Victims of childhood sexual abuse are more likely to develop which of the following?

Victims of childhood sexual abuse often face significant adverse effects on their mental health, which is why the development of mental health problems is a well-documented outcome for this population. Research indicates that such individuals are at a higher risk for a variety of mental health issues, including depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse disorders. The traumatic impact of childhood sexual abuse can lead to long-lasting psychological scars that manifest in various ways throughout an individual's life. These mental health problems can stem from the trauma experienced, as well as difficulties in processing and coping with the associated emotions and memories, leading to impaired functioning in personal and social domains.

In contrast, developing healthy relationships, physical strength, or improved coping skills is not typically a direct outcome for those who have experienced childhood sexual abuse. While some individuals may eventually learn to cope effectively or build strong relationships, the immediate psychological implications of such trauma usually lean toward the development of mental health challenges rather than the more positive outcomes noted in the other options.