Stephenson Kyle R, Pulverman Carey S, Meston Cindy M
Division of Social, Behavioral and Global Studies, California State University Monterey Bay, Monterey, California, USA.
J Trauma Stress. 2014 Jun;27(3):274-82. doi: 10.1002/jts.21923.
Self-report instruments for assessing sexual well-being in women with sexual difficulties have not to date been explicitly validated among women with a history of childhood sexual abuse (CSA). Given an extensive literature suggesting psychological differences between women with and without a history of CSA, it is possible that sexual well-being has a different meaning for these groups. Without validated scales, it is difficult to evaluate the impact of early sexual trauma on adult sexuality. The present study assessed whether the factor structure of widely used measures of sexual well-being were consistent across women experiencing sexual difficulties, with and without an abuse history, and to estimate effect sizes for the statistical effect of CSA on sexual well-being in this population. A sample of women with and without a history of CSA (N = 238) completed the Female Sexual Function Index and the Sexual Satisfaction Scale for Women. Structural equation models indicated generally consistent factor structures across groups, suggesting good construct validity. Effect size estimates indicated medium to large (0.53-0.72) effects of CSA on sexual well-being for women with sexual difficulties. These findings support and extend research regarding the potential effects of CSA that may inform treatment for this population.
迄今为止，用于评估存在性问题的女性性健康状况的自我报告工具，尚未在有童年期性虐待（CSA）史的女性中得到明确验证。鉴于大量文献表明有和没有CSA史的女性在心理方面存在差异，性健康状况对于这些群体可能具有不同的含义。如果没有经过验证的量表，就很难评估早期性创伤对成年期性行为的影响。本研究评估了广泛使用的性健康状况测量方法的因子结构，在有和没有性虐待史的存在性问题女性中是否一致，并估计CSA对该人群性健康状况的统计效应的效应量。一组有和没有CSA史的女性样本（N = 238）完成了女性性功能指数和女性性满意度量表。结构方程模型表明，各群体的因子结构总体一致，表明具有良好的结构效度。效应量估计表明，CSA对存在性问题的女性的性健康状况有中等至较大（0.53 - 0.72）的影响。这些发现支持并扩展了关于CSA潜在影响的研究，这可能为该人群的治疗提供参考。
