Adult Survivors Of Childhood Sexual Abuse Research Articles

Trust, entrusting and the role of trustworthiness for adult survivors of child sexual abuse

Background Survivors of Child Sexual Abuse (CSA) are reported to have difficulties in trusting. Yet no previous study investigating CSA survivors’ subjective experiences of trust exists and there is a paucity of clinical research into constructs and definitions of “trust.” Aims To use a phenomenological lens to investigate CSA survivors’ descriptions of trust relationships and trustworthy others by privileging their subjective experience. To better understand how trust can be built within therapeutic relationships. Methods A qualitative methodology using Interpretative Phenomenological Analysis was conducted within the survivor-research paradigm. The researcher was a person with lived experience of CSA who co-produced the study with CSA survivor advisors and co-constructed interviews with 17 adult CSA survivors. Results Findings present a “Survivor Trust Enactment Model” that delineates the process of building/repairing relational trust and advancing “transactional trust.” Trust is portrayed as nuanced and formed across and according to context, including the demarcation of generalised and relational trust. The findings emphasise that trustees’ trustworthiness is key to building trust which challenges assumptions that survivors are deficient in trust. Conclusion The foregrounding of subjective trust experiences challenges diagnostic and clinical views on trust deficiency in adult CSA survivors. The study develops clinical constructs of trust, considers implications for clinical practice, and indicates areas for further research into trust dynamics in therapeutic relationships.

“I lived but I wasn’t alive”: Examining responses of formal systems to child sexual abuse as described in survivors’ testimonies to the Israeli Independent Public Inquiry

Child sexual abuse (CSA) is a prominent global issue with a multitude of negative health, social, and economic consequences. However, this abuse is often under-reported and misunderstood, alongside faults within the systems built to support CSA survivors. There has been a global effort to establish CSA inquiries investigating past incidents of CSA, using the findings to inform and reform policy and practice and pursue justice for CSA survivors. In 2020, The Israeli Independent Public Inquiry into Child Sexual Abuse was founded, collecting 505 rich, diverse, and informative testimonies from adult survivors of CSA in Israel. The current study analyzes the 505 testimonies to explore the ways formal systems of support in Israel responded to CSA survivors and how these responses impacted survivors. Inductive thematic analysis was performed, yielding three main themes: 1) displays of how formal systems failed to respond to CSA, 2) mechanisms behind the failures of formal systems in their responses to CSA, and 3) consequences of the failures of formal systems to respond to CSA. This study demonstrates the tremendous impact formal systems’ responses can have on survivors, underscoring the urgent need for a systematic change in how CSA survivors are treated. Current systems have led to the violation of children’s rights, re-traumatization of survivors, and even discouraged survivors from seeking help after abuse. This study concludes that many adaptations must be made to formal systems’ current responses to CSA in Israel to improve support for CSA survivors, advance child protection, and recognize the unique needs of minority communities.

Posttraumatic stress disorder mediating associations between child sexual abuse and substance use among transgender adults in the United States.

Transgender people experience an excess burden of child sexual abuse (CSA), mental health concerns, and substance use compared to cisgender populations. Posttraumatic stress disorder (PTSD) has been found to mediate the association between CSA and substance use behaviors in cisgender populations, but this dynamic has not been previously examined among transgender adults. The aim of this study is to test if PTSD may mediate a relationship between CSA and substance use among transgender adults. Data were analyzed from the U.S. Transgender Population Health Survey (2016-2018), a national probability sample of transgender adults (N = 274). CSA was measured using the Adverse Childhood Experiences subsection for sexual abuse. Past-month PTSD was measured using the Primary Care-PTSD Diagnostic and Statistical Manual of Mental Disorders, fourth edition screening tool. Substance use was determined by lifetime binge drinking, polydrug use, and the Drug Use Disorders Identification Test. Baron and Kenny's approach was used to assess PTSD as a mediator between CSA and substance use. Within our sample, nearly half (45%) of the transgender adults experienced CSA. Lifetime binge drinking (40%), polydrug use (20%), and indications of drug-use-related problems (Drug Use Disorders Identification Test x¯ = 4.52) were frequently reported. Transgender adults who have experienced CSA had increased risk of PTSD and substance use, and PTSD was a mediator in all models. Results suggest that adult transgender CSA survivors are at increased risk of drug and alcohol use, and that PTSD may be an important contextual factor for substance use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

"Finding My Worth as a Sexual Being": A Qualitative Gender Analysis of Sexual Self-Concept and Coping in Survivors of Childhood Sexual Abuse.

Childhood sexual abuse (CSA) is likely to have impacts on adult survivors' sexuality, particularly on their sexual self-concept. However, little is known about how survivors cope with CSA-related sexual impacts, including sexual self-concept impairments. Thus, this study aimed to examine the interplay between sexual self-concept and coping strategies in CSA survivors by (1) documenting the manifestations of their impaired sexual self-concepts; (2) identifying their strategies to cope with the sexual impacts of CSA; and (3) examining gender differences on sexual self-concept impairments and coping strategies. Content analysis was conducted on semi-structured interviews with 25 women and 26 men adult survivors of CSA recruited via social networks and victim support organizations. Analyses yielded three conceptual categories: (1) Developing an unconsolidated and unfavorable sexual self-concept following CSA; (2) Avoiding CSA-related sexual impacts and impaired sexual self-concept; (3) Approaching CSA-related sexual impacts with more authenticity. Men often managed their suffering and compensated for their impaired sexual self-concept by engaging in sexual dominance and over-investment, by accepting their sexual difficulties and relying on medication to overcome them. Women tended to restrict themselves and disconnect sexually to avoid suffering, complied with their partners' sexual demands out of a sense of duty, prioritized sexual intimacy over orgasm, and seek professional help. Interventions with survivors should promote the development of approach strategies to cope with sexual difficulties, including self-concept impairments, and foster sexual authenticity.

The Role of Technology in the Perpetration of Childhood Sexual Abuse: The Importance of Considering Both In-Person and Online Interactions.

Child sexual abuse (CSA) is a pervasive global problem. To date, prevention efforts have largely focused on legislative efforts, parent and child education, and environmental protections. Due to the proliferation of the Internet, and especially since the COVID-19 pandemic, recent prevention efforts have focused on online CSA. However, the extent to which technology is being used in the perpetration of in-person, contact CSA remains unclear. This study examined the role of technology in the perpetration of in-person, contact CSA using a sample of 332 adult CSA survivors who completed an anonymous online survey. Overall, we found that only 8.5% of the sample reported that they met the perpetrator online through social media, chatrooms, and other online applications. When looking at the role of technology in the perpetration of the abuse, 35% reported texting with the perpetrator, 27% reported engaging in online chats, and 33% spoke to the perpetrator on the phone. Few participants reported sending (11%) or receiving (13%) photographs or videos that were sexual in nature. Technology use was reported more frequently in CSA involving adolescents than CSA involving children aged 12 and under. There were no differences in the use of technology based on the age of the person who perpetrated the CSA. These findings will be discussed as they pertain to prevention efforts for CSA.

"One Day It Will Be Over, and You Will See Other Landscapes. . . You Are Not Alone": Adult Survivors' Messages to Children Undergoing Child Sexual Abuse.

Child sexual abuse (CSA) has received considerable attention from scholars, contributing to policy, intervention, and prevention efforts worldwide. However, survivors' involvement in this research is limited. This study was designed to delve into the messages of adult CSA survivors to abused children. In all, 371 written testimonies were provided to the Israeli Independent Public Inquiry on CSA by survivors from diverse communities in Israel. The Inquiry aimed to promote change in policies related to CSA. The testimonies were analyzed using the qualitative thematic analysis method. The results revealed five main messages emphasized by survivors to children experiencing CSA: (a) transferring the responsibility and guilt from children to perpetrators and society; (b) turning toward the light and continuing on; (c) disclosure is essential; (d) a happy life is possible; and (e) together we can survive. The discussion emphasizes how various systems in survivors' lives have profound impacts following the abuse. Although survivors were from diverse backgrounds, their messages to abused children were consistent. Through their messages to the children, the survivors emphasized their wish to transfer responsibility and guilt from children experiencing abuse to the society that is supposed to see, listen, protect, and validate. Implications for practice are discussed, focusing on the importance of making room for survivors' voices and experiences in the processes of shaping policies in the area of CSA. Moreover, the survivors' desire to be there for the children emphasized the urgent need to promote the perception of survivors as key stakeholders in the field of child abuse and to integrate their experiences and perceptions into the formal and informal systems for children.

Challenges That Vhavenḓa Child Victims of Sexual Abuse Endure as a Result of Delayed Disclosure

While child sexual abuse (CSA) has been declared a public health concern worldwide, the continuous problem is the delayed disclosure that affects child victims in many ways. It poses profound health, psychological and social challenges for child victims. This qualitative study explored and described the challenges that Vhavenḓa child victims of CSA endure as a result of delayed disclosure. Five adult survivors of CSA, seven caregivers of survivors of CSA, four social workers, two educators and two traditional leaders were purposefully selected to participate in the study. Data was collected through semi-structured interviews and thereafter it was arranged and analysed thematically with the assistance of the NVivo software. Findings reveal that, due to the emotional implications of the abuse, the Vhavenḓa child victims of sexual abuse endure a number of behavioural, social and academic challenges that tremendously affect their well-being, even in their adulthood. It is therefore recommended that vigorous awareness campaigns on CSA within the Vhavenḓa communities be conducted to mitigate the delayed disclosure of sexual abuse.

The impact lingers well beyond childhood: Child sexual abuse, trauma symptoms, and income for adult survivors

Child sexual abuse (CSA) is a traumatic experience, and this kind of trauma has far-reaching effects. While it is known that CSA affects mental, emotional, and physical well-being, its relationship to income is still being explored. Objective: The current study examined the relationships between child sexual abuse, trauma symptoms, education, and income levels in adult survivors of CSA (n = 260). The participants in this study were gathered anonymously online by posting links to the study on adult survivor of CSA support group websites. While the participants’ incomes ranged from about $20,000 to over $100,000, the mean household income was between $40,000 and $59,000. There were no significant differences in income by gender or ethnicity. Regressions suggest that while education and marital status were of course significantly related to income, both frequency and severity of abuse were also significantly connected with income (all p's <0.05). Furthermore, trauma symptoms of anxiety, depression, sleep problems, and dissociation were significantly linked with income (all p's <0.05). Path analysis showed that the effects of trauma on income were mediated through education levels. However, trauma symptoms still negatively affected income.

Overcoming Challenges of Intimacy: Male Child Sexual Abuse Survivors’ Experiences of Achieving Healthy Romantic Relationships in Sweden

PurposeStudies on sexual health following male child sexual abuse (CSA) have identified the negative effects of such experiences on body functioning, but little is known about male CSA survivors’ ability to create emotional and physical closeness in romantic relationships. The purpose of this article is to explore how male CSA survivors perceive, experience and develop intimacy in romantic relationships, including both the challenges they face and the positive changes that enable them to grow and achieve healthy relationships.MethodThe study has employed a qualitative research approach and is based on in-depth interviews conducted among adult male CSA survivors residing in Sweden. Participants were recruited through civil society organizations and an ad in a daily newspaper. Using reflexive thematic analysis, the results are presented in relation to two themes: (a) challenges of intimacy; and (b) building trust and close relationships.ResultsThe results show that participants desired couple relationships that included both sexual and emotional intimacy. The challenges of intimacy were related to compromised sexual identity, sexual dysfunctions and compulsions, emotional dysregulation, and body shame. Efforts to achieve intimacy were facilitated by disclosing abuse experiences, developing emotional bonds or awareness, embracing sensitivity, and having an empathetic and supportive partner.ConclusionsReconstructions of abuse histories were both challenged and facilitated by the accessibility of various and shifting ideas about masculinities that co-exist in Sweden, which were important sources for meaning making and assisted the men in developing positive valuations of themselves as men.

Experiences of and Interventions for Adult Survivors of Childhood Sexual abuse in South Asia: A systematic review

IntroductionAdult survivors of childhood sexual abuse (CSA) may experience psychological difficulties in adulthood. Such adverse experiences in the developmental years, sometimes for prolonged periods, could have an impact on their emotional, social and psychological resources. This impact is heightened in CSA adult survivors as the interpersonal nature of harm could reverberate throughout their adult relationships, with complex emotional responses to traumatic stressors. Despite the demonstrated effectiveness of trauma focused treatments in the West, culturally specific understanding of the needs and treatments for such survivors in South Asia is still in its infancy. This is important to address their meaning of presenting complaints in South Asia and offering them treatments suitable for them.ObjectivesIn this systematic review, we aimed to synthesize the findings of existing research on the impact of CSA on adult survivors in South Asia and the current approaches used to treat them.MethodsWe searched nine databases and ‘hand searched’ important peer-reviewed journals published in South Asian countries from inception until 3rd April 2022. Searches focused on adult survivors of CSA of South Asian origin residing in South Asia, different treatments offered and the efficacy and acceptability of these treatments.ResultsWe identified and screened 2608 records and included 56 articles in our full text screening. Out of those, we included 22 articles in the final review. Studies were from four out of the eight countries in South Asia; India, Sri Lanka, Nepal and Pakistan. Of note, only six of those studies focused exclusively on CSA whereas others included all forms of abuse and neglect. All except one article explored experiences of survivors. Only one article focused on their recovery process, within and/or outside of professional treatment with no published research on treatments for them in South Asia. Physical abuse and emotional abuse or neglect were more often reported in our included studies as compared to sexual abuse.ConclusionsOur review suggests that even though the needs of adult CSA survivors in South Asia have been partly identified, there is very little research into the treatment of CSA adult survivors in this region. Perpetrators often come from their immediate or extended families, leading to their distrust of the familial and legal systems. Even when not diagnosed with a severe mental health condition, there are potentially serious implications for victims’ adult relationships and social functioning. There is a current lack of research and therefore, lack of evidence-based treatment for adult survivors of CSA in South Asia.Disclosure of InterestNone Declared

“I Am A Living Testimony to the Human Spirit”: A Thematic Analysis of Middle Aged and Older Adults’ Resilience after Child Sexual Abuse

ABSTRACT Despite extensive documentation of the adverse impacts of child sexual abuse (CSA), less is known about long-term effects of CSA, that is, the impact in middle and late adulthood, when one is further removed from the CSA. This study describes coping strategies and positive outcomes reported by adult female survivors of child sexual abuse ages 50+ (n = 58). Responses came from an anonymous online survey of adult survivors of CSA. We conducted a qualitative “RADaR” rapid analysis on the survey’s open-ended questions. Survivors employed both internal attitudes and specific activities to cope with their childhood CSA. Most (n = 55) reported positive outcomes from CSA: self, others, and relational and/or emotive strengths. Due to survey limitations, we were unable to identify factors that contributed to survivors reporting positive outcomes and survivors who reported negative or no positive outcomes. This study suggests CSA survivors in middle and late adulthood may feel stronger as a result of abuse. More research is needed to identify factors that contribute to resilience.

The Effects of Severe Childhood Physical and Sexual Abuse on Adult Socioeconomic Prosperity.

Our study utilizes Adverse Childhood Experience (ACE) scores to estimate the relationship between forced sexual intercourse and physical abuse on socioeconomic outcomes in adulthood. ACEs have been shown to have long-term negative impacts on health, mental health, and cognition. We expand upon the literature that analyzes the effects of ACEs on human capital investment and adult socioeconomic outcomes by focusing on the ACE scores pertaining to repeated physical and forced sexual abuse in childhood. Specifically, we estimate probit models using data from the Behavioral Risk Factor Surveillance System to measure the marginal effects of childhood sexual abuse (CSA) and physical abuse on the probability of high school completion, unemployment, and the likelihood of living in poverty in adulthood. We find adults who suffered physical abuse in childhood are more likely to live in poverty. Adult survivors of CSA are less likely to finish high school and more likely to live in poverty. The likelihood of high school noncompletion increases when the individual suffered both forms of abuse. We also find that only those who suffered both forms of abuse in childhood had a greater likelihood of being unemployed and high school noncompletion. We find the negative socioeconomic impact in adulthood is larger for women than for men, implying gender heterogeneity in outcomes of CSA and physical abuse. Researchers should control for the correlation between sexual abuse and physical abuse in childhood, particularly in women, when estimating their effects on socioeconomic outcomes.

Exploring male childhood sexual abuse survivors' experiences of specialist counselling services

AbstractGlobal estimates suggest 5% to 10% of men report experience of childhood sexual abuse (CSA). However, male CSA is significantly underreported, with men being reluctant to disclose due to vulnerability, stigmatisation, homophobic responses and fearing a loss of masculinity. A lack of research and service provision targeted towards men suggests male survivors of CSA are marginalised. This qualitative study, using a narrative approach, focussed on four adult male survivors of CSA. The aim of the study was to explore their experiences of engaging in counselling and support services for CSA from nonstatutory and voluntary organisations. Face‐to‐face narrative interviews were audio‐recorded and transcribed verbatim. Analysis was undertaken using a two‐phase approach; first, each narrative was analysed as a whole; second, an across‐transcripts analysis was carried out to identify shared themes and divergences that emerged from the individual stories. In this paper, findings from the second phase of the analysis are presented. Three themes regarding male survivors' experiences of specialist counselling services were identified: “Trust Me, I'm a Doctor,” “Trust me, I'm a Counsellor” and “Counsellor or Mother?” This is the first academic study focussing specifically on men's experience of support for CSA in the UK from a service user perspective. Making an original contribution to the knowledge base regarding counselling experiences and the effectiveness of therapy for male CSA survivors, it will help to inform professional counselling services which are likely to come into contact with male survivors of CSA.

Who am I as a Sexual Being? The Role of Sexual Self-Concept Between Dispositional Mindfulness and Sexual Satisfaction among Child Sexual Abuse Survivors.

Childhood sexual abuse (CSA) is associated with long-lasting and pervasive impacts on survivors' sexual health, particularly on their sexual satisfaction. Dispositional mindfulness has been found to be associated with greater sexual satisfaction among adult CSA survivors. However, the mechanisms involved in this association remain understudied. The present study examined the role of sexual self-concept (i.e., sexual esteem, sexual preoccupation, and sexual depression) in the relationship between dispositional mindfulness and sexual satisfaction among CSA survivors. A total of 176 adult CSA survivors (60.6% women, 39.4% men) completed an online survey assessing dispositional mindfulness, sexual self-concept, and sexual satisfaction. Path analyses revealed that dispositional mindfulness was positively related to sexual satisfaction through a significant indirect effect of higher sexual esteem and lower sexual depression. The integrative model explained 66.5% of the variance in sexual satisfaction. These findings highlight the key roles that dispositional mindfulness and sexual self-concept play in CSA survivors' sexual satisfaction. Implications for interventions based on trauma-sensitive mindfulness targeting the sexual self-concept are discussed, as they may promote sexual satisfaction in adult CSA survivors.

The Spanish Posttraumatic Growth Inventory - Short Form in Adult Survivors of Child Sexual Abuse

Child sexual abuse (CSA) survivors can experience psychological changes and growth as a consequence of their victimization experience, known as posttraumatic growth (PTG). The purpose of this study was to evaluate the dimensionality, reliability and validity of the Spanish version of the Posttraumatic Growth Inventory - Short Form (PTGI-SF) (Tedeschi & Calhoun, 1996) in a sample of 104 adult survivors of CSA. Different models of PTGI-SF validated in different languages and samples were tested using Confirmatory Factor Analysis. The results showed that the original five-factor model exhibited the best goodness of fit. Internal consistency was adequate for the general scale, and acceptable for the five different factors. Furthermore, positive correlations were found between the PTGI-SF total score and psychosocial and mental health problems, as well as gender differences, with women tending to report more PTG than men. These results suggest that the Spanish PTGI-SF is a brief, reliable, valid self-report measure for assessing PTG experienced by CSA survivors.

Disclosure of Child Sexual Abuse: Experiences of Men Survivors in India

Abstract Little is known about men and boys’ experiences of child sexual abuse (CSA) in India, particularly about their experiences of disclosing abuse. Disclosure experiences are often important as they can potentially make the path to recovery and healing more tractable or challenging for survivors. Using the Interpretative Phenomenological Analysis approach, in-depth qualitative interviews were conducted with eleven adult men survivors of CSA in India varying in age, location and sexual orientation, to learn about their experiences of disclosing abuse. Barriers to disclosure included guilt, shame, protecting the perpetrator, protecting others from emotional stress and pain, stigma about same-sex sexual activity, and fear of minimisation of abuse experiences. Disclosure was further inhibited by pervasive silence in society about sexuality and sexual abuse. Responses to disclosure were varied and included supportive responses, silence and victim blaming. Findings demonstrate that disclosure experiences of men survivors were strongly influenced by patriarchal and heteronormative norms and practices. Social work has a role to play in building awareness of sexual abuse of boys, helping create a social environment where survivors can feel safe about disclosing abuse, and challenging the oppressive structures of patriarchy and heteronormativity.

Compassion Focused Group Therapy for Adult Female Survivors of Childhood Sexual Abuse: a Preliminary Investigation

ObjectivesThe adverse effects of childhood sexual abuse (CSA) are often significant and enduring. It is therefore important to identify therapeutic interventions that can effectively minimize these effects. Compassion focused therapy (CFT) was originally developed for people with high levels of self-criticism and shame. It holds significant promise as an intervention for survivors of CSA, but has not yet been empirically tested. This study explored both the acceptability and preliminary efficacy of a CFT group intervention (CFT-SA) for adult female survivors of CSA.MethodsCFT-SA was developed and tested with adult female survivors of CSA, to determine if there was any change in outcome measure scores after participating in the 12-week intervention (n = 30) and at 3-month post-intervention follow-up (n = 25).ResultsLow attrition and high session attendance, in addition to positive participant feedback, suggested the program had high acceptability. Significant improvement was observed across all outcome variables from pre- to post-intervention (n = 30), which were maintained at follow-up (n = 25). Participants demonstrated increased self-compassion and self-reassurance, and reduced symptoms of post-traumatic stress, shame, and self-criticism, as well as fears of compassion, depression, anxiety, and stress, with medium to large effect sizes (d = .55 to 1.36). Across all measures, between 20 and 57% of participants demonstrated reliable change pre- to post-intervention, and 22 to 57% from pre-intervention to follow-up.ConclusionsThis study provides preliminary support for the acceptability and potential benefits of utilizing CFT-SA as an intervention for adult female survivors of CSA and offers recommendations for future research.Trial Registration.Australian New Zealand Clinical Trials Registry, ACTRN12616001041448.

Men survivors’ perspectives on impact of child sexual abuse

BackgroundPrevious research has shown alarming rates of prevalence of child sexual abuse (CSA) in India, including among boys. However, little is known about lived experiences of men and boys who have experienced sexual abuse during childhood. ObjectiveThe aim of this phenomenological study was to explore perspectives of adult men survivors of CSA on impact of abuse. Participants and settingPurposive sample of eleven adult men with lived experience of CSA, located in six different cities across India. MethodsIn-depth semi-structured interviews were conducted with men survivors of CSA. ResultsStudy findings show that child sexual abuse can impact men survivors’ lives in profound and multiple ways, and survivors’ experiences are significantly influenced by sociocultural notions of masculinity. Three themes were identified: impact on self, impact on interpersonal relationships, and impact on relationships with children. Findings challenge some commonly held beliefs and misconceptions about men survivors. ConclusionsCSA can have profound and long-lasting consequences for boys vis-à-vis their wellbeing and interpersonal and social relationships. It is important to center survivors’ voices when developing direct practice interventions, programs and policies to address CSA.

It gets better: childhood sexual abuse and trauma symptoms in female older adults

ABSTRACT While there has been great deal of research conducted on the effects of child sexual abuse (CSA) on trauma symptoms in children and adults, there is less knowledge on the effects on trauma symptoms in female older adult CSA survivors. The aim of this study was to investigate current symptoms of trauma in adult female survivors of child sexual abuse across each successive decade, beginning with eighteen year olds. This retrospective, anonymous online study gathered a sample of 223 adult female survivors of CSA (38 of whom were aged 50–59 (17%), and 20 of whom were 60+ years of age (9%)), and surveyed their trauma history and their current symptomology. In our sample, the survivors with the most severe trauma symptoms were between 18 and 29 years old. Each subsequent decade reported fewer trauma symptoms, with respondents in the 60+ age group reporting the lowest trauma symptom severity. While a cross-sectional study does not allow us to evaluate individuals’ experiences over time, these results suggest that the negative impacts of CSA may abate over the life course. Future research should consider these questions longitudinally to explore whether these results are related to survivorship (those with worse outcomes dying younger) and whether these effects endure as female older adults experience physical and mental challenges in later life.

‘Black Holes’ in memory: Childhood autobiographical memory loss in adult survivors of child sexual abuse

The purpose of this study was to examine the relationships between child sexual abuse (CSA) and components related to the CSA experience, betrayal, dissociative amnesia, and childhood autobiographical memory loss (CAML). The a priori hypothesis was that components related to the CSA experience (such as abuse characteristics, disclosure characteristics, betrayal, and dissociative amnesia) would act as direct risk factors/predictors for CAML. It was further hypothesized that betrayal and dissociative amnesia would each act as a mediator of the relationships between these components related to the CSA experience and CAML. This retrospective survey was conducted online, anonymously, and contained a sample of 297 participants who were adult survivors of CSA. Data was analyzed using logistic and linear regressions, as well as path analysis. The results of this study suggest that betrayal, dissociation, duration of abuse, and dissociative amnesia had direct effects on CAML, and age at onset of abuse had indirect effects on CAML through dissociative amnesia. These results have both research and clinical implications, in terms of both prevention and intervention with survivors of CSA.