TY - SER AU - Romans, Sarah E. AU - Martin,Judy AU - Mullen,Paul E. TI - Childhood sexual abuse and later psychological problems: neither necessary, sufficient nor acting alone PY - 1997/// KW - ADULT SURVIVORS OF SEXUAL ABUSE KW - FVC KW - CHILDREN AS VICTIMS KW - STATISTICS KW - WOMEN KW - ADVERSE CHILDHOOD EXPERIENCES KW - CHILD SEXUAL ABUSE KW - SEXUAL VIOLENCE KW - NEW ZEALAND N1 - Criminal Behaviour and Mental Health 7(4) November 1997 : 327-338 N2 - This article presents the results of a New Zealand study examining the relationships between childhood sexual abuse and other adverse development factors with a range of negative adult psychological and socioeconomic outcomes. The study used statistical analysis of data from interviews with 254 women who reported childhood sexual abuse and an equal-sized control group reporting no childhood sexual abuse. The sample was derived from women responding to a postal questionnaire sent to a random community sample of 3,000 women in Otago. The study found a range of negative outcomes in adulthood were more likely to occur in women reporting childhood sexual abuse compared with the control group. These negative outcomes included psychiatric disorder, low self-esteem, self-harm, sexual problems, adolescent pregnancy, a decline in socioeconomic status, difficulties in intimate relationships and increased likelihood of separation or divorce. The results demonstrated that a variety of childhood risk factors including poor parental mental health, poor relationship with parents and being physically punished as well as childhood sexual abuse contributed to negative adult outcomes. The precise patterns varied for each negative outcome. It was concluded that childhood sexual abuse is a non-specific risk factor for a wide range of adverse psychological and social adult outcomes, frequently found in families with other risk factors for adverse outcomes UR - http://dx.doi.org/10.1002/cbm.193 ER -