PDF(Pubmed)
Abstract：
OBJECTIVE: In this study, it was aimed to examine the impacts of exposure to childhood sexual abuse (CSA) on women\'s sexual function and sexual distress.
METHODS: In this systematic review and meta-analysis study, eight international (EBSCO, Psyc-Info, Proquest, PubMed, Science Direct, Scopus, Ovid, Web of Science) and two national electronic databases (Dergipark and Thesis Database of the Turkish Council of Higher Education) were searched. Studies reporting outcomes of sexual function and sexual distress in women with and without a history of CSA were included. The data were synthesized by meta-analysis and narrative methods.
RESULTS: Two dissertations and five research articles published between 2010 and 2021 were included in the study. In some studies that were not included in the meta-analysis, it was reported that there was no difference in the prevalence of sexual dysfunction, and sexual satisfaction in women with and without a history of CSA. Meta-analysis results demonstrated lower sexual function (sexual arousal, MD: -0.83, p<0.001; sexual desire, MD: -0.55, p<0.001; lubrication, MD: -0.78, p<0.01; pain, MD: -0.52, p<0.001) and more sexual distress (SMD: -0.79, p<0.05) in women with CSA history.
CONCLUSIONS: This study showed that CSA negatively affects female sexual function and increases sexual distress. Healthcare professionals should be aware that women with a CSA history may have worse sexual functions and more sexual distress. More research is needed on the role of CSA in the etiology of sexual function problems and its possible mechanisms of action.
METHODS: In this systematic review and meta-analysis study, eight international (EBSCO, Psyc-Info, Proquest, PubMed, Science Direct, Scopus, Ovid, Web of Science) and two national electronic databases (Dergipark and Thesis Database of the Turkish Council of Higher Education) were searched. Studies reporting outcomes of sexual function and sexual distress in women with and without a history of CSA were included. The data were synthesized by meta-analysis and narrative methods.
RESULTS: Two dissertations and five research articles published between 2010 and 2021 were included in the study. In some studies that were not included in the meta-analysis, it was reported that there was no difference in the prevalence of sexual dysfunction, and sexual satisfaction in women with and without a history of CSA. Meta-analysis results demonstrated lower sexual function (sexual arousal, MD: -0.83, p<0.001; sexual desire, MD: -0.55, p<0.001; lubrication, MD: -0.78, p<0.01; pain, MD: -0.52, p<0.001) and more sexual distress (SMD: -0.79, p<0.05) in women with CSA history.
CONCLUSIONS: This study showed that CSA negatively affects female sexual function and increases sexual distress. Healthcare professionals should be aware that women with a CSA history may have worse sexual functions and more sexual distress. More research is needed on the role of CSA in the etiology of sexual function problems and its possible mechanisms of action.
摘要：
目的：在本研究中，它旨在研究暴露于儿童性虐待（CSA）对女性性功能和性困扰的影响。
方法：在本系统综述和荟萃分析研究中，八个国际(EBSCO，Psync-Info,Proquest,PubMed,科学直接，Scopus,奥维德,搜索了WebofScience）和两个国家电子数据库（土耳其高等教育委员会的Dergipark和论文数据库）。包括报告有和没有CSA病史的女性性功能和性困扰结果的研究。采用荟萃分析和叙事方法综合数据。
结果：该研究包括2010年至2021年之间发表的两篇论文和五篇研究文章。在一些没有纳入荟萃分析的研究中，据报道，性功能障碍的患病率没有差异，以及有和没有CSA病史的女性的性满意度。荟萃分析结果表明性功能较低(性唤起，MD：-0.83，p<0.001；性欲，MD:-0.55,p<0.001;润滑,MD：-0.78，p<0.01；疼痛，在有CSA病史的女性中，MD：-0.52，p<0.001）和更多的性困扰（SMD：-0.79，p<0.05）。
结论：这项研究表明，CSA对女性性功能有负面影响，并增加了性困扰。医疗保健专业人员应该意识到，有CSA病史的女性可能有更差的性功能和更多的性困扰。关于CSA在性功能问题的病因中的作用及其可能的作用机制，需要更多的研究。
方法：在本系统综述和荟萃分析研究中，八个国际(EBSCO，Psync-Info,Proquest,PubMed,科学直接，Scopus,奥维德,搜索了WebofScience）和两个国家电子数据库（土耳其高等教育委员会的Dergipark和论文数据库）。包括报告有和没有CSA病史的女性性功能和性困扰结果的研究。采用荟萃分析和叙事方法综合数据。
结果：该研究包括2010年至2021年之间发表的两篇论文和五篇研究文章。在一些没有纳入荟萃分析的研究中，据报道，性功能障碍的患病率没有差异，以及有和没有CSA病史的女性的性满意度。荟萃分析结果表明性功能较低(性唤起，MD：-0.83，p<0.001；性欲，MD:-0.55,p<0.001;润滑,MD：-0.78，p<0.01；疼痛，在有CSA病史的女性中，MD：-0.52，p<0.001）和更多的性困扰（SMD：-0.79，p<0.05）。
结论：这项研究表明，CSA对女性性功能有负面影响，并增加了性困扰。医疗保健专业人员应该意识到，有CSA病史的女性可能有更差的性功能和更多的性困扰。关于CSA在性功能问题的病因中的作用及其可能的作用机制，需要更多的研究。
