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Sequelae of child maltreatment: Umbrella synthesis of 148 meta‐analyses on the mental health correlates

datacite.subject.fosCiências Sociais::Psicologia
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCoughlan, Barry
dc.contributor.authorDuschinsky, Robbie
dc.contributor.authorBakermans‐Kranenburg, Marian J.
dc.contributor.authorBakkum, Lianne
dc.contributor.authorSkinner, Guy C. M.
dc.contributor.authorMarkham, Alfred
dc.contributor.authorBeckwith, Helen
dc.contributor.authorIjzendoorn, Marinus H. van
dc.date.accessioned2026-04-17T15:34:58Z
dc.date.available2026-04-17T15:34:58Z
dc.date.issued2026-01-15
dc.description.abstractBackground: Numerous meta‐analyses have established associations between child maltreatment (CM) and mental health difficulties (MH). However, variation exists between meta‐analyses regarding the magnitude of these predictions. Methods: A systematic, quantitative umbrella synthesis (i.e., meta‐analysis of metaanalyses) was undertaken to describe the associations between various types of CM and MH. Meta‐analyses were included if they examined CM, including but not limited to retrospective reports in adulthood, and MH at any point. Included forms of CM were: physical abuse, emotional abuse, sexual abuse, neglect, and exposure to intimate partner violence. MH outcomes were: externalising problems, internalising problems, thought problems, suicidal distress, substance misuse, and other psychological difficulties. Searches were run in January 2024. Random effects models were created in R version 4.2.0. Results: We analysed and combined effect sizes from 148 quantitative metaanalyses, including 668 effect sizes and over 9.5 million data points. CM was associated with all MH outcomes: (1) externalising problems (r = 0.21; 95% CI = 0.18–0.24; k = 32), (2) internalising problems (r = 0.22; 95% CI = 0.20–0.24; k = 46), (3) thought problems (r = 0.24; 95% CI = 0.21–0.27; k = 38), (4) suicidal distress (r = 0.23; 95% CI 0.18–0.28; k = 19), (5) substance misuse (r = 0.19; 95% CI = 0.13–0.26; k = 13), (6) other psychological difficulties (r = 0.24; 95% CI = 0.20–0.28; k = 50). Associations tend to be of similar magnitude for different forms of CM. Conclusion: CM is robustly associated with MH. A parsimonious explanation for these findings would be a common mechanism(s) or a general psychopathology factor conferring high‐risk for different mental health difficulties following CM. The results possibly question the conventional wisdom that suggests some forms of maltreatment are intrinsically more harmful to mental health than others. However, further work is required to understand how potentially confounding factors (e.g., age, measurement of CM) influence these associations.eng
dc.identifier.citationCoughlan, B., Duschinsky, R., Bakermans, K. M. J., Bakkum, L., Skinner, G. C. M., Markham, A., Beckwith, H., & van Ijzendoorn, M. H. (2026). Sequelae of child maltreatment: Umbrella synthesis of 148 meta‐analyses on the mental health correlates. JCPP Advances. https://doi.org/10.1002/jcv2.70081
dc.identifier.doi10.1002/jcv2.70081
dc.identifier.issn2692-9384
dc.identifier.issn2692-9384
dc.identifier.urihttp://hdl.handle.net/10400.12/13939
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.ispartofJCPP Advances
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectabuse
dc.subjectchild development
dc.subjectchild harm
dc.subjectmeta‐analysis review
dc.subjectneglect
dc.subjectpsychiatric disorder
dc.titleSequelae of child maltreatment: Umbrella synthesis of 148 meta‐analyses on the mental health correlateseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage26
oaire.citation.startPage1
oaire.citation.titleJCPP Advances
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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