Evidence map›Paper›PMID 31565755›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

From surviving to thriving: factors associated with complete mental health among childhood sexual abuse survivors.

Esme Fuller-Thomson, Ashley Lacombe-Duncan, Deborah Goodman, Barbara Fallon, Sarah Brennenstuhl

Abstract read
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 37 citations in OpenAlex.

  1. Flourishing in Early Adulthood Among Victimized Children: A Longitudinal Cohort Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Esme Fuller-ThomsonFactor-Inwentash Faculty of Social Work, Faculty of Medicine, University of Toronto, 246 Bloor St. W., Toronto, ON, M5S 1V4, Canada. esme.fuller.thomson@utoronto.ca.
Ashley Lacombe-DuncanSchool of Social Work, University of Michigan, 1080 S. University Avenue, Ann Arbor, MI, 48105, USA.
Deborah GoodmanChild Welfare Institute, Children's Aid Society of Toronto, 30 Isabella Street, Toronto, ON, M4Y 1N1, Canada.
Barbara FallonFactor-Inwentash Faculty of Social Work, Faculty of Medicine, University of Toronto, 246 Bloor St. W., Toronto, ON, M5S 1V4, Canada.
Sarah BrennenstuhlLawrence Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada.
University of Toronto · CAChildren's Aid Society · CAUniversity of Michigan–Ann Arbor · US

Funding

Social Sciences and Humanities Research Council 435-2016-0660
6 · The paper itself

Abstract

backgroundDespite many negative health and social consequences of childhood sexual abuse (CSA), some of those with a history of adversity manage to thrive in adulthood and achieve complete mental health (CMH). CMH is defined as the absence of mental illness in combination with almost daily happiness and/or life satisfaction, as well as high levels of social and psychological well-being. The objectives of this study were (1) to identify the pathways linking CSA to CMH in adulthood and (2) to estimate the magnitude of risk and protective factors associated with CMH among those exposed to CSA.

methodsA sample of 17,014 respondents aged 20 years and older from the 2012 Canadian Community Health Survey-Mental Health was selected including 651 with a history of CSA. Path analysis was used to estimate indirect and direct pathways between CSA, a priori hypothesized risk and protective factors, and CMH. Multivariable logistic regression was then used to investigate the magnitude of effects of the same risk and protective factors on CMH among CSA survivors.

resultsAfter controlling for age, sex, race, education, and marital status, the association between CSA and CMH was mediated by lifetime depression, anxiety, substance abuse, chronic pain, and having a confidant. The strongest predictor of past-year CMH among those with a history of CSA was lifetime depression (OR 0.12, 95% CI 0.07-0.20) followed by having a confidant (OR 6.78, 95% CI 1.89-24.38). The odds of CMH was decreased by over three times among those with a history of substance misuse, and halved for those with lifetime anxiety and/or presence of pain.

conclusionsThese findings suggest that CMH among survivors of CSA is related to social and emotional factors such as social support and lifetime history of mental health conditions. Future research should investigate the effectiveness of multilevel interventions for promoting recovery among CSA survivors.

Indexed as

AdultAdult Survivors of Child AbuseAgedAnxietyCanadaDepressionFemaleHealth SurveysHumansLogistic ModelsMaleMiddle AgedSex OffensesSocial SupportSubstance-Related DisordersSurveys and QuestionnairesAdverse childhood experiencesChildhood maltreatmentChildhood sexual abusePositive psychology

Identifiers

PMID31565755
OpenAlexW2976933355

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.