未经授权:儿童虐待与心理健康问题有关,但这种关系在多大程度上是因果关系尚不清楚.为了加强因果推理,作者对准实验研究进行了系统评价和荟萃分析,研究了儿童虐待与心理健康问题之间的关系。
未经评估:搜索PubMed,PsycINFO,Embase进行了同行评审,从数据库开始到2022年1月1日的英语文章。如果他们使用准实验方法检查了儿童虐待与心理健康问题之间的关联(例如,双胞胎/兄弟姐妹差异设计,双胞胎设计的孩子,采用设计,固定效果设计,随机截距交叉滞后面板模型,自然实验,倾向得分匹配,或逆概率加权)。
未经授权:确定了34项准实验研究,由54,646名独立参与者组成。在对混杂进行准实验调整之前,儿童虐待与心理健康问题中度相关(Cohen\sd=0.56,95%CI=0.41,0.71).经过准实验调整后,儿童虐待和心理健康问题之间的小关联仍然存在(Cohen'sd=0.31,95%CI=0.24,0.37).儿童虐待与心理健康之间的这种调整后的关联在不同的准实验方法中是一致的,并在不同的精神疾病中广泛传播。
UNASSIGNED:这些发现与一个小的,儿童虐待对心理健康问题的因果贡献。此外,研究结果表明,遭受虐待的个体出现心理健康问题的总体风险的一部分是由于更广泛的遗传和环境风险因素。因此,预防儿童虐待和解决遭受虐待的个体中更广泛的精神风险因素可能有助于预防精神病理学。
Childhood maltreatment is associated with mental health problems, but the extent to which this relationship is causal remains unclear. To strengthen causal inference, the authors conducted a systematic review and meta-analysis of quasi-experimental studies examining the relationship between childhood maltreatment and mental health problems.
A search of PubMed, PsycINFO, and Embase was conducted for peer-reviewed, English-language articles from database inception until January 1, 2022. Studies were included if they examined the association between childhood maltreatment and mental health problems using a quasi-experimental method (e.g., twin/sibling differences design, children of twins design, adoption design, fixed-effects design, random-intercept cross-lagged panel model, natural experiment, propensity score matching, or inverse probability weighting).
Thirty-four quasi-experimental studies were identified, comprising 54,646 independent participants. Before quasi-experimental adjustment for confounding, childhood maltreatment was moderately associated with mental health problems (Cohen\'s d=0.56, 95% CI=0.41, 0.71). After quasi-experimental adjustment, a small association between childhood maltreatment and mental health problems remained (Cohen\'s d=0.31, 95% CI=0.24, 0.37). This adjusted association between childhood maltreatment and mental health was consistent across different quasi-experimental methods, and generalized across different psychiatric disorders.
These findings are consistent with a small, causal contribution of childhood maltreatment to mental health problems. Furthermore, the findings suggest that part of the overall risk of mental health problems in individuals exposed to maltreatment is due to wider genetic and environmental risk factors. Therefore, preventing childhood maltreatment and addressing wider psychiatric risk factors in individuals exposed to maltreatment could help to prevent psychopathology.