“…Additionally, type or severity of CSA is associated with numerous concerns among women in substance use treatment, including alcohol problems (Miller, Downs, & Testa, 1993), mental health problems (Lee, Lyvers, & Edwards, 2008; Schiff, El-Bassel, Engstrom, & Gilbert, 2002), earlier age of first alcohol use (Hyman, Garcia, & Sinha, 2006), and more days of cocaine use following inpatient treatment for cocaine dependence(Hyman et al, 2008). Research with female andmixed-gender samples of adults in substance use treatmenthas found associations between intrafamilial CSA (e.g., CSA involving a father, stepfather, father figure or male relatives) and alexithymia(Scher & Twaite, 1999), alcohol use problems and treatment(Miller & Downs, 1995), treatment for both alcohol and drug use (Glover, Janikowski, & Benshoff, 1996), and lower self-esteem rating(Glover, Janikowski, & Benshoff, 1996).…”