The present study examined whether a history of childhood sexual abuse would be related to attachment to mother, to father, and to friends, mattering to parents and to friends, and coping behaviors. In addition, whether use of force, duration of abuse, and severity of abuse were related to perceived negative impact of childhood sexual abuse was examined. Gender differences among survivors were also investigated. Specifically, from the initial sample of 258 young adults, 186 who met the age requirement were included in the tests of the hypotheses. All participants were between the ages of 18 and 25. Compared to those with no history of childhood sexual abuse (n = 109), survivors (n = 77) reported lower attachment to father and less mattering to parents. There were no differences in attachment and mattering to friends or in emotion-focused and problem-focused coping. When gender differences were examined among survivors, females reported greater use of problem-focused coping and perceiving their childhood sexual abuse experiences as more negative than did the male survivors. There were no differences among male and female survivors of childhood sexual abuse on emotion-focused coping. Force and severity, but not duration, were linked to more negative perceptions of the childhood sexual abuse. Attachment to mother emerged as a key variable in that attachment to mother was positively related to attachment to friends, mattering to friends, and the use of problem-focused coping. Stronger attachment to mother and attachment to father, but not a history of childhood sexual abuse, were related to more perceived mattering to parents. These results highlight the importance of attachment to caregivers in developing peer attachment and a sense of mattering to friends, problem-focused coping skills, and perceiving childhood sexual abuse as having a less negative impact on their lives. Clinical and research implications and suggestions for future directions are discussed.

Spirituality has been studied in relation to psychological factors in health for the past decade and has been found to promote positive affect while possibly benefiting health. However, multiple dimensions of spirituality need to be examined systematically before much can be concluded regarding the influence of spirituality on health. One purpose of this study was to test the validity of the four factors of the Psychomatrix Spirituality Inventory (PSI) developed by Wolman using confirmatory factor analysis (CFA): divinity, mindfulness, extrasensory perception, and intellectuality. In addition, the moderation effects of these factors on stress, assessed by cortisol levels, and on perceived cold symptoms induced by a bogus cold viral challenge were investigated among 100 participants as part of a larger study conducted by Nemeroff to identify psychological factors related to perceived cold susceptibility under a bogus viral challenge paradigm. The analysis of CFA among 265 participants indicated that the four-factor Pyscholmatrix Spirituality model did not provide a good fit to the data collected by Nemeroff. The shared variances among factors could be the explanation for failure to confirm these four factors. Women developed more cold symptoms than did men post bogus exposure. Mindfulness and extrasensory perception factors buffered the adverse effects of stress on cold symptoms. A three-way-interaction among gender, stress, and mindfulness indicated that the buffering effects of mindfulness on stress and cold symptoms were stronger for women than for men, and the effects were stronger when the stress levels increased. A three-way-interaction was also found among gender, stress, and extrasensory perception, with the moderation effects of extrasensory perception on stress and cold symptoms stronger for women than for men, and these effects becoming stronger as stress levels elevated. This study is an important step for understanding the relationships among gender, spiritual factors and cortisol levels under laboratory-induced stress. These results have implications for developing preventions or interventions that incorporate mindfulness practices and take extrasensory perception beliefs into consideration for stress reduction and health promotion.