One-third of the women had been victims of rape, molestation, or sexual assault that did not involve physical contact prior to the age of 18. Child rape victims were more likely than nonvictims to have ever met DSM-III diagnostic criteria for a major depressive episode, agoraphobia, obsessive-compulsive disorder, social phobia, and sexual disorders. Molestation victims were overrepresented on major depressive episode, obsessive-compulsive disorder, and sexual disorders. Noncontact child sexual assault was not a significant risk factor for any disorder. Child rape and molestation victims were more likely than victims of noncontact assault to have had crime-related posttraumatic stress disorder. Mental disorder lifetime prevalence risk ratios for child rape and molestation victims compared to nonvictims ranged from 1.5 for major depressive episode to 6.7 for obsessive-compulsive disorder. 4 tables and 34 references