Effects of Childhood Maltreatment on Self-Compassion: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 152483802110438
Author(s):  
Huiping Zhang ◽  
Jiming Li ◽  
Bingyi Sun ◽  
Qingong Wei

Background: This systematic review aims to estimate the extent to which childhood maltreatment influences self-compassion in later life. Method: Four English databases (Web of Science, PsycINFO, PubMed, and PsycARTICLES) and three Chinese databases (China National Knowledge Infrastructure, Wanfang, and Weipu) were systematically searched. We extracted data related to the associations between child maltreatment and self-compassion and pooled them using random effect models. Findings: A total of 20 eligible studies were included involving 6,877 participants in the analyses. Overall child maltreatment was negatively related to self-compassion ( r = −.28, p < .001); emotional abuse and neglect were negatively related to self-compassion ( r = −.28, p < .01; r = −.31, p < .01, respectively) at a moderate level; and physical abuse, sexual abuse, and physical neglect were negatively related to self-compassion ( r = −.12, p < .01; r = −.10, p < .01; and r = −.22, p < .001, respectively) at a small level. Conclusion: The results indicate that overall and subtypes of maltreatment are associated with decreased self-compassion, and child intervention programs focused on self-compassion should be designed to protect the well-being of individuals with a history of childhood maltreatment.

2018 ◽  
Vol 59 (4) ◽  
pp. e311-e324 ◽  
Author(s):  
Lydia Brown ◽  
Jeff C Huffman ◽  
Christina Bryant

Abstract Abstract Background and Objectives There is considerable heterogeneity in experiences of aging, with some experiencing greater well-being and adapting more successfully to the challenges of aging than others. Self-compassion is a modifiable psychological skill that might help explain individual differences in well-being and adjustment in later life. The aim of this study was to systematically review the literature on self-compassion and well-being outcomes in studies of older adults aged 65 and older. Research Design and Methods This systematic review was conducted according to PRISMA guidelines, using databases PsycINFO, Medline, and Embase. The search term self-compassion was paired with terms relating to well-being, psychological symptoms, and adjustment. Meta-analysis was used to synthesize results on the relationship between self-compassion and four outcomes including depression, anxiety, hedonic well-being, and eudaimonic well-being. Results Eleven studies met inclusion criteria for this review. Meta-analysis revealed that self-compassion was associated with lower levels of depression (r = −.58, 95% CI [−.66, −.48]) and anxiety (r = −.36, 95% CI [−.60, −.07]), and higher levels of hedonic (r = .41, 95% CI [.15, .62]) and eudaimonic (r = .49, 95% CI [.41, .57]) well-being. Further, three studies found self-compassion weakened the impact of physical symptoms on well-being outcomes. Discussion and Implications We found preliminary evidence that self-compassion is associated with well-being outcomes in older adults, and that self-compassion may buffer the psychological sequelae of health symptoms in later life. Higher quality studies with uniform outcome measures are needed to replicate and extend these results.


1998 ◽  
Vol 13 (3) ◽  
pp. 269-286 ◽  
Author(s):  
Leora N. Rosen ◽  
Lee Martin

Four different types of childhood maltreatment were examined as predictors of unwanted sexual experiences and acknowledged sexual harassment among male and female active duty soldiers in the United States Army. Predictor variables included childhood sexual abuse, physical-emotional abuse, physical neglect, and emotional neglect. Three types of unwanted sexual experiences in the workplace were examined as outcome variables: gender harassment, unwanted sexual attention, and coercion. Both sexual and physical-emotional abuse during childhood were found to be predictors of unwanted sexual experiences and of acknowledged sexual harassment in the workplace. Among female soldiers, the most severe type of unwanted experience—coercion—was predicted only by childhood physical-emotional abuse. Among male soldiers childhood sexual abuse was the strongest predictor of coercion. A greater variety of types of childhood maltreatment predicted sexual harassment outcomes for male soldiers. Childhood maltreatment and adult sexual harassment were predictors of psychological well-being for soldiers of both genders.


2019 ◽  
Vol 50 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Ioannis Angelakis ◽  
Jennifer L. Austin ◽  
Patricia Gooding

AbstractIn the past decade, the links between core types of childhood maltreatment and suicidal acts have become an increasingly important area of investigation. However, no meta-analytic review has examined this relationship in prisoners. We undertook the first systematic meta-analytic review examining the link between childhood maltreatment and suicide attempts in prisoners to redress this important gap. We searched Medline, PsychINFO, Embase, Web of Science and CINAHL from inception until August 2019. Meta-analyses using random effect models were applied, and heterogeneity was quantified using the I2 statistic. Publication bias and risk of bias across studies were assessed. We identified 24 studies comprising 16 586 prisoners. The rates of different types of childhood maltreatment ranged between 29% and 68% [95% confidence interval (CI) 18–81%]. The rate of suicide attempts in prisoners was 23% (95% CI 18–27%). Main results demonstrated that sexual abuse [odds ratio (OR) 2.68, 95% CI 1.86–3.86], physical abuse (OR 2.16, 95% CI 1.60–2.91), emotional abuse (OR 2.70, 95% CI 1.92–3.79), emotional neglect (OR 2.29, 95% CI 1.69–3.10), physical neglect (OR 1.57, 95% CI 1.27–1.94) and combined abuse (OR 3.09, 95% CI 2.14–4.45) were strongly associated with suicide attempts in prisoners. There was an indication of publication bias. Duval and Tweedie's trim-and-fill method was applied, which increased the odds for suicide attempts. Given the high rates of prison suicide deaths and suicide attempts, our findings suggest an urgent need for targeted suicide prevention priorities for prisoners, with a particular focus on ameliorating the effects of childhood traumatic experiences on suicidal prisoners.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1004-1004
Author(s):  
Tyler Bruefach ◽  
Dawn Carr ◽  
Natalie Sachs-Ericsson

Abstract Traumatic experiences in early life impact adults’ well-being and their abilities to respond to adversities over the life course. Child maltreatment is a particularly salient stressor in childhood and scholars have noted the psychological implications of such experiences that extend into late life. People who experienced maltreatment in childhood have more difficulty maintaining and developing high quality relationships, regulating their emotions, and they engage in poorer coping behaviors amidst major stressors. Our study focuses on how child maltreatment (i.e., emotional abuse; physical abuse; sexual abuse; emotional neglect) shaped older adults’ changes in depression during the early stages of the COVID-19 Pandemic. Using a dataset released in 2021, based on a community sample of older adults collected in September 2018 and June 2020, we found that exposures to emotional neglect (1.630; p &lt; 0.001) and emotional abuse (0.670; p &lt; 0.05) in childhood were both associated with increases in depression scores in association with the pandemic, relative to those without such exposures. In addition, the more forms of maltreatment that individuals were exposed to in childhood, the more they experienced negative psychological health consequences in association with the pandemic. Our results suggest that early life traumas play a role in how older adults respond to stressful situations. Clinical treatments for depression may be more effective if they take into consideration how these early life experiences influence exposures to new stressors in later life.


2021 ◽  
pp. 152483802110294
Author(s):  
Annie Bérubé ◽  
Jessica Turgeon ◽  
Caroline Blais ◽  
Daniel Fiset

Child maltreatment has many well-documented lasting effects on children. Among its consequences, it affects children’s recognition of emotions. More and more studies are recognizing the lasting effect that a history of maltreatment can have on emotion recognition. A systematic literature review was conducted to better understand this relationship. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used and four databases were searched, MEDLINE/PubMed, PsycINFO, EMBASE, and FRANCIS, using three cross-referenced key words: child abuse, emotion recognition, and adults. The search process identified 23 studies that met the inclusion criteria. The review highlights the wide variety of measures used to assess child maltreatment as well as the different protocols used to measure emotion recognition. The results indicate that adults with a history of childhood maltreatment show a differentiated reaction to happiness, anger, and fear. Happiness is less detected, whereas negative emotions are recognized more rapidly and at a lower intensity compared to adults not exposed to such traumatic events. Emotion recognition is also related to greater brain activation for the maltreated group. However, the results are less consistent for adults who also have a diagnosis of mental health problems. The systematic review found that maltreatment affects the perception of emotions expressed on both adult and child faces. However, more research is needed to better understand how a history of maltreatment is related to adults’ perception of children’s emotions.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2969 ◽  
Author(s):  
Rami Bou Khalil ◽  
Ghassan Sleilaty ◽  
Sami Richa ◽  
Maude Seneque ◽  
Sylvain Iceta ◽  
...  

Background: The current study aimed to test whether food addiction (FA) might mediate the relationship between the presence of a history of childhood maltreatment and eating disorder (ED) symptom severity. Methods: Participants were 231 patients with ED presenting between May 2017 and January 2020 to a daycare treatment facility for assessment and management with mainly the Eating Disorder Inventory-2 (EDI-2), the Child Trauma Questionnaire (CTQ), and the Yale Food Addiction Scale (YFAS 2.0). Results: Participants had a median age of 24 (interquartile range (IQR) 20–33) years and manifested anorexia nervosa (61.47%), bulimia nervosa (16.88%), binge-eating disorders (9.09%), and other types of ED (12.55%). They were grouped into those likely presenting FA (N = 154) and those without FA (N = 77). The group with FA reported higher scores on all five CTQ subscales, as well as the total score of the EDI-2 (p < 0.001). Using mediation analysis; significant indirect pathways between all CTQ subscales and the EDI-2 total score emerged via FA, with the largest indirect effect emerging for physical neglect (standardized effect = 0.208; 95% confidence interval (CI) 0.127–0.29) followed by emotional abuse (standardized effect = 0.183; 95% CI 0.109–0.262). Conclusion: These results are compatible with a model in which certain types of childhood maltreatment, especially physical neglect, may induce, maintain, and/or exacerbate ED symptoms via FA which may guide future treatments.


2019 ◽  
Vol 49 (07) ◽  
pp. 1057-1078 ◽  
Author(s):  
Ioannis Angelakis ◽  
Emma Louise Gillespie ◽  
Maria Panagioti

AbstractThis comprehensive systematic review and meta-analysis aims to quantify the association between different types of childhood maltreatment and suicidality. We searched five bibliographic databases, including Medline, PsychINFO, Embase, Web of Science and CINAHL, until January 2018. Random-effects meta-analysis was employed followed by univariable and multivariable meta-regressions. Heterogeneity was quantified using theI2statistic and formal publication bias tests were undertaken. The methodological quality of the studies was critically appraised and accounted in the meta-regression analyses. Data from 68 studies based onn= 261.660 adults were pooled. All different types of childhood maltreatment including sexual abuse [odds ratio (OR) 3.17, 95% confidence interval (CI) 2.76–3.64], physical abuse (OR 2.52, 95% CI 2.09–3.04) and emotional abuse (OR 2.49, 95% CI 1.64–3.77) were associated with two- to three-fold increased risk for suicide attempts. Similar results were found for the association between childhood maltreatment and suicidal ideation. Complex childhood abuse was associated with a particularly high risk for suicide attempts in adults (OR 5.18, 95% CI 2.52–10.63). Variations across the studies in terms of demographic and clinical characteristics of the participants and other core methodological factors did not affect the findings of the main analyses. We conclude that there is solid evidence that childhood maltreatment is associated with increased odds for suicidality in adults. The main outstanding challenge is to better understand the mechanisms which underpin the development of suicidality in people exposed to childhood maltreatment because current evidence is scarce.


2020 ◽  
Author(s):  
Rie Mizuki ◽  
Takeo Fujiwara

Abstract Background In Japan, the number of child maltreatment reports has surged to almost ten folds during the last decade. Assessment tools which are concise and easy-to-use are called for, in order to facilitate the process of child maltreatment substantiation as well as to advance research on Japanese people. The Childhood Trauma Questionnaire (CTQ-SF) is accepted internationally as an instrument to assess and quantify experiences of childhood maltreatment and its impact. However, the Japanese version of CTQ-SF has not been validated. The present study examined validity of the Japanese version of the CTQ (CTQ-J). Methods The CTQ-J was administered to Japanese adolescents institutionalized due to child maltreatment and other family issues (institutionalized group, n=31) and adolescents who had no experience of institutionalization (community group, n=46) from the greater Tokyo area. Analysis of Variance was conducted to compare CTQ-J scores among the institutionalized group with documented maltreatment, the institutionalized group without documented maltreatment, and the community group, for the total score and five subscale scores. Then the discrimination of scores assessed by the CTQ-J were calculated using receiver operating characteristic (ROC) curve analysis and compared with documented childhood maltreatment experiences from institutionalized adolescents. Results Internal consistency was ‘good’ to ‘acceptable’ for the CTQ-J in the categories of emotional abuse, physical abuse, sexual abuse, and emotional neglect (Cronbach’s alpha > 0.74). In each maltreatment type, the institutionalized group with documented maltreatment experiences showed significantly higher CTQ-J scores than the community group. The area under the curve (AUC) showed higher discrimination for the total score of the CTQ-J (0.95, 95% confidence interval: 0.90-0.99), and each type of child maltreatment (all AUC: 0.98-0.86). Conclusion This study has demonstrated that the CTQ-J may be used as a reliable tool for childhood maltreatment experience assessment among Japanese adolescents. It is suggested that the CTQ-J has validity by predicting child maltreatment experiences documented in the child welfare records.


2021 ◽  
Vol 12 ◽  
Author(s):  
Phileas J. Proskynitopoulos ◽  
Ivo Heitland ◽  
Alexander Glahn ◽  
Johann Bauersachs ◽  
Mechthild Westhoff-Bleck ◽  
...  

Background: The prevalence of child maltreatment in adults with congenital heart disease (ACHD) has not been assessed so far. Child maltreatment is a major risk factor for unfavorable behavioral, mental, and physical health outcomes and has been associated with decreased quality of life. Given the increased survival time of ACHD, it is essential to assess factors that may worsen the quality of life and interact with classical cardiovascular risk factors and mental well-being.Methods: In a cross-sectional study, 196 ACHD (mean age 35.21 ± 11.24 y, 44,4% female, 55.6% male) completed a thorough psychiatric and cardiac evaluation. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ) and rates were compared to already existing data from the German general population. Further psychological measurements included the WHO Quality of Life Questionnaire, Hospital Anxiety and Depression Scale (HADS) and assessment of lifestyle factors (exercise, smoking, alcohol consumption, body mass index). To identify a relationship between current cardiac function and child maltreatment, we used logistic regression.Results: ACHD reported significantly higher rates of emotional neglect and emotional abuse and sexual abuse and lower rates of physical neglect when compared to the general German population. In addition, total CTQ-scores, emotional abuse, emotional neglect, physical abuse, and sexual abuse correlated with symptoms of depression, anxiety, and negatively correlated with QoL. Furthermore, CTQ scores contributed significantly in predicting higher New York Heart Association (NYHA) scores (p = 0.009).Conclusion: Child maltreatment is more common in ACHD and associated with decreased quality of life and depression and anxiety. Furthermore, we found evidence that self-reported child maltreatment is associated with decreased cardiac function. Given the longer survival time of patients with ACHD, identifying factors that may negatively influence the disease course is essential. The negative consequences of child maltreatment may be the subject of psychosocial interventions that have demonstrated efficacy in treating posttraumatic stress disorders.


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