Despite the numerous adverse consequences of exposure to parental domestic violence (PDV), some of those with a history of PDV thrive in adulthood and achieve complete mental health (CMH). This study investigates whether lifetime history of mental illness (depression, anxiety, substance use disorder) and social support (social provision scale) mediate the relationship between exposure to PDV and CMH in adulthood. A sample of 17,739 respondents from the 2012 Canadian Community Health Survey-Mental Health including 326 with a history of chronic PDV (> 10 times before age 16). CMH was defined as: 1) the absence of mental illness and substance dependence; 2) happiness or life satisfaction; and 3) psychological and social well-being. Path analyses were used to test the objective. Those exposed to PDV had a significantly lower prevalence of CMH compared to the general population (62.5% vs 76.1%, p < .001). Evidence of mediation was found for depression (indirect effect = -.19; 95%CI = -.30, -.09, p = .002), anxiety (indirect effect = -.12; 95%CI = -.20, -.05, p = .005), substance use disorder (indirect effect = -.04; 95%CI = -0.07, -.01, p = .016) and social provisions (indirect effect = -.13; 95%CI = -.19, -.07, p < .001). Among those with a history of PDV the odds of CMH were lower among those with lower social support and those with a history of substance use disorder or anxiety. It is important to consider mediators, such as mental health and social support, when addressing the negative outcomes of witnessing PDV.

尽管暴露于父母家庭暴力 (PDV) 会产生许多不良后果，但一些有 PDV 病史的人在成年后茁壮成长并实现了完全的心理健康 (CMH)。本研究调查精神疾病（抑郁、焦虑、物质使用障碍）和社会支持（社会供应量表）的终生病史是否在成年期接触 PDV 和 CMH 之间起中介作用。来自 2012 年加拿大社区健康调查 - 心理健康的 17,739 名受访者的样本，其中 326 名有慢性 PDV 病史（16 岁前> 10 次）。CMH 被定义为：1）没有精神疾病和物质依赖；2）幸福或生活满意度；3) 心理和社会福祉。路径分析用于测试目标。p  < .001)。抑郁症（间接影响 = -.19；95%CI = -.30，-.09，p  = .002）、焦虑（间接影响 = -.12；95%CI = -.20， -.05，p  = .005），物质使用障碍（间接影响 = -.04；95%CI = -0.07，-.01，p  = .016）和社会保障（间接影响 = -.13；95% CI = -.19, -.07, p < .001)。在那些有 PDV 病史的人中，那些社会支持较低的人和有物质使用障碍或焦虑病史的人患 CMH 的几率较低。在解决见证 PDV 的负面结果时，考虑调解因素很重要，例如心理健康和社会支持。