1 Department of Psychological Science, University of Mary Washington, Fredericksburg, VA, USA.
Trauma Violence Abuse. 2019 Jan;20(1):67-80. doi: 10.1177/1524838017692364. Epub 2017 Feb 8.
The literature consistently demonstrates evidence that child sexual abuse survivors are at greater risk of victimization later in life than the general population. This phenomenon is called sexual revictimization. Although this finding is robust, there is a large amount of variability in the prevalence rates of revictimization demonstrated in the literature. The purpose of the present meta-analysis was to calculate an average prevalence rate of revictimization across the literature and to examine moderators that may potentially account for the observed variability. Based on a review of PsycINFO and PILOTS, 1,412 articles were identified and reviewed for inclusion. This process resulted in the inclusion of 80 studies, which contained 12,252 survivors of child sexual abuse. The mean prevalence of sexual revictimization across studies was 47.9% (95% confidence intervals [43.6%, 52.3%]), suggesting that almost half of child sexual abuse survivors are sexually victimized in the future. The present study failed to find support for any of the examined moderators. Potential explanations of and implications for the results are offered, including suggestions for therapists.
文献一致表明，儿童性虐待幸存者在以后的生活中比一般人群更容易受到再次伤害。这种现象被称为性再受害。尽管这一发现是可靠的，但文献中显示的再受害率存在很大的差异。本荟萃分析的目的是计算文献中再受害的平均流行率，并探讨可能解释观察到的变异性的调节因素。根据对 PsycINFO 和 PILOTS 的审查，确定了 1412 篇文章，并对其进行了审查以纳入研究。这一过程导致纳入了 80 项研究，其中包含 12252 名儿童性虐待幸存者。研究中性再受害的平均流行率为 47.9%（95%置信区间[43.6%，52.3%]），这表明近一半的儿童性虐待幸存者在未来会受到性侵害。本研究未能为任何检查的调节因素提供支持。对结果提出了可能的解释和影响，包括对治疗师的建议。
