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

S Marwaha, P Bebbington

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)661-663
Number of pages3
JournalSocial Psychiatry and Psychiatric Epidemiology
Issue number4
Early online date12 Oct 2014
Publication statusPublished - Apr 2015


  • Adult
  • Adult Survivors of Child Abuse/psychology
  • Affect/physiology
  • Anxiety/psychology
  • Child
  • Child Abuse, Sexual/psychology
  • Depression/psychology
  • Humans
  • Psychotic Disorders/psychology
  • Substance-Related Disorders/psychology


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