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Record W4409340355 · doi:10.1038/s41562-025-02143-3

Health effects associated with exposure of children to physical violence, psychological violence and neglect: a Burden of Proof study

2025· review· en· W4409340355 on OpenAlex
Luísa Sório Flor, Caroline Stein, Gabriela Gil, Mariam Khalil, Molly E Herbert, Aleksandr Y. Aravkin, Alejandra Arrieta, María José Baeza, Flavia Bustreo, Jack Cagney, Renzo Calderón-Anyosa, Sinclair Carr, Jaidev Kaur Chandan, Joht Singh Chandan, Carolina V. N. Coll, Fabiana Martins Dias de Andrade, Gisele Nepomuceno de Andrade, Alexandra N Debure, Erin DeGraw, Ben Hammond, Simon I Hay, Felícia Marie Knaul, Rachel Qian Hui Lim, Susan A. McLaughlin, Nicholas Metheny, Sonica Minhas, Jasleen K Mohr, Erin C Mullany, Christopher J L Murray, Erin M O'Connell, Vedavati Patwardhan, Sofia Reinach, Dalton Scott, Cory N Spencer, Reed J D Sorensen, Heidi Stöckl, Aisha Twalibu, Aiganym Valikhanova, Nádia Vasconcelos, Peng Zheng, Emmanuela Gakidou

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueNature Human Behaviour · 2025
Typereview
Languageen
FieldPsychology
TopicChild Abuse and Trauma
Canadian institutionsMcGill University
FundersBill and Melinda Gates Foundation
KeywordsNeglectPsychiatryAnxietyMedicinePoison controlInjury preventionSuicide preventionClinical psychologyOccupational safety and healthMental healthPsychologyEnvironmental health

Abstract

fetched live from OpenAlex

The health toll of child maltreatment or violence against children (VAC) has not yet been comprehensively evaluated. Here, in our systematic review and meta-analyses, we focused on the health impacts of physical violence, psychological violence and neglect during childhood. Utilizing the Burden of Proof methodology, which generates conservative measures of association while accounting for heterogeneity between input studies, we evaluated 35 associations between VAC and adverse health outcomes, identifying 27 statistically significant links. The associations between physical violence and major depressive disorder, ischaemic heart disease, alcohol use disorder, eating disorders and drug use disorders were rated as moderately weak, reflecting a small effect size and/or inconsistent evidence. The minimum increased risk ranged from 16% for depression to 2% for drug use disorders. Psychological violence showed similar moderately weak associations with drug use disorders (8% minimum risk increase), migraine (7%) and gynaecological diseases (2%). Neglect was linked to at least a 15% increased risk for anxiety disorders. The other 18 associations were weaker due to smaller effect sizes and/or less consistent evidence. Despite the limitations of the existing evidence, our analysis highlights substantial health impacts for VAC survivors, underscoring the need for health system prioritization and continued efforts to eliminate all forms of VAC.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.958
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.385
Teacher spread0.366 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it