ABSTRACT

In this review, 55 unique empirical studies of the impacts of a history of CSA on couple and parenting functioning were identified and analyzed according to assumptions considered in an earlier review. Overall, this current systematic review supported earlier assumptions that CSA survivors would evidence insecure attachments in their adult couple relationships; that CSA survivors would be less likely to marry and more likely to divorce; and that partners would also experience difficulties in relation to their partnership with a CSA survivor. Assumptions about parenting functioning included: that CSA survivors would have different attitudes toward their children; that CSA survivors would function poorly as parents; and that children of CSA survivors would be at increased risk for sexual abuse. Evolutions in the literature since that first review included methodological improvements, as well as the inclusion of male survivors in some studies. More sophisticated statistical modeling allowed for a greater understanding of mediators and moderators in the relationship between CSA and later interpersonal functioning in couple relationships and in parenting. Recommendations for future research and clinical implications were proposed.

摘要

在本次审查中，根据先前审查中考虑的假设，确定并分析了 55 项关于 CSA 历史对夫妻和养育功能影响的独特实证研究。总体而言，当前的系统评价支持早期假设，即 CSA 幸存者将证明其成年夫妻关系中存在不安全的依恋关系；CSA 幸存者不太可能结婚，更可能离婚；并且合作伙伴在与 CSA 幸存者建立伙伴关系方面也会遇到困难。关于养育功能的假设包括：CSA 幸存者会对他们的孩子有不同的态度；CSA 幸存者作为父母的表现不佳；并且 CSA 幸存者的孩子将面临更大的性虐待风险。自第一次审查以来，文献的演变包括方法学上的改进，以及在一些研究中纳入了男性幸存者。更复杂的统计模型允许更深入地了解 CSA 与后来在夫妻关系和育儿中的人际功能之间的关系中的中介和中介。提出了对未来研究和临床意义的建议。