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Moreover, we evaluated the moderating influence of child gender on predicted relations between mothers\u2019 CSA severity and helpless SOM (i.e., moderated mediation). Participants were 225 biological mother\u2013preschooler dyads (48% female; 46.4% Latinx) drawn from an ongoing, longitudinal study of representation and regulation in child development. Mothers\u2019 history of CSA was assessed when their children were 4 years old and emerged as a prominent risk factor in this diverse, high-risk community sample with 40% of mothers reporting contact-based sexual abuse prior to age 18. Mediation analyses revealed a significant indirect pathway from a continuous rating of mothers\u2019 CSA severity to increased externalizing behavior problems from ages 4 to 8 in the next generation via mothers\u2019 helpless SOM at age 6. Further, this indirect path was significant for mother\u2013daughter dyads, but not for mother\u2013son dyads. This investigation contributes to the neophyte literature on intergenerational CSA effects by revealing the impact of a mother\u2019s CSA history on her SOM regarding the mother\u2013child relationship, particularly when parenting daughters. Clinical interventions that enhance survivors\u2019 awareness of and reflection on their SOM regarding the parent\u2013child relationship may attenuate intergenerational CSA effects on child adaptation.<\/jats:p>","DOI":"10.1177\/1077559518775536","type":"journal-article","created":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T00:07:05Z","timestamp":1526342825000},"page":"376-386","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Mothers\u2019 History of Child Sexual Abuse and Child Behavior Problems: The Mediating Role of Mothers\u2019 Helpless State of Mind"],"prefix":"10.1177","volume":"23","author":[{"given":"Linnea","family":"Linde-Krieger","sequence":"first","affiliation":[{"name":"Department of Psychology, University of California, Riverside, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuppett M.","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of California, Riverside, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,14]]},"reference":[{"key":"bibr1-1077559518775536","volume-title":"The parent development interview","author":"Aber J. 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