儿童期虐待与社交焦虑关系的Meta分析

Meta-analysis of the relationship between childhood abuse and social anxiety

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,19354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。

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 conducted on the 30 selected articles using random-effects models,comprising 93 independent effect sizes and a total sample of 19354.Odds ratio(OR)was used to integrate the relationship between childhood abuse and social anxiety.Results There was a significant positive correlation between childhood abuse and social anxiety(r=0.22),and its subtypes(emotional abuse,emotional neglect,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 between 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.