Abstract：
Traumatic events increase risk of mental illnesses, but childhood neglect prevalence in psychiatric disorders is understudied. This systematic review and meta-analysis assessed neglect prevalence, including emotional neglect (EN) and physical neglect (PN), among adults with psychiatric disorders. We conducted a systematic search and meta-analysis in 122 studies assessing different psychiatric disorders. Prevalence was 46.6% (95%CI[34.5-59.0]) for unspecified neglect (Ne), 43.1% (95%CI[39.0-47.4]) for EN, and 34.8% (95%CI[30.6-39.2]) for PN. Although a moderating effect of the psychiatric diagnostic category was not confirmed, some clinical diagnoses had significantly lower prevalence rates than others. Patients with bipolar disorder and major depressive disorder showed lower prevalence rates of EN and PN, whereas lower prevalence was found in psychotic disorders and eating disorders for PN only. Neglect assessment was a significant moderator for Ne and PN. No moderating effect of age and sex on neglect prevalence was found. Heterogeneity levels within and between psychiatric diagnostic categories remained high. This is the first meta-analysis examining diverse types of neglect prevalence considering different psychiatric diagnoses. Our results explore the prevalence of childhood neglect and its subtypes among adults with psychiatric disorders, contributing to understanding the nuanced interplay between neglect and specific psychiatric conditions, and guiding interventions for affected individuals.
摘要：
创伤事件会增加精神疾病的风险，但是对精神疾病中儿童忽视的患病率研究不足。这项系统评价和荟萃分析评估了忽视患病率，包括情感忽视(EN)和身体忽视(PN)，在患有精神疾病的成年人中。我们在122项评估不同精神疾病的研究中进行了系统的搜索和荟萃分析。未指明的忽视（Ne）的患病率为46.6％（95CI[34.5-59.0]），EN的43.1%(95CI[39.0-47.4])，PN为34.8%（95CI[30.6-39.2]）。尽管尚未确认精神病诊断类别的调节作用，一些临床诊断的患病率明显低于其他诊断.双相情感障碍和重度抑郁障碍患者的EN和PN患病率较低，而仅在PN的精神病和饮食失调中发现患病率较低。忽视评估是Ne和PN的重要调节因素。没有发现年龄和性别对忽视患病率的调节作用。精神病诊断类别内部和之间的异质性水平仍然很高。这是第一个考虑不同精神病诊断的不同类型的忽视患病率的荟萃分析。我们的结果探讨了患有精神疾病的成年人中儿童忽视的患病率及其亚型，有助于理解忽视和特定精神病之间的细微差别，并为受影响的个人提供指导干预措施。
