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pubmed-article:7792348pubmed:dateCreated1995-7-24lld:pubmed
pubmed-article:7792348pubmed:abstractTextThe psychological outcome for a random community sample of women who had experienced significant childhood sexual abuse was assessed, using two outcome measures: (i) psychiatric morbidity (measured with the short PSE); (ii) self-esteem. Sexual abused women with a good outcome, i.e. who were not a PSE 'case' or who had high self-esteem were compared with abused women with a poor outcome. This paper describes the post-abuse factors that modified the two outcomes. In general, a range of variables, all correlated with each other in a complex manner, distinguished good outcome subjects from poor outcome subjects. Post-abuse adolescent variables included family factors (poor mother-father and parent-child relationships), high school factors (poor academic, sporting and social performance) and early pregnancy. Women who had a good adolescent relationship with their father did better than expected statistically. Sport emerged as an alternative at secondary school to academic achievement in catalysing a good psychological outcome. Adult factors included the quality of relationship with partner, which was associated with a good outcome on both measures. Current paid employment was linked to high self-esteem but not to lowered psychiatric morbidity, while the converse applied for high socio-economic status. These findings imply that different processes operate for each outcome measure. A clear recognition by the school of childhood sexual abuse may help to provide the opportunity for the girl to experience success in some arena; this in turn may protect her against the likely adult consequences of low self-esteem and increased psychiatric morbidity.lld:pubmed
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pubmed-article:7792348pubmed:authorpubmed-author:MartinJ LJLlld:pubmed
pubmed-article:7792348pubmed:authorpubmed-author:AndersonJ CJClld:pubmed
pubmed-article:7792348pubmed:authorpubmed-author:MullenP EPElld:pubmed
pubmed-article:7792348pubmed:authorpubmed-author:RomansS ESElld:pubmed
pubmed-article:7792348pubmed:authorpubmed-author:O'SheaM LMLlld:pubmed
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pubmed-article:7792348pubmed:volume25lld:pubmed
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pubmed-article:7792348pubmed:pagination127-42lld:pubmed
pubmed-article:7792348pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:7792348pubmed:year1995lld:pubmed
pubmed-article:7792348pubmed:articleTitleFactors that mediate between child sexual abuse and adult psychological outcome.lld:pubmed
pubmed-article:7792348pubmed:affiliationDepartment of Psychological Medicine, Otago Medical School, Dunedin, New Zealand.lld:pubmed
pubmed-article:7792348pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:7792348pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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