TY - JOUR PY - 2008// TI - Childhood sexual abuse and non-suicidal self-injury: Meta-analysis JO - British journal of psychiatry A1 - Klonsky, E. David A1 - Moyer, Anne SP - 166 EP - 170 VL - 192 IS - 3 N2 - BACKGROUND: Many theorists posit that childhood sexual abuse has a central role in the aetiology of self-injurious behaviour. Studies that report statistically significant associations between a history of such abuse and self-injury are cited to support this view. AIMS: A meta-analysis was conducted to determine systematically the magnitude of the association between childhood sexual abuse and self-injurious behaviour. METHOD: Forty-five analyses of the association were identified. Effect sizes were converted to a standard metric and aggregated. RESULTS: The relationship between childhood sexual abuse and self-injurious behaviour is relatively small (mean weighted aggregate varphi=0.23). This figure may be inflated owing to publication bias. In studies that statistically controlled for psychiatric risk factors, childhood sexual abuse explained little or no unique variance in self-injurious behaviour. CONCLUSIONS: Theories that childhood sexual abuse has a central or causal role in the development of self-injurious behaviour are not supported by the available empirical evidence. Instead, it appears that the two are modestly related because they are correlated with the same psychiatric risk factors.
Language: en
LA - en SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.bp.106.030650 ID - ref1 ER -