Department of Psychology Université de Montréal, Montréal, QC, Canada.
Department of Psychology Université du Québec à Trois-Rivières, , QC, Canada.
Sex Med Rev. 2022 Oct 1;10(4):567-582. doi: 10.1016/j.sxmr.2022.04.002.
Childhood maltreatment (CM) is an interpersonal trauma reported by 35% to 40% of individuals in population-based studies in North America. It refers to physical, sexual, and emotional abuse, as well as physical and emotional neglect. Although there is a growing body of cross-sectional work focusing on associations between CM and sexual health, most studies have ignored the broader relationship context in which sexuality is experienced.
The current review sought to systematically and critically appraise all studies that reported on the association between CM and couples' sexual health, to inform clinical care and recommendations for research.
The electronic literature search was conducted using PubMed, PsycNET (PsycINFO, PsychArticles), Medline, CINAHL, and Eric for peer-reviewed journal articles published before September 2021. Eligible studies had to report on the association between any form of CM and any dimension of sexual health in couples or individuals in a romantic relationship.
In total, 13 studies (18 articles) were included in this systematic review: 4 studies pertained to clinical couples and 9, to community couples; 2 studies used a longitudinal design and 11, a cross-sectional design; 3 studies examined CM as a whole, 2 studies examined multiple subtypes of CM separately, 1 study examined both CM as a whole and its subtypes separately, whereas the other 7 studies focused on childhood sexual abuse. Results indicated that studies using valid measures of sexual health outcomes found significant associations between CM and worse outcomes - including declines over time - in both clinical and community samples. Mediators and moderators of these associations were also identified.
Findings provide preliminary support for the role of CM in couples' sexual health. There is a need for future longitudinal studies involving both members of the couple, valid and multidimensional measures of sexual health, and potential mediators and moderators.
童年期虐待（CM）是北美的人群研究中 35%至 40%的个体报告的人际创伤。它指的是身体、性和情感虐待，以及身体和情感忽视。尽管越来越多的横断面研究关注 CM 与性健康之间的关联，但大多数研究忽略了性经验的更广泛关系背景。
本综述旨在系统地和批判性地评估所有报告 CM 与夫妻性健康之间关联的研究，为临床护理和研究建议提供信息。
使用 PubMed、PsycNET（PsycINFO、PsychArticles）、Medline、CINAHL 和 Eric 进行电子文献检索，检索截至 2021 年 9 月之前发表的同行评议期刊文章。符合条件的研究必须报告任何形式的 CM 与夫妻或恋爱关系中的个人的任何性健康维度之间的关联。
本系统综述共纳入 13 项研究（18 篇文章）：4 项研究涉及临床夫妻，9 项研究涉及社区夫妻；2 项研究采用纵向设计，11 项研究采用横断面设计；3 项研究全面研究 CM，2 项研究分别研究多种 CM 亚型，1 项研究分别研究 CM 整体及其亚型，而其他 7 项研究则集中于儿童性虐待。结果表明，使用性健康结果的有效测量方法的研究发现，CM 与临床和社区样本中更差的结果（包括随时间的下降）之间存在显著关联。还确定了这些关联的中介和调节因素。
研究结果初步支持了 CM 在夫妻性健康中的作用。需要未来的纵向研究，包括夫妻双方、性健康的有效和多维测量以及潜在的中介和调节因素。
