The Impact of Childhood Sexual Abuse on Adult Sexual Assault Victimization, Psychological Distress and Substance Use
Date
2021
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Publisher
University of Central Florida
Abstract
The goal of this thesis is to explore the mechanisms underlying the association between
women’s experiences of child sexual abuse (CSA) and substance use in adulthood. Specifically, I
evaluated the role of CSA, adult sexual victimization (ASA) and psychological distress including
symptoms of depression, perceived stress, and PTSD on substance use. Research has shown that
individuals who experience CSA are more likely to experience ASA, which results in
psychological distress. Individuals may engage in substance use to cope with psychological
distress from CSA and ASA, consistent with the self-medication hypothesis. Women (N = 225)
were recruited from Mechanical Turk (MTurk) and completed an online survey. Results indicate
positive correlations between CSA, ASA, psychological distress, problem drinking, and drug
use. Further, there was an indirect effect of CSA on substance use through ASA, but not
psychological distress. Results highlight the importance of trauma informed care for women’s
psychological distress and problem substance use.
Description
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Keywords
child sexual abuse, long term effects, substance abuse, research
Citation
McCollum, D. (2021). The Impact of Childhood Sexual Abuse on Adult Sexual Assault Victimization, Psychological Distress and Substance Use.