Social identity processes affect objectively measured physical health: A systematic review and meta-analyses.

IF 2.9 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2026-05-01 Epub Date: 2025-10-27 DOI:10.1037/hea0001552

Tegan Cruwys, Mark Stevens, Niklas K Steffens, Jan A Häusser, Samantha M Pang, Miranda Cody-Osborne, Ella Edwards-Smith, Eoin Garton, Yuang Cheng, Taylah McCluskey

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引用次数: 0

Abstract

Objective: A systematic review (CRD42023422237) examined the effect of social identity processes on objectively measured physical health.

Method: Eligible studies (a) quantitatively manipulated or measured social identity strength, salience, or threat, or multiple group membership, and (b) objectively measured (i.e., nonself-report) health behavior, physical health, or health-relevant biomarker. PsychINFO, PubMed, and SPORTDiscus were searched (24 September 2024). We conducted narrative synthesis, meta-analysis for sufficiently homogenous subclusters, and risk of bias assessment.

Results: The 106 studies (N_total = 290,816; 20 countries; published 1982-2024) were highly diverse in design and dependent variables and were grouped into five discrete clusters. First, 46 studies assessed whether threats to social identities increased acute cardiovascular reactivity, g = 0.40, 95% confidence interval (CI) = [.179, .617] (42 effects, N = 1,432). Second, 21 studies assessed whether social identity salience reduced stress biomarkers, g = -0.28, 95% CI = [-.544, -.006] (20 effects, N = 487). Third, 16 studies (too heterogenous for meta-analysis) found evidence of ingroup normative influence on health behaviors. Fourth, six studies (too heterogenous for meta-analysis) assessed social identification in health interventions; five found benefits for disease-related outcomes. Finally, 17 studies examined the protective effect of subjective (multiple) group membership on long-term health (e.g., mortality), OR = .59, 95% CI = [.385, .891] (eight effects, N = 27,985). Studies were high quality on average, although there was some evidence of publication bias.

Conclusion: Results provide evidence for both social cure and social curse predictions of the social identity approach to health. We identified five distinct ways in which social identity processes affect physical health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

查看原文本刊更多论文

社会认同过程影响客观测量的身体健康：系统回顾和荟萃分析。

目的：一项系统综述（CRD42023422237）探讨社会认同过程对客观测量的身体健康的影响。方法：符合条件的研究：(a)定量操纵或测量的社会认同强度、显著性或威胁性，或多群体成员，以及(b)客观测量的（即非自我报告）健康行为、身体健康或与健康相关的生物标志物。检索PsychINFO、PubMed和SPORTDiscus（2024年9月24日）。我们进行了叙述性综合，对充分同质的子群进行了荟萃分析，并进行了偏倚风险评估。结果：106项研究（Ntotal = 290,816； 20个国家；发表于1982-2024年）在设计和因变量上高度多样化，并被分为五个离散的集群。首先，46项研究评估了社会身份威胁是否会增加急性心血管反应性，g = 0.40, 95%可信区间(CI) =[。]179年,。[617]（42个效应，N = 1432）。其次，21项研究评估了社会认同显著性是否降低了压力生物标志物，g = -0.28, 95% CI =[- 0.544, - 0.006]（20项效应，N = 487）。第三，16项研究（过于异质而无法进行荟萃分析）发现了群体内规范对健康行为影响的证据。第四，六项研究（异质性太大，无法进行荟萃分析）评估了卫生干预措施中的社会认同；其中五项发现对疾病相关结果有益。最后，17项研究考察了主观（多重）群体成员身份对长期健康（如死亡率）的保护作用，OR = 0.59, 95% CI =[]。385年,。[891]（8个效应，N = 27,985）。尽管有一些证据表明存在发表偏倚，但研究的平均质量较高。结论：研究结果为社会认同方法对健康的社会治愈和社会诅咒预测提供了证据。我们确定了社会认同过程影响身体健康的五种不同方式。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.