ABSTRACT

Child sexual abuse (CSA) is a widespread adverse experience that has multiple detrimental impacts in the long-term, affecting mental, sexual, and physical health of survivors. In addition, CSA may impede interpersonal functioning, and be associated with a heightened risk of revictimization. Recent review articles have summarized the possible risk factors associated with sexual revictimization, yet an increasing body of literature suggests that CSA may be a key risk factor for multiple forms (i.e., psychological, physical, sexual) of victimization occurring specifically in the context of intimate relationships, either in adolescence (dating violence) or adulthood (partner violence). Our understanding of the mechanisms linking CSA and dating violence or intimate partner violence is still limited. This systematic review of the literature is aimed at summarizing the identified mediators of the association between CSA and revictimization in romantic relationships in past empirical reports. A total of 18 studies meeting criteria were identified. Apart from PTSD, few potential mediators have been explored in more than one study. In addition, few studies have investigated protective factors that may reduce the risk of revictimization. Several limitations in the current literature were identified including issues related to definitions and measurement. Studies relying on longitudinal designs with representative samples are clearly needed to orient future prevention efforts and break the revictimization trajectory.

摘要

儿童性虐待 (CSA) 是一种广泛存在的不良经历，从长远来看会产生多种不利影响，影响幸存者的心理、性和身体健康。此外，CSA 可能会阻碍人际交往，并与再次受害的风险增加有关。最近的评论文章总结了与性再次受害相关的可能风险因素，但越来越多的文献表明，CSA 可能是多种形式（即心理、生理、性）受害的关键风险因素，具体发生在亲密关系的背景下。关系，无论是在青春期（约会暴力）还是成年期（伴侣暴力）。我们对将 CSA 与约会暴力或亲密伴侣暴力联系起来的机制的理解仍然有限。对文献的系统回顾旨在总结过去实证报告中确定的 CSA 与浪漫关系中的再受害之间关联的中介因素。共确定了 18 项符合标准的研究。除了 PTSD，在一项以上的研究中几乎没有探索过潜在的中介因素。此外，很少有研究调查可能降低再次受害风险的保护因素。确定了当前文献中的一些局限性，包括与定义和测量相关的问题。显然需要依靠具有代表性样本的纵向设计进行研究，以指导未来的预防工作并打破再受害轨迹。