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Assessing the Association Between Childhood Sexual Abuse and Adult Sexual Experiences in Women with Sexual Difficulties
Author(s) -
Stephenson Kyle R.,
Pulverman Carey S.,
Meston Cindy M.
Publication year - 2014
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.21923
Subject(s) - sexual abuse , human sexuality , psychology , clinical psychology , sexual function , population , developmental psychology , structural equation modeling , association (psychology) , poison control , injury prevention , medicine , gender studies , environmental health , sociology , psychoanalysis , statistics , mathematics , psychotherapist
Self‐report instruments for assessing sexual well‐being in women with sexual difficulties have not to date been explicitly validated among women with a history of childhood sexual abuse (CSA). Given an extensive literature suggesting psychological differences between women with and without a history of CSA, it is possible that sexual well‐being has a different meaning for these groups. Without validated scales, it is difficult to evaluate the impact of early sexual trauma on adult sexuality. The present study assessed whether the factor structure of widely used measures of sexual well‐being were consistent across women experiencing sexual difficulties, with and without an abuse history, and to estimate effect sizes for the statistical effect of CSA on sexual well‐being in this population. A sample of women with and without a history of CSA ( N = 238) completed the Female Sexual Function Index and the Sexual Satisfaction Scale for Women. Structural equation models indicated generally consistent factor structures across groups, suggesting good construct validity. Effect size estimates indicated medium to large (0.53–0.72) effects of CSA on sexual well‐being for women with sexual difficulties. These findings support and extend research regarding the potential effects of CSA that may inform treatment for this population.