienced intense anxiety, helplessness or fear during the abuse (OR=2.97, p=0.044)"
meaning that forced sexual contact (as I had said) greatly increases the chance of PTSS (Post Traumatic Stress Symptoms).
The first link (PMC) states: "we repeated our analyses with three alternative analytic groupings that differed in relative severity: those who reported (i) forced or attempted intercourse versus all other participants; (ii) forced intercourse versus all other participants; and (iii) forced intercourse versus no CSA."
