Clinical psychology & psychotherapy最新文献

{"title":"Time Perspective Matters for Working Alliance in Schizophrenia Care: Insights From the DiAPAson Project","authors":"Cristina Zarbo,&nbsp;Maciej Stolarski,&nbsp;Donato Martella,&nbsp;Elena Toffol,&nbsp;Giovanni de Girolamo,&nbsp;for the DIAPASON consortium","doi":"10.1002/cpp.70151","DOIUrl":"10.1002/cpp.70151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The time perspective dimensions and balanced time perspective (BTP) may play a crucial role in the therapeutic process of individuals with schizophrenia spectrum disorders (SSDs). This study aimed to investigate the relationship between BTP, working alliance (WA) and psychiatric symptomatology in individuals with SSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 313 residential patients with SSD were recruited from 98 residential facilities in Italy. Clinicians completed the Brief Psychiatric Rating Scale (BPRS) and the Brief Negative Symptom Scale (BNSS), while patients completed the Zimbardo Time Perspective Inventory (ZTPI) and the Working Alliance Inventory–Short Form (WAI). Deviation from Balanced Time Perspective–revised (DBTP-r) was applied as an estimate of unbalanced TP. Statistical analyses included Pearson correlations and mediation models. Age, sex, illness duration and years of education were controlled in mediation analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>DBTP-r showed significant negative correlations with WAI total and positive correlations with BPRS and BNSS. ZTPI-Present Fatalistic negatively correlated with WAI-Goal. The WAI partially mediated the effect of DBTP-r on both BPRS and BNSS, while DBTP-r partially mediated the impact of WAI on both BPRS and BNSS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>BTP played a dual role, acting both as a contributing factor to and a result of the WA. The present-fatalistic TP emerged as a key factor in shaping WA concerning therapeutic goals. Findings underscore the importance of considering (B)TP as both a potential resource and a therapeutic target in treating SSD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining the Profile of People With Emotional Disorders That Drop Out or Do Not Respond to Treatment After Receiving the Unified Protocol in Group Format","authors":"Ó. Peris-Baquero,&nbsp;J. D. Moreno,&nbsp;L. Martínez-García,&nbsp;J. Pérez González,&nbsp;J. Osma","doi":"10.1002/cpp.70154","DOIUrl":"10.1002/cpp.70154","url":null,"abstract":"<div>\u0000 \u0000 <p>Dropout, defined as the unilateral discontinuation of treatment before achieving goals or completing a set number of sessions, affects a large number of individuals. Additionally, many individuals do not experience an improvement of symptoms after treatment. This study has explored the profile of individuals who drop out or do not respond favourably to the Unified Protocol (UP) applied in group format. This is a secondary analysis of a RCT that involved 277 participants (78.3% women) diagnosed with emotional disorders who received 12-weekly group sessions at specialized mental health units. Socio-demographic variables, personality, anxiety and depression symptoms and emotional regulation were analysed at baseline, post-treatment and 12-month follow-up. Fewer emotional regulation difficulties at baseline predict higher dropout rates at post-treatment, with 28.9% of participants (<i>n</i> = 80) receiving fewer than six sessions. Additionally, 46.0% of participants showed no change in the severity of depressive symptoms, and 56.8% showed no change in anxiety symptoms post-treatment. At the 12-month follow-up, 31.1% of participants maintained the same severity level for depressive symptoms and 49.5% for anxiety symptoms. Higher baseline anxiety and emotional dysregulation and lower extraversion predicted higher depressive symptoms at post-treatment, and higher baseline anxiety predicted higher depressive symptomatology at the 12-month follow-up. Higher baseline depression and emotional dysregulation predicted higher post-treatment anxiety, and depression also predicted higher anxiety at the 12-month follow-up. Additionally, high baseline depression predicted higher neuroticism and emotional dysregulation and lower extraversion after treatment and at the 12-month follow-up (for neuroticism and extraversion). Finally, high baseline emotional dysregulation predicted higher neuroticism post-treatment, whereas high baseline maladjustment predicted lower emotional dysregulation at post-treatment. Emotional dysregulation, neuroticism, extraversion and especially baseline depression and anxiety symptoms are key factors associated with dropouts and treatment response when applying the UP in group format. Considering these variables may improve attendance and treatment outcomes.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of Nonsuicidal Self-Injury as an Addiction-Like Behaviour in Depressed Adolescents in the light of the I-PACE Model","authors":"Anam Mehmood,&nbsp;Shuyue Xu,&nbsp;Sultan Mehmood Siddiqi,&nbsp;Li Zhang,&nbsp;Gan Huang,&nbsp;Zhen Liang,&nbsp;Yongjie Zhou","doi":"10.1002/cpp.70147","DOIUrl":"10.1002/cpp.70147","url":null,"abstract":"<div>\u0000 \u0000 <p>Nonsuicidal self-injury (NSSI) is increasingly conceptualized as an addiction-like behaviour characterized by dysregulated emotional and cognitive processes. Guided by the I-PACE model, this study investigated how person-level vulnerabilities interact with affective, mental and executive functioning to maintain NSSI in clinically depressed adolescents (<i>N</i> = 167, aged 12–18, M = 15.37 ± 1.75 years). Results revealed strong addiction-like patterns. Childhood trauma, depression and rumination demonstrated significant associations with NSSI frequency (<i>r</i> = 0.59–0.61), while resilience and self-esteem served as protective factors (<i>r</i> = −0.53 to −0.55). A hierarchical regression model explained 69% of variance, with trauma (OR = 1.12), depressive severity (OR = 1.11), rumination (OR = 1.11) and resilience (OR = 0.90) emerging as key predictors. Mediation analyses demonstrated how these factors operate in the addictive chain. Childhood trauma and borderline traits lead to affective dysregulation, which drives cognitive deficits that ultimately undermine resilience and increase NSSI risk (<i>β</i> = −0.28 and −0.24). These findings support the use of an addiction framework to conceptualize NSSI, while highlighting resilience-focused interventions as critical for breaking these maladaptive cycles.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metacognitive Interpersonal Therapy in Group for Avoidant Personality Disorder—A Comparison With Best Available Practice","authors":"Siri Omvik,&nbsp;Arnheid Kvamme,&nbsp;Jörg Assmus,&nbsp;Elfrida Kvarstein,&nbsp;Geir Pedersen,&nbsp;Kjell-Einar Zahl","doi":"10.1002/cpp.70149","DOIUrl":"10.1002/cpp.70149","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Avoidant personality disorder (AvPD) is a prevalent condition characterized by low self-esteem and social withdrawal. Nonetheless, targeted psychotherapy remains limited. This study aimed to examine short-term metacognitive interpersonal therapy in group (MIT-G) tailored for AvPD and to compare the outcomes of patients receiving this treatment with patients participating in outpatient group therapies within specialized mental health services for personality disorders (representing best available practice).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study had a quasi-experimental design and included 56 patients with AvPD who participated in MIT-G. The comparison group was derived from the Norwegian Network for Personality Disorders (<i>N</i> = 154). Assessments for the MIT-G group were conducted before and after treatment and at a 6-month follow-up. Outcome measures included personality functioning, alexithymia, symptoms of anxiety and depression, work/social functioning and group relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant, moderate improvements were found across all outcome measures in the MIT-G group. Enhancement in personality functioning was greater, and group relationships, specifically regarding group cohesion and perceptions of positive work, were rated more satisfactory than in the comparison group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that MIT-G contributes to significant clinical improvements among patients with AvPD. The greater enhancement of personality functioning may link to better group relationships. Limitations include the nonrandomised design, unable to draw causal inferences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent–Child Communication and NSSI in Depressed Adolescents: The Role of Anxiety and Emotional Intelligence","authors":"Yiran Ge,&nbsp;Xinyu Xi,&nbsp;Ziyan Wang,&nbsp;Yanping Wang,&nbsp;Yifan Wang,&nbsp;Xingguang Wang,&nbsp;Jiajia Yang,&nbsp;Youdong Li","doi":"10.1002/cpp.70124","DOIUrl":"https://doi.org/10.1002/cpp.70124","url":null,"abstract":"<div>\u0000 \u0000 <p>In recent years, nonssuicidal self-injury (NSSI) has emerged as a critical public health issue among Chinese adolescents. However, the mechanisms contributing to NSSI behaviours remain underexplored. This study examines the roles of parent–adolescent communication, anxiety and emotional intelligence in NSSI behaviours among adolescents diagnosed with depressive disorders. A cross-sectional survey was conducted with 263 Chinese adolescents diagnosed with depressive disorders. Participants completed questionnaires assessing parent–adolescent communication, anxiety, emotional intelligence and NSSI behaviours. (1) Parent–adolescent communication was significantly negatively associated with both anxiety (<i>r</i> = −0.425, <i>p</i> &lt; 0.01) and NSSI behaviours (<i>r</i> = −0.47, <i>p</i> &lt; 0.01) among adolescents with depressive disorders. (2) Anxiety partially mediated the association between parent–adolescent communication and NSSI, while emotional intelligence moderated the link between anxiety and NSSI. The findings suggest that positive parent–adolescent communication not only directly lowers the likelihood of NSSI but also indirectly reduces NSSI behaviours by alleviating anxiety. Furthermore, emotional intelligence plays a crucial moderating role in the association between anxiety and NSSI behaviours, highlighting its importance in developing effective prevention and intervention strategies for adolescents with depressive disorders. These findings offer theoretical insights for designing culturally sensitive mental health interventions.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspectives on What Alleviates Hoarding Disorder Symptoms and Improves Wellbeing: A Systematic Review of Qualitative Data","authors":"Margaret Jones,&nbsp;Benjamin Weir,&nbsp;Keong Yap","doi":"10.1002/cpp.70146","DOIUrl":"https://doi.org/10.1002/cpp.70146","url":null,"abstract":"<p>Hoarding disorder is a debilitating psychological disorder that is difficult to treat. Poor treatment response to current interventions indicates that new perspectives are needed. This systematic review examines qualitative and case study research on patient-centred strategies for reducing hoarding disorder symptoms and improving wellbeing. We conducted a comprehensive search of PsycInfo, Medline Complete, CINAHL, SocINDEX and Scopus in May 2025 to identify peer-reviewed qualitative research and case studies, published in English that examined hoarding disorder patients' first-hand experiences with strategies that improved their symptoms and wellbeing. We excluded papers that examined animal or digital hoarding, hoarding in the context of another disorder, hoarding in children or animals and papers with perspectives from only service providers or carers. The quality of studies was assessed using the Critical Appraisal Checklist for Qualitative Research Studies. Results were synthesized using thematic analysis. Twenty-one studies were included for review. Thematic analysis identified five key themes: interconnection, recognition of individuality and autonomy, self-care and acceptance, cognitive and behaviour change, and practical help. The papers included descriptions of therapeutic strategies (e.g., discarding tasks) and other factors identified as beneficial (e.g., meditation). Interconnection was the strongest theme, emphasizing the pivotal role trusted relationships play in helping individuals with hoarding disorder. The review indicates that individuals with HD may benefit from personalized care that focuses on interpersonal relationships, emotion regulation strategies, self-care, and in-home help for managing their symptoms and improving wellbeing.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Moderators and Mediators of the Outcome of Group Cognitive Behavioural Therapy Compared With Group Schema Therapy for Social Anxiety Disorder and Comorbid Avoidant Personality Disorder.","authors":"Astrid E Baljé, Anja Greeven, Mathijs Deen, Anne E van Giezen, Arnoud Arntz, Philip Spinhoven","doi":"10.1002/cpp.70148","DOIUrl":"https://doi.org/10.1002/cpp.70148","url":null,"abstract":"<p><strong>Background: </strong>Identifying moderators and mediators in a randomised controlled trial is important to improve treatment effectiveness and elucidate mechanisms of change. Putative moderating and mediating variables of treatment outcome of 30 weekly sessions of group cognitive behavioural therapy (GCBT) and group schema therapy (GST) were investigated in a sample of 154 patients with both social anxiety disorder (SAD) and avoidant personality disorder (AVPD). Significant improvements were realised in both modalities at 3 and 12 months after treatment. No significant differences between conditions were found.</p><p><strong>Objectives: </strong>The current study explored several demographic and clinical patient characteristics as putative moderators of reducing SAD symptoms, AVPD manifestations, and treatment attrition. Emotion regulation, self-esteem, experiential avoidance and schema modes were considered as putative mediators of SAD symptoms.</p><p><strong>Methods: </strong>Baseline variables moderating treatment effects on SAD symptoms and AVPD manifestations were investigated by comparing multilevel models. Differential effects of moderators on attrition hazard were examined by Cox regression. To assess possible mediators (measured pre-, mid- and post-treatment) of the effect of GCBT versus GST on SAD symptoms, separate three-wave random-intercept cross-lagged panel models were performed.</p><p><strong>Results: </strong>No moderators and mediators were identified. Self-esteem, the average mode score and avoidant protector mode at mid-treatment predicted social anxiety at the end of treatment irrespective of treatment condition, while an inverse relationship was ruled out.</p><p><strong>Conclusions: </strong>The moderator analyses indicated that the examined patient characteristics cannot inform treatment decisions for either GCBT or GST. Furthermore, the mediation analysis did not point to different underlying treatment processes between both modalities.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":"e70148"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Reality in Prevention and Treatment of Substance-Related Disorders: A Systematic Review of Randomized Controlled Trials","authors":"Renata Glavak-Tkalić,&nbsp;Mara Šimunović,&nbsp;Katarina Perić Pavišić,&nbsp;Josip Razum,&nbsp;Desirèe Colombo","doi":"10.1002/cpp.70144","DOIUrl":"https://doi.org/10.1002/cpp.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Substance abuse (SA) imposes a significant global health burden, demanding innovative and accessible interventions. Virtual reality (VR) offers a promising approach, providing engaging and personalized treatment experiences. However, rigorous evidence from randomized controlled trials (RCTs) on VR's efficacy in the treatment and prevention of SA remains limited. This systematic review aimed to characterize VR interventions for substance-related disorders and evaluate their effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To conduct this review, two researchers independently performed a comprehensive literature search across four databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty RCTs met the inclusion criteria, focusing on alcohol, nicotine and illicit drug use. These studies utilized diverse VR modalities, most frequently exposure therapy (<i>n</i> = 10) and cognitive-behavioural therapy (<i>n</i> = 5), followed by approach bias modification, skills training, cognitive rehabilitation, counterconditioning and psychoeducation. Interventions varied in level of immersion and interactivity. Although the evidence was mixed, 17 studies demonstrated positive effects on at least one outcome variable. Most studies focused on proximal outcomes (e.g., craving), which frequently showed improvement. Clinically meaningful outcomes (e.g., substance use reduction and abstinence) were less frequently assessed, with seven of 10 studies reporting improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>VR shows promise in addressing substance-related disorders, particularly for alcohol and nicotine. However, substantial heterogeneity in VR interventions highlights the need for further research to standardize methodologies, optimize treatment parameters and explore the underlying working mechanisms of VR interventions. Additional research is also needed to assess VR's application to illicit drug use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualization and Assessment of Shame Experience and Regulation: An Umbrella Review of Synthesis Studies","authors":"Carlo Garofalo,&nbsp;Laura Giammarioli,&nbsp;Irene Aiolfi,&nbsp;Elisa Delvecchio,&nbsp;Claudia Mazzeschi","doi":"10.1002/cpp.70136","DOIUrl":"https://doi.org/10.1002/cpp.70136","url":null,"abstract":"<p>Shame experience and regulation are of crucial importance in the study of emotion and psychopathology. Considering the variety of conceptualizations and operationalization methods in the shame literature, the present review aimed to provide a meta-synthesis of current knowledge. First, we examined how shame and shame regulation are conceptualized. Second, we aimed to identify the most used measures of shame experience and regulation. Third, we gauged the literature for levels of consistency between conceptualization and methods of operationalization. An umbrella review of recent (2018–2023) systematic reviews and meta-analyses was conducted: 17 studies were included, integrating data from a total of 748 samples and approximately 166,172 participants. Data on title, authors, journal, aims of the review, conceptualization and measures of shame and shame regulation, and main findings were extracted. A relative majority of studies (roughly 63%) conceptualized shame as a multidimensional construct, and the most used measure was the TOSCA (Test of Self-Conscious Affect) in 76% of cases. Only partial coherence between conceptualization and measurements of the constructs of interest was detected in the retrieved literature. Most measures capture different dimensions of shame, but these were not always leveraged in favour of ‘total score’ considerations. Notably, several reviews referred to shame regulation, but only two included measures of shame regulation. These findings stress the importance of increased consistency between conceptual and methodological levels when studying shame and, in particular, shame regulation, in order to aid integration across studies and increase the theoretical solidity and applied usefulness of empirical findings.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta-Analysis","authors":"Juan Martín Gómez Penedo,&nbsp;Malenka Areas,&nbsp;Cristoph Flückiger","doi":"10.1002/cpp.70143","DOIUrl":"https://doi.org/10.1002/cpp.70143","url":null,"abstract":"<p>Although empirical studies have shown that interpersonal distress is related to mental health indicators in depression, there are no previous meta-analyses evaluating this association. We performed a systematic review and meta-analytic study to estimate the association between interpersonal distress and non-relational mental health indicators (NR-MHI) in depression. Following PRISMA criteria, we performed a systematic search on PubMed and PsycINFO. We conducted multilevel meta-analytic (i.e., random-effects) models to estimate a pooled correlation coefficient representing the strength of the association between interpersonal distress and NR-MHI. Thirty-eight studies (reporting 88 effect sizes) met inclusion criteria. The models showed a significant correlation between interpersonal distress and NR-MHI (<i>r</i> = 0.41, <i>p</i> &lt; 0.001), with moderate heterogeneity, Q(87) = 710.38, <i>p</i> &lt; 0.001. A funnel plot did not present evidence of publication bias. We found no significant moderation effects of specific depressive diagnoses, type of study or levels of interpersonal distress. This study is the first to report a meta-analytic synthesis of the association between interpersonal distress and NR-MHI in depression, showing that in individuals with depression, NR-MHI was positively associated with interpersonal distress, presenting a medium-to-large pooled effect size.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}