title: Adolescent survivors of childhood sexual abuse: the mediating role of attachment style and coping in psychological and interpersonal functioning.
abstract: OBJECTIVE
  To examine attachment style and coping strategies as potential mediating variables between childhood sexual abuse (CSA) and psychological and interpersonal functioning in an attempt to explain variability in extent of disorder and level of functioning.
  
  
  METHODS
  Eighty adolescent females, aged 14-16 years, answered questions regarding abuse history, attachment style, coping with an interpersonal stressor, depression and trauma symptomatology, and conflict with a best friend.
  
  
  RESULTS
  Structural equation modeling analyses indicated that attachment style mediates the effects of CSA and child abuse and neglect on coping and psychological distress. The indirect effects of CSA and other abuse through attachment accounted for most of the effects on coping and psychological distress. Avoidant and cognitive coping strategies also served as mediators in the models, accounting for most of the effects of the other variables on interpersonal conflict.
  
  
  CONCLUSIONS
  The findings indicate that attachment style and coping strategies influence psychological and interpersonal functioning, mediating the direct effects of CSA and other types of child abuse and neglect. These results have implications for therapeutic intervention with children and adolescents who have experienced child abuse.
authors.affiliation: Department of Psychology, Michigan State University, East Lansing 48824, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Shapiro
authors.forename: A A
authors.initials: AA
authors.lastname: Levendosky
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002650:Child Abuse, Sexual / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D009769:Object Attachment; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*