Childhood maltreatment and non-suicidal self-injury in adolescent population: A systematic review and meta-analysis

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2024-09-26 DOI:10.1016/j.chiabu.2024.107048

Natalia Calvo , Jorge Lugo-Marín , Monterrat Oriol , Citlalli Pérez-Galbarro , Damià Restoy , Josep-Antoni Ramos-Quiroga , Marc Ferrer

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引用次数: 0

Abstract

Background

Non-suicidal self-injury (NSSI) is highly prevalent among adolescents. However, knowledge about the possible factors that might precede and influence its development remains scarce.

Objective

Our goal is to examine the impact of adverse childhood events, and more specifically of different types of childhood maltreatment (CM) in adolescent NSSI. This involves performing a systematic review and meta-analysis of the different CM subtypes (physical and emotional neglect, physical and emotional abuse, sexual abuse) in clinical and non-clinical samples of adolescents with NSSI.

Participants and methods

A digital search of the PsycInfo, PubMed and Web of Science platforms for articles published up to June 2022 was performed. The search terms were “self harm”, “non-suicidal self-injury”, “childhood maltreatment” and “adolescents”.

Results

Forty-six articles that fit the research objectives were included in the study, which covered a total of 1,505,430 adolescents, of whom 560,337 belonged to the NSSI group, while 945,093 were in the control group. The results describe strong positive associations between all CM subtypes and NSSI, especially with emotional abuse (odds ratio [OR] 2.91, 95 % CI 2.37–3.56) and sexual abuse (OR 2.72, 95 % CI 2.12–3.48), in clinical and non-clinical samples of adolescents.

Conclusions

The experience of CM, and especially emotional and/or sexual abuse, seems to be associated with a greater risk of developing NSSI in adolescence. Therefore, early identification and detection of children who have suffered or are suffering these forms of CM are of vital importance for instigating psychotherapeutic treatments that can minimize the risk of developing NSSI in adolescence.

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青少年群体中的童年虐待与非自杀性自伤：系统回顾与荟萃分析

背景非自杀性自伤（NSSI）在青少年中非常普遍。我们的目标是研究不良童年事件，特别是不同类型的童年虐待（CM）对青少年 NSSI 的影响。我们的目标是研究不良童年事件，特别是不同类型的童年虐待（CM）对青少年 NSSI 的影响。这包括对 NSSI 青少年的临床和非临床样本中的不同 CM 亚型（身体和情感忽视、身体和情感虐待、性虐待）进行系统回顾和荟萃分析。搜索关键词为 "自我伤害"、"非自杀性自伤"、"儿童虐待 "和 "青少年"。结果研究共纳入了46篇符合研究目标的文章，涵盖了1,505,430名青少年，其中560,337人属于NSSI组，945,093人属于对照组。结果表明，在临床和非临床青少年样本中，所有 CM 亚型与 NSSI 之间都存在很强的正相关性，尤其是情感虐待（几率比 [OR] 2.91，95 % CI 2.37-3.56）和性虐待（OR 2.72，95 % CI 2.12-3.48）。因此，及早识别和发现曾经或正在遭受这些形式的精神创伤的儿童，对于开展心理治疗以最大限度地降低青少年发生 NSSI 的风险至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.