Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis.

Details

Serval ID
serval:BIB_1A9AE84499B4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis.
Journal
Psychological medicine
Author(s)
Fares-Otero N.E., Alameda L., Pfaltz M.C., Martinez-Aran A., Schäfer I., Vieta E.
ISSN
1469-8978 (Electronic)
ISSN-L
0033-2917
Publication state
Published
Issued date
10/2023
Peer-reviewed
Oui
Volume
53
Number
13
Pages
5909-5932
Language
english
Notes
Publication types: Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Childhood maltreatment (CM) has been related to social functioning and social cognition impairment in people with psychotic disorders (PD); however, evidence across different CM subtypes and social domains remains less clear. We conducted a systematic review and meta-analysis to quantify associations between CM, overall and its different subtypes (physical/emotional/sexual abuse, physical/emotional neglect), and domains of social functioning and social cognition in adults with PD. We also examined moderators and mediators of these associations. A PRISMA-compliant systematic search was performed on 24 November 2022 (PROSPERO CRD42020175244). Fifty-three studies (N = 13 635 individuals with PD) were included in qualitative synthesis, of which 51 studies (N = 13 260) with 125 effects sizes were pooled in meta-analyses. We found that CM was negatively associated with global social functioning and interpersonal relations, and positively associated with aggressive behaviour, but unrelated to independent living or occupational functioning. There was no meta-analytic evidence of associations between CM and social cognition. Meta-regression analyses did not identify any consistent moderation pattern. Narrative synthesis identified sex and timing of CM as potential moderators, and depressive symptoms and maladaptive personality traits as possible mediators between CM and social outcomes. Associations were of small magnitude and limited number of studies assessing CM subtypes and social cognition are available. Nevertheless, adults with PD are at risk of social functioning problems after CM exposure, an effect observed across multiple CM subtypes, social domains, diagnoses and illness stages. Maltreated adults with PD may thus benefit from trauma-related and psychosocial interventions targeting social relationships and functioning.
Keywords
Adult, Child, Humans, Child Abuse/psychology, Social Cognition, Social Interaction, Psychotic Disorders/psychology, Emotions, aggression, child abuse, childhood trauma, emotion processing, neglect, psychosis, social behaviour, social interactions, social relationships, theory of mind
Pubmed
Web of science
Open Access
Yes
Create date
21/07/2023 9:56
Last modification date
19/12/2023 8:15
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