Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 4/2015

Open Access 01-04-2015 | Brief Report

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

Authors: S. Marwaha, P. Bebbington

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2015

Login to get access

Abstract

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.
Literature
1.
go back to reference Freeman D, McManus S, Brugha T, Meltzer H, Jenkins R, Bebbington P (2011) Concomitants of paranoia in the general population. Psychol Med 41:923–936CrossRefPubMed Freeman D, McManus S, Brugha T, Meltzer H, Jenkins R, Bebbington P (2011) Concomitants of paranoia in the general population. Psychol Med 41:923–936CrossRefPubMed
2.
go back to reference Varghese D, Scott J, Welham J, Bor W, Najman J, O’Callaghan M, Williams G, McGrath J (2011) Psychotic-like experiences in major depression and anxiety disorders: a population-based survey in young adults. Schizophr Bull 37:389–393CrossRefPubMedCentralPubMed Varghese D, Scott J, Welham J, Bor W, Najman J, O’Callaghan M, Williams G, McGrath J (2011) Psychotic-like experiences in major depression and anxiety disorders: a population-based survey in young adults. Schizophr Bull 37:389–393CrossRefPubMedCentralPubMed
3.
go back to reference Marwaha S, Broome M, Bebbington P, Kuipers E, Freeman D (2014) Mood instability and psychosis: analyses of British national survey data. Schizophr Bull 40:269–277CrossRefPubMedCentralPubMed Marwaha S, Broome M, Bebbington P, Kuipers E, Freeman D (2014) Mood instability and psychosis: analyses of British national survey data. Schizophr Bull 40:269–277CrossRefPubMedCentralPubMed
4.
go back to reference Jonas S, Bebbington PE, McManus S, Meltzer H, Jenkins R, Kuipers E, Cooper C, King M, Brugha T (2011) Sexual abuse and psychiatric disorder in England: results from the 2007 Adult Psychiatric Morbidity Survey. Psychol Med 41:709–720CrossRefPubMed Jonas S, Bebbington PE, McManus S, Meltzer H, Jenkins R, Kuipers E, Cooper C, King M, Brugha T (2011) Sexual abuse and psychiatric disorder in England: results from the 2007 Adult Psychiatric Morbidity Survey. Psychol Med 41:709–720CrossRefPubMed
5.
go back to reference Bebbington PE, Jonas S, Kuipers E, King M, Cooper C, Brugha T, Meltzer H, McManus S, Jenkins R (2011) Sexual abuse and psychosis: data from an English National Survey. Br J Psychiatry 199:29–37CrossRefPubMed Bebbington PE, Jonas S, Kuipers E, King M, Cooper C, Brugha T, Meltzer H, McManus S, Jenkins R (2011) Sexual abuse and psychosis: data from an English National Survey. Br J Psychiatry 199:29–37CrossRefPubMed
6.
go back to reference Bebbington PE, Jonas S, Brugha T, Meltzer H, Jenkins R, Cooper C, King M, McManus S (2011) Child sexual abuse reported by an English national sample: characteristics and demography. Soc Psychiatry Psychiatr Epidemiol 46:255–262CrossRefPubMed Bebbington PE, Jonas S, Brugha T, Meltzer H, Jenkins R, Cooper C, King M, McManus S (2011) Child sexual abuse reported by an English national sample: characteristics and demography. Soc Psychiatry Psychiatr Epidemiol 46:255–262CrossRefPubMed
8.
go back to reference World Health Organization (1992) SCAN: schedules for clinical assessment in neuropsychiatry. WHO, Geneva World Health Organization (1992) SCAN: schedules for clinical assessment in neuropsychiatry. WHO, Geneva
9.
go back to reference Lewis G, Pelosi AJ, Araya R, Dunn G (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med 22:465–486CrossRefPubMed Lewis G, Pelosi AJ, Araya R, Dunn G (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med 22:465–486CrossRefPubMed
10.
go back to reference Bebbington PE, Nayani T (1995) The psychosis screening questionnaire. Int J Methods Psychiatr Res 5:11–20 Bebbington PE, Nayani T (1995) The psychosis screening questionnaire. Int J Methods Psychiatr Res 5:11–20
11.
go back to reference Breen R, Karlson KB, Holm A (2013) Total, direct, and indirect effects in logit and probit models. Sociol Methods Res 42:164–191CrossRef Breen R, Karlson KB, Holm A (2013) Total, direct, and indirect effects in logit and probit models. Sociol Methods Res 42:164–191CrossRef
12.
go back to reference Sobel ME (1982) Asymptotic confidence intervals for indirect effects in structural equation models. In: Leinhardt S (ed) Sociological methodology. American Sociological Association, Washington DC, pp 290–312 Sobel ME (1982) Asymptotic confidence intervals for indirect effects in structural equation models. In: Leinhardt S (ed) Sociological methodology. American Sociological Association, Washington DC, pp 290–312
13.
go back to reference Fisher HL, Appiah-Kusi E, Grant C (2012) Anxiety and negative self-schemas mediate the association between childhood maltreatment and paranoia. Psychiatry Res 196:323–324CrossRefPubMed Fisher HL, Appiah-Kusi E, Grant C (2012) Anxiety and negative self-schemas mediate the association between childhood maltreatment and paranoia. Psychiatry Res 196:323–324CrossRefPubMed
14.
go back to reference Fisher HL, Schreier A, Zammit S, Maughan B, Munafò MR, Lewis G, Wolke D (2013) Pathways between childhood victimization and psychosis-like symptoms in the ALSPAC birth cohort. Schizophr Bull 39:1045–1055CrossRefPubMedCentralPubMed Fisher HL, Schreier A, Zammit S, Maughan B, Munafò MR, Lewis G, Wolke D (2013) Pathways between childhood victimization and psychosis-like symptoms in the ALSPAC birth cohort. Schizophr Bull 39:1045–1055CrossRefPubMedCentralPubMed
15.
go back to reference Sitko K, Bentall RP, Shevlin M, O’Sullivan N, Sellwood W (2014) Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles: an analysis of the National Comorbidity Survey. Psychiatry Res 30(217):202–209CrossRef Sitko K, Bentall RP, Shevlin M, O’Sullivan N, Sellwood W (2014) Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles: an analysis of the National Comorbidity Survey. Psychiatry Res 30(217):202–209CrossRef
16.
go back to reference van Nierop M, van Os J, Gunther N, van Zelst C, de Graaf R, ten Have M, van Dorsselaer S, Bak M, Myin-Germeys I, van Winkel R (2014) Does social defeat mediate the association between childhood trauma and psychosis? Evidence from the NEMESIS-2 Study. Acta Psychiatr Scand 129:467–476CrossRefPubMed van Nierop M, van Os J, Gunther N, van Zelst C, de Graaf R, ten Have M, van Dorsselaer S, Bak M, Myin-Germeys I, van Winkel R (2014) Does social defeat mediate the association between childhood trauma and psychosis? Evidence from the NEMESIS-2 Study. Acta Psychiatr Scand 129:467–476CrossRefPubMed
Metadata
Title
Mood as a mediator of the link between child sexual abuse and psychosis
Authors
S. Marwaha
P. Bebbington
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 4/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0966-1

Other articles of this Issue 4/2015

Social Psychiatry and Psychiatric Epidemiology 4/2015 Go to the issue