Table 2.
Model specification | k | Outcome levels | n | Pooled OR [95% CI] |
---|---|---|---|---|
Main models | ||||
Binomial regressions | ||||
1. Association of childhood maltreatment with depressiona | 13 | No depression | 115,959 | ref |
Depression | 39,910 | 2.82 [2.40; 3.30] | ||
2. Association of childhood maltreatment with cardiometabolic diseasea | 13 | No cardiometabolic disease | 162,511 | ref |
Cardiometabolic disease | 15,421 | 1.34 [1.23; 1.46] | ||
2a. Outcome: diabetes mellitus1 | 12 | No diabetes | 168,943 | ref |
Diabetes | 7330 | 1.35 [1.19; 1.53] | ||
2b. Outcome: cardiovascular diseasea | 11 | No cardiovascular disease | 165,502 | ref |
Cardiovascular disease | 9216 | 1.39 [1.26; 1.54] | ||
Multinomial logistic regressions | ||||
3. Association of childhood maltreatment with comorbidity statusa | 9 | Healthy controls | 99,191 | ref |
Depression only | 34,360 | 2.68 [2.39; 3.00] | ||
Cardiometabolic disease only | 9051 | 1.27 [1.18; 1.37] | ||
Comorbidity | 3565 | 3.04 [2.51; 3.68] | ||
4. Model 3 + adjustment of lifestyle factorsb | 9 | Healthy controls | 90,166 | ref |
Depression only | 30,544 | 2.57 [2.28; 2.89] | ||
Cardiometabolic disease only | 8181 | 1.25 [1.15; 1.36] | ||
Comorbidity | 3175 | 2.99 [2.46; 3.63] | ||
5a. Model 3 in males onlya | 7 | Healthy controls | 46,327 | ref |
Depression only | 10,402 | 2.92 [2.51; 3.40] | ||
Cardiometabolic disease only | 5314 | 1.13 [1.01; 1.27] | ||
Comorbidity | 1582 | 2.90 [2.37; 3.53] | ||
5b. Model 3 in females onlya | 8 | Healthy controls | 49,571 | ref |
Depression only | 23,167 | 2.59 [2.30; 2.91] | ||
Cardiometabolic disease only | 3438 | 1.41 [1.26; 1.57] | ||
Comorbidity | 1942 | 3.49 [2.79; 4.36] | ||
6. Model 3 with predictorsa = Physical abuse |
6 | Healthy controls | 88,347c | ref |
Depression only | 32,198c | 1.53 [1.41; 1.66] | ||
Cardiometabolic disease only | 8481c | 1.45 [1.24;1.71] | ||
Comorbidity | 3411c | 2.06 [1.78; 2.39] | ||
Emotional abuse | Healthy controls | 88,347c | ref | |
Depression only | 32,198c | 2.87 [2.56; 3.22] | ||
Cardiometabolic disease only | 8481c | 1.29 [1.11; 1.49] | ||
Comorbidity | 3411c | [2.16; 3.83] | ||
Sexual abuse | Healthy controls | 88,347c | ref | |
Depression only | 32,198c | 1.66 [1.56; 1.76] | ||
Cardiometabolic disease only | 8481c | 1.09 [1.01; 1.17] | ||
Comorbidity | 3411c | 1.60 [1.19; 2.15] | ||
7. Model 3 with cumulation of maltreatment types as predictora = 1 type (vs. 0 type) |
6 | Healthy controls | 88,347c | ref |
Depression only | 32,198c | 2.32 [2.22; 2.41] | ||
Cardiometabolic disease only | 8482c | 1.17 [1.07; 1.28] | ||
Comorbidity | 3411c | 2.37 [1.87; 3.01] | ||
2 or more types (vs. 0 type) | Healthy controls | 88,347c | ref | |
Depression only | 32,198c | 5.14 [3.93; 6.72] | ||
Cardiometabolic disease only | 8482c | 1.83 [1.49; 2.26] | ||
Comorbidity | 3411c | 5.96 [3.59; 9.90] | ||
Sensitivity analyses—multinomial logistic regressions | ||||
8. Model 3 with outcome = comorbidity status based on strict definition of cardiovascular diseasea | 9 | Healthy controls | 101,203 | ref |
Depression only | 35,279 | 2.66 [2.37; 2.98] | ||
Cardiometabolic disease only | 7030 | 1.28 [1.18; 1.40] | ||
Comorbidity | 2643 | 3.09 [2.54; 3.75] | ||
9. Model 3 with outcome = comorbidity status based on broad definition of cardiovascular diseasea | 11 | Healthy controls | 81,817 | ref |
Depression only | 28,612 | 2.84 [2.41; 3.35] | ||
Cardiometabolic disease only | 27,178 | 1.11 [1.06; 1.17] | ||
Comorbidity | 10,364 | 3.00 [2.69; 3.36] | ||
10. Model 3 with outcome = comorbidity status based on medication intake in addition to reports of diagnosesa | 7 | Healthy controls | 78,989 | ref |
Depression only | 31,266 | 2.83 [2.27; 3.53] | ||
Cardiometabolic disease only | 16,896 | 1.13 [1.00; 1.26] | ||
Comorbidity | 6517 | 2.76 [2.28; 3.35] |
aMinimal adjustment: correction for age, sex, and education level
bMinimal + additional adjustment: correction for age, sex, education level, smoking status, alcohol consumption, and physical activity
cThese sample sizes are specific to each outcome level and across all predictors and predictor levels
Abbreviations: k number of studies included, n sample size used in model, OR Odds ratio, CI Confidence interval, ref outcome reference category in logistic regressions
An overview of the cohorts included in each meta-analyzed model can be found in Additional file 1: Table S6