title: [Impact of childhood sexual abuse on the sexual and affective relationships of adult women].
abstract: OBJECTIVE
  To analyse perceived sexual satisfaction, sexual dysfunction, satisfaction with affective relationships and confidence and communication in existing relationships, related to a past history of childhood sexual abuse (CSA) and type suffered, among women treated as part of the Catalonian Sexual and Reproductive Health Care Programme (PASSIR).
  
  
  METHODS
  Multicentric, descriptive, cross-sectional study. A total of 1,013 women over the age of 18 years, who underwent psychological therapy at any of the 24 PASSIR centres, were enrolled. A structured, anonymised, self-administered Sex History Questionnaire adapted from Wyatt (1985) & Dubé et al. (2005), and the Female Sexual Function Index (Rosen, 2000), were used. Statistical analysis was descriptive, bivariate and multivariate.
  
  
  RESULTS
  Women who suffered childhood sexual abuse had a significantly higher prevalence of sexual dysfunction, with lower perceived sexual satisfaction. CSA with penetration or attempted penetration was associated with greater arousal difficulties and greater rejection. Women who experienced CSA were less confident and experienced greater communication difficulties with their partner.
  
  
  CONCLUSIONS
  It is necessary to identify potential childhood sexual abuse among women who seek therapy due to relationship problems. It is also necessary to continue research into protective factors and therapeutic interventions to alleviate the consequences of CSA in adult life.
authors.affiliation: Programa d'Atenció a la Salut Sexual i Reproductiva (PASSIR) de Catalunya, Generalitat de Catalunya, Barcelona, España; Institut Català de la Salut, Barcelona, España; Consorci Parc de Salut Mar, Barcelona, España.
authors.forename: Sílvia
authors.initials: S
authors.lastname: López
authors.affiliation: Programa d'Atenció a la Salut Sexual i Reproductiva (PASSIR) de Catalunya, Generalitat de Catalunya, Barcelona, España; Institut Català de la Salut, Barcelona, España; Consorci Parc de Salut Mar, Barcelona, España.
authors.forename: Concepció
authors.initials: C
authors.lastname: Faro
authors.affiliation: Programa d'Atenció a la Salut Sexual i Reproductiva (PASSIR) de Catalunya, Generalitat de Catalunya, Barcelona, España; Institut Català de la Salut, Barcelona, España; CSM Ripollet-Cerdanyola-Montcada, Parc Sanitari Sant Joan de Déu, Ripollet (Barcelona), España.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Lopetegui
authors.affiliation: Institut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Barcelona, España; Ámbit de Gestió de l'Institut Català de la Salut de Barcelona, Barcelona, España.
authors.forename: Enriqueta
authors.initials: E
authors.lastname: Pujol-Ribera
authors.affiliation: Institut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Barcelona, España.
authors.forename: Mònica
authors.initials: M
authors.lastname: Monteagudo
authors.affiliation: Salut Mental, Corporació Sanitària Parc Taulí, Sabadell (Barcelona), España; Departament de Psiquiatría i Medicina Legal, Universitat Autònoma de Barcelona, Bellaterra (Barcelona), España; Grup de Treball i Recerca en Dona i Salut Mental, Societat Catalana de Psiquiatría i Salut Mental, Barcelona, España. Electronic address: jcobo@tauli.cat.
authors.forename: Jesús
authors.initials: J
authors.lastname: Cobo
authors.affiliation: Programa d'Atenció a la Salut Sexual i Reproductiva (PASSIR) de Catalunya, Generalitat de Catalunya, Barcelona, España; Institut Català de la Salut, Barcelona, España; Consorci Parc de Salut Mar, Barcelona, España.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: Fernández
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003430:Cross-Sectional Studies; D004414:Dyspareunia / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D008875:Middle Aged; D010549:Personal Satisfaction; D012306:Risk; D012725:Sexual Behavior; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D012747:Sexual Partners; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: Abuso sexual infantil; Atención primaria de salud; Childhood sexual abuse; Disfunciones sexuales psicológicas; Family relationships; Primary healthcare; Psychological sexual dysfunctions; Relaciones familiares; Reproductive health services; Servicios de salud reproductiva