Liu Jiaqi, Deng Jiaqi, Zhang Huiping, Tang Xinfeng
Department of Psychology, Renmin University of China, Beijing, China.
Department of Social Work and Social Policy, Renmin University of China, Beijing, China.
J Affect Disord. 2023 May 15;329:157-167. doi: 10.1016/j.jad.2023.02.081. Epub 2023 Feb 24.
Globally, child maltreatment has become a serious problem, affecting individuals' physical and mental health. This meta-analysis aimed to explore the association between child maltreatment and social anxiety.
MEDLINE, PsycINFO, EMBASE, Scopus, and Web of Science were searched for articles published by October 2021. Newcastle-Ottawa Quality Assessment Scale (NOS) was used to evaluate the quality of studies. Maltreatment type, sample setting, age, country and measurement instruments were analyzed as moderators.
Twenty-nine studies met the inclusion criteria. Child maltreatment was positively correlated with social anxiety (r = 0.201, 95 % CI [0.171, 0.230]). The moderating effect of maltreatment subtypes was significant whether divided into three types (Q = 12.152, p = .002), or five types (Q = 11.574, p = .021). Specifically, emotional maltreatment (r = 0.251, 95 % CI [0.201, 0.298]) had a stronger relationship with social anxiety than physical (r = 0.138, 95 % CI [0.085, 0.191]; Q = 9.312, p = .002) and sexual maltreatment (r = 0.153, 95 % CI [0.108, 0.197]; Q = 9.197, p = .002). However, there was no significant difference in the effect size between physical and sexual maltreatment (Q = 0.096, p = .757). Other variables (age, sample setting and country) were not significant moderators.
Only twenty-nine studies were included, and there was high heterogeneity among the studies, the interpretation of the results should be cautious.
This meta-analysis confirmed the relationship between child maltreatment and social anxiety, especially highlight the harmfulness of emotional maltreatment.
在全球范围内，儿童虐待已成为一个严重问题，影响着个人的身心健康。本荟萃分析旨在探讨儿童虐待与社交焦虑之间的关联。
检索了MEDLINE、PsycINFO、EMBASE、Scopus和Web of Science数据库中截至2021年10月发表的文章。采用纽卡斯尔-渥太华质量评估量表（NOS）评估研究质量。将虐待类型、样本设置、年龄、国家和测量工具作为调节因素进行分析。
29项研究符合纳入标准。儿童虐待与社交焦虑呈正相关（r = 0.201，95%CI [0.171, 0.230]）。无论分为三种类型（Q = 12.152，p = 0.002）还是五种类型（Q = 11.574，p = 0.021），虐待亚型的调节作用均显著。具体而言，情感虐待（r = 0.251，95%CI [0.201, 0.298]）与社交焦虑的关系比身体虐待（r = 0.138，95%CI [0.085, 0.191]；Q = 9.312，p = 0.002）和性虐待（r = 0.153，95%CI [0.108, 0.197]；Q = 9.197，p = 0.002）更强。然而，身体虐待和性虐待之间的效应量没有显著差异（Q = 0.096，p = 0.757）。其他变量（年龄、样本设置和国家）不是显著的调节因素。
仅纳入了29项研究，且研究之间存在高度异质性，结果的解释应谨慎。
本荟萃分析证实了儿童虐待与社交焦虑之间的关系，尤其突出了情感虐待的危害性。
