The role of childhood sexual abuse sequelae in the sexual revictimization of women
Abstract
There is now widespread empirical evidence that child sexual abuse (CSA) survivors are at greater risk for sexual revictimization in adulthood, but less is known of the mechanisms underlying this relationship. Despite the lack of a conceptual framework to guide research, there has been a recent influx of studies examining explanatory variables, with most focusing on the psychological sequelae of CSA: alcohol and drug use, sexual behavior, dissociation, posttraumatic symptomatology, poor risk recognition, and interpersonal difficulties. With the exception of sexual behavior, the studies reviewed here provide limited or mixed support for the role of intrapersonal factors in revictimization. Future research may benefit from a focus on the function of psychological distress that is expressed as psychological vulnerability, as opposed to individual forms of psychopathology or maladaptive behavior. An ecological framework may be useful as a guide to future investigations, as this model focuses on factors outside of the victim, including childhood factors such as family environment, contextual factors including the behavior of the perpetrator, and societal and cultural factors that impact revictimization. Future investigations should focus on the interaction between victim vulnerability and perpetrator behavior. Implications for prevention programming, clinical intervention, and future research are discussed.
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There is some evidence from the SA revictimization literature, albeit mixed, that psychosocial consequences of childhood SA increase risk for adolescent/adult SA via increased contact with potential perpetrators and/or increased likelihood of being targeted.
“there is some evidence from the SA revictimization literature, albeit mixed, that the psychosocial consequences of childhood SA increase risk for adolescent/adult SA via increased contact with potential perpetrators (e.g., as a result of using alcohol) and/or an increased likelihood that perpetrators will target the individual (e.g., due to impaired risk recognition) (Classen et al., 2005; Messman”
From Sexual assault victimization and psychopathology: A review and meta-analysis (2017) · cites this paper as Messman-Moore & Long, 2003
Childhood sexual abuse remains highly significant in the final model.
“Since CSA has also been linked to other intervening variables in the model, such as low educational attainment[22], the fact that CSA remains highly significant in the final model confirms it's importance as a risk factor for IPV.”
From What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence (2011) · cites this paper as [22]
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“Since CSA has also been linked to other intervening variables in the model, such as low educational attainment[22], the fact that CSA remains highly significant in the final model confirms it’s importance as a risk factor for IPV.”
BackgroundAn ecological model of the impact of sexual assault on women's mental health
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Sexual Revictimization: The Role of Sexual Self-Esteem and Dysfunctional Sexual Behaviors
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Risk Factors for Physical Assault and Rape Among Six Native American Tribes
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Does Childhood Sexual Abuse Set in Motion a Cycle of Violence Against Women?
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Childhood Emotional Abuse Predicts Late Adolescent Sexual Aggression Perpetration and Victimization
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Child Sexual Abuse and Adulthood Sexual Assault among Military Veteran and Civilian Women
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Self-citationChild Abuse, Early Maladaptive Schemas, and Risky Sexual Behavior in College Women
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Self-citationSexual revictimization and adjustment in college men.
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The Social Context of Violence: A Study of Repeated Victimization in Adolescents and Young Adults
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Revictimization Risk Factors Following Childhood Maltreatment: A Literature Review
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Sexual Revictimization: A Routine Activity Theory Explanation
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Investigation of telomere length and psychological stress in rape victims
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Self-citationBreastfeeding in Women Having Experienced Childhood Sexual Abuse
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- Authors
- Messman-Moore, T. L., & Long, P. J.
- Affiliations
- Oklahoma State University (US)
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 23
- Issue
- 4
- Pages
- 537-571
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1710978354
- Cited by
- 484
- References
- 116
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 16 · 2023: 15 · 2022: 22 · 2021: 15 · 2020: 21 · 2019: 28 · 2018: 30 · 2017: 26 · 2016: 38 · 2015: 25 · 2014: 29 · 2013: 20 · 2012: 31
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- child sexual abuse, sexual revictimization, women, psychological sequelae, victim vulnerability, perpetrator behavior, ecological model, posttraumatic stress symptoms, dissociation, risk identification, alcohol and drug use, sexual behavior, prevention programming
- MeSH terms
- Adaptation, Psychological, Adult, Child, Child Abuse, Sexual, Cultural Characteristics, Family Relations, Female, Humans, Recurrence, Risk Factors, Social Conditions, Survivors, Crime Victims
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