Department of Psychology, 118 Kent Hall, Kent State University, Kent, OH 44242, USA.
J Pediatr Psychol. 2010 Jun;35(5):450-61. doi: 10.1093/jpepsy/jsp118. Epub 2009 Dec 18.
The purpose of the present article was to systematically review the literature investigating the long-term physical health consequences of childhood sexual abuse (CSA).
Literature searches yielded 31 studies comparing individuals with and without a history of CSA on six health outcomes: general health, gastrointestinal (GI) health, gynecologic or reproductive health, pain, cardiopulmonary symptoms, and obesity. Exploratory subgroup analyses were conducted to identify potential methodological moderators.
Results suggested that a history of CSA was associated with small to moderate group differences on almost all health outcomes assessed, such that individuals with a history of CSA reported more complaints for each health outcome. Suggestive trends in moderating variables of study design and methodology are presented.
Results highlight the long-term physical health consequences of CSA and identify potential moderators to aid in the design of future research.
本文旨在系统综述调查儿童期性虐待(CSA)对长期身体健康影响的文献。
文献检索共获得 31 项研究,这些研究将有和无 CSA 史的个体在六个健康结果上进行比较:一般健康、胃肠道(GI)健康、妇科或生殖健康、疼痛、心肺症状和肥胖。进行了探索性亚组分析以确定潜在的方法学调节变量。
结果表明,在几乎所有评估的健康结果上,CSA 史与小到中度的组间差异相关,即有 CSA 史的个体对每个健康结果的抱怨更多。呈现了研究设计和方法学的潜在调节变量的趋势。
结果强调了 CSA 的长期身体健康后果,并确定了潜在的调节变量,以帮助设计未来的研究。