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儿童期虐待与社交焦虑关系的Meta分析

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目的 了解儿童期虐待经历与社交焦虑的关系及其影响因素,为青少年社交焦虑的干预提供理论依据。方法 采用随机效应模型,对筛选后获得的30篇文献,93个独立效应值,19 354个样本量进行元分析,采用比值比(OR)对两者之间关系进行整合。结果 儿童期虐待与社交焦虑呈正相关(r=0。22),情感虐待(EA)、情感忽视(EN)、情感虐待综合指数(EM)、身体虐待(PA)、身体忽视(PN)、性虐待(SA)亚类型均正向预测社交焦虑(OR值分别为3。14,1。97,2。42,1。78,1。68,1。54)(P值均<0。01)。调节效应分析发现,文化背景能调节EN和儿童期虐待综合指数(CI)与社交焦虑的关系(Qb值分别为3。95,3。93),年龄阶段能调节EA、CI与社交焦虑的关系(Qb值分别为7。65,8。72)(P值均<0。05)。结论 儿童期虐待正向预测社交焦虑,文化背景、年龄阶段在儿童期虐待与社交焦虑的关系间存在调节效应,而性别不存在调节效应。
Meta-analysis of the relationship between childhood abuse and social anxiety
Objective To understand the relationship between childhood abuse and social anxiety and its influencing factors,so as to provide a theoretical basis for the intervention targeting social anxiety in adolescents.Methods The Meta-analysis was con-ducted on the 30 selected articles using random-effects models,comprising 93 independent effect sizes and a total sample of 19 354.Odds ratio(OR)was used to integrate the relationship between childhood abuse and social anxiety.Results There was a signifi-cant positive correlation between childhood abuse and social anxiety(r=0.22),and its subtypes(emotional abuse,emotional neg-lect,emotional maltreatment,physical abuse,physical neglect,sexual abuse)could also positively predict social anxiety(OR=3.14,1.97,2.42,1.78,1.68,1.54)(P<0.01).The moderating effect showed that cultural background could significantly moderate the relationship between emotional neglect and the composite index and social anxiety(Qb=3.95,3.93),and the relationship be-tween emotional abuse and composite index and social anxiety were significantly moderated by age(Qb=7.65,8.72)(P<0.05).Conclusions Childhood abuse is a positive predictor of social anxiety.Cultural background and age have a significant moderating effect on the relationship between childhood abuse and social anxiety,but gender has no significant moderating effect.

Child abuseAnxietyMental healthChild

黄月、杜鑫、薛云珍、郑川薇、张钰苒

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山西医科大学人文社会科学学院,太原 030001

虐待儿童 焦虑 精神卫生 儿童

2019年度国家社会科学基金项目

19BSH168

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(7)