Childhood-maltreatment subtypes in bipolar patients with suicidal behavior: systematic review and meta-analysis
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
42(5): 558-567, Sept.-Oct. 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1132124
ABSTRACT
Objective:
Patients with bipolar disorders have a high risk of suicidal behavior. Childhood maltreatment is a well-established risk factor for suicidal behavior. The objective of this study was to examine the association between childhood-maltreatment subtypes and vulnerability to suicide attempts in bipolar disorder using the Childhood Trauma Questionnaire (CTQ).Methods:
A literature review was performed using the MEDLINE, Embase, and PsycINFO databases. Thirteen studies met the selection criteria. In the meta-analysis, the Childhood Trauma Questionnaire (CTQ) was used to assess a wide range of childhood maltreatment subtypes, which were analyzed by using a random-effects model to account for the likely variations of true effect sizes between the included studies.Results:
In the systematic review, 13 studies met the selection criteria. The CTQ was selected for the meta-analysis to increase the homogeneity of assessment and to encompass a wide range of childhood-maltreatment subtypes. The data were analyzed using a random-effects model. Compared to bipolar non-attempters, bipolar suicide attempters had experienced childhood maltreatment with a significantly higher frequency and had higher total CTQ scores (Hedges' g = -0.38, 95%CI -0.52 to -0.24, z = -5.27, p < 0.001) and CTQ sub-scores (sexual abuse g = -0.39, 95%CI -0.52 to -0.26, z = -5.97; physical abuse g = -0.26, 95%CI -0.39 to -0.13, z = -4.00; emotional abuse g = -0.39, 95%CI -0.65 to -0.13, z = -2.97; physical neglect g = -0.18, 95%CI -0.31 to -0.05, z = -2.79; emotional neglect g = -0.27, 95%CI -0.43 to -0.11, z = -3.32).Conclusions:
Childhood maltreatment, as assessed by the CTQ, may contribute to an increased risk of suicidal behavior among people with bipolar disorders. Recognizing maltreatment as an etiological risk factor is a crucial step toward furthering science-based preventive psychiatry.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Transtorno Bipolar
/
Maus-Tratos Infantis
/
Sobreviventes Adultos de Maus-Tratos Infantis
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
/
Revisões Sistemáticas Avaliadas
Limite:
Criança
/
Humanos
Idioma:
Inglês
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Assunto da revista:
Psiquiatria
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Canadá
/
França
Instituição/País de afiliação:
Groupe Hospitalo-Universitaire (G.H.U.) Saint Louis-Lariboisiere-Fernand-Widal, Université Paris Diderot/FR
/
McGill Group for Suicide Studies, Department of Psychiatry, Douglas Mental Health University Institute, McGill University/CA
/
Universidade Federal de Minas Gerais/BR
Similares
MEDLINE
...
LILACS
LIS