Maniglio, Roberto; Child Sexual Abuse in the Etiology of Depression; Depression and Anxiety; 27(2010), 631 - 642
This article addresses the best available scienti?c evidence on the topic, by providing a systematic review of the several reviews that have investigated the literature on the issue.
Seven databases were searched, supplemented with hand search of reference lists from retrieved papers.
Four reviews, including about 60,000 subjects from 160 studies and having no limitations that could invalidate their results, were analyzed.
There is evidence that child sexual abuse is a signi?cant, although general and nonspeci?c, risk factor for depression.
Additional variables may either act independently to promote depression in people with a history of sexual abuse or interact with such traumatic experience to increase the likelihood of depression in child abuse survivors.
For all victims of abuse, programs should focus not only on treating symptoms, but also on reducing additional risk factors. Depressed adults who seek psychiatric treatment should be enquired about early abuse within admission procedures.