It is essential to examine child sexual abuse (CSA) and depression from a developmental perspective. Two meta‐analyses were conducted to examine the relationship between CSA and depression pertaining to the age at onset. English and Chinese databases were searched for articles on the association between CSA and depression that were published before December 2016. Random effect models were used in the meta‐analyses (35 studies with 37 effect sizes altogether). The result of the first analysis showed that CSA experiences were related to an earlier onset of depression among adult patients with depression with a moderate effect size. This relationship was found to be robust as it was not influenced by any of the moderators except for gender composition of the sample, and no publication bias was detected. The second analysis showed that CSA at a younger age was significantly related to a higher risk for depression in studies with female, adult or clinical/community samples, or where CSA onset was measured as a continuous age variable. The mixed findings between the age at CSA onset and depression caution against the use of a simple linear model.

中文翻译：

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儿童性虐待与抑郁之间关系的发展视角：系统和荟萃分析

从发展的角度检查儿童性虐待和抑郁症至关重要。进行了两项荟萃分析，以检查CSA与抑郁症发病年龄之间的关系。检索英语和中文数据库，以查找2016年12月之前发表的有关CSA与抑郁症之间关系的文章。在荟萃分析中使用了随机效应模型（35项研究，共37项效应量）。首次分析的结果表明，CSA的经历与成年抑郁症患者的抑郁发作较早有关，且影响程度中等。该关系被发现是稳健的，因为除了样本的性别组成，它不受任何主持人的影响，并且未检测到出版偏倚。第二项分析表明，在女性，成人或临床/社区样本的研究中，或将CSA发作作为连续年龄变量进行测量的研究中，年龄较小的CSA与抑郁风险较高显着相关。CSA发病年龄与抑郁症之间的混杂结果提示，不要使用简单的线性模型。