The impact of interventions for depression on self-perceptions in young people: A systematic review & meta-analysis

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2024-11-24 DOI:10.1016/j.cpr.2024.102521

R.L. Dean , K.J. Lester , E. Grant , A.P. Field , F. Orchard , V. Pile

{"title":"The impact of interventions for depression on self-perceptions in young people: A systematic review & meta-analysis","authors":"R.L. Dean , K.J. Lester , E. Grant , A.P. Field , F. Orchard , V. Pile","doi":"10.1016/j.cpr.2024.102521","DOIUrl":null,"url":null,"abstract":"<div><div>Negative self-perceptions are implicated in the development and maintenance of depression in young people, but little is known about their receptiveness to change in response to treatment. This paper reports on a pre-registered meta-analysis examining the extent to which treatments for depression in young people aged 11–24 result in changes to self-perceptions. Controlled treatment trials examining outcomes related to self-perceptions were synthesised (<em>k</em> = 20, <em>N</em> = 2041), finding small reductions in both symptoms of depression (<em>g</em> = −0.30; 95 % CI: −0.52, −0.08) and self-perception outcomes (<em>g</em> = 0.33; 95 % CI: 0.16, 0.49) for interventions compared with control groups. Meta-regression analyses found no significant association between reductions in depressive symptoms and improvements in self-perception following treatment, suggesting that despite interventions generally improving both outcomes these changes may be unrelated to each other. Our results indicate that young people's self-perceptions are sensitive to change following treatment for depression, however effect sizes are small and treatments could be more effective in targeting and changing negative self-perceptions. Given the importance that young people place on integrating work on their sense of self into treatments for depression, future interventions could aim to support young people with depression to develop a positive sense of self.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102521"},"PeriodicalIF":13.7000,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0272735824001429","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Negative self-perceptions are implicated in the development and maintenance of depression in young people, but little is known about their receptiveness to change in response to treatment. This paper reports on a pre-registered meta-analysis examining the extent to which treatments for depression in young people aged 11–24 result in changes to self-perceptions. Controlled treatment trials examining outcomes related to self-perceptions were synthesised (k = 20, N = 2041), finding small reductions in both symptoms of depression (g = −0.30; 95 % CI: −0.52, −0.08) and self-perception outcomes (g = 0.33; 95 % CI: 0.16, 0.49) for interventions compared with control groups. Meta-regression analyses found no significant association between reductions in depressive symptoms and improvements in self-perception following treatment, suggesting that despite interventions generally improving both outcomes these changes may be unrelated to each other. Our results indicate that young people's self-perceptions are sensitive to change following treatment for depression, however effect sizes are small and treatments could be more effective in targeting and changing negative self-perceptions. Given the importance that young people place on integrating work on their sense of self into treatments for depression, future interventions could aim to support young people with depression to develop a positive sense of self.

查看原文本刊更多论文

抑郁症干预对年轻人自我认知的影响：系统回顾和荟萃分析

消极的自我认知与年轻人抑郁症的发展和维持有关，但人们对他们在治疗后对变化的接受程度知之甚少。本文报告了一项预先注册的荟萃分析，该分析检验了11-24岁年轻人的抑郁症治疗在多大程度上导致了自我认知的改变。研究人员综合了与自我认知相关的对照治疗试验结果（k = 20, N = 2041），发现两种抑郁症状都有小幅减少(g = - 0.30；95% CI:−0.52,−0.08)和自我知觉结果(g = 0.33；95% CI: 0.16, 0.49)。meta回归分析发现，治疗后抑郁症状的减轻与自我认知的改善之间没有显著关联，这表明尽管干预措施通常改善了这两种结果，但这些变化可能彼此无关。我们的研究结果表明，年轻人的自我认知对抑郁症治疗后的变化很敏感，然而效应量很小，治疗可以更有效地瞄准和改变消极的自我认知。考虑到年轻人将自我意识融入抑郁症治疗的重要性，未来的干预措施可以旨在支持患有抑郁症的年轻人培养积极的自我意识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.