Dahoun Tarik, Peel Alicia, Baldwin Jessie, Coleman Oonagh, Lewis Stephanie J, Wertz Jasmin, Rijsdijk Frühling, Danese Andrea
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Our Future Health, Manchester, UK.
Mol Psychiatry. 2025 May;30(5):2228-2238. doi: 10.1038/s41380-024-02868-z. Epub 2024 Dec 11.
Childhood victimization is a key risk factor for poor mental and physical health. In order to prevent childhood victimization, it is important to better understand its underlying etiological factors. Childhood victimization is not randomly distributed in the population but occurs more often in the context of certain characteristics of the child, the family, and the broader environment. These characteristics may be both genetically and environmentally influenced, making genetically informative designs valuable to disentangle the etiological factors. Here we performed meta-analyses of the genetic and environmental influences on childhood victimization based on twin studies. We also tested whether genetic and environmental influences on childhood victimization vary depending on key features of victimization experiences including the reporter of victimization experiences, the type of victimization, and the age at exposure. Following PRISMA guidelines, a search for relevant literature was conducted using MEDLINE, APA PsycInfo, and Embase databases until September 2023. A meta-analysis based on 21 studies with 62,794 participants showed that genetic influences accounted for 40% of the variance in childhood victimization, shared environmental influences for 20%, and non-shared environmental influences for 40%. In addition, we found that genetic and environmental influences on victimization varied based on the reporter and the type of victimization, and the age at victimization. The quantitative summary of genetic and environmental influences provided by this study advances our understanding of the mechanisms underlying risk for childhood victimization and points to prevention targets for victimization and its health effects.
童年期受侵害是身心健康状况不佳的一个关键风险因素。为了预防童年期受侵害,更好地了解其潜在病因很重要。童年期受侵害在人群中并非随机分布,而是更常发生在儿童、家庭及更广泛环境的某些特征背景下。这些特征可能受到遗传和环境的双重影响,这使得具有遗传信息的设计对于厘清病因很有价值。在此,我们基于双胞胎研究对童年期受侵害的遗传和环境影响进行了荟萃分析。我们还测试了遗传和环境对童年期受侵害的影响是否因受侵害经历的关键特征(包括受侵害经历的报告者、受侵害类型以及受侵害时的年龄)而异。遵循PRISMA指南,我们使用MEDLINE、美国心理学会心理学文摘数据库(APA PsycInfo)和Embase数据库检索相关文献,直至2023年9月。一项基于21项研究、涉及62,794名参与者的荟萃分析表明,遗传影响占童年期受侵害差异的40%,共同环境影响占20%,非共同环境影响占40%。此外,我们发现遗传和环境对受侵害的影响因报告者、受侵害类型以及受侵害时的年龄而异。本研究提供的遗传和环境影响的定量总结增进了我们对童年期受侵害风险潜在机制的理解,并指出了预防受侵害及其健康影响的目标。