There is now widespread empirical evidence that child sexual abuse (CSA) survivors are at greater risk for sexual revictimization in adulthood, but less is known of the mechanisms underlying this relationship. Despite the lack of a conceptual framework to guide research, there has been a recent influx of studies examining explanatory variables, with most focusing on the psychological sequelae of CSA: alcohol and drug use, sexual behavior, dissociation, posttraumatic symptomatology, poor risk recognition, and interpersonal difficulties. With the exception of sexual behavior, the studies reviewed here provide limited or mixed support for the role of intrapersonal factors in revictimization. Future research may benefit from a focus on the function of psychological distress that is expressed as psychological vulnerability, as opposed to individual forms of psychopathology or maladaptive behavior. An ecological framework may be useful as a guide to future investigations, as this model focuses on factors outside of the victim, including childhood factors such as family environment, contextual factors including the behavior of the perpetrator, and societal and cultural factors that impact revictimization. Future investigations should focus on the interaction between victim vulnerability and perpetrator behavior. Implications for prevention programming, clinical intervention, and future research are discussed.

中文翻译：

---

童年的性虐待后遗症在妇女的性重新定型中的作用：实证研究和理论上的重新制定。

现在有广泛的经验证据表明，儿童性虐待（CSA）幸存者在成年后遭受性伤害的风险更大，但对这种关系的潜在机制了解较少。尽管缺乏指导研究的概念框架，但最近有大量研究对解释变量进行了研究，其中大多数集中于CSA的心理后遗症：饮酒和吸毒，性行为，解离，创伤后症状，风险识别能力差，和人际关系的困难。除性行为外，本文回顾的研究对人格因素在重新获得报酬中的作用提供了有限或混合的支持。未来的研究可能会受益于关注心理困扰的功能，即心理脆弱性，与个人形式的心理病理或适应不良行为相反。生态模型可能有助于指导未来的调查，因为该模型侧重于受害者以外的因素，包括诸如家庭环境之类的童年因素，包括施暴者行为的背景因素以及影响重新安置的社会和文化因素。未来的调查应着重于受害者脆弱性与犯罪者行为之间的相互作用。讨论了对预防性编程，临床干预和未来研究的意义。情境因素，包括犯罪者的行为，以及影响重新定名的社会和文化因素。未来的调查应着重于受害者脆弱性与犯罪者行为之间的相互作用。讨论了对预防性编程，临床干预和未来研究的意义。情境因素，包括犯罪者的行为，以及影响重新定名的社会和文化因素。未来的调查应着重于受害者脆弱性与犯罪者行为之间的相互作用。讨论了对预防性编程，临床干预和未来研究的意义。