儿童期受虐经历与抑郁的元分析  

Childhood maltreatment and depression:A Meta-Analysis

作　　者：于增艳[1] 赵阿勐[1] 刘爱书[2] YU Zengyan ZHAO Ameng LIU Aishu(College of Mental Health, Qiqihar Medical University, Qiqihar 161006, China College of Educational Science, Harbin Normal University, Harbin 150025, China)

机构地区：[1]齐齐哈尔医学院精神卫生学院,黑龙江齐齐哈尔161006 [2]哈尔滨师范大学教育科学学院,哈尔滨150025

出　　处：《心理学报》2017年第1期40-49,共10页Acta Psychologica Sinica

基　　金：黑龙江省教育厅人文社会科学项目(项目号:12542341)

摘　　要：本研究采用元分析技术探讨儿童期虐待亚类型与抑郁的关系。通过文献搜索与检查获得了31项研究和92个独立效应量,共包含24283名被试。元分析表明儿童期虐待亚类型(心理虐待与忽视、性虐待、身体虐待与忽视)对抑郁障碍存在不同程度的影响,其中心理虐待与忽视影响程度最高;另外,被试的年龄、性别可以调节儿童期虐待与抑郁的关系。这些结果表明了在预防和治疗儿童期不良经历对抑郁影响时,尤其要关注心理虐待与忽视的消极影响,且应给予青少年群体、女性更多的关注和保护。Childhood maltreatment is closely correlated with depression but only a few studies have examined the specific effects of various types of childhood abuse on depression. Moreover, the comparability of previous research is seriously limited because a high level of heterogeneity can be observed across the published st udies. This meta-analysis was to estimate the association between depression and different types of childhood maltreatment（psychological abuse and neglect, sexual abuse, physical abuse and neglect）. A systematic review was conducted to study the relations hip between subtype of childhood maltreatment and depression. A total of 92 independent effect sizes（31 studies, 24283 participants） were found within the criteria of the meta-analysis. After coding the data, independent effect sizes were analyzed by CMA 3.0 program. Odd ratios and 95 % CI of effect sizes were calculated by using random-effects model. Four items including heterogeneity test, publication bias test, main effects analysis and moderation effect were analyzed. There was a significant heterogeneity in 92 independent effect sizes in heterogeneity, and the random-effects model was an appropriate model for subsequent meta-analyses. The impact of publication bias was modest and the major finding still remained valid. The research revealed a robust a ssociation between childhood maltreatment and depression（OR = 2.84, 95% CI：2.45 – 3.29）. In addition, the meta-analyses for each type of maltreatment revealed that psychological abuse（OR = 3.58, 95%CI 2.8 7 – 4.48） and emotional neglect（OR = 3.24, 95%CI 2.43 – 4.32） were most strongly associated with the outcome of depression. The analysis revealed that the participant＇s age and sex could affect the relationship between childhood maltreatment and depression. This meta-analysis addressed the different effects of sub-types for childhood maltreatment on depression. The findings implied that childhood maltreatment was a genuine risk factor for depression, especially highli

关 键 词：儿童期虐待 亚类型 抑郁 元分析 

分 类 号：R395[哲学宗教—心理学]