Child Abuse & Neglect最新文献_第7页

Prediction models for maltreatment risk: TRIPOD/PROBAST compliance, calibration, and fairness—A systematic review 虐待风险预测模型：TRIPOD/PROBAST依从性，校准和公平性-系统综述。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.chiabu.2026.107923

Rasha Sayed Ahmed , Mostafa Shaban

Background

Prediction models for child maltreatment risk are increasingly used to support decisions in child protection, yet concerns remain about methodological quality, transparency, calibration, and equity, particularly when tools are derived from administrative data.

Objective

To systematically review prediction models for child maltreatment risk and evaluate adherence to TRIPOD, risk of bias and applicability using PROBAST, and the extent of evidence on calibration, external validation, and fairness.

Methods

We included quantitative studies that developed or validated multivariable prediction models for maltreatment-related outcomes in child protection or public health contexts. Electronic databases and registers (2010–2025) were searched for studies reporting model performance. Two reviewers independently screened records, extracted data, and appraised reporting using TRIPOD and risk of bias/applicability using PROBAST. Owing to heterogeneity in outcomes, model types, and data sources, findings were synthesized narratively.

Results

Fourteen studies met inclusion criteria. Most used administrative or clinical datasets and logistic regression or machine learning models, achieving moderate to high discrimination. Five themes emerged: partial TRIPOD adherence; frequent analysis-domain bias; limited calibration and decision-analytic evaluation; sparse external validation and model updating; and uneven fairness auditing.

Conclusions

Current maltreatment prediction models show promising discrimination but are constrained by incomplete reporting, methodological weaknesses, and limited evidence on calibration, transportability, and equity. Future work should align with TRIPOD and PROBAST, embed validation and calibration, and incorporate fairness auditing.

背景：儿童虐待风险预测模型越来越多地用于支持儿童保护决策，但方法质量、透明度、校准和公平性仍然令人担忧，特别是当工具来自行政数据时。目的：系统回顾儿童虐待风险的预测模型，评估TRIPOD的依从性、使用PROBAST的偏倚风险和适用性，以及校准、外部验证和公平性方面的证据程度。方法：我们纳入了定量研究，这些研究开发或验证了儿童保护或公共卫生背景下虐待相关结果的多变量预测模型。检索电子数据库和登记册（2010-2025），以检索报告模型性能的研究。两名审稿人独立筛选记录，提取数据，并使用TRIPOD评估报告，使用PROBAST评估偏倚/适用性风险。由于结果、模型类型和数据来源的异质性，研究结果以叙述的方式综合。结果：14项研究符合纳入标准。大多数使用管理或临床数据集和逻辑回归或机器学习模型，实现中等到高度的区分。出现了五个主题：部分三脚架依从性；频繁分析域偏差；有限校准和决策分析评价；稀疏外部验证与模型更新；不公平的审计。结论：目前的虐待预测模型显示出有希望的歧视，但受到报告不完整、方法缺陷以及在校准、可移植性和公平性方面证据有限的限制。未来的工作应该与TRIPOD和PROBAST保持一致，嵌入验证和校准，并纳入公平性审计。

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引用次数: 0

Maternal childhood maltreatment and children's psychopathology across childhood: Exploring the role of maternal early caregiving quality in a low-risk sample 母亲童年虐待与儿童精神病理：在低风险样本中探讨母亲早期照顾质量的作用。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.chiabu.2026.107938

Lisa Loheide-Niesmann , Annefleur Veens , Roseriet Beijers , Carolina de Weerth , Maaike Cima

Background

Childhood maltreatment can have severe, long-lasting mental health consequences for survivors themselves and these effects can also be transmitted to the next generation: children of childhood maltreatment survivors are at a higher risk for various behavioural problems. However, the impact of maternal childhood maltreatment on developmental trajectories of child behaviour problems is not yet clear.

Objective

This longitudinal observational study examined associations between maternal childhood maltreatment and children's externalizing and internalizing behaviour trajectories and whether these associations were moderated by maternal early caregiving quality.

Participants and setting

A total of 164 Dutch mothers and their children (44.5% girls).

Methods

Mothers reported on their maltreatment experiences and their children's externalizing and internalizing behaviours at 6, 7, 10, and 12.5 years of age.

Results

Externalizing behaviour decreased significantly across development and there was some evidence that this decrease was stronger in more severely maltreatment-exposed mothers. Internalizing behaviour increased significantly across development, but maternal childhood maltreatment was not associated with internalizing behaviour trajectories. No moderating effects of caregiving quality emerged, but some evidence for direct associations between caregiving quality and externalizing behaviour (trajectories) was found.

Conclusions

Future research should replicate these findings in more diverse, high-risk samples and further explore protective moderators of the intergenerational effects of childhood maltreatment.

背景：儿童期虐待可能对幸存者本身产生严重而持久的心理健康后果，这些影响也可能传递给下一代：儿童期虐待幸存者的子女出现各种行为问题的风险更高。然而，母亲童年虐待对儿童行为问题发展轨迹的影响尚不清楚。目的：本纵向观察研究探讨了母亲童年虐待与儿童外化和内化行为轨迹之间的关系，以及这些关系是否受到母亲早期照料质量的调节。参与者和背景：164名荷兰母亲和她们的孩子（44.5%是女孩）。方法：母亲在6岁、7岁、10岁和12.5岁时报告她们的虐待经历和她们的孩子的外化和内化行为。结果：外化行为在整个发育过程中显著减少，有证据表明，在遭受更严重虐待的母亲中，这种减少更为明显。内化行为在整个发展过程中显著增加，但母亲童年虐待与内化行为轨迹无关。没有发现照顾质量的调节作用，但一些证据表明照顾质量和外化行为（轨迹）之间存在直接联系。结论：未来的研究应该在更多样化、高风险的样本中复制这些发现，并进一步探索儿童虐待代际影响的保护性调节因子。

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引用次数: 0

(Sexualized) violence in the Catholic Church during the Soviet Occupation Zone/German Democratic Republic: Facilitating factors from a criminological perspective 苏联占领区/德意志民主共和国期间天主教会的（性化）暴力：从犯罪学角度的促进因素

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.chiabu.2026.107898

Laura Rinser , Judith Streb , Manuela Dudeck

Objective

The article deals with the structural ecclesiastical-institutional and socio-historical factors of (sexualized) violence against minors during the period of the Soviet Occupation Zone (SOZ)/German Democratic Republic (GDR), i.e. 1946–1989, based on the former East German region of Mecklenburg.

Methods

Semi-structured, problem-centered interviews with 13 survivor and 11 Church representatives as well as 1503 files from Catholic Church and State Security Authority archives were analyzed by qualitatively content analysis. The criminological approach of routine activity according to Lawrence. E. Cohen and Marcus Felson, which states that three factors must be present simultaneously for deviant behavior, was used to explain the factors that promoted violence.

Results

The study showed that (sexualized) violence within the Catholic Church was also a predominantly structural/cultural problem in the GDR and was tabooed by both the State and the Church. We identified 40 minors who were abused by 19 priests. The abuse was enabled by the interplay of clergy as motivated perpetrators, children from precarious living conditions as suitable victims of abuse, a lack of protection of children and intervention due to the desire to protect the Catholic Church as an institution in the diaspora, and the aim of the dictatorial State to preserve its socialist ideology.

Conclusion

Consequently, specific interactions of factors encouraged the acts of violence. The situational conditions were particularly important in determining whether criminal behavior had taken place or not within the Catholic Church in the SOZ/GDR (Mecklenburg region) in the period 1946 to 1989.

本文以前东德梅克伦堡地区为基础，探讨苏联占领区(SOZ)/德意志民主共和国（GDR）时期（即1946年至1989年）对未成年人的（性化）暴力的结构性教会制度和社会历史因素。方法采用半结构化、以问题为中心的访谈方法，对13名幸存者和11名教会代表进行访谈，并对天主教会和国家安全部门的1503份档案进行定性内容分析。劳伦斯认为日常活动的犯罪学方法。E. Cohen和Marcus Felson指出，三个因素必须同时存在，才能产生异常行为，这被用来解释促进暴力的因素。研究表明，天主教会内部的（性化）暴力也是德意志民主共和国主要的结构/文化问题，是国家和教会都禁止的。我们确认了40名未成年人被19名神父性侵。神职人员是有动机的犯罪者，生活条件不稳定的儿童是适当的虐待受害者，由于希望保护散居海外的天主教会机构而缺乏对儿童的保护和干预，以及独裁国家的目的是维护其社会主义意识形态，这些因素相互作用使虐待成为可能。因此，特定因素的相互作用鼓励了暴力行为。在确定1946年至1989年期间索兹/德意志民主共和国（梅克伦堡地区）天主教会内是否发生犯罪行为时，情境条件尤为重要。

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引用次数: 0

‘Now we are on the same page’ - experiences of foster parents and social workers participating in Trauma-Informed Care (TIC) training “现在我们在同一页上”——寄养父母和社会工作者参加创伤知情护理（TIC）培训的经验

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.chiabu.2026.107900

Amanda Angelöw, Cecilia Abrahamsson, Kerstin Neander, Elia Psouni

Background

Achieving safe and stable placements is a key mission for the foster care system. Foster parents and social workers are part of a caregiving network with responsibility for the child and their wellbeing. Emotionally dysregulated children's behaviors may pose a challenge to the caregiving system. Trauma-informed care (TIC) interventions aim at enhancing caregivers' understanding of such behaviors and underlying emotions.

Objective

The present study explored the experiences of foster parents and social workers who attended TIC training together, with a special focus on their collaboration.

Method

Focus groups interviews using a semi-structured interview guide were carried out and analyzed with inductive thematic analysis.

Participants and settings

The study involved foster parents (n = 15) and social workers (n = 12) who had completed TIC training.

Results

Our analysis extracted three themes: First, Looking through the trauma lens highlighted how new TIC-related knowledge and useful metaphors can provide a deeper understanding of the potential effects on the child of adverse experiences. Second, Supporting collaboration illustrated ways in which TIC training enhances the collaboration between social workers and foster parents, reaching beyond their different roles and discourses, by shared language about the children and their difficulties. Finally, From gut feeling to awareness summarizes participants' disclosures of a shift towards more aware and sensitive interactions with the child.

Conclusions

Our results indicate that the TIC intervention may promote a change in the caregivers' representations of the child and themselves. We argue that this may be central for sustainable change.

实现安全和稳定的安置是寄养系统的一项关键任务。寄养父母和社会工作者是照顾网络的一部分，对孩子和他们的幸福负有责任。情绪失调的儿童行为可能对看护系统构成挑战。创伤知情护理（TIC）干预旨在提高照顾者对这种行为和潜在情绪的理解。目的本研究探讨寄养父母与社工一起参加议会培训的经验，并特别关注他们之间的合作。方法采用半结构化访谈指南进行焦点小组访谈，并采用归纳主题分析法进行分析。研究对象和环境本研究涉及完成TIC培训的寄养父母（n = 15）和社会工作者（n = 12）。结果我们的分析提取了三个主题：首先，从创伤的角度看，强调了新的tic相关知识和有用的隐喻如何能够更深入地理解不良经历对儿童的潜在影响。第二，支持合作展示了议会培训如何加强社会工作者和养父母之间的合作，超越他们不同的角色和话语，通过共同的语言来谈论孩子和他们的困难。最后，从直觉到意识总结了参与者对与孩子更有意识和敏感互动的转变的披露。结论TIC干预可能会改变照顾者对儿童和自己的看法。我们认为，这可能是可持续变化的核心。

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引用次数: 0

Development and Validation of Risk Assessment Models for Anxiety and Depression in Chinese Children with Childhood Household Dysfunction 中国儿童家庭功能障碍焦虑抑郁风险评估模型的建立与验证。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1016/j.chiabu.2025.107842

Ping Mao , Jing Xia , Jia Yang , Xinyi Hou , Ya Zou , Jingjing Liu , Lixia Cai , Xiaoliang Tong , Wei He

Background

Children exposed to childhood household dysfunction (CHD) are at high risk for anxiety and depression. However, few tools are available for early identification. This study developed two risk assessment models for anxiety and depression in children with CHD to enable early detection and intervention.

Methods

A cross-sectional study recruited 1276 children with CHD from Changsha, Hunan, who were randomly divided into training and validation sets (7:3). Bidirectional stepwise multivariate logistic regressions were used to develop models based on socio-demographic, individual, family, and societal levels. Model performance was assessed using receiver operating characteristic (ROC) curves, area under the curve (AUC), sensitivity, specificity, and accuracy (ACC).

Results

Among the participants, 736 (57.8 %) had depression risk, and 892 (70.0 %) had anxiety risk. The Anxiety Risk Model included seven variables: gender, grade, rumination, adolescent life events, number of childhood trauma experiences, positive coping style, and sleep quality. It demonstrated strong performance with an AUC of 0.875 (95 % CI: 0.852–0.897) in the training set and 0.864 (95 % CI: 0.826–0.902) in the validation set, with a sensitivity of 74.3 %, specificity of 79.6 %, and an accuracy of 75.1 %. The Depression Risk Model included five variables: grade, rumination, adolescent life events, positive coping style, and sleep quality, with an AUC of 0.895 (95 % CI: 0.874–0.916) in the training set and 0.869 (95 % CI: 0.829–0.908) in the validation set, with sensitivity of 75.1 %, specificity of 80.9 %, and accuracy of 76.8 %.

Conclusion

The two risk assessment models offer valuable insights into the early identification of children at risk of depression and anxiety within similar urban adolescent populations. These findings necessitate further validation using longitudinal designs within larger and more diverse populations to confirm the models' generalizability and robustness before recommendations for wider clinical application can be made.

背景：暴露于儿童家庭功能障碍（CHD）的儿童是焦虑和抑郁的高危人群。然而，很少有工具可用于早期识别。本研究建立了两种冠心病儿童焦虑和抑郁风险评估模型，以便早期发现和干预。方法：采用横断面研究方法，从湖南长沙市招募1276例冠心病患儿，随机分为训练组和验证组（7:3）。采用双向逐步多元逻辑回归建立基于社会人口统计学、个人、家庭和社会层面的模型。采用受试者工作特征（ROC）曲线、曲线下面积（AUC）、敏感性、特异性和准确性（ACC）评估模型的性能。结果：736人（57.8%）存在抑郁风险，892人（70.0%）存在焦虑风险。焦虑风险模型包括七个变量：性别、年级、反思、青春期生活事件、童年创伤经历次数、积极应对方式和睡眠质量。该方法在训练集的AUC为0.875 (95% CI: 0.852-0.897)，在验证集的AUC为0.864 (95% CI: 0.826-0.902)，灵敏度为74.3%，特异性为79.6%，准确率为75.1%。抑郁风险模型包括年级、反刍、青少年生活事件、积极应对方式、睡眠质量5个变量，训练集的AUC为0.895 (95% CI: 0.874-0.916)，验证集的AUC为0.869 (95% CI: 0.829-0.908)，灵敏度为75.1%，特异性为80.9%，准确率为76.8%。结论：这两种风险评估模型为在相似的城市青少年人群中早期识别有抑郁和焦虑风险的儿童提供了有价值的见解。这些发现需要在更大、更多样化的人群中使用纵向设计进一步验证，以确认模型的通用性和稳健性，然后才能提出更广泛的临床应用建议。

{"title":"Development and Validation of Risk Assessment Models for Anxiety and Depression in Chinese Children with Childhood Household Dysfunction","authors":"Ping Mao , Jing Xia , Jia Yang , Xinyi Hou , Ya Zou , Jingjing Liu , Lixia Cai , Xiaoliang Tong , Wei He","doi":"10.1016/j.chiabu.2025.107842","DOIUrl":"10.1016/j.chiabu.2025.107842","url":null,"abstract":"<div><h3>Background</h3><div>Children exposed to childhood household dysfunction (CHD) are at high risk for anxiety and depression. However, few tools are available for early identification. This study developed two risk assessment models for anxiety and depression in children with CHD to enable early detection and intervention.</div></div><div><h3>Methods</h3><div>A cross-sectional study recruited 1276 children with CHD from Changsha, Hunan, who were randomly divided into training and validation sets (7:3). Bidirectional stepwise multivariate logistic regressions were used to develop models based on socio-demographic, individual, family, and societal levels. Model performance was assessed using receiver operating characteristic (ROC) curves, area under the curve (AUC), sensitivity, specificity, and accuracy (ACC).</div></div><div><h3>Results</h3><div>Among the participants, 736 (57.8 %) had depression risk, and 892 (70.0 %) had anxiety risk. The Anxiety Risk Model included seven variables: gender, grade, rumination, adolescent life events, number of childhood trauma experiences, positive coping style, and sleep quality. It demonstrated strong performance with an AUC of 0.875 (95 % CI: 0.852–0.897) in the training set and 0.864 (95 % CI: 0.826–0.902) in the validation set, with a sensitivity of 74.3 %, specificity of 79.6 %, and an accuracy of 75.1 %. The Depression Risk Model included five variables: grade, rumination, adolescent life events, positive coping style, and sleep quality, with an AUC of 0.895 (95 % CI: 0.874–0.916) in the training set and 0.869 (95 % CI: 0.829–0.908) in the validation set, with sensitivity of 75.1 %, specificity of 80.9 %, and accuracy of 76.8 %.</div></div><div><h3>Conclusion</h3><div>The two risk assessment models offer valuable insights into the early identification of children at risk of depression and anxiety within similar urban adolescent populations. These findings necessitate further validation using longitudinal designs within larger and more diverse populations to confirm the models' generalizability and robustness before recommendations for wider clinical application can be made.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"172 ","pages":"Article 107842"},"PeriodicalIF":3.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interrelationships between childhood trauma, alexithymia, and depressive symptoms: A network analysis and replication 儿童创伤、述情障碍和抑郁症状之间的相互关系：网络分析和复制。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.chiabu.2025.107877

Qing-ying Ye , Si-yu Zhang , Xing-lin He , Yu-qing Yang , Ke Ni , Han-xue Yang , Wei Wei , David A. Preece , Raymond C.K. Chan , Bao-ming Li , Xin-lu Cai

Background

Childhood trauma has been found to increase the risk of developing alexithymia and depressive symptoms. However, the complex interplay between childhood trauma, alexithymia, and depressive symptoms remains unclear.

Objective

To understand how different facets of childhood trauma, alexithymia across positive and negative emotions, and depressive symptoms interact with each other, this study adopted the network analysis approaches to examine this complex relationship.

Participants and setting

An initial sample of 2918 Chinese college students completed a set of psychometric questionnaires measuring childhood trauma, alexithymia and depressive symptoms. Another independent sample (n = 858) was used to investigate the replicability of our results.

Methods

Undirected networks were estimated to explore the most relevant connections between the above variables. Bayesian network analysis was further used to explore the potential causal directions between the variables.

Results

Findings from the initial dataset showed that childhood trauma was positively correlated with both alexithymia and depressive symptoms in the undirected networks. Physical abuse was the most central node. The Bayesian network analysis indicated that externally orientated thinking and depressed mood may be key drivers for activating other symptoms. Physical abuse might affect suicide ideation through difficulties in describing negative emotions. The replication dataset showed similar network structures as the initial dataset.

Conclusions

The findings suggest that childhood trauma, especially physical abuse, plays an important role in developing later depressive symptoms via valenced components of alexithymia. This study clarifies how early adversities link to depressive symptoms through emotional functioning and informs clinical interventions targeting influential symptoms in trauma-exposed populations.

背景：儿童创伤已被发现可增加患述情障碍和抑郁症状的风险。然而，童年创伤、述情障碍和抑郁症状之间复杂的相互作用仍不清楚。目的：为了解童年创伤、述情障碍、抑郁症状的不同方面是如何相互作用的，本研究采用网络分析的方法来研究这种复杂的关系。参与者和环境：最初的样本是2918名中国大学生，他们完成了一套心理测量问卷，测量童年创伤、述情障碍和抑郁症状。另一个独立样本（n = 858）被用来调查我们结果的可重复性。方法：估计无向网络，以探索上述变量之间最相关的联系。利用贝叶斯网络分析进一步探讨变量之间潜在的因果关系。结果：初始数据集的发现表明，儿童创伤与无向网络中的述情障碍和抑郁症状呈正相关。身体虐待是最中心的节点。贝叶斯网络分析表明，外向型思维和抑郁情绪可能是激活其他症状的关键驱动因素。身体虐待可能通过难以描述负面情绪而影响自杀意念。复制数据集显示了与初始数据集相似的网络结构。结论：研究结果表明，童年创伤，特别是身体虐待，通过述情障碍的有效成分在发展后来的抑郁症状中起重要作用。本研究阐明了早期逆境是如何通过情绪功能与抑郁症状联系起来的，并为针对创伤暴露人群中有影响的症状的临床干预提供了依据。

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引用次数: 0

Family-level social determinants of child and adolescent maltreatment 儿童和青少年虐待的家庭层面社会决定因素。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.chiabu.2025.107836

Julia Kobulsky , June-Yung Kim , Brittany Schuler , Jen Rock , Miguel Villodas

Background

Research highlights the roles of material, psychosocial, biologic and behavioral risk factors, as well as access to healthcare in the etiology of child maltreatment (CM). However, research has yet to comprehensively examine these interrelated social risks in relation to child and adolescent CM, making optimal CM prevention strategies unclear.

Objective

Applying the World Health Organization intermediary social determinants of health (I-SDH) framework, this study operationalized a holistic, multidimensional framework of family-level risk and protective factors, and examined their prospective relationship to CM in childhood and adolescence.

Participants & setting

Data were drawn from the Longitudinal Studies for Child Abuse and Neglect (N = 1354).

Method

CM types during middle childhood (7–12 years) and adolescence (13–16 years) were measured by Child Protective Services (CPS) report and youth self-report. CM during middle childhood and adolescence were regressed on the multidomain domains of family-level I-SDH during early (0–6 years) and middle childhood, respectively.

Results

All domains of I-SDH were related to CM in unadjusted analyses. Following false discovery rate (FDR) adjustment, poverty and homelessness/eviction were related to CPS-reported physical and supervisory neglect in middle childhood. Child externalizing problems and household substance use were related to CPS-reported CM in middle childhood and adolescence. I-SDH were unrelated to self-reported CM following FDR adjustment.

Conclusions

Findings support the need for multifaceted I-SDH-focused interventions and policies to prevent CPS involvement. The lack of robust findings for self-reported CM, however, calls into question whether such strategies would substantially reduce CM more broadly and suggests biases in CPS report. Future research should distinguish CM measures and their antecedents to effectively guide CM prevention.

背景：研究强调了物质、社会心理、生物和行为风险因素，以及获得医疗保健在儿童虐待（CM）病因中的作用。然而，研究尚未全面检查与儿童和青少年CM相关的这些相互关联的社会风险，使最佳的CM预防策略不明确。目的：应用世界卫生组织健康的中间社会决定因素（I-SDH）框架，构建家庭层面的风险和保护因素的整体、多维框架，并探讨其与儿童和青少年CM的潜在关系。参与者和环境：数据来自儿童虐待和忽视纵向研究（N = 1354）。方法：采用儿童保护服务（CPS）报告和青少年自我报告对儿童中期（7 ~ 12岁）和青少年期（13 ~ 16岁）的CM类型进行测量。儿童中期和青少年期的CM分别回归到儿童早期（0-6岁）和儿童中期家庭水平I-SDH的多域域。结果：在未经调整的分析中，I-SDH的所有结构域都与CM相关。在错误发现率（FDR）调整后，贫困和无家可归/驱逐与儿童期中期cps报告的身体和监督疏忽有关。儿童外化问题和家庭物质使用与儿童期中期和青春期cps报告的CM有关。FDR调整后I-SDH与自我报告CM无关。结论：研究结果支持需要采取多方面的以i - sdh为重点的干预措施和政策，以防止CPS参与。然而，对于自我报告的CM缺乏强有力的发现，这就提出了这样的策略是否会在更广泛的范围内实质性地减少CM的问题，并表明了CPS报告中的偏见。今后的研究应区分CM措施及其前因，以有效指导CM的预防。

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引用次数: 0

Association of childhood maltreatment with hypertension outcomes in adulthood: A systematic review and meta-analysis 儿童期虐待与成年期高血压结局的关联：一项系统回顾和荟萃分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2025-12-10 DOI: 10.1016/j.chiabu.2025.107840

Li Niu , Sen Liu , Rena Chen , Yuqing Wang , Jinxin Zhang , Siyi Lin , Yan Li , José A. Pagán , Andrew E. Moran , Angela Diaz

Background

Childhood maltreatment has been associated with chronic stress, systemic inflammation, immune deregulation, and behavioral risk factors, all of which may increase long-term risk for high blood pressure. Prior to this study, no meta-analysis has systematically quantified the relationship between childhood maltreatment and high blood pressure in adulthood.

Objective

To conduct a systematic review and meta-analysis of the relationship between childhood maltreatment and adulthood hypertension risk, and to examine potential moderators including maltreatment subtypes, geographic region, and study characteristics.

Participants and setting

Thirty-three observational studies involving a total of 811,029 participants from community-based, nonclinical populations across diverse global settings.

Methods

Systematic searches were conducted in MEDLINE, Embase, and PsycINFO (up to December 2024), supplemented by manual reference searches. Eligible studies reported quantitative associations between childhood maltreatment (experienced before age 18) and adulthood hypertension outcomes (diagnosis, systolic blood pressure [SBP], or diastolic blood pressure [DBP]). Data extraction and quality assessment followed PRISMA guidelines. Random-effects meta-analyses estimated pooled associations, and subgroup/meta-regression analyses tested moderators.

Results

Childhood maltreatment was associated with significantly higher odds of adulthood hypertension (OR = 1.19, 95 % CI: 1.08–1.31) and elevated DBP (Cohen's d = 0.04, 95 % CI: 0.01–0.07), but not SBP. Associations were strongest for physical abuse and for studies conducted in upper-middle-income countries compared to high-income countries.

Conclusions

Childhood maltreatment is a modest but significant risk factor for hypertension in adulthood. Findings underscore the long-term cardiovascular consequences of early adversity and highlight the importance of early prevention and targeted intervention for individuals with maltreatment histories.

背景：儿童虐待与慢性应激、全身性炎症、免疫失调和行为危险因素有关，所有这些都可能增加患高血压的长期风险。在此研究之前，没有荟萃分析系统地量化童年虐待与成年高血压之间的关系。目的：对儿童虐待与成年高血压风险之间的关系进行系统回顾和荟萃分析，并探讨包括虐待亚型、地理区域和研究特征在内的潜在调节因素。参与者和环境：33项观察性研究共涉及811029名参与者，来自全球不同地区的社区非临床人群。方法：系统检索MEDLINE、Embase和PsycINFO（截止到2024年12月），并辅以人工检索文献。符合条件的研究报告了儿童期虐待（18岁前经历）与成年期高血压结局（诊断、收缩压[SBP]或舒张压[DBP]）之间的定量关联。数据提取和质量评估遵循PRISMA指南。随机效应荟萃分析估计合并关联，亚组/荟萃回归分析测试调节因子。结果：儿童期虐待与成年期高血压（OR = 1.19, 95% CI: 1.08-1.31）和舒张压升高（Cohen’s d = 0.04, 95% CI: 0.01-0.07）相关，但与收缩压无关。与高收入国家相比，身体虐待和在中高收入国家进行的研究的关联最强。结论：儿童期虐待是成年期高血压的一个适度但重要的危险因素。研究结果强调了早期逆境对心血管的长期影响，并强调了对有虐待史的个体进行早期预防和有针对性干预的重要性。

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引用次数: 0

Associations between childhood victimization, parent-child closeness, and adulthood well-being outcomes: A network analysis 童年受害、亲子亲密和成年幸福结果之间的关系：一个网络分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI: 10.1016/j.chiabu.2025.107866

Mengtong Chen, Naiqi Tian

Background

It remains unclear how childhood experiences, particularly dual exposure to child abuse and interparental violence, as well as positive childhood experiences, affect well-being in adulthood.

Objectives

This study aims to build the network structure of different forms of childhood victimization, parent-child closeness, and adulthood well-being outcomes, with a focus on the core childhood factor that is strongly linked to adulthood well-being and the potential sequential relationship between the variables.

Participants and setting

The retrospective study included 1528 participants between 18 and 65 in the community setting of Shenzhen, China.

Methods

Network analysis was used to identify the relationships between childhood experiences and well-being outcomes in adulthood. The network structure was constructed using R packages qgraph and bootnet. The directed acyclic graph (DAG) was used to explore the most probable direction of the proposed causal relationship.

Results

The network structure shows the indirect interactions between childhood victimization and adulthood well-being via parent-child closeness. Particularly, parent-child closeness is linked to childhood psychological aggression directly and also through neglect and exposure to father-to-mother violence. DAG further indicates the potential sequential relationship between childhood experiences and adulthood well-being, in which psychological aggression plays a pivotal role.

Conclusions

The findings emphasize the significance of preventing childhood victimization, which can improve community health. There is a need for universal interventions to improve the awareness of psychological abuse and integrated services for poly-victims of childhood abuse and interparental violence. Programs aimed at reducing the impacts of child victimization should include efforts to strengthen parent-child relationships.

背景：目前尚不清楚童年经历，特别是儿童虐待和父母间暴力的双重暴露，以及积极的童年经历如何影响成年后的幸福感。目的：本研究旨在构建不同形式的童年受害、亲子亲密度与成年幸福感结果的网络结构，重点关注与成年幸福感密切相关的核心童年因素及其变量之间潜在的序列关系。参与者和环境：回顾性研究包括1528名年龄在18 - 65岁之间的参与者，来自中国深圳的社区环境。方法：使用网络分析来确定童年经历与成年后幸福结果之间的关系。使用R包qgraph和bootnet构建网络结构。使用有向无环图（DAG）来探索提出的因果关系的最可能方向。结果：网络结构表明，童年受害与成年幸福感之间通过亲子亲密关系间接相互作用。特别是，亲子亲密关系与儿童的心理攻击直接相关，也与忽视和暴露于父亲对母亲的暴力有关。DAG进一步表明，童年经历与成年幸福感之间存在潜在的顺序关系，其中心理攻击起着关键作用。结论：研究结果强调了预防儿童受害的重要性，这可以改善社区卫生。有必要采取普遍干预措施，提高对心理虐待的认识，并为儿童虐待和父母间暴力的多重受害者提供综合服务。旨在减少儿童受害影响的方案应包括加强亲子关系的努力。

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引用次数: 0

Aims & Scope 目标及范围

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2026-02-01 Epub Date: 2026-01-20 DOI: 10.1016/S0145-2134(26)00025-6

引用次数: 0