Child maltreatment and resilience in adulthood: A protocol for a systematic review and meta-analysis

Article


Fares-Otero, Natalia E., O, Jiaqing, Spies, Georgina, Womersley, Jacqueline S., Gonzalez, Carolina, Ayas, Görkem, Mossie, Tilahun Belete, Carranza-Neira, Julia, Estrada-Lorenzo, Jose-Manuel, Vieta, Eduard, Schalinski, Inga, Schnyder, Ulrich and Seedat, Soraya. 2023. "Child maltreatment and resilience in adulthood: A protocol for a systematic review and meta-analysis." European Journal of Psychotraumatology. 14 (2). https://doi.org/10.1080/20008066.2023.2282826
Article Title

Child maltreatment and resilience in adulthood: A protocol for a systematic review and meta-analysis

ERA Journal ID210443
Article CategoryArticle
AuthorsFares-Otero, Natalia E., O, Jiaqing, Spies, Georgina, Womersley, Jacqueline S., Gonzalez, Carolina, Ayas, Görkem, Mossie, Tilahun Belete, Carranza-Neira, Julia, Estrada-Lorenzo, Jose-Manuel, Vieta, Eduard, Schalinski, Inga, Schnyder, Ulrich and Seedat, Soraya
Journal TitleEuropean Journal of Psychotraumatology
Journal Citation14 (2)
Article Number2282826
Number of Pages16
Year2023
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN2000-8066
2000-8198
Digital Object Identifier (DOI)https://doi.org/10.1080/20008066.2023.2282826
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/20008066.2023.2282826
Abstract

Background: Although child maltreatment (CM) has been linked to health problems and poor psychosocial functioning, not all individuals exposed to CM develop or experience negative consequences later in life. This suggests that some individuals show resilience after being exposed to CM. However, conclusions have been limited by inconsistent findings across different CM subtypes and resilience domains.

Objective: To develop a protocol for conducting a systematic review and meta-analysis to quantify associations between CM (overall and its subtypes) and resilience (global and its multiple domains) in adulthood, and to examine moderators and mediators of these associations.

Method: PubMed, PsycINFO, Embase, Scopus, and Web of Science will be searched to identify relevant studies on the association between CM (exposure) and resilience (outcome) in adults (≥ 18 years). Data will be screened and extracted by at least two independent reviewers. The methodological quality of the included studies will be independently assessed with a modified version of the Newcastle–Ottawa Scale (NOS). If deemed viable, a meta-analysis will be conducted using a random effects model. Heterogeneity of evidence will be estimated with the I2 statistic, and publication bias will be assessed. The effects of potential moderators (e.g. timing and severity of CM, age, sex, family cohesion, socio-economic status, country/region) will be analysed using meta-regression and subgroup analyses, and meta-analytical structural equation modelling will be employed to synthesise indirect mediation effects. Candidate moderators and mediators (e.g. genetic factors, brain functioning, attachment style, personality traits, physical activity, and social support) will be also examined qualitatively.

Conclusions: This protocol will facilitate a systematic review and meta-analysis that has the potential to enhance our knowledge about the association between CM exposure in early life and resilience in adulthood. Understanding associations and underlying mechanisms between CM and resilience is potentially important in informing prevention and interventions to sustain health and improve outcomes among adults with a history of CM.

KeywordsChildhood trauma; neglect;bullying; traumatic stress;adaptive coping; mentalhealth; psychological well-being; resilient functioning;social support; adults
ANZSRC Field of Research 2020520302. Clinical psychology
Byline AffiliationsUniversity of Barcelona, Spain
Carlos III Health Institute (ISCIII), Spain
Singapore Institute of Technology
University of Cape Town, South Africa
School of Psychology and Wellbeing
Koc University, Turkey
Bahir Dar University, Ethiopia
Peruvian University of Applied Sciences (UPC), Peru
University Hospital October 12, Spain
Bundeswehr University Munich, Germany
University of Zurich, Switzerland
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