Document Type


Date of Degree

Spring 2011

Degree Name

PhD (Doctor of Philosophy)

Degree In

Social Work

First Advisor

Coohey, Carol A

First Committee Member

Bern-Klug, Mercedes

Second Committee Member

Sanders, Sara

Third Committee Member

Harvey, John

Fourth Committee Member

Liu, William

Fifth Committee Member

Baller, Robert D


Men who were sexually abused during childhood (MSAC) represent a highly stigmatized, marginalized population at risk for a variety of psychological problems across the lifespan. Little research has been conducted to understand why some MSAC incur mental health problems and others do not. The purpose of this study was to identify which factors are related to mental distress among MSAC using a psychosocial trauma processing model: account-making. Using a cross-sectional design, the researcher collected data on 487 MSAC through an online survey. Multivariate analyses revealed that four abuse severity factors (clergy abuser, force, penetration, injury), disclosure variables (told after one year, response to first disclosure, overall response to disclosure, in-depth discussion), account-making, and high conformity to masculine norms were related to higher levels of mental distress. Furthermore, posttraumatic growth moderated the relationship between abuse severity variables (force, penetration) and mental distress. This study strengthened the knowledge base of MSAC, further developed account-making theory, and provided useful recommendations for clinical practice with this population. Future research areas were identified.


Account-making, Child sexual abuse, Disclosure, Masculinity, Mental health, Posttraumatic growth


xi, 221 pages


Includes bibliographical references (pages 204-221).


Copyright 2011 Scott Douglas Easton