Adult survivors of childhood sexual abuse (CSA) may experience emotional, social, and psychological difficulties, heightened due to the interpersonal nature of harm. Despite the demonstrated effectiveness of trauma-focused treatments in the West, a culturally specific understanding of the needs of and treatments for survivors in South Asia is still in its infancy. The study aimed to systematically review research findings on the mental health impacts of CSA on adult survivors and current treatment approaches and their efficacy and acceptability in South Asia. Seven databases (Scopus, Ovid, CINAHL, ProQuest, EThOS, Google Scholar, and Dogpile) and five peer-reviewed South Asian journals were searched from inception until March 30, 2023. Searches included participants who were adult survivors of CSA of South Asian origin residing in South Asia. Studies on their mental health, different treatments, and the efficacy and acceptability of these treatments were included. Quality assessment tools were used to appraise the quality of included studies. The results were synthesized narratively. A total of 3,362 records were retrieved, and 24 articles were included in the final review. Twenty studies reported mental health impacts of CSA on adult survivors, four studies reported current treatments offered, and two studies were on recovery. However, no study focused on the efficacy or acceptability of the treatments being delivered. Even though the needs of adult CSA survivors in South Asia have been partly identified, there is very little research into the treatments for them.

中文翻译：

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南亚儿童性虐待成年幸存者的经历和干预措施是什么？系统回顾和叙述综合


童年性虐待 (CSA) 的成年幸存者可能会经历情感、社交和心理困难，并且由于伤害的人际性质而加剧。尽管以创伤为重点的治疗在西方已被证明是有效的，但对南亚幸存者的需求和治疗的特定文化理解仍处于起步阶段。该研究旨在系统地回顾关于 CSA 对成年幸存者心理健康影响的研究结果以及目前的治疗方法及其在南亚的疗效和可接受性。从成立到 2023 年 3 月 30 日，对七个数据库（Scopus、Ovid、CINAHL、ProQuest、EthOS、Google Scholar 和 Dogpile）和五份同行评审的南亚期刊进行了检索。检索对象包括南亚裔 CSA 成年幸存者居住在南亚。包括对他们的心理健康、不同治疗以及这些治疗的功效和可接受性的研究。使用质量评估工具来评估纳入研究的质量。结果以叙述方式综合。共检索3362条记录，最终纳入24篇文章。二十项研究报告了 CSA 对成年幸存者心理健康的影响，四项研究报告了目前提供的治疗方法，两项研究涉及康复。然而，没有研究关注所提供治疗的功效或可接​​受性。尽管南亚成年 CSA 幸存者的需求已部分确定，但针对他们的治疗方法的研究却很少。