Evidence map›Paper›PMID 40025916›Full record

SynthesisActa psychiatrica Scandinavica2025

A Systematic Review and Meta-Analysis of the Association Between Childhood Maltreatment and Adult Depression.

Christopher B Watson, Christopher F Sharpley, Vicki Bitsika, Ian Evans, Kirstan Vessey

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta psychiatrica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christopher B WatsonBrain Behaviour Research Group, University of New England, Armidale, New South Wales, Australia.ORCID 0009-0002-8391-6585
Christopher F SharpleyBrain Behaviour Research Group, University of New England, Armidale, New South Wales, Australia.ORCID 0000-0001-7922-4848
Vicki BitsikaBrain Behaviour Research Group, University of New England, Armidale, New South Wales, Australia.ORCID 0000-0003-2518-6684
Ian EvansBrain Behaviour Research Group, University of New England, Armidale, New South Wales, Australia.ORCID 0000-0002-2231-3134
Kirstan VesseyBrain Behaviour Research Group, University of New England, Armidale, New South Wales, Australia.ORCID 0000-0003-1031-1964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildhood maltreatment (CM) and depression are serious global issues with high prevalence and lifelong impacts on physical and mental health. CM has been proposed as a modifiable risk factor for depression that, if prevented, may contribute to a reduction in the global incidence of depressive disorders. Despite this, there is a paucity of reviews examining the strength of the association between these variables. The aim of this systematic review and meta-analysis was to evaluate the empirical evidence and determine if CM is supported as a preventable risk factor for depression.

methodsA search was performed in July 2024 for all peer-reviewed journal articles written in English examining the relationship between CM and adult depression in the electronic databases EBSCOhost, Proquest, and Embase. Studies were included in this review if they measured maltreatment before 18 years of age as the independent variable and adult depression as the dependent variable. Studies were excluded if the outcome variable was grouped with comorbidity and if they did not report primary quantitative data. A total of 77 studies with 516,302 participants met the inclusion criteria for review.

resultsA random-effects meta-analysis was used to generate a pooled odds ratio from 87 effect estimates and demonstrated that individuals with a history of any CM are 2.5 times more likely to experience adult depression (OR = 2.49 [95% CI: 2.25-2.76]). This increase in odds remained regardless of how the primary studies screened for depression.

conclusionsThese findings confirmed the strong association between the experience of CM and adult depression. High heterogeneity in the meta-analytic results also suggested that further research is required that applies consistent adjustments for comorbidities and confounding factors and examines the temporal relationship between the variables to establish causality.

Indexed as

Adult Survivors of Child AbuseChild AbuseDepressionDepressive DisorderAdultChildHumansRisk Factorsadverse childhood experienceschild abusechildhood maltreatmentdepressiondepressive disordersmeta‐analysissystematic review

Identifiers

PMID40025916
PMCPMC11962359

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.