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Background: Childhood sexual abuse (CSA) is widely acknowledged as a significant factor associated with sexual offending in adulthood. However, its exact influence on the perpetration of sexual offenses remains uncertain. Objective: This study aimed to examine how CSA impacts emotional and cognitive functioning, including distorted beliefs and empathy toward victims. Participants and Setting: The study included 109 adult men who perpetrated CSA, divided into two groups: those with a history of CSA (n = 26) and those without (n = 83). Methods: Two one-way MANCOVA analyses were conducted to explore the impact of CSA on emotional aspects (such as depression, anxiety, aggression, and self-esteem) and cognitive functioning (cognitive distortions). Results: Findings indicated that individuals with a history of CSA exhibited more psychological symptoms, greater aggression, and lower self-esteem than those without such experiences. Additionally, they demonstrated more distorted beliefs related to sexual impulses. Conclusions: The study reveals that CSA indirectly contributes to sexual offending in adulthood by impairing self-esteem, fostering distorted beliefs, and increasing aggressive traits. These factors can hinder interpersonal relationships and heighten the risk of general recidivism. The findings emphasize the importance of early intervention, trauma-focused therapies, and targeted strategies to prevent the long-term psychological effects of CSA.