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Population-Based Estimates of Associations Between Child Maltreatment Types: A Meta-Analysis
Trauma, Violence, & Abuse ( IF 6.595 ) Pub Date : 2021-07-19 , DOI: 10.1177/15248380211030502
Maya Matsumoto 1, 2 , Hannah A Piersiak 1 , Mia C Letterie 1, 3 , Kathryn L Humphreys 1
Affiliation  

Although it is accepted that experiences of child maltreatment are multidimensional and often include several correlated but distinct experiences, many clinical and research decisions regarding exposure and treatment do not consider their potential overlap or potential independence. The purpose of this meta-analysis—using a single retrospective self-report measure, the Childhood Trauma Questionnaire (CTQ), in population-representative samples—was to investigate the magnitude and specificity of associations between forms of child maltreatment. A systematic review of studies available on PubMed, PsycINFO, and Google Scholar was conducted, resulting in the inclusion of nine journal articles, 11 independent samples, and 25,415 participants. Data were converted from Pearson correlations to Z statistics and pooled using a random effects model. All maltreatment types were positively and significantly associated. Effect sizes varied from medium to large, with (1) physical abuse and emotional abuse (Z = 0.72, 95% CI [.48, .96]), (2) physical neglect and emotional neglect (Z = 0.62, 95% CI [.43, .81]), and (3) emotional abuse and emotional neglect (Z = 0.54, 95% CI [.35, .72]) demonstrating the strongest associations. These analyses provide evidence of the associations between types of child maltreatment, indicate the likelihood of shared risk, and point to characteristics that may link different types of maltreatment. These findings have important clinical implications as they may help guide comprehensive screening for associated maltreatment types as well as intervention and prevention efforts. Limitations include the relatively few studies included and those associated with the CTQ—a retrospective, self-report measure that does not account for the concurrence of experiences.



中文翻译:

基于人口的儿童虐待类型之间关联的估计:荟萃分析

尽管人们普遍认为虐待儿童的经历是多方面的,并且通常包括几个相关但不同的经历,但许多关于暴露和治疗的临床和研究决策并未考虑它们的潜在重叠或潜在独立性。这项荟萃分析的目的是在具有代表性的样本中使用单一的回顾性自我报告测量,即童年创伤问卷 (CTQ),以调查各种形式的儿童虐待之间关联的程度和特异性。对 PubMed、PsycINFO 和 Google Scholar 上可用的研究进行了系统审查,最终纳入了 9 篇期刊文章、11 个独立样本和 25,415 名参与者。数据从 Pearson 相关系数转换为Z使用随机效应模型进行统计和汇总。所有虐待类型都呈正相关且显着相关。影响大小从中到大不等,其中 (1) 身体虐待和情感虐待 ( Z = 0.72, 95% CI [.48, .96]),(2) 身体忽视和情感忽视 ( Z = 0.62, 95% CI [.43, .81]), (3) 情感虐待和情感忽视 ( Z= 0.54, 95% CI [.35, .72]) 证明最强的关联。这些分析提供了儿童虐待类型之间关联的证据,指出了共同风险的可能性,并指出了可能将不同类型的虐待联系起来的特征。这些发现具有重要的临床意义,因为它们可能有助于指导对相关虐待类型的全面筛查以及干预和预防工作。局限性包括纳入的研究相对较少以及与 CTQ 相关的研究——CTQ 是一种回顾性、自我报告的测量方法,不考虑经验的同步性。

更新日期:2021-07-19
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