School of Psychosocial Health, Faculty of Health Sciences, 56405North-West University, Vanderbijlpark, South Africa.
Trauma Violence Abuse. 2022 Oct;23(4):1027-1047. doi: 10.1177/1524838020985550. Epub 2021 Jan 20.
Childhood sexual abuse (CSA) is a complex trauma with devastating long-term, negative effects on survivors. This study extended the understanding of experiences of women survivors of CSA in relation to nonsupportive significant adults documented in literature, as to date, there exists no summary in literature on this particular topic. As such, a scoping review was conducted on publications between 1980 and January 2020. A total of 26 733 were selected for analysis in accordance with the search terms. After duplicates were removed and the exclusion criteria were applied, a total of 58 articles were selected for inclusion in the review. Thematic analysis was conducted on the studies included, and three themes were developed pertaining to the experiences of women survivors of CSA in relation to nonsupportive significant adults. Theme 1 identified nonsupportive behaviors experienced disclosure or discovery of abuse. Theme 2 identified nonsupportive behaviors experienced disclosure or discovery of abuse. Theme 3 identified the long-term negative consequences of nonsupportive experiences. These three themes support the findings of Freyd's betrayal trauma theory and Bowlby's attachment theory, extend on the global knowledge base of this topic, and identify gaps for further exploration.
儿童期性虐待（CSA）是一种复杂的创伤，对幸存者会产生毁灭性的长期负面影响。本研究扩展了对文献中记录的 CSA 女性幸存者与不支持的重要成年人相关经历的理解，因为迄今为止，关于这个特定主题的文献中没有总结。因此，对 1980 年至 2020 年 1 月期间的出版物进行了范围审查。根据搜索词，共选择了 26733 项进行分析。在去除重复项并应用排除标准后，共选择了 58 篇文章纳入审查。对纳入的研究进行了主题分析，并针对 CSA 女性幸存者与不支持的重要成年人相关经历，提出了三个主题。主题 1 确定了在披露或发现虐待时经历的不支持行为。主题 2 确定了在披露或发现虐待时经历的不支持行为。主题 3 确定了不支持经历的长期负面后果。这三个主题支持了弗雷德的背叛创伤理论和鲍尔比的依恋理论的发现，扩展了这一主题的全球知识库，并确定了进一步探索的空白。
