Evidence map›Paper›PMID 40914526›Full record

ArticleJournal of affective disorders2026

Do purpose in life and self-directedness mediate the effects of child abuse on anxiety and depression symptoms 18 years later?

Sarah Josephine Rajendra, Natalia Van Doren, Nur Hani Zainal

Abstract read
In one paragraph

Article in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

3 authors.

Sarah Josephine RajendraNational University of Singapore (NUS), Department of Psychology, Singapore.
Natalia Van DorenUniversity of California at San Francisco (UCSF), San Francisco, CA, USA.
Nur Hani ZainalNational University of Singapore (NUS), Department of Psychology, Singapore. Electronic address: hanizainal@nus.edu.sg.

Funding

Substance Use Disorders Treatment/Services Research Training ProgramT32DA007250 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre, Janice Y Tsoh · 1991 to 2026
$7.4M
NIDA NIH HHS T32 DA007250
6 · The paper itself

Abstract

backgroundChildhood maltreatment is a transdiagnostic risk factor that is robustly associated with the development of anxiety and depressive disorder symptoms in adulthood. This study thus aimed to investigate potential mediators between early childhood abuse and adult psychopathology severity using data from an 18-year longitudinal study among community-dwelling adults in the U.S. POPULATION:

methodRetrospective self-reports of maternal and paternal abuse from Wave 1 (W1) were used to predict symptom severity of Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD) at Wave 3 (W3) for a sample of 3,294 adults. Self-reported purpose in life and self-directedness measured at Wave 2 (W2) were examined as potential mediators of this relationship. Each assessment wave was spaced about nine years apart. All models adjusted for W1 symptom severity.

resultsResults from longitudinal structural equation modeling (SEM) revealed a significant mediating effect of lower W2 purpose in life in the relationship between higher W1 maternal and paternal child abuse and greater W3 GAD and MDD symptoms in adulthood (Cohen's d range = 0.221-0.279). Further, lower W2 self-directedness mediated the association between greater W1 paternal child abuse and higher W3 GAD severity (d = 0.209) but not between W1 maternal abuse and W3 GAD symptoms in adulthood. W2 self-directedness also did not mediate the effects of child abuse on adulthood MDD symptoms. DISCUSSION: Raising a sense of purpose in life and self-directedness might be key treatment targets to treat and prevent GAD and MDD in adults who experienced maltreatment in childhood.

Indexed as

Adult Survivors of Child AbuseAnxiety DisordersChild AbuseMajor Depressive DisorderAdultChildFemaleHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesSelf ReportChildhood maltreatmentGeneralized anxiety disorderMajor depressive disorderPurpose in lifeSelf-directednessStructural equation mediation modeling

Identifiers

PMID40914526
PMCPMC12994742

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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.