Child maltreatment and depression: A meta-analysis of studies using the Childhood Trauma Questionnaire
Child maltreatment and depression: A meta-analysis of studies using the Childhood Trauma Questionnaire
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DOI：
10.1016/j.chiabu.2020.104361
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发表时间：
2020-04-01
影响因子：
4.8
通讯作者：
Gotlib, Ian H.
中科院分区：
文献类型：
--
作者：
Humphreys, Kathryn L.;LeMoult, Joelle;Gotlib, Ian H.
背景：研究人员已经证明，儿童虐待与心理健康的长期不良后果有关，包括增加患抑郁症的风险。然而，试图对不同形式的儿童虐待与成年期抑郁症状之间的关系进行荟萃分析，受到文献中儿童虐待定义的广泛限制。目的：我们试图meta分析一个单一的，广泛使用的维度测量儿童虐待，儿童创伤问卷，关于抑郁症诊断和症状评分。参与者和环境：192个独特的样本，包括68,830个人。方法：我们采用随机效应荟萃分析，探讨了儿童虐待（即情感虐待、身体虐待、性虐待、情感忽视和身体忽视）和抑郁症的总分与得分之间的关系。结果：我们发现较高的儿童虐待评分与抑郁症的诊断相关（g = 1.07; 95% CI, 0.95-1.19），与较高的抑郁症状评分相关（Z = 0.35; 95% CI, 0.32 - 0.38）。此外，尽管每种类型的儿童虐待都与抑郁症的诊断和得分呈正相关，但影响的大小存在差异，其中情感虐待和情感忽视表现出最强的关联。结论：这些分析为儿童虐待与抑郁症之间的联系提供了重要的证据，并强调了儿童时期情感虐待与抑郁症之间特别大的联系。
Background: Researchers have documented that child maltreatment is associated with adverse long-term consequences for mental health, including increased risk for depression. Attempts to conduct meta-analyses of the association between different forms of child maltreatment and depressive symptomatology in adulthood, however, have been limited by the wide range of definitions of child maltreatment in the literature.Objective: We sought to meta-analyze a single, widely-used dimensional measure of child maltreatment, the Childhood Trauma Questionnaire, with respect to depression diagnosis and symptom scores.Participants and setting: 192 unique samples consisting of 68,830 individuals.Methods: We explored the association between total scores and scores from specific forms of child maltreatment (i.e., emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect) and depression using a random-effects meta-analysis.Results: We found that higher child maltreatment scores were associated with a diagnosis of depression (g = 1.07; 95 % CI, 0.95-1.19) and with higher depression symptom scores (Z = .35; 95 % CI, .32-.38). Moreover, although each type of child maltreatment was positively associated with depression diagnosis and scores, there was variability in the size of the effects, with emotional abuse and emotional neglect demonstrating the strongest associations.Conclusions: These analyses provide important evidence of the link between child maltreatment and depression, and highlight the particularly larger association with emotional maltreatment in childhood.