The Brief Symptom Inventory, which has 53 items, was used to measure current levels of psychological distress. These results were used to produce the Global Severity Index. Scales were also developed to measure stigma, betrayal, powerlessness, and self-blame. A path analysis revealed that the level of current psychological distress in these women was mediated by feelings of stigma and self- blame. Results provide partial support for Finkelhor and Browne's traumagenic dynamics model of child sexual abuse. Despite the limitations of the retrospective methodology, the large sample size and other factors add some confidence to the findings. Findings indicate the need for strategies to address the factors that mediate the impact of childhood sexual abuse. Further research needs to explore the possible target factors. Figure, tables, and 21 references. (Author abstract modified)