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A growing body of research suggests that childhood neglect is associated with several negative repercussions in adulthood such as low self-esteem. However, we know little about howvictims navigate their sexuality. Methods: We explored associations between childhood neglect, identity impairment and sexual disturbances in adulthood, and examined the mediating role of identity difficulties in the relationship between childhood neglect and sexual disturbances. Results: Path analyses revealed that childhood neglect was associated with more identity impairment, which in turn, was associated with greater sexual disturbances. Conclusions: Results highlight the relevance of addressing identity difficulties in people who experienced childhood neglect and are struggling with sexual difficulties.