{"id":"https://openalex.org/W7130679685","doi":"https://doi.org/10.1093/jsxmed/qdag020","title":"The etiology of sexual pain in American Christian women: associations of sexual debut, maternal teachings on sex, and abuse history with pain severity","display_name":"The etiology of sexual pain in American Christian women: associations of sexual debut, maternal teachings on sex, and abuse history with pain severity","publication_year":2026,"publication_date":"2026-01-27","ids":{"openalex":"https://openalex.org/W7130679685","doi":"https://doi.org/10.1093/jsxmed/qdag020","pmid":"https://pubmed.ncbi.nlm.nih.gov/41718739"},"language":"en","primary_location":{"id":"doi:10.1093/jsxmed/qdag020","doi":"https://doi.org/10.1093/jsxmed/qdag020","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdag020","pdf_url":null,"source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1093/jsxmed/qdag020","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114484194","display_name":"Joanna Sawatsky","orcid":"https://orcid.org/0009-0004-5885-6263","observed_orcids":["https://orcid.org/0009-0004-5885-6263"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Joanna Sawatsky","raw_affiliation_strings":["Bare Marriage, Incorporated"],"raw_orcid":"https://orcid.org/0009-0004-5885-6263","affiliations":[{"raw_affiliation_string":"Bare Marriage, Incorporated","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066874867","display_name":"Lori Mize","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lori Mize","raw_affiliation_strings":["Department of Physical Therapy and Athletic Training, University of Utah , Logan 84108 ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy and Athletic Training, University of Utah , Logan 84108 ,","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072721260","display_name":"Keith Gregoire","orcid":"https://orcid.org/0000-0003-1919-6392","observed_orcids":["https://orcid.org/0000-0003-1919-6392"]},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Keith Gregoire","raw_affiliation_strings":["Bare Marriage, Incorporated","Department of Paediatrics, Queen's University , Kingston K7N 3N6 ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bare Marriage, Incorporated","institution_ids":[]},{"raw_affiliation_string":"Department of Paediatrics, Queen's University , Kingston K7N 3N6 ,","institution_ids":["https://openalex.org/I204722609"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033830791","display_name":"Arielle Leonard Hodges","orcid":"https://orcid.org/0000-0001-5390-5370","observed_orcids":["https://orcid.org/0000-0001-5390-5370"]},"institutions":[{"id":"https://openalex.org/I179651463","display_name":"George Fox University","ror":"https://ror.org/00w641b14","country_code":"US","type":"education","lineage":["https://openalex.org/I179651463"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arielle Leonard Hodges","raw_affiliation_strings":["Department of Communications, George Fox University , Newberg , Oregon 97132,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Communications, George Fox University , Newberg , Oregon 97132,","institution_ids":["https://openalex.org/I179651463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114484195","display_name":"Rebecca Lindenbach","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rebecca Lindenbach","raw_affiliation_strings":["Bare Marriage, Incorporated"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bare Marriage, Incorporated","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003774500","display_name":"Sheila Wray Gregoire","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sheila Wray Gregoire","raw_affiliation_strings":["Bare Marriage, Incorporated"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bare Marriage, Incorporated","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5114484194"],"corresponding_institution_ids":[],"apc_list":{"value":3550,"currency":"USD","value_usd":3550},"apc_paid":{"value":3550,"currency":"USD","value_usd":3550},"fwci":6.7856,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.94171684,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"23","issue":"3","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10459","display_name":"Sexual function and dysfunction studies","score":0.9789999723434448,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10459","display_name":"Sexual function and dysfunction studies","score":0.9789999723434448,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.009399999864399433,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12335","display_name":"Sexuality, Behavior, and Technology","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sexual-pain","display_name":"sexual pain","score":0.9800000190734863},{"id":"https://openalex.org/keywords/christian-women","display_name":"Christian women","score":0.6539999842643738},{"id":"https://openalex.org/keywords/history-of-sexual-abuse","display_name":"sexual abuse history","score":0.7559999823570251},{"id":"https://openalex.org/keywords/religious-affiliation","display_name":"religious affiliation","score":0.49000000953674316},{"id":"https://openalex.org/keywords/evangelical-women","display_name":"evangelical women","score":0.5460000038146973},{"id":"https://openalex.org/keywords/sexual-scripts","display_name":"sexual scripts","score":0.6420000195503235},{"id":"https://openalex.org/keywords/pain-intensity","display_name":"pain intensity","score":0.5809999704360962},{"id":"https://openalex.org/keywords/psychosocial-risk-factors","display_name":"psychosocial risk factors","score":0.6790000200271606}],"concepts":[{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.7861999869346619},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.7745000123977661},{"id":"https://openalex.org/C2992354236","wikidata":"https://www.wikidata.org/wiki/Q43414","display_name":"Sexual abuse","level":4,"score":0.5667999982833862},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5601999759674072},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5205000042915344},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.515999972820282},{"id":"https://openalex.org/C2994102814","wikidata":"https://www.wikidata.org/wiki/Q17003131","display_name":"Sexual history","level":2,"score":0.4300999939441681},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.37040001153945923},{"id":"https://openalex.org/C2993290233","wikidata":"https://www.wikidata.org/wiki/Q608","display_name":"Sexual behavior","level":2,"score":0.33719998598098755},{"id":"https://openalex.org/C3017530563","wikidata":"https://www.wikidata.org/wiki/Q7458776","display_name":"Sexual functioning","level":3,"score":0.3140999972820282},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3095000088214874},{"id":"https://openalex.org/C2987028688","wikidata":"https://www.wikidata.org/wiki/Q49085","display_name":"African american","level":2,"score":0.30070000886917114},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28130000829696655},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2517000138759613}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002835","descriptor_name":"Christianity","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003075","descriptor_name":"Coitus","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004414","descriptor_name":"Dyspareunia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D004414","descriptor_name":"Dyspareunia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D004414","descriptor_name":"Dyspareunia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D004414","descriptor_name":"Dyspareunia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009034","descriptor_name":"Mother-Child Relations","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012725","descriptor_name":"Sexual Behavior","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012742","descriptor_name":"Sex Offenses","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D012742","descriptor_name":"Sex Offenses","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/jsxmed/qdag020","doi":"https://doi.org/10.1093/jsxmed/qdag020","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdag020","pdf_url":null,"source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},{"id":"pmid:41718739","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41718739","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of sexual medicine","raw_type":"Journal Article"},{"id":"pmh:oai:digitalcommons.georgefox.edu:comm_fac-1041","doi":null,"is_oa":true,"landing_page_url":"https://digitalcommons.georgefox.edu/comm_fac/40","pdf_url":"https://digitalcommons.georgefox.edu/context/comm_fac/article/1041/viewcontent/Hodges_The_Etiology_of_Sexual_Pain_in_American_Christian_Women.pdf","source":{"id":"https://openalex.org/S4377196430","display_name":"Digital Commons - George Fox University (George Fox University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I179651463","host_organization_name":"George Fox University","host_organization_lineage":["https://openalex.org/I179651463"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Faculty Publications - Department of Communication and Cinematic Arts","raw_type":"text"}],"best_oa_location":{"id":"doi:10.1093/jsxmed/qdag020","doi":"https://doi.org/10.1093/jsxmed/qdag020","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdag020","pdf_url":null,"source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7130679685.pdf","grobid_xml":"https://content.openalex.org/works/W7130679685.grobid-xml"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1969278811","https://openalex.org/W1973924801","https://openalex.org/W1994066848","https://openalex.org/W1996537012","https://openalex.org/W2029383180","https://openalex.org/W2044797733","https://openalex.org/W2070941918","https://openalex.org/W2097282427","https://openalex.org/W2163278277","https://openalex.org/W2188438460","https://openalex.org/W2380893625","https://openalex.org/W2531569086","https://openalex.org/W2749238058","https://openalex.org/W2780210672","https://openalex.org/W2809963737","https://openalex.org/W2884408516","https://openalex.org/W2889694096","https://openalex.org/W2899139381","https://openalex.org/W2908702217","https://openalex.org/W2910923121","https://openalex.org/W2945868470","https://openalex.org/W2973179682","https://openalex.org/W3004862178","https://openalex.org/W3009341200","https://openalex.org/W3083155322","https://openalex.org/W3136741572","https://openalex.org/W3187593910","https://openalex.org/W3198161920","https://openalex.org/W3212523889","https://openalex.org/W4206154722","https://openalex.org/W4210368964","https://openalex.org/W4229010510","https://openalex.org/W4281919573","https://openalex.org/W4367857478","https://openalex.org/W4394869085","https://openalex.org/W4403970544","https://openalex.org/W4404593192","https://openalex.org/W4416913774"],"related_works":["https://openalex.org/W7208770541","https://openalex.org/W3009341200","https://openalex.org/W3136741572","https://openalex.org/W75563202","https://openalex.org/W3178467162","https://openalex.org/W4413512851","https://openalex.org/W2465382817","https://openalex.org/W4404385933","https://openalex.org/W4416720020","https://openalex.org/W2129952353"],"abstract_inverted_index":{"BACKGROUND:":[0],"Sexual":[1,111],"pain":[2],"(SP)":[3],"affects":[4],"a":[5,30,68,117,225,280,287,361],"significant":[6],"proportion":[7],"of":[8,73,79,101,120,170,184,219,227,238,303,314,321],"women,":[9,348],"with":[10,67,148,216,221,235,247,265,271,275,375],"lifetime":[11,168],"prevalence":[12],"ranging":[13],"from":[14,109],"7%":[15],"to":[16,52,132,329,405],"46%,":[17],"but":[18,290],"is":[19,339,372],"poorly":[20],"understood.":[21],"While":[22],"conservative":[23],"religious":[24,307,378],"affiliation":[25],"has":[26],"been":[27],"identified":[28],"as":[29,324],"potential":[31],"risk":[32,281],"factor":[33,282],"since":[34],"the":[35,37,48,58,71,97,110,250,294,301,310,340,398],"1970s,":[36],"mechanisms":[38],"underpinning":[39],"this":[40],"association":[41],"remain":[42],"insufficiently":[43],"characterized.":[44],"AIM:":[45],"To":[46],"investigate":[47],"etiological":[49],"factors":[50,379],"contributing":[51],"SP":[53,90,136,186,220,239,246,266,270,284,345,368],"among":[54,369],"Christian":[55,122,347,370],"women":[56,371],"in":[57,65,89,242,249,269,286,293,327,346],"United":[59],"States":[60],"who":[61],"attended":[62],"church":[63],"frequently":[64],"adolescence,":[66],"focus":[69],"on":[70,193,381],"roles":[72],"sexual":[74,142,150,194,211,259,325],"debut":[75,143,212],"timing,":[76],"maternal":[77,149,199,276],"explanations":[78,260,278],"sex":[80,200,277],"and":[81,113,125,137,152,156,163,172,177,198,206,245,306,312,360,377,396,408],"abuse":[82,153,196,228,330],"history.":[83],"The":[84],"study":[85],"also":[86],"explores":[87],"variation":[88],"presentation":[91],"by":[92,96,187,389,393],"severity,":[93],"distinguishing":[94,390],"cases":[95],"presence":[98],"or":[99,231],"absence":[100],"obstructed":[102],"penetration":[103,394],"(OP).":[104],"METHODS:":[105],"Data":[106],"were":[107,130,190,261],"drawn":[108],"Satisfaction":[112],"Function":[114],"Survey":[115],"(SSFS),":[116],"cross-sectional":[118],"survey":[119],"American":[121],"women.":[123],"Multinomial":[124],"binary":[126,178],"logistic":[127,179],"regression":[128],"analyses":[129],"used":[131],"examine":[133],"associations":[134],"between":[135],"key":[138],"psychosocial":[139,322,354,376],"variables,":[140],"including":[141],"(pre-marital":[144],"vs":[145],"post-marital),":[146],"satisfaction":[147,274],"explanations,":[151],"history":[154,226],"(sexual":[155],"non-sexual).":[157],"Analyses":[158],"controlled":[159],"for":[160,204,255,283,400],"demographic":[161],"covariates":[162],"evangelical":[164,207],"self-identification.":[165,208],"We":[166],"estimated":[167],"odds":[169,183,218,237],"SP-with":[171],"without":[173,240],"OP-":[174],"using":[175],"multinomial":[176],"regression.":[180],"OUTCOMES:":[181],"Lifetime":[182],"developing":[185,332],"OP":[188,241,248,272,285],"status":[189,395],"evaluated":[191],"based":[192],"debut,":[195],"history,":[197],"communication":[201],"while":[202],"controlling":[203],"demographics":[205],"RESULTS:":[209],"Post-marital":[210],"was":[213,233,279,291],"significantly":[214,263],"associated":[215,234,264,374],"higher":[217],"OP.":[222],"In":[223],"contrast,":[224],"(sexual,":[229],"non-sexual,":[230],"both)":[232],"increased":[236],"all":[243],"models":[244],"full":[251,295],"model":[252,289],"only":[253],"except":[254,268],"non-sexual":[256],"abuse.":[257],"Maternal":[258],"not":[262],"outcomes":[267],"which":[273],"univariate":[288],"protective":[292],"model.":[296],"CLINICAL":[297],"IMPLICATIONS:":[298],"Findings":[299],"highlight":[300],"importance":[302],"integrating":[304],"sociocultural":[305],"context":[308],"into":[309,352],"assessment":[311,320],"management":[313],"SP.":[315],"Clinicians":[316],"should":[317],"incorporate":[318],"routine":[319],"contributors-such":[323],"scripts":[326],"addition":[328],"history-when":[331],"care":[333],"plans.":[334],"STRENGTHS":[335],"AND":[336],"LIMITATIONS:":[337],"This":[338],"largest":[341],"known":[342],"dataset":[343],"examining":[344],"offering":[349],"unique":[350],"insights":[351],"underexplored":[353],"contributors.":[355],"Limitations":[356],"include":[357],"non-probabilistic":[358],"sampling":[359],"racially":[362],"homogeneous":[363],"cohort,":[364],"limiting":[365],"generalizability.":[366],"CONCLUSION:":[367],"differentially":[373],"depending":[380],"symptom":[382],"severity.":[383],"These":[384],"findings":[385],"extend":[386],"prior":[387],"research":[388,407],"etiologic":[391],"pathways":[392],"underscore":[397],"need":[399],"nuanced,":[401],"culturally":[402],"informed":[403],"approaches":[404],"both":[406],"clinical":[409],"intervention.":[410]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-02-21T00:00:00"}