Mediators of the Link between Childhood Sexual Abuse and Emotional Distress

@article{Whiffen2005MediatorsOT,
  title={Mediators of the Link between Childhood Sexual Abuse and Emotional Distress},
  author={Valerie Elisabeth Whiffen and Heather Beth Macintosh},
  journal={Trauma, Violence, \& Abuse},
  year={2005},
  volume={6},
  pages={24 - 39}
}
A history of childhood sexual abuse (CSA) is a risk factor for adult emotional distress, including symptoms of depression, anxiety, dissociation, and trauma. However, CSA is likely associated with adult distress indirectly through an impact on mediating variables. In a review of the empirical literature, the authors found support for the roles of shame or self-blame, interpersonal difficulties, and avoidant coping strategies as mediators. In addition, emotional distress appears to mediate links… 

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