The long-term effect of childhood sexual abuse is increased incidence of deliberate self-harm and is unrelated to any specific diagnosis. Despite more severe initial impairment, psychotherapy was effective for patients with a history of childhood sexual abuse.
Notably, having had multiple abusers was the only characteristic showing a reliable independent association with any of these measures. Subjects who had had multiple abusers were significantly more likely to have an earlier age of onset and longer duration of abuse, and to have experienced violent abuse.
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