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Secondary data analysis and propensity score matching were used to select a sample of 215 help-seeking youth who were exploited in prostitution ( n = 43) or who were sexually abused\/assaulted but not exploited in prostitution ( n = 172) from the National Child Traumatic Stress Network Core Data Set (NCTSN CDS). Propensity Score Matching was used to select a comparison sample based on age, race, ethnicity, and primary residence. Statistically significant differences were noted between the groups on standardized (e.g., UCLA Posttraumatic Stress Disorder Reaction Index [PTSD-RI], Child Behavior Checklist [CBCL]) and other measures of emotional and behavioral problems (e.g., avoidance and hyperarousal symptoms, dissociation, truancy, running away, conduct disorder, sexualized behaviors, and substance abuse). This study provides useful insight into the symptom and service utilization profiles of youth exploited in commercial sex as compared with youth with other types of sexually exploitive experiences. Targeted screening and event-sensitive measures are recommended to more accurately identify youth exploited in commercial sex. More research is needed to determine if and what modifications to trauma therapies may be required to address the more severe symptomatology and behavior problems associated with youth exploited in commercial sex.<\/jats:p>","DOI":"10.1177\/0886260514555133","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T23:01:30Z","timestamp":1415401290000},"page":"122-146","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":146,"title":["The Trauma of Commercial Sexual Exploitation of Youth"],"prefix":"10.1177","volume":"31","author":[{"given":"Jennifer","family":"Cole","sequence":"first","affiliation":[{"name":"University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ginny","family":"Sprang","sequence":"additional","affiliation":[{"name":"University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Lee","sequence":"additional","affiliation":[{"name":"Duke University, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Cohen","sequence":"additional","affiliation":[{"name":"Allegheny General Hospital, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,11,6]]},"reference":[{"key":"bibr1-0886260514555133","volume-title":"The Achenbach System of Empirically Based Assessment (ASEBA): Development, findings, theory, and applications","author":"Achenbach T. 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