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We employed network analysis to test how adult survivors of childhood sexual abuse (CSA) experienced symptoms of posttraumatic stress, using alternative conceptualizations of posttraumatic stress disorder (PTSD). Given the characteristics of the sample (i.e., the nature of and time since trauma), we hypothesized that (a) symptoms related to arousal would not be prominent in the networks and (b) symptoms related to negative alternations in cognition and mood (NACM) would be core components in the network. Danish adults seeking psychological treatment for CSA (<jats:italic>n<\/jats:italic>= 473) completed the Harvard Trauma Questionnaire and Trauma Symptom Checklist. Three alternative models (<jats:italic>DSM\u20105<\/jats:italic>,<jats:italic>DSM\u20105<\/jats:italic>with dissociation, and<jats:italic>ICD\u201011<\/jats:italic>complex PTSD [CPTSD]) were estimated using regularized partial correlation models. In the<jats:italic>DSM\u20105<\/jats:italic>network, strong associations emerged for experiences of NACM (blame and guilt) and intrusions (thoughts and flashbacks). The addition of \u201cdepersonalization\u201d and \u201cderealization\u201d to the<jats:italic>DSM\u20105<\/jats:italic>model produced a strong association, but these experiences were largely unrelated to other PTSD clusters. In the CPTSD network, interpersonal problems and negative self\u2010concept were central to the survivors\u2019 experiences. For this highly\u2010specific survivor group who experienced traumatic CSA many years ago, experiences related to NACM appeared to be more central to the posttrauma experience than those of arousal. If replicated, these findings could help inform treatment plans for specific groups of survivors. Methodological implications as to the usefulness of network models in the psychopathological research literature are discussed.<\/jats:p>","DOI":"10.1002\/jts.22381","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T23:34:40Z","timestamp":1559172880000},"page":"10-18","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Network Analysis of Posttraumatic Stress Experiences of Adults Seeking Psychological Treatment for Childhood Sexual Abuse"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3399-9466","authenticated-orcid":false,"given":"Orla","family":"McBride","sequence":"first","affiliation":[{"name":"School of Psychology Ulster University Cromore Road, Coleraine, Co. 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