Institutional child abuse has several negative impacts, including effects on mental health, well-being and interpersonal relationships. There is a need to understand this complex form of abuse occurring in an out-of-home setting. The current review aims to understand the literature base regarding the impact of institutional child abuse and to identify areas where further research is needed. Consequently, a systematic review was conducted, which captured quantitative and qualitative methods. This resulted in 58 papers being included. The papers captured the impacts of institutional abuse, covering physical abuse, sexual abuse, emotional abuse and neglect (i.e., a failure to be adequately cared for). These were then analysed using a qualitative methodology, specifically Reflexive Thematic Analysis. Several factors, such as prior abuse, were reported to exacerbate the impact of institutional abuse, whereas secure attachment was noted as a protective feature. Responses to disclosure appear to have an important role in recovery. Areas important for further research included understanding the role of protective factors and how they impact future outcomes, but to do so alongside an acknowledgement and greater exploration of negative impacts.

中文翻译：

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机构虐待儿童的影响：使用反思主题分析进行系统回顾


机构性虐待儿童会产生多种负面影响，包括对心理健康、福祉和人际关系的影响。有必要了解这种在户外环境中发生的复杂形式的虐待行为。当前的审查旨在了解有关机构虐待儿童影响的文献基础，并确定需要进一步研究的领域。因此，进行了系统审查，其中采用了定量和定性方法。结果有 58 篇论文被纳入。这些论文反映了机构虐待的影响，包括身体虐待、性虐待、情感虐待和忽视（即未能得到充分的照顾）。然后使用定性方法，特别是反思性主题分析对这些进行分析。据报道，有几个因素，例如以前的虐待，会加剧机构虐待的影响，而安全依恋则被认为是一种保护功能。对信息披露的反应似乎对恢复具有重要作用。进一步研究的重要领域包括了解保护因素的作用以及它们如何影响未来的结果，但同时要承认和更深入地探索负面影响。