Department of Psychology, Université De Montréal, Montréal, Canada.
Department of Psychology, Université Du Québec À Trois-Rivières, Trois-Rivières, Canada.
J Child Sex Abus. 2021 Apr;30(3):332-352. doi: 10.1080/10538712.2020.1825148. Epub 2020 Oct 5.
Child sexual abuse (CSA) tends to occur in close relationships and involves sexual acts and betrayal. Thus, it is thought to affect sexual well-being in adulthood more so than any other form of childhood trauma. Research conducted over the last decade resulted in an impressive diversity of evidence reporting that CSA may be related to greater sexual dysfunction and lower sexual satisfaction as an adult, but also to higher levels of sexual compulsivity and sexual risk behaviors. Some studies also found no significant association between CSA and adult sexual well-being. Faced with these mixed results, understanding how CSA may affect sexual well-being in adulthood remains challenging for clinicians and researchers. The aim of this comprehensive literature review was to synthesize the empirical studies published in the last five years documenting the associations between CSA and several indicators of sexual well-being in adults excluding risky sexual behaviors. The literature search yielded 18 eligible studies which mainly examined five domains of sexual outcomes of CSA: sexual function, sexual satisfaction, sex-related cognitions, sexual behaviors and affective components of sexuality. Findings suggest that CSA is not unanimously related to all domains of sexual well-being, but rather, that associations are largely a function of the presence of other comorbidities or nature of the sample. Moreover, men are still significantly underrepresented in reviewed studies. Implications of the findings will be discussed in light of their relevance for clinicians and for researchers about gaps in current literature need to be filled.
儿童性虐待（CSA）往往发生在亲密关系中，涉及性行为和背叛。因此，人们认为它比任何其他形式的儿童期创伤更能影响成年后的性健康。过去十年的研究产生了令人印象深刻的多样性证据，报告称 CSA 可能与成人更高的性功能障碍和更低的性满意度有关，但也与更高的性强迫和性风险行为有关。一些研究还发现 CSA 与成人的性健康之间没有显著关联。面对这些混杂的结果，理解 CSA 如何影响成年后的性健康对临床医生和研究人员来说仍然具有挑战性。本综述的目的是综合过去五年发表的实证研究，这些研究记录了 CSA 与成年人几个性健康指标之间的关联，不包括危险的性行为。文献检索得到了 18 项合格的研究，这些研究主要研究了 CSA 对性结果的五个领域：性功能、性满意度、与性相关的认知、性行为和性行为的情感成分。研究结果表明，CSA 并不一致地与所有性健康领域相关，而是关联主要取决于其他合并症的存在或样本的性质。此外，在综述研究中，男性的代表性仍然严重不足。研究结果的意义将根据其对临床医生和研究人员的相关性进行讨论，需要填补当前文献中的空白。
