The impact of childhood psychological maltreatment on mental health outcomes in adulthood: a protocol for a systematic review and meta-analysis.


Journal

Systematic reviews
ISSN: 2046-4053
Titre abrégé: Syst Rev
Pays: England
ID NLM: 101580575

Informations de publication

Date de publication:
12 08 2021
Historique:
received: 02 11 2020
accepted: 27 07 2021
entrez: 13 8 2021
pubmed: 14 8 2021
medline: 24 8 2021
Statut: epublish

Résumé

Research suggests that childhood psychological maltreatment (i.e., emotional abuse and emotional neglect) is associated with mental health problems that persist into adulthood, for example anxiety, depression, post-traumatic stress disorder (PTSD), suicidal ideation, and aggression; however, a systematic review and meta-analysis of the existing literature would help clarify the magnitude and moderators of these associations, and the extent to which they may be affected by publication bias, as well as the methodological strengths and weakness of studies in this area. The reporting of this protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) Statement. Searches will be carried out via several databases, including Web of Science, Medline, PubMed, PsycINFO, Applied Social Science Index and Abstract, ERIC and EMBASE. Empirical peer-reviewed research articles that fit pre-specified eligibility criteria will be included in the review. Studies will be eligible if they include participants age 18 or over at time of mental health assessment, include information on childhood psychological maltreatment (emotional abuse and/or neglect) perpetrated by a primary caregiver or adult in the same household, and provide quantitative information on the association between these factors. Studies using prospective and retrospective designs and written in either English or Chinese will be eligible. Two independent reviewers will screen and assess studies for inclusion in the review as well as extract the data, with consensus reached through discussion in cases of discrepancy. A third reviewer will be consulted to resolve any discrepancies that remain. The relevant Newcastle-Ottawa scales will be used for assessing the quality of studies. If a sufficient number of comparable studies are retrieved, a meta-analysis will be conducted using a random effects model. Study-level moderators (i.e., year of publication, quality of the study and study geographical location) will be examined in the meta-analyses. This systematic review will provide an understanding of the long-term effects of childhood psychological maltreatment on adult mental health, which adds to previous reviews focusing primarily on the effects of physical and sexual abuse. The results of the review will help inform clinical practice in approaches to treating those with a history of psychological maltreatment in childhood. The gaps and weaknesses in the evidence identified will also inform recommendations for future research.

Sections du résumé

BACKGROUND
Research suggests that childhood psychological maltreatment (i.e., emotional abuse and emotional neglect) is associated with mental health problems that persist into adulthood, for example anxiety, depression, post-traumatic stress disorder (PTSD), suicidal ideation, and aggression; however, a systematic review and meta-analysis of the existing literature would help clarify the magnitude and moderators of these associations, and the extent to which they may be affected by publication bias, as well as the methodological strengths and weakness of studies in this area.
METHOD
The reporting of this protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) Statement. Searches will be carried out via several databases, including Web of Science, Medline, PubMed, PsycINFO, Applied Social Science Index and Abstract, ERIC and EMBASE. Empirical peer-reviewed research articles that fit pre-specified eligibility criteria will be included in the review. Studies will be eligible if they include participants age 18 or over at time of mental health assessment, include information on childhood psychological maltreatment (emotional abuse and/or neglect) perpetrated by a primary caregiver or adult in the same household, and provide quantitative information on the association between these factors. Studies using prospective and retrospective designs and written in either English or Chinese will be eligible. Two independent reviewers will screen and assess studies for inclusion in the review as well as extract the data, with consensus reached through discussion in cases of discrepancy. A third reviewer will be consulted to resolve any discrepancies that remain. The relevant Newcastle-Ottawa scales will be used for assessing the quality of studies. If a sufficient number of comparable studies are retrieved, a meta-analysis will be conducted using a random effects model. Study-level moderators (i.e., year of publication, quality of the study and study geographical location) will be examined in the meta-analyses.
DISCUSSION
This systematic review will provide an understanding of the long-term effects of childhood psychological maltreatment on adult mental health, which adds to previous reviews focusing primarily on the effects of physical and sexual abuse. The results of the review will help inform clinical practice in approaches to treating those with a history of psychological maltreatment in childhood. The gaps and weaknesses in the evidence identified will also inform recommendations for future research.

Identifiants

pubmed: 34384485
doi: 10.1186/s13643-021-01777-4
pii: 10.1186/s13643-021-01777-4
pmc: PMC8359074
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

224

Informations de copyright

© 2021. The Author(s).

Références

Ann Intern Med. 2009 Aug 18;151(4):264-9, W64
pubmed: 19622511
Psychol Med. 2020 Jan;50(1):1-10
pubmed: 31663847
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
Child Care Health Dev. 2015 Sep;41(5):641-53
pubmed: 25733080
Lancet Public Health. 2017 Aug;2(8):e356-e366
pubmed: 29253477
PLoS One. 2015 May 18;10(5):e0123366
pubmed: 25993481
J Am Acad Child Adolesc Psychiatry. 1991 Mar;30(2):266-71
pubmed: 2016231
PLoS Med. 2012;9(11):e1001349
pubmed: 23209385
Arch Pediatr Adolesc Med. 2002 Aug;156(8):811-7
pubmed: 12144373

Auteurs

Zhuoni Xiao (Z)

Department of Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK. Z.Xiao-10@sms.ed.ac.uk.

Mina Murat Baldwin (MM)

Department of Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK.

Franziska Meinck (F)

School of Social and Political Science, University of Edinburgh, Edinburgh, UK.
Faculty of Health Sciences, North-West University, Vanderbijlpark, South Africa.

Ingrid Obsuth (I)

Clinical Psychology Department, University of Edinburgh, Edinburgh, UK.

Aja Louise Murray (AL)

Department of Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK.

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Classifications MeSH