Evid Based Mental Health doi:10.1136/eb-2013-101237
  • Aetiology

Review: childhood non-sexual maltreatment is associated with poor mental and sexual health outcomes


Question: What is the relationship between child physical abuse, emotional abuse and neglect on mental and physical health outcomes?

Outcomes: Any health-related adverse outcome listed on the Global Burden of Diseases, Injuries and Risk Factors Study.


Design: Systematic review and meta-analysis.

Data sources: MEDLINE, EMBASE and PsychINFO were searched up to 26 June 2012. Reference lists of included studies were hand searched and other additional studies were identified through contact with study authors.

Study selection and analysis: Published and peer-reviewed cohort, cross-sectional and case–control studies examining non-sexual child maltreatment as a risk factor for poor health were included if the related health outcomes or behavioural risk factors were among those listed on the Global Burden of Diseases, Injuries and Risk Factors Study. Studies that reported exposure to only combined types of abuse were excluded. ORs were meta-analysed using Meta XL based on a quality-effects model which is a modified form of a fixed-effects inverse variance method that allows additional weighting by study quality. Prespecified subgroup analyses assessed the impact of: gender, geographic location (high income vs low-to-middle income), type of sample (population-based vs non-representative samples), …

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