{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:19:32Z","timestamp":1791091172462,"version":"4.1.0"},"reference-count":53,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T00:00:00Z","timestamp":1247097600000},"content-version":"unspecified","delay-in-days":5303,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:title>Synopsis<\/jats:title><jats:p>The psychological outcome for a random community sample of women who had experienced significant childhood sexual abuse was assessed, using two outcome measures: (<jats:italic>i<\/jats:italic>) psychiatric morbidity (measured with the short PSE); (<jats:italic>ii<\/jats:italic>) self-esteem. Sexual abused women with a good outcome, i.e. who were not a PSE \u2018case\u2019 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.<\/jats:p><jats:p>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\u2013father and parent\u2013child 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.<\/jats:p><jats:p>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.<\/jats:p><jats:p>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.<\/jats:p>","DOI":"10.1017\/s0033291700028154","type":"journal-article","created":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T13:56:37Z","timestamp":1247147797000},"page":"127-142","source":"Crossref","is-referenced-by-count":99,"title":["Factors that mediate between child sexual abuse and adult psychological outcome"],"prefix":"10.1017","volume":"25","author":[{"given":"S. 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