a Center for Psychiatry Südwürttemberg , Ulm University , Ravensburg- Weissenau , Germany.
J Trauma Dissociation. 2019 Mar-Apr;20(2):242-257. doi: 10.1080/15299732.2019.1572044. Epub 2019 Jan 28.
We analyze the empirical evidence for the association between the occurrence of dissociation and acting as a female sex worker (FSW). The ten screened databases included original research papers looking at the association between various abusive relationships and dissociation. From the initial 5942 records, we screened 554 full-text articles from which eleven studies met the inclusion criteria. Dissociation was mainly described as a strategy to cope with work related experiences, persisting from an early age in cases affected by childhood sexual abuse (CSA). Only one study investigated the occurrence of dissociative disorders. The other studies showed that the FSW population frequently exhibits dissociative symptoms. Most study participants were street FSW characterized by high rates of revictimization, a history of childhood sexual abuse, and of trauma-related and substance use disorders. Due to the selectivity of the study samples, conclusions cannot be generalized. Our findings disclose an important research gap. Further research on mental health among FSW should cover all fields of the sex industry in order to understand the roots of sex work (SW) and its sequelae. This could help develop and implement targeted interventions.
我们分析了分离症发生与从事性工作者（FSW）之间关联的实证证据。所筛选的十个数据库包括了原始研究论文，这些论文探讨了各种虐待关系与分离症之间的关联。从最初的 5942 条记录中，我们筛选出 554 篇全文文章，其中有 11 项研究符合纳入标准。分离症主要被描述为一种应对与工作相关经历的策略，在受儿童期性虐待（CSA）影响的情况下，这种策略从早期就开始存在。只有一项研究调查了分离性障碍的发生。其他研究表明，FSW 人群经常表现出分离症状。大多数研究参与者是街头性工作者，他们具有高复发性、儿童期性虐待史，以及与创伤和物质使用障碍相关的特征。由于研究样本的选择性，结论不能推广。我们的研究结果揭示了一个重要的研究空白。进一步研究 FSW 的心理健康问题应涵盖性产业的所有领域，以了解性工作（SW）的根源及其后果。这有助于制定和实施有针对性的干预措施。
