Department of Social Work and Social Policy, Renmin University of China, Beijing, China.
Center for Studies of Sociological Theory and Method, Renmin University of China, Beijing, China.
Trauma Violence Abuse. 2023 Jul;24(3):1593-1607. doi: 10.1177/15248380211073838. Epub 2022 Mar 1.
: The present study aimed to synthesize the effects of five types of child maltreatment (physical abuse, emotional abuse, sexual abuse, physical neglect and emotional neglect) on late-life depression.: Four English-language databases (Web of Science, PsycINFO and PsycARTICLES, PubMed, and Cochrane Library) and three Chinese databases (China National Knowledge Infrastructure, Wanfang Database, and Weipu Database) were systematically reviewed, and data related to the association between child maltreatment and late-life depression were extracted. Ten studies involving 30,308 older adults were included, and the effect sizes were pooled using random-effect models.: Except for sexual abuse, four types of child maltreatment were found to be positively associated with late-life depression. Physical abuse, emotional abuse and physical neglect were associated with elderly depression (PA: OR = 1.73, 95% CI = 1.55-1.95, < .001; EA: OR = 1.92, 95% CI = 1.73-2.12, < .001; PN: OR = 2.05, 95% CI = 1.15-3.67, < .01) at a small level, and emotional neglect was associated with elderly depression (OR = 3.25, 95% CI = 1.43-7.39, < .001) at an approximately moderate level. Gender moderated the relationship between physical neglect, emotional neglect, and late-life depression.: Our findings highlight the significance of child maltreatment in the development of late-life depression, and underscore the need for future research and practice to explore potential ways to address late-life depression among older adults who suffered child maltreatment.
本研究旨在综合五种类型的儿童虐待（身体虐待、情感虐待、性虐待、身体忽视和情感忽视）对晚年抑郁症的影响。系统检索了四个英文数据库（Web of Science、PsycINFO 和 PsycARTICLES、PubMed 和 Cochrane Library）和三个中文数据库（中国知识基础设施、万方数据库和维普数据库），提取了与儿童虐待和晚年抑郁症之间关联相关的数据。纳入了 10 项涉及 30308 名老年人的研究，使用随机效应模型汇总了效应量。除了性虐待，其他四种类型的儿童虐待与晚年抑郁症呈正相关。身体虐待、情感虐待和身体忽视与老年抑郁症相关（PA：OR=1.73，95%CI=1.55-1.95，<0.001；EA：OR=1.92，95%CI=1.73-2.12，<0.001；PN：OR=2.05，95%CI=1.15-3.67，<0.01），处于较小水平，而情感忽视与老年抑郁症相关（OR=3.25，95%CI=1.43-7.39，<0.001），处于中等水平。性别调节了身体忽视、情感忽视与晚年抑郁症之间的关系。我们的研究结果强调了儿童虐待在晚年抑郁症发展中的重要性，并强调需要进一步研究和实践探索针对遭受儿童虐待的老年人群体中晚年抑郁症的潜在解决方法。
