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EFTA00156864

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Crock ice towns Review Manuscript Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000-2016) Ramona Alaggial , Delphine Collin-Vezina2, and Rusan Lateef' TRAUMA. ,aOLENCE. & ABUSE 2019. Vet 2012) 260.2M The Author(s) 2017 CiI0I &ode rizeu of shuts *Urn <cmlounalscermissrons 001 le 1177! 152038017697312 Icurnshiagepubccm, codou OSAGE Abstract Identifying and understanding factors that promote or inhibit child sexual abuse (CSA) disclosures has the potential to facilitate earlier disclosures, assist survivors to receive services without delay. and prevent further sexual victimization. Timely access to therapeutic services can mitigate risk to the mental health of survivors of all ages. This review of the research focuses on CSA disclosures with children, youth, and adults across the life course. Using Kiteley and Stogdon's literature review framework. 33 studies since 2000 were identified and analyzed to extrapolate the most convincing findings to be considered for practice and future research. The centering question asked: What is the state of CSA disclosure research and what can be learned to apply to practice and future research? Using Braun and Clarke's guidelines for thematic analysis. five themes emerged: (1 ) Disdosure is an iterative. interactive process rather than a discrete event best done within a relational context (2) contemporary disclosure models reflect a social—ecological, person-in-environment orientation for understanding the complex interplay of individual. familial, contextual, and cultural factors involved in CSA disclosure: (3) age and gender significantly influence disclosure; (4) there is a lack of a life-course perspective: and (S) barriers to disclosure continue to outweigh facilitators. Although solid strides have been made in understanding CSA disclosures, the current state of knowledge does not fully capture a cohesive picture of dis- closure processes and pathways over the

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