This study examined the relationship between caregivers' difficulties with emotion regulation and trauma symptoms in youth who experienced newly discovered cases of sexual abuse. The study found that caregivers' negative affect was associated with higher levels of child-reported depression and PTSD symptoms. Caregivers' non-acceptance of negative emotion was linked to lower youth-reported anger but higher caregiver-reported internalizing, externalizing, and PTSD symptoms in youth. The results suggest that caregivers' tolerance of their own and their children's distress about the abuse may impact youth adjustment, and could be a focus of intervention.