Publication Date




Embargo Period


Degree Type


Degree Name

Doctor of Philosophy (PHD)


Psychology (Arts and Sciences)

Date of Defense


First Committee Member

Amanda Jensen-Doss

Second Committee Member

Jill Ehrenreich-May

Third Committee Member

Annette LaGreca

Fourth Committee Member

Rebecca Bulotsky Shearer

Fifth Committee Member

Raymond R. Balise


Childhood sexual abuse (CSA) is a common trauma, but up to half of youth who demonstrate associated symptoms do not obtain treatment in a timely manner. Demographic variables have been examined to better understand service utilization patterns in CSA youth, but more complex factors (e.g., symptom profiles) remain relatively ignored. This study sought to understand the relationship between symptoms, commonly examined demographics, and service utilization in a large sample of CSA youth. Youth were ethnically and linguistically diverse, predominantly low-income, and referred for evaluation and treatment at a Child Advocacy Center. Latent profile analysis was used to create profiles of youth across broad symptom measures (e.g., posttraumatic stress, attentional, behavioral, depression, and anxiety symptoms). Analysis of (Co)Variance, Chi Square, and regression analyses examined the association between these profiles, demographic, and clinical factors with Trauma-Focused Cognitive Behavioral Therapy attendance, no-shows, and completion. Findings inform which CSA youth are at risk for dropping out of the service pipeline, the appropriateness of CSA youth for existing trauma-informed treatments, and other potential empirically-supported treatment matches.


childhood sexual abuse; trauma; TF-CBT; service utilization; child advocacy center

Available for download on Saturday, August 07, 2021