The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis
Background: There is a growing body of literature identifying a relationship between experiences of child abuse and symptoms of psychosis in adults. However, the impact of this relationship on risk of violence has not been systematically explored. Aims: This meta-analysis aimed to consider the infl...
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| Format: | Article |
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SAGE Publications
2017
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| Online Access: | https://eprints.nottingham.ac.uk/42036/ |
| _version_ | 1848796403315245056 |
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| author | Green, Kathleen Browne, Kevin Chou, Shihning |
| author_facet | Green, Kathleen Browne, Kevin Chou, Shihning |
| author_sort | Green, Kathleen |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: There is a growing body of literature identifying a relationship between experiences of child abuse and symptoms of psychosis in adults. However, the impact of this relationship on risk of violence has not been systematically explored.
Aims: This meta-analysis aimed to consider the influence of childhood abuse on the risk of violence amongst individuals with psychosis.
Method: Five bibliographic databases and two grey literature resources were systematically searched to identify quantitative research which measured risk of violence and experiences of childhood maltreatment in individuals with psychosis. Risk of bias for each study was assessed under pre-defined criteria. Logged odds ratios were synthesised quantitatively in a meta-analysis.
Results: A total of 6298 studies were identified, 11 of which were included in the final analysis (N = 2215), all studies were of a cross-sectional or case-control design. Individuals with psychotic illnesses who reported historical child maltreatment were at approximately twice the risk of perpetrating violence than patients who reported no early abuse (OR = 2.46 (95% CI = 1.91 – 3.16). There was no statistical heterogeneity between main effects (τ = 0.00; Χ² = 8.87, df = 10, p = 0.54, I² = 0%).
Discussion: Risk assessments and interventions may benefit from considering the unique contribution of trauma to violence in this population. Future research considering the interaction between childhood experiences and other risk factors for violence in this population, including specific symptoms of psychosis, would inform the current findings. Findings are limited by the lack of longitudinal research in this area, and there was some evidence of publication bias. |
| first_indexed | 2025-11-14T19:47:26Z |
| format | Article |
| id | nottingham-42036 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:47:26Z |
| publishDate | 2017 |
| publisher | SAGE Publications |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-420362020-05-04T18:46:56Z https://eprints.nottingham.ac.uk/42036/ The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis Green, Kathleen Browne, Kevin Chou, Shihning Background: There is a growing body of literature identifying a relationship between experiences of child abuse and symptoms of psychosis in adults. However, the impact of this relationship on risk of violence has not been systematically explored. Aims: This meta-analysis aimed to consider the influence of childhood abuse on the risk of violence amongst individuals with psychosis. Method: Five bibliographic databases and two grey literature resources were systematically searched to identify quantitative research which measured risk of violence and experiences of childhood maltreatment in individuals with psychosis. Risk of bias for each study was assessed under pre-defined criteria. Logged odds ratios were synthesised quantitatively in a meta-analysis. Results: A total of 6298 studies were identified, 11 of which were included in the final analysis (N = 2215), all studies were of a cross-sectional or case-control design. Individuals with psychotic illnesses who reported historical child maltreatment were at approximately twice the risk of perpetrating violence than patients who reported no early abuse (OR = 2.46 (95% CI = 1.91 – 3.16). There was no statistical heterogeneity between main effects (τ = 0.00; Χ² = 8.87, df = 10, p = 0.54, I² = 0%). Discussion: Risk assessments and interventions may benefit from considering the unique contribution of trauma to violence in this population. Future research considering the interaction between childhood experiences and other risk factors for violence in this population, including specific symptoms of psychosis, would inform the current findings. Findings are limited by the lack of longitudinal research in this area, and there was some evidence of publication bias. SAGE Publications 2017-05-26 Article PeerReviewed Green, Kathleen, Browne, Kevin and Chou, Shihning (2017) The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis. Trauma, Violence, and Abuse . ISSN 1524-8380 child abuse and neglect violent offenders mental health psychosis and violence http://journals.sagepub.com/doi/pdf/10.1177/1524838017708786 doi:10.1177/1524838017708786 doi:10.1177/1524838017708786 |
| spellingShingle | child abuse and neglect violent offenders mental health psychosis and violence Green, Kathleen Browne, Kevin Chou, Shihning The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title | The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title_full | The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title_fullStr | The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title_full_unstemmed | The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title_short | The relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| title_sort | relationship between childhood adversity and violence to others among individuals with psychosis: a review and meta-analysis |
| topic | child abuse and neglect violent offenders mental health psychosis and violence |
| url | https://eprints.nottingham.ac.uk/42036/ https://eprints.nottingham.ac.uk/42036/ https://eprints.nottingham.ac.uk/42036/ |