Childhood Emotional Maltreatment (CEM) is a significant but under-studied risk factor for impaired mental health, with adolescents being particularly susceptible. This systematic review and meta-analysis, prospectively registered in PROSPERO as CRD42022383005, aims to synthesize the findings of studies investigating the association between CEM and adolescent psychopathology, making it the first attempt to the best of our knowledge. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines, a comprehensive search (PubMed, Scopus, PsycINFO, Science Direct, Embase, and ProQuest) yielded 12,224 studies, from which 72 were included in the qualitative synthesis. The meta-analysis was conducted on 76 effect sizes (ranging from 0.01 to 0.57) extracted from 56 studies. The assessment of publication bias utilized funnel plots, Egger’s regression test, and the trim and fill method, if required. Additionally, a predictor analysis investigated the influence of study-level variables on the CEM-psychopathology association. Results revealed a significant positive correlation between CEM and adolescent psychopathology (Pooled association: 0.24–0.41) Furthermore, assessment of publication bias indicated no significant bias. The predictor analysis suggested minimal influence of study-level variables. The study underscores the urgent need to address CEM as a crucial risk factor for adolescent psychopathology. The significant positive correlation between CEM and psychopathological outcomes highlights the detrimental effects of CEM on adolescents. Awareness, prevention efforts, and targeted interventions are essential to mitigate these effects. Further studies with culturally diverse and larger sample sizes are required, with emphasis on methodological rigor, given that most of the identified studies showed a high risk of bias.

中文翻译：

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童年情感虐待与青少年精神病理学的关联：系统回顾和荟萃分析

童年情感虐待 (CEM) 是心理健康受损的一个重要但尚未得到充分研究的危险因素，青少年尤其容易受到影响。这项系统评价和荟萃分析在 PROSPERO 中前瞻性注册为 CRD42022383005，旨在综合调查 CEM 与青少年精神病理学之间关联的研究结果，使其成为据我们所知的首次尝试。根据 2020 年系统评价和荟萃分析指南的首选报告项目，进行了全面检索（PubMed、Scopus、PsycINFO、Science Direct、Embase 和 ProQuest），得出了 12,224 项研究，其中 72 项纳入了定性综合。对从 56 项研究中提取的 76 个效应值（范围从 0.01 到 0.57）进行了荟萃分析。发表偏倚的评估利用漏斗图、艾格回归测试以及修剪和填充方法（如果需要）。此外，预测分析调查了研究水平变量对 CEM-精神病理学关联的影响。结果显示 CEM 与青少年精神病理学之间存在显着正相关（合并关联：0.24-0.41）此外，发表偏倚评估表明没有显着偏倚。预测分析表明研究水平变量的影响最小。该研究强调，迫切需要解决 CEM 作为青少年精神病理学的一个关键危险因素。CEM 与心理病理结果之间的显着正相关凸显了 CEM 对青少年的有害影响。认识、预防工作和有针对性的干预措施对于减轻这些影响至关重要。鉴于大多数已确定的研究显示出很高的偏倚风险，因此需要对文化多样性和更大的样本量进行进一步的研究，并强调方法的严谨性。