The aim of this systematic review was to determine the positive and negative outcomes of working with children who had experienced sexual abuse for health and social care professionals. The following four databases were searched using predetermined terms: PsycINFO, PubMed, CINAHL and Web of Science. Inclusion criteria included peer-reviewed qualitative, quantitative, multi-method or mixed method studies written in the English language. Study identification, quality assessment and data extraction were independently completed by two researchers, with a high degree of inter-rater reliability. Eight studies (six qualitative, one quantitative and one multi-method) met the inclusion criteria. Reviewed studies were conducted in the United States, Israel, Ireland and South Africa. Both positive and negative outcomes for healthcare professionals working with childhood sexual abuse (CSA) were identified. Additionally, a range of personal and contextual mitigating and risk factors were identified that may affect professionals' vulnerability to negative outcomes from CSA work, which have implications for practice. Due to the limited evidence base, clinical implications are tentative. Future research should adopt longitudinal methodologies and focus on participants from a range of disciplines and work contexts, particularly outside the United States.

中文翻译：

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处理儿童性虐待问题对健康和社会护理专业人员的积极和消极影响：系统评价

本次系统评价的目的是确定健康和社会护理专业人员与遭受性虐待的儿童一起工作的积极和消极结果。使用预定术语搜索了以下四个数据库：PsycINFO、PubMed、CINAHL 和 Web of Science。纳入标准包括以英语撰写的同行评审的定性、定量、多方法或混合方法研究。研究鉴定、质量评估和数据提取由两名研究人员独立完成，评估者间具有较高的可靠性。八项研究（六项定性研究、一项定量研究和一项多方法研究）符合纳入标准。经审查的研究是在美国、以色列、爱尔兰和南非进行的。确定了处理儿童性虐待 (CSA) 的医疗保健专业人员的积极和消极结果。此外，还确定了一系列个人和背景缓解和风险因素，这些因素可能会影响专业人员对 CSA 工作负面结果的脆弱性，这对实践有影响。由于证据基础有限，临床意义是暂时的。未来的研究应采用纵向方法，并关注来自不同学科和工作环境的参与者，特别是美国以外的参与者。