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儿童虐待和夫妻性健康:一项系统评价

已有 120 次阅读2022-11-10 16:16 |个人分类:性学、性健康、性教育|系统分类:科技教育分享到微信

儿童虐待和夫妻性健康:一项系统评价

Child Maltreatment and Couples’ Sexual Health: A Systematic Review


——原载美国《性医学评论》2022年第10卷第4期——

USA <Sexual Medicine Reviews> 2022, 10 (4)


【摘要】 简介:儿童虐待 (CM) 是一种人际创伤,在北美基于人群的研究中,有 35%40% 的人报告。它指的是身体、性和情感上的虐待,以及身体和情感上的忽视。尽管越来越多的横断面研究关注CM与性健康之间的关联,但大多数研究都忽略了性行为所经历的更广泛的关系背景。目的:本次审查旨在系统和批判性地评估所有报告CM 与夫妻性健康之间关系的研究,为临床护理和研究建议提供信息。方法:使用PubMedPsycNETPsycINFOPsychArticles)、MedlineCINAHLEric20219月之前发表的同行评审期刊文章进行电子文献搜索。符合条件的研究必须报告任何形式的 CM与任何恋爱关系中的夫妻或个人的性健康维度。结果:本系统评价共纳入13项研究(18 篇文章):项研究涉及临床夫妇,项研究涉及社区夫妇; 2 项研究采用纵向设计,11项研究采用横断面设计;3项研究整体检查CM2项研究分别检查CM的多个亚型,1项研究分别检查CM整体及其亚型,而其他7项研究侧重于儿童性虐待。结果表明,使用有效测量性健康结果的研究发现,在临床和社区样本中,CM与更糟糕的结果(包括随着时间的推移而下降)之间存在显着关联。还确定了这些相关的调停者和调解人。结论:研究结果为CM在夫妻性健康中的作用提供了初步支持。未来需要进行涉及夫妻双方成员的纵向研究,性健康的有效和多维测量,以及潜在的调停者和调解人。

【关键词】儿童虐待,儿童性虐待,夫妻,性健康


[Abstract] Introduction: Childhood maltreatment (CM) is an interpersonal trauma reported by 35% to 40% of individuals in population-based studies in North America. It refers to physical, sexual, and emotional abuse, as well as physical and emotional neglect. Although there is a growing body of cross-sectional work focusing on associations between CM and sexual health, most studies have ignored the broader relationship context in which sexuality is experienced. Objectives: The current review sought to systematically and critically appraise all studies that reported on the association between CM and couples’ sexual health, to inform clinical care and recommendations for research. Methods: The electronic literature search was conducted using PubMed, PsycNET (PsycINFO, PsychArticles), Medline, CINAHL, and Eric for peer-reviewed journal articles published before September 2021. Eligible studies had to report on the association between any form of CM and any dimension of sexual health in couples or individuals in a romantic relationship. Results: In total, 13 studies (18 articles) were included in this systematic review: 4 studies pertained to clinical couples and 9, to community couples; 2 studies used a longitudinal design and 11, a cross-sectional design; 3 studies examined CM as a whole, 2 studies examined multiple subtypes of CM separately, 1 study examined both CM as a whole and its subtypes separately, whereas the other 7 studies focused on childhood sexual abuse. Results indicated that studies using valid measures of sexual health outcomes found significant associations between CM and worse outcomes – including declines over time – in both clinical and community samples. Mediators and moderators of these associations were also identified. Conclusions: Findings provide preliminary support for the role of CM in couples’ sexual health. There is a need for future longitudinal studies involving both members of the couple, valid and multidimensional measures of sexual health, and potential mediators and moderators.

[Key words] Childhood MaltreatmentChildhood Sexual Abuse Couple, Sexual Health

论文原文:Sophie Bergeron, Noémie Bigras, Marie-Pier Vaillancourt-Morel (2022). Child Maltreatment and Couples’ Sexual Health: A Systematic Review. Sexual Medicine Reviews, 10 (4): 567-582.https://doi.org/10.1016/j.sxmr.2022.04.002

(需要英文原文的朋友,请联系微信:millerdeng95











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