Childhood sexual abuse (CSA) is a complex trauma with devastating long-term, negative effects on survivors. This study extended the understanding of experiences of women survivors of CSA in relation to nonsupportive significant adults documented in literature, as to date, there exists no summary in literature on this particular topic. As such, a scoping review was conducted on publications between 1980 and January 2020. A total of 26 733 were selected for analysis in accordance with the search terms. After duplicates were removed and the exclusion criteria were applied, a total of 58 articles were selected for inclusion in the review. Thematic analysis was conducted on the studies included, and three themes were developed pertaining to the experiences of women survivors of CSA in relation to nonsupportive significant adults. Theme 1 identified nonsupportive behaviors experienced before disclosure or discovery of abuse. Theme 2 identified nonsupportive behaviors experienced during or after disclosure or discovery of abuse. Theme 3 identified the long-term negative consequences of nonsupportive experiences. These three themes support the findings of Freyd’s betrayal trauma theory and Bowlby’s attachment theory, extend on the global knowledge base of this topic, and identify gaps for further exploration.

儿童期性虐待 (CSA) 是一种复杂的创伤，对幸存者具有毁灭性的长期负面影响。这项研究扩展了对 CSA 女性幸存者与文献中记录的非支持性重要成年人的经历的理解，迄今为止，文献中还没有关于这一特定主题的总结。因此，对 1980 年至 2020 年 1 月期间的出版物进行了范围审查。根据搜索词，共选择了 26 733 篇进行分析。去除重复并应用排除标准后，共选择58篇文章纳入评价。对纳入的研究进行了主题分析，并制定了三个主题，这些主题与 CSA 女性幸存者与非支持性重要成年人的经历有关。在披露或发现滥用行为之前。主题 2 确定了在披露或发现虐待期间或之后经历的非支持性行为。主题 3 确定了非支持性经历的长期负面后果。这三个主题支持 Freyd 的背叛创伤理论和 Bowlby 的依恋理论的发现，扩展了该主题的全球知识库，并确定了进一步探索的差距。