Evidence map›Paper›PMID 42039001›Full record

SynthesisFrontiers in psychology2026

The psychological impact on and mental health outcomes for victim-survivors of technology-assisted child sexual abuse: a systematic literature review.

Alice Forrester Fellowes, Juliane A Kloess, Sarah Gladden

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alice Forrester FellowesSchool of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom.
Juliane A KloessSchool of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom.
Sarah GladdenThe Orchard Clinic, Royal Edinburgh Hospital, Edinburgh, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The increased use of online technologies has expanded the social landscape for individuals with ill-intent to sexually exploit and abuse children. To date, the specific psychological impact on and mental health outcomes for children who have experienced Technology-Assisted Child Sexual Abuse (TA-CSA) remain underexplored in comparison to those of CSA in the physical world. Aim: This mixed-methods systematic literature review synthesizes the findings from existing studies that have explored these phenomena. Method: A systematic search of three databases (EMBASE, MEDLINE, and PsycINFO) was conducted. Included articles ( Results: The synthesis yielded seven key themes: (i) An Onslaught of Painful Emotions, (ii) A Shattered Sense of Self: Self-Blame and Guilt, (iii) A Future Held Hostage: Image Permanence and Hypervigilance, (iv) Broken Bonds: Social Isolation and Relational Rupture, (v) Prevalence of Mental Health Difficulties, (vi) Behavioral and Interpersonal Sequelae, and (vii) Gender-Based Variations in Psychological Outcomes. Conclusions: The findings reveal that experiences of TA-CSA lead to a range of significant mental health outcomes, from profound emotional distress and a shattered sense of self to a high prevalence of psychological? Difficulties. The unique features of TA-CSA, such as digital permanence, are associated with persistent trauma responses. Implications for clinical practice, policy, and future research are discussed. Systematic review registration: PROSPERO registration number CRD42024548986.

Indexed as

child sexual abuseonline child sexual exploitationonline safetytechnologytraumavictimization

Identifiers

PMID42039001
PMCPMC13105988

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.