1. Objectifs

Intentions :
«[T]he current systematic review aims to (1) synthesize available research on the associations between CSA [child sexual abuse] and ADHD [attention deficit hyperactivity disorder], its temporality and its relationship to trauma-related symptoms, (2) assess the methodological quality of available research, and (3) recommend directions for future research and practice.» (p. 370)

2. Méthode

Échantillon/Matériau :
«Subject headings (when available) and key words were searched from the following databases in this order: (1) MEDLINE Ovid (1946–January 8, 2020), (2) PsycINFO Ovid (1806–January 8, 2020), (3) ERIC EBSCOhost (Education Resources Information Center; 1966–January 8, 2020), (4) Scopus (searched January 8, 2020), and (5) ProQuest Dissertations and Theses Global (searched January 8, 2020).» (p. 370) In the end, 28 articles were kept for this review.

Type de traitement des données :
Réflexion critique

3. Résumé

This systematic review shows that «[m]ost studies (82%) uncovered significant associations between CSA and ADHD or ADHD symptoms and, surprisingly, this proportion did not differ much depending on the number of confounding factors included in the main analyses. A little over half of the studies reviewed (57%) included at least one potentially confounding factor in their examination of the associations between CSA and ADHD, but only 21% of included studies controlled for other maltreatment types, despite the well-documented high rates of co-occurrence between different forms of child maltreatment and family adversity (e.g., Turner et al., 2010). The most frequent confounding factors incorporated were sociodemographic factors and family characteristics such as family size, parental conflicts, and parental psychopathology. […] Furthermore, [the authors] were unable to clarify the directionality of the association between CSA and ADHD. A little over half of studies conceptualized CSA as a risk factor for ADHD (53%), while 29% conceptualized ADHD as a risk factor for future CSA, and a minority of studies (18%) did not make clear assumptions regarding the temporal association between these variables.» (p. 383)