Adults who meet criteria for a posttraumatic stress disorder (PTSD) diagnosis have poorer health on average, and their health problems occur earlier in life, compared with adults in the general population (Beckham et al, 1998;Butterfield, Fomeris, Feldman, & Beckham, 2000; Schnurr & Janikowski, 1999). Furthermore, one study showed that the relationship of PTSD to physical health was independent of age, depression, or other comorbid anxiety disorders (Zayfert, Dums, Ferguson, & Hegel, 2002). For some individuals, the health consequences of trauma may begin with traumatic childhood experiences. Two separate large-scale epidemiological studies in the United States and United Kingdom demonstrated linear relationships between the number of adverse childhood experiences (e.g, abuse, other potentially traumatic event) and cardiovascular risk factors evidenced as adults (Felitti et al, 1998; Surtees et al, 2003). Data from the U.S. National Comorbidity Study indicated childhood sexual abuse was associated 133