Interpersonal functioning among women reporting a history of childhood sexual abuse: empirical findings and methodological issues
Abstract
A subset of research exploring the long-term impact of child sexual abuse (CSA) has examined the adult interpersonal functioning of female survivors. The present review discusses empirical findings and critical methodological issues related to this important but often overlooked aspect of adult adjustment. Though characterized by several methodological limitations, this literature, as a whole, suggests that early sexual abuse represents a risk factor for a range of interpersonal dysfunction among female survivors, including problems with intimate partner relations, disturbed sexual functioning, and difficulties in the parental role. Suggested methodological improvements for future research include new approaches to the measurement of CSA and interpersonal variables, the need for comprehensive assessment of significant third variables, and the use of more representative sampling strategies.
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Betrayal traumas are associated with more disrupted interpersonal relationships relative to other trauma exposures.
“However, given that betrayal traumas are associated with more disrupted interpersonal relationships relative to other trauma exposures (e.g. DiLillo, 2001; DiMauro, Renshaw, & Blais, 2018; Golding, Wilsnack, & Cooper, 2002), meta-analyses focused on trauma in general may not accurately reflect the relation between social support and PTSD for betrayal trauma survivors.”
From The association between social support and posttraumatic stress symptoms among survivors of betrayal trauma: a meta-analysis (2021) · cites this paper as DiLillo, 2001
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- Authors
- DiLillo, D.
- Affiliations
- University of Nebraska–Lincoln (US)
- Corresponding author
- DiLillo, David
- ORCID
- DiLillo, David
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2001-06
- Volume
- 21
- Issue
- 4
- Pages
- 553-576
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2109035256
- Cited by
- 314
- References
- 110
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 9 · 2023: 15 · 2022: 6 · 2021: 14 · 2020: 11 · 2019: 12 · 2018: 18 · 2017: 12 · 2016: 17 · 2015: 19 · 2014: 12 · 2013: 16 · 2012: 20
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Lincoln (University of Nebraska) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Keywords
- child sexual abuse, women survivors, interpersonal functioning, intimate relationships, sexual dysfunction, parenting challenges, adult adjustment, third variable, sample representativeness
- MeSH terms
- Adult, Child, Child Abuse, Sexual, Female, Humans, Interpersonal Relations, Personality Development, Psychosexual Development, Risk Factors, Sexual Behavior, Social Adjustment, Women's Health, Parenting, Survivors, Crime Victims
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