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童年期性虐待女性幸存者的意义建构机制:范围综述。

Meaning Making Mechanisms in Women Survivors of Childhood Sexual Abuse: A Scoping Review.

机构信息

Compress, Faculty of Health Sciences, North-West University, Vanderbijlpark, South Africa.

Compress, North-West University, Vanderbijlpark, South Africa.

出版信息

Trauma Violence Abuse. 2023 Jul;24(3):1363-1386. doi: 10.1177/15248380211066100. Epub 2022 Feb 2.

Abstract

Childhood sexual abuse (CSA) is a complex and prevalent problem with devastating long-term consequences for survivors. Despite these consequences, some survivors seem to find a source of meaning and fulfillment throughout their recovery process, which may facilitate resilience and posttraumatic growth (PTG). However, little is known from the literature about the specific meaning making mechanisms that CSA survivors experience. A scoping review was conducted by searching relevant journals and several online databases such as EbscoHost, Scopus, ProQuest, ScienceDirect, and Google Scholar. Studies published in English and that discussed meaning making as a topic of recovery from CSA in the context of women survivors' experiences were included, where a total of 57 articles were selected including qualitative ( = 32), quantitative ( = 9), mixed method ( = 9), and review ( = 7) articles. Using thematic analysis, the results of the scoping review found four mechanisms of meaning making and seven sources of meaning describing the meaning making processes of women survivors of CSA. The mechanisms were identified as being benevolent; restoring and empowering the inner self; mobilizing external and social resources; and lastly actively integrating the trauma narrative. This study contributes toward the global knowledge base on meaning making mechanisms of women survivors of CSA by providing the first known summary of studies to date. Future research is recommended to further confirm these findings to inform treatment interventions for women survivors of CSA.

摘要

儿童期性虐待(CSA)是一个复杂且普遍存在的问题,对幸存者造成了毁灭性的长期后果。尽管存在这些后果,但一些幸存者在康复过程中似乎找到了意义和满足的来源,这可能有助于他们恢复韧性和创伤后成长(PTG)。然而,文献中对于 CSA 幸存者所经历的具体意义构建机制知之甚少。本研究通过搜索相关期刊和 EbscoHost、Scopus、ProQuest、ScienceDirect 和 Google Scholar 等多个在线数据库进行了范围综述。纳入了以 CSA 女性幸存者的经验为背景,讨论意义构建作为康复主题的研究,其中共选择了 57 篇文章,包括定性研究(=32)、定量研究(=9)、混合方法研究(=9)和综述研究(=7)。通过主题分析,范围综述的结果发现了四种意义构建机制和七种意义来源,描述了 CSA 女性幸存者的意义构建过程。这些机制分别是:仁慈;恢复和增强内在自我;调动外部和社会资源;以及积极整合创伤叙述。本研究通过提供迄今为止已知的关于 CSA 女性幸存者意义构建机制的研究总结,为全球 CSA 女性幸存者的意义构建机制知识库做出了贡献。建议未来的研究进一步证实这些发现,以为 CSA 女性幸存者的治疗干预提供信息。

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