This study investigated persistence in abuse-related shame during a 6-year period. One-hundred-eighteen sexually abused youth were interviewed at the time of discovery, and again both 1 and 6 years later. Individuals high in shame 1 year following discovery were especially at risk for persistently high levels of shame 6 years later. Youth with high shame for the abuse at 1 and 6 years were the most likely to report clinically significant levels of intrusive recollections at 6 years. Persistent shame may explain failure to process the abuse and the maintenance of posttraumatic stress disorder symptoms. The findings from this longitudinal study suggest that shame as a consequence of childhood sexual abuse should be a focus of treatment.

This study examined adjustment following sexual abuse as a function of shame and attributional style. One hundred forty-seven participants (83 children and 64 adolescents) were seen at the time of abuse discovery and again 1 year later. Once adjustment at abuse discovery was accounted for, shame and attribution style explained additional variation in subsequent adjustment, whereas abuse severity did not. A pessimistic attribution style at abuse discovery moderated the relation between severity of abuse and subsequent depressive symptoms and self-esteem. The relations between abuse severity and these outcomes were significant only at high levels of pessimistic attribution style. Of note, patterns of change in shame and attribution predicted which children remained at risk or improved in adjustment. In addition, age and gender differences were found in adjustment over time.The past decade has seen a considerable increase in the number of studies focusing on sexual abuse and its relation to child outcomes. Child sexual abuse (CSA), in both clinical and nonclinical samples, has been consistently associated with a number of adjustment problems, including depression, post-traumatic stress disorder (PTSD) and poor self

This study concerns the nature of specific attributions for sexual abuse and their relation to psychological distress over time. Participants (80 children and 57 adolescents) were seen within 8 weeks of discovery of the abuse and 1 year later They described why they believed the abuse happened, rated the extent to which internal and external attributions for the abuse event applied to them, and completed measures of general attribution styleforeveryday events, shame for the abuse, and symptoms of depression, PTSD, and self-esteem. Parents and teachers rated behavior problems. Abuse-specific internal attributions were consistently related to higher levels of psychopathology and were particularly importantforpredicting PTSD symptoms and parent and teacher reports of internalizing behavior problems, even after controlling for age, gender, abuse events, and general attributional style. Shame also was an important predictor of symptom level and mediated the relation between abuse-specific internal attributions and PTSD symptoms.

This study examined the role of shame and a self-blaming attributional style as factors that can help explain the level of psychological distress in child and adolescent victims of sexual abuse. A total of 142 participants (82 children, 60 adolescents) were seen within 8 weeks of discovery of the abuse. Regression analyses were used to examine how age at discovery, gender, abuse characteristics, shame, and attribution were related to depression, self-esteem, and traumatic events sequelae. As expected, shame and self-blaming attributions were strongly related to depression, self-esteem, and traumatic events sequelae and accounted for significant variance even after age, gender, and abuse characteristics had been controlled. The relations between number of abusive events and depressive symptoms, self-esteem, and eroticism were mediated by shame and attributional style.

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