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Home > Child Abuse & Neglect > Impact > Impact by Type of Maltreatment > Impact of Sexual Abuse
Impact of Sexual Abuse
The effects of child sexual abuse may include fear, anxiety, depression, anger, hostility, inappropriate sexual behavior, poor self-esteem, substance abuse, and difficulty with close relationships.
Impact on children
A Sourcebook on Child Sexual Abuse
Finkelhor, Araji, Baron, Broune, & Peters (1986)
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A summary of theoretical, research, and programmatic efforts in the field of child sexual abuse, focusing on prevalence of sexual abuse, children at high risk, offenders, effects, and prevention.
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Impact on adolescents
Binge and Purge Behavior Among Adolescents: Associations With Sexual and Physical Abuse in a Nationally Representative Sample: The Commonwealth Fund Survey
Ackard, Neumark-Sztainer, Hannan, French, & Story
Child Abuse and Neglect, 25(6), 2001
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Examined associations between binge and purge behavior and sexual and physical abuse among adolescents.
Childhood Sexual Abuse and Revictimization in Adolescence
Krahe, Scheinberger-Olwig, Waizenhofer, & Kolpin
Child Abuse and Neglect, 23(4), 1999
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Examined the link between childhood experiences of sexual abuse and subsequent revictimization in adolescence.
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Long-term consequences
Childhood Sexual Abuse and Adult Work Outcomes (PDF - 2990 KB)
Lee & Tolman
Social Work Research, 30(2), 2006
Explores the relationship among childhood sexual abuse (CSA), physical and mental health work barriers, and employment outcomes using a large panel study of current and former welfare recipients.
Childhood Sexual Abuse and Risk Behaviors Among Men at High Risk for HIV Infection
Dilorio, Hartwell, & Hansen
American Journal of Public Health, 92(2), 2002
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Examined the association between unwanted sexual activity during childhood and risk behaviors among a sample of predominantly African American and Hispanic men.
Childhood Sexual Abuse, Attachment, and Trauma Symptoms in College Females: The Moderating Role of Attachment
Aspelmeier, Elliott, & Smith
Child Abuse and Neglect: The International Journal, 31(5), 2007
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Studies the role of secure attachments in protecting children against the negative effects of child sexual abuse.
Childhood Sexual Abuse, Parenting and Postpartum Depression: A 3-Year Follow-Up Study
Buist & Janson
Child Abuse and Neglect, 25(1), 2001
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A history of sexual abuse in women who become depressed postpartum may have long-term implications for a woman's mental health, her relationship with her child, and the child's emotional development. It is critical to offer women in this high-risk group supports to minimize these difficulties and any long-term adverse effects.
Childhood Sexual Abuse as a Risk Factor for Depression in Women: Psychosocial and Neurobiological Correlates
Weiss, Longhurst, & Mazure
American Journal of Psychiatry, 156(6), 1999
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Reviews recent studies of the role of child sexual abuse in the subsequent development of major depressive disorder.
Childhood Sexual and Physical Abuse and Adult Self-Harm and Suicidal Behaviour: A Literature Review
Santa Mina, & Gallop
Canadian Journal of Psychiatry, 43(8), 1998
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Reviews the link between childhood abuse and adult self-harm, suicidal ideation, and suicidal attempt.
The Cumulative Impact of Abuse Across the Life Span: Child Sexual Abuse and Adult Revictimization
Frenkel & Wright (2001)
In The Cost of Child Maltreatment
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Reviews the impact of child sexual abuse and discusses adult revictimization.
Early Life Sexual Abuse as a Risk Factor for Crack Cocaine Use in a Sample of Community-Recruited Women at High Risk for Illicit Drug Use
Freeman, Collier, & Parillo
American Journal of Drug and Alcohol Abuse, 28(1), 2002
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Assessed the association between child sexual abuse and lifetime crack use.
Early Sexual Abuse and Lifetime Psychopathology: A Co-Twin-Control Study
Dinwiddie, Heath, Dunne, & Bucholz
Psychological Medicine, 30(1), 2000
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Investigates lifetime prevalence of psychiatric disorders among twins who reported childhood sexual abuse.
From Child Sexual Abuse to Adult Sexual Risk: Trauma, Revictimization, and Intervention
Koenig, Doll, O'Leary, & Willo (2004)
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Summarizes findings from the research about the relationship between child sexual abuse and sexual risk in adulthood.
The Role of Depression and Dissociation in the Link Between Childhood Sexual Abuse and Later Parental Practices
Collin-Vezina, Cyr, Pauze, & McDuff
Journal of Trauma and Dissociation, 6(1), 2005
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Explores the link between child sexual abuse and maternal parenting, while taking into account mothers' childhood physical and emotional traumas and current depressive and dissociative symptoms.
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