Description:
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Research has consistently linked residual trauma-related shame among child
sexual abuse (CSA) survivors to sexual revictimization, health risk behaviors,
and poorer response to mental health treatment. However, questions remain
regarding the imprint of childhood maltreatment on trauma-related shame
including which CSA characteristics or types of childhood maltreatment contribute to
residual shame in adulthood. Using data drawn from a prospective study of 174
primarily African American women with histories of CSA and a matched comparison
group, this study explores whether specific characteristics of CSA (familial
CSA, CSA with penetration, force used by CSA perpetrator), repeat sexual
victimization in adolescence, childhood physical abuse, childhood neglect, and childhood commercial sexual exploitation
contribute to the level of trauma-related psychosexual shame reported during
adulthood.
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