Mood as a mediator of the link between child sexual abuse and psychosis

The significance of affective changes in psychosis is increasingly acknowledged, as is the role of early traumatic events. In a previous paper, using data from the English Adult Psychiatric Morbidity Survey 2007 (APMS2007), strong associations between child sexual abuse (CSA) and psychosis were demo...

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Bibliographic Details
Published in:Social Psychiatry and Psychiatric Epidemiology 2015-04, Vol.50 (4), p.661-663
Main Authors: Marwaha, S., Bebbington, P.
Format: Article
Language:English
Subjects:
Adult
Adult Survivors of Child Abuse - psychology
Affect - physiology
Anxiety
Anxiety - psychology
Brief Report
Child
Child Abuse, Sexual - psychology
Child sexual abuse
Decomposition
Depression - psychology
Epidemiology
Humans
Interviews
Mediation
Medicine
Medicine & Public Health
Mental depression
Pedophilia
Psychiatry
Psychosis
Psychotic Disorders - psychology
Sex crimes
Sexual abuse
Sexual intercourse
Substance-Related Disorders - psychology
Surveys
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Summary:The significance of affective changes in psychosis is increasingly acknowledged, as is the role of early traumatic events. In a previous paper, using data from the English Adult Psychiatric Morbidity Survey 2007 (APMS2007), strong associations between child sexual abuse (CSA) and psychosis were demonstrated, with some evidence of mediation by affect. In the current paper, we subjected the same dataset to formal tests of mediation. For CSA involving sexual intercourse, 38.5 % of the link was mediated, 30.0 % by depression and 8.5 % by anxiety. For all forms of contact abuse, 38.2 % was mediated, 29.1 % by depression and 9.1 % by anxiety.
ISSN:0933-7954
1433-9285
DOI:10.1007/s00127-014-0966-1