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This is a report on the research design and findings of a year longitudinal study of the impact of intrafamilial sexual abuse on female development. The conceptual framework integrated concepts of psychological adjustment with theory regarding how psychobiological factors might impact development. Participants included 6- to year-old females with substantiated sexual abuse and a demographically similar comparison group. A cross-sequential design was used and six assessments have taken place, with participants at median age 11 at the first assessment and median age 25 at the sixth assessment. Mothers of participants took part in the early assessments and offspring took part at the sixth assessment. Results of many analyses, both within circumscribed developmental stages and across development, indicated that sexually abused females on average showed deleterious sequelae across a host of biopsychosocial domains including: earlier onsets of puberty, cognitive deficits, depression, dissociative symptoms, maladaptive sexual development, hypothalamic—pituitary—adrenal attenuation, asymmetrical stress responses, high rates of obesity, more major illnesses and healthcare utilization, dropping out of high school, persistent psottraumatic stress disorder, self-mutilation, Diagnostic and Statistical Manual of Mental Disorders diagnoses, physical and sexual revictimization, premature deliveries, teen motherhood, drug and alcohol abuse, and domestic violence.
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Learning Activities

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ReCAPP: Learning Activities: Helping a Friend Who Has Been Sexually Abused

It can be stressful to plan a big safety talk about sexual assault with your kid. The key is to start these conversations when your kids are young, and have these conversations often. Teach young children the language they need to talk about their bodies and information about boundaries to help them understand what is allowed and what is inappropriate. Talk about secrets. Perpetrators will often use secret-keeping to manipulate children. Learn more about protecting a child from sexual assault.
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Sexual Abuse in Teenagers: What Parents Need to Know

Find Help Now Encontrar Ayuda. Try incorporating fun activities to help promote awareness about the issue of sexual violence and involve your community in making a difference! There are many creative ways to bring your community together to raise awareness and build a shared vision of ending sexual violence. The media can be an incredible ally in getting the word out about the awareness activities you have planned, as well as helping to generate conversations and critical thinking about sexual violence.
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The Sexual Trauma Workbook for Teen Girls offers healing, real-life stories from survivors and powerful, evidence-based tools to help you reclaim your life after sexual abuse or trauma. You're not alone. If so, this book can help you find your voice. This empowering workbook will help you move past your trauma and serve as a comforting reminder that you are strong and resilient. Healing is possible—and with healing, comes victory.
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