ABSTRACT

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.

摘要

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，它被认为比任何其他形式的童年创伤更能影响成年期的性福祉。在过去十年中进行的研究产生了大量令人印象深刻的证据，表明 CSA 可能与成年后更大的性功能障碍和更低的性满意度有关，但也与更高水平的性强迫症和性风险行为有关。一些研究还发现 CSA 与成人性健康之间没有显着关联。面对这些喜忧参半的结果，了解 CSA 如何影响成年后的性福祉对临床医生和研究人员来说仍然具有挑战性。这篇综合文献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 与成人性福祉的几个指标之间的关联，不包括危险的性行为。文献检索产生了 18 项符合条件的研究，主要研究了 CSA 性结果的五个领域：性功能、性满足、性相关认知、性行为和性行为的情感成分。研究结果表明，CSA 并非与性福祉的所有领域一致，而是关联在很大程度上取决于其他合并症或样本性质的存在。此外，在审查的研究中，男性的代表性仍然明显不足。