Intervention of Healthcare Professionals for Patients With Experience of Child Maltreatment and Mental Disorders: A Systematic Review and Meta Analyses

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  • Nagai Sho
    Doctoral Program, Graduate School of Nursing Science, Human Environment University
  • Shinozaki Emiko
    Graduate School of Nursing Science, Human Environment University

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  • チャイルド・マルトリートメント経験と精神疾患を併せ持つ患者への医療専門家の介入：システマティックレビューとメタアナリシス
  • チャイルド ・ マルトリートメント ケイケン ト セイシン シッカン オ アワセ モツ カンジャ エ ノ イリョウ センモンカ ノ カイニュウ : システマティックレビュー ト メタアナリシス

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<p>Background: Patients with histories of child maltreatment and mental disorders present a significant challenge for healthcare professionals. This study systematically reviews and meta-analyzes therapeutic interventions to determine their efficacy for this patient group, aiming to provide evidence-based recommendations for clinical practice.</p><p>Methods: We conducted a literature search in four databases including PubMed, applying the Cochrane Handbook v6.3 and PRISMA guidelines. The selection process entailed both primary and secondary screenings, conducted by two independent reviewers using Covidence. Initial and secondary screenings were performed using Covidence, risk of bias was assessed using the GRADE approach, and meta-analysis was conducted with RevMan Web. This review protocol was registered with PROSPERO (CRD42023417819).</p><p>Results: From seven identified RCTs, therapeutic interventions demonstrated small to moderate effects on primary psychiatric symptoms (effect size –0.45, 95% CI: –0.79, –0.11). No statistically significant effects were found on interpersonal relationships (effect size –0.16, 95% CI: –0.59, 0.27). However, a high level of heterogeneity was observed in both outcomes (I2 = 75% for interpersonal relationships and I2 = 70% for psychiatric symptoms), and subgroup analysis did not indicate that the combination of STAIR/PE interventions produced statistically significant different effects compared to other interventions (χ2 = 0.27, P = 0.60, I2 = 0% for interpersonal relationships, and χ2 = 0.00, P = 0.96, I2 = 0% for psychiatric symptoms).</p><p>Conclusion: This study has indicated that STAIR/PE may offer potential benefits in improving interpersonal relationships and psychiatric symptoms in patients. However, additional research is required to definitively determine its effectiveness.</p>

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