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A cross-sectional, self-report study was conducted using the International Sex Survey with 82,243 participants from 42 countries. Data were analyzed using 3D association analyses and structural equation modeling to assess the impact of CSA and AASA on sexual function problems and sexual distress. Findings revealed significant associations between both CSA and AASA with higher levels of sexual distress and sexual function problems. Gender differences showed that men and gender-diverse individuals exhibited similar levels of sexual function problems and distress as women. Significant variations were observed across sexual orientations, with heterosexual and bisexual individuals reporting more sexual function problems and distress compared to queer, asexual, and pansexual individuals. These results emphasize the lasting impact of CSA and AASA on sexual well-being, highlighting the importance of trauma-informed and culturally sensitive interventions. Tailored approaches in trauma-informed sex therapy are critical, with particular attention to gender, sexual orientation, and cultural factors to effectively address the effects of abuse on sexual health.<\/jats:p>","DOI":"10.1177\/08862605251372570","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T10:55:14Z","timestamp":1760698514000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Childhood and Adolescent\/Adult Sexual Abuse in Relation to Sexual Function and Distress: Findings from a Cross-Cultural Study of 42 Countries"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8221-9425","authenticated-orcid":false,"given":"Ateret","family":"Gewirtz-Meydan","sequence":"first","affiliation":[{"name":"University of Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shulamit","family":"Sperber","sequence":"additional","affiliation":[{"name":"University of Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9na","family":"Nagy","sequence":"additional","affiliation":[{"name":"Institute of Psychology, ELTE E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8634-3463","authenticated-orcid":false,"given":"Marie-Pier","family":"Vaillancourt-Morel","sequence":"additional","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Bergeron","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natacha","family":"Godbout","sequence":"additional","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nika","family":"Ko\u00f3s","sequence":"additional","affiliation":[{"name":"UInstitute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Science, University of Duisburg-Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane W.","family":"Kraus","sequence":"additional","affiliation":[{"name":"University of Nevada, Las Vegas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Demetrovics","sequence":"additional","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Canada"},{"name":"University of Gibraltar, Budapest, Hungary"},{"name":"Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc N.","family":"Potenza","sequence":"additional","affiliation":[{"name":"Yale University, New Haven, CT, USA"},{"name":"Connecticut Council on Problem Gambling, Wethersfield, USA"},{"name":"Connecticut Mental Health Center, New Haven, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"ISS Consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Be\u00e1ta","family":"B\u0151the","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_5_3_1","doi-asserted-by":"crossref","unstructured":"Annon J. 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