“…Consistent with the concept of multifinality, extant research indicates that child sexual abuse (CSA) is associated with a number of emotional and behavioral problems that emerge during childhood, including posttraumatic stress symptomatology (e.g., fears, heightened startle reactions; Wells et al, 1995), depression (e.g., Ligezinska et al, 1996), self injurious behaviors (e.g., Crowe & Bunclark, 2000), academic and behavior problems (e.g., Cohen & Mannarino, 1998) and SBP (Cosentino et al, 1995;Friedrich et al, 2001;Kendall-Tackett et al, 1993;. Reviews of the literature, however, have indicated that with the exception of posttraumatic symptoms and SBP, the majority of these symptoms characterize clinical samples in general and are not specific to sexual abuse (Kendall-Tackett et al, 1993).…”