Sexual problems are very prevalent among survivors of child sexual abuse (CSA). Yet, various approaches to therapy do not seem to address this issue when treating these individuals. Traditional sex therapy may also not suit the experiences of CSA survivors, as CSA was not considered when the most well-known and frequently used techniques were developed. The present review sought to identify (1) theory-based therapeutic approaches that address sexual problems among CSA survivors and offer treatment protocols (including an outline of specific therapy stages, sessions, or techniques) to treat these sexual problems and (2) identify therapeutic approaches that include a protocol for treating sexual problems among CSA survivors that was empirically tested and validated. In total, six approaches for treating sexual dysfunctions among CSA survivors that provide detailed guidelines for implementing the approach within sex therapy for CSA survivors were identified in the literature. Only two of the studies conducted a randomized controlled trial to test the intervention. This overview concludes with important issues to address when treating sexual problems among CSA survivors and a call for additional evidence-based practices for treating sexual problems among survivors of CSA.

性问题在儿童性虐待 (CSA) 幸存者中非常普遍。然而，在治疗这些人时，各种治疗方法似乎都没有解决这个问题。传统的性治疗也可能不适合 CSA 幸存者的经历，因为在开发最知名和最常用的技术时没有考虑 CSA。本综述试图确定 (1) 基于理论的治疗方法，以解决 CSA 幸存者的性问题，并提供治疗方案（包括特定治疗阶段、疗程或技术的概述）来治疗这些性问题，以及 (2) 确定治疗方法方法包括治疗 CSA 幸存者性问题的协议，该协议经过经验测试和验证。总共，文献中确定了六种治疗 CSA 幸存者性功能障碍的方法，这些方法为在 CSA 幸存者的性治疗中实施该方法提供了详细指南。只有两项研究进行了随机对照试验来测试干预。本综述总结了在治疗 CSA 幸存者性问题时需要解决的重要问题，并呼吁采取更多循证实践来治疗 CSA 幸存者的性问题。