The Impact of Childhood Experiences on Sexual Behaviours and Intimate Relationships: A Systematic Review

Research has shown that adverse childhood experiences have multiple impacts on both adult intimate relationships and sexual behaviours, with insecure attachments from the adverse experiences leading to negative outcomes in the areas of intimate relationships and sexual behaviours. To be eligible for inclusion, the study had to use a sample of participants who were old enough to give informed consent regarding engaging in sex, write in English, generate original data, and focus on sexual behaviours. In addition, other systematic reviews and meta-analyses would be excluded from the study. Studies focusing on forensic settings and criminal sexual behaviours were also excluded. The EBSCOhost database was searched to find the studies used in the analysis. The quality of each study was assessed using the MMAT (2018 version). Synthesis included 31 studies and was conducted using narrative synthesis. Analysis showed five themes: Trauma and Sexual Risk Behaviours; Relationship and Sexual Satisfaction; Sexual Identity and Orientation; Coping Mechanisms and Meaning-Making; Attachment and Emotional Regulation. The review highlights the importance of trauma-informed approaches within interventions as well as the need for therapeutic environments in childcare settings. The review also provides direction for future research by advising a qualitative approach to future research.