International Journal of Clinical and Health Psychology最新文献

{"title":"Trait self-compassion enhances activation in the medial prefrontal cortex during fear extinction: An fNIRS study","authors":"Tingyuan Chen ,&nbsp;Ying Mei ,&nbsp;Siyuan Zhou ,&nbsp;Haoran Dou ,&nbsp;Yi Lei","doi":"10.1016/j.ijchp.2024.100516","DOIUrl":"10.1016/j.ijchp.2024.100516","url":null,"abstract":"<div><div>Fear acquisition and fear extinction are the most widely used experimental models to study anxiety related disorders, with the medial prefrontal cortex (mPFC) playing an important role in this process. Previous research suggests that trait self-compassion is associated with lower anxiety, but the neural mechanisms underlying this relationship remain unclear. Women generally exhibit lower self-compassion than men, making them more vulnerable to fear and anxiety. In this study, female participants were divided into two groups - high and low trait self-compassion, based on their scores on the Self-Compassion Scale-Short Form (SCS-SF). Both groups completed fear acquisition and fear extinction tasks, during which conditioned responses (CRs) were measured using self-reported unconditioned stimulus (US) expectancy ratings, skin conductance response (SCR), and functional near-infrared spectroscopy (fNIRS). The results showed that in the fear acquisition phase, all participants successfully acquired fear, showing greater responses to threat stimuli than safety stimuli. However, participants with high trait self-compassion exhibited lower SCR than those with low trait self-compassion. In the fear extinction phase, compared to individuals with low trait self-compassion, individuals with high trait self-compassion exhibited more effective fear extinction learning, characterized by lower US expectancy ratings, lower SCR, and higher mPFC activation. Moreover, trait self-compassion was significantly correlated with the behavioral extinction ability and the mPFC activation during the late phase of fear extinction, and behavioral extinction ability was significantly correlated with mPFC activation. The findings of this study suggest individuals with high trait self-compassion have better physiological flexibility during fear acquisition and fear extinction, and may through enhancing mPFC activation to facilitate fear extinction. The results provide new insights into the pathological mechanisms of anxiety.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100516"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological telephone triage system for outpatient memory clinics - a way for adaptation to new challenges of increasing dementia prevalence and new treatment options?","authors":"Michaela Defrancesco,&nbsp;Fabienne Post,&nbsp;Alex Hofer,&nbsp;Juliane Jehle","doi":"10.1016/j.ijchp.2024.100530","DOIUrl":"10.1016/j.ijchp.2024.100530","url":null,"abstract":"<div><h3>Background</h3><div>The increasing prevalence of dementia and new therapeutic developments for Alzheimer's disease (AD) have created an urgent need for rapid and cost-effective methods to diagnose those affected in the early stages of the disease. Unlike emergency departments, memory clinics lack triage systems, e.g. the Manchester Triage System.</div></div><div><h3>Method</h3><div>This retrospective, observational study evaluated the effects of a psychological telephone triage (PTT) system for people requesting an initial assessment at a specialized outpatient memory clinic over a 15-months period in terms of waiting times, staff resources, and as a screening method for cognitive disorders. The PTT consisted of an interdisciplinary pre-screening of available preliminary patient information prior to telephone contact, a semi-structured interview of approximately 30 min with a clinical psychologist, and telephone psychological counseling if there was no indication for an on-site dementia assessment. Based on the PTT interview, patients were triaged using a 4-level priority system (red = acute, yellow = subacute, green = not acute, blue = no indication/counseling). The results were compared with data from the two years prior to the introduction of PTT.</div></div><div><h3>Results</h3><div>The data of 612 people (327 before and 285 after the introduction of PTT) who called the secretary's office between January 1, 2021 and April 30, 2024 and requested an initial assessment were analyzed. Of the original sample who called after the introduction of PTT, 66.7% had an indication for an on-site visit and were invited to do so. This was accepted by 51.6%. A further 14% received psychological telephone counseling, resulting in a 34% reduction in on-site visits. Patients triaged as acute cases had the shortest waiting time and presented with the most severe cognitive and functional symptoms at the on-site visit.</div></div><div><h3>Discussion</h3><div>Our study shows that PTT is an effective method to identify patients with urgent need for an initial dementia assessment and to provide psychological counseling as an alternative to on-site visits. We expect that this will reduce the number of emergency admissions and thus the burden on caregivers and the healthcare system. This PTT concept can thus help to better manage the increasing need for initial assessments in the context of new therapies for AD and the increasing prevalence of dementia in general.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100530"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-efficacy as a mediator of neuroticism and perceived stress: Neural perspectives on healthy aging","authors":"Lulu Liu ,&nbsp;Runyu Huang ,&nbsp;Yu-Jung Shang ,&nbsp;Laiquan Zou ,&nbsp;Anise M.S. Wu","doi":"10.1016/j.ijchp.2024.100521","DOIUrl":"10.1016/j.ijchp.2024.100521","url":null,"abstract":"<div><div>The underlying mechanisms of the interconnections among neuroticism, self-efficacy, and perceived stress in younger and older adults are rarely studied simultaneously. Two hundred fourteen participants (128 younger adults aged 18–34 years and 86 older adults aged 60–89 years) were assessed using scales for neuroticism, self-efficacy, and perceived stress. A subsample (114 younger and 78 older adults) underwent brain magnetic resonance imaging scanning. Psychometric results suggested that older adults exhibited significantly lower levels of neuroticism and perceived stress, along with higher self-efficacy than younger adults. Mediation analyses revealed that self-efficacy significantly mediated the link between neuroticism and perceived stress in both age groups, demonstrating its protective role. Additionally, neuroimaging data suggested that the cortical thicknesses of several brain regions predicted perceived stress through the mediating role of neuroticism and self-efficacy, including the bilateral middle frontal gyrus, bilateral superior frontal gyrus, bilateral middle temporal gyrus, left superior temporal sulcus, bilateral anterior cingulate cortex, and right precuneus. In particular, the relationship between the right precuneus, neuroticism, and perceived stress suggested a reverse pattern across younger and older adults. These findings emphasize the importance of self-efficacy in mediating the impact of neuroticism on perceived stress and highlight the role of the right precuneus in guiding interventions that delay the transition from healthy to abnormal aging.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100521"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetoencephalographic correlates of pornography consumption: Associations with indicators of compulsive sexual behaviors","authors":"Sabine Prantner ,&nbsp;Alejandro Espino-Payá ,&nbsp;M.Carmen Pastor ,&nbsp;Cristina Giménez-García ,&nbsp;Thomas Kroker ,&nbsp;Rafael Ballester-Arnal ,&nbsp;Markus Junghoefer","doi":"10.1016/j.ijchp.2024.100524","DOIUrl":"10.1016/j.ijchp.2024.100524","url":null,"abstract":"<div><div>Pornography consumption is highly prevalent but can develop into problematic sexual behavior with severe negative emotional consequences. Neurobiological studies indicate that compulsive sexual behaviors (CSB) are associated with altered brain structure and function in processing pornography. This study investigated the neuroaffective mechanisms underlying exposure to erotic and explicit pornographic images and their relationship to CSB-relevant symptoms. Whole-head magnetoencephalography (MEG) assessed brain activity during passive viewing of opposite- and same-sex erotic and pornographic images in healthy heterosexual and homosexual women and men (<em>N</em> = 50). Correlations of estimated event-related neural activity with indicators of CSB (hypersexuality, sexual sensation seeking, problematic pornography use, and time spent on pornography use), mood and anxiety, as well as with subjective picture ratings of hedonic valence and emotional arousal were analyzed. Responses of brain regions to sexual content revealed hyper- and hypoactivation and were related to problematic pornography consumption, hypersexuality, time spent on pornography use, and perceived subjective arousal. The neural activation towards erotic and pornographic content revealed further significant associations with depression and anxiety scores. The findings suggest an involvement of prefrontal and temporo-parietal cortex regions in the divergent processing of sexual content in relation to indicators of CSBD. Insight into the neurobiological factors underlying CSB can contribute to a more precise clinical conceptualization of this problem and may promote the development of more effective therapeutic interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100524"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological mechanisms and neural correlates of trait mindfulness in emotion regulation: Testing a novel approach to the monitor and acceptance theory","authors":"Ivana Buric ,&nbsp;Lucija Žderić ,&nbsp;Adrian Onicas ,&nbsp;Maja Kolanovic ,&nbsp;Guusje Collin","doi":"10.1016/j.ijchp.2024.100507","DOIUrl":"10.1016/j.ijchp.2024.100507","url":null,"abstract":"<div><h3>Background</h3><div>The ongoing mental health crisis warrants investigations to understand why trait mindfulness is associated with beneficial mental health outcomes. This study examined attention monitoring and acceptance as psychological mechanisms underlying the relationship between trait mindfulness and emotion regulation and connectivity between the dorsolateral prefrontal cortex (dlPFC) and posterior cingulate cortex (PCC) as a potential neural mechanism.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 501 adult participants (age range: 17–79, <em>M</em> = 31, SD = 11.3) representing the general population. To assess emotion regulation and trait mindfulness, participants completed the Difficulties in Emotion Regulation Scale (DERS) and Five Facets Mindfulness Questionnaire (FFMQ). Resting-state functional MRI was acquired in a subsample of 20 participants to explore the role of dlPFC-PCC functional connectivity.</div></div><div><h3>Results</h3><div>Higher levels of acceptance, as measured using the Non-judging and Non-reactivity subscales of the FFMQ, were significantly associated with fewer overall emotion regulation difficulties and predicted all emotion regulation subscales. In contrast, higher levels of attention monitoring, measured using the Observe subscale, predicted only three DERS subscales and with mixed effects: higher emotional awareness and clarity, but greater difficulties in goal-directed behaviour. The interaction between monitoring and acceptance was not significant, and no correlation was found between these variables and dlPFC-PCC functional connectivity.</div></div><div><h3>Conclusions</h3><div>These findings challenge previous theories that argue that attention monitoring is crucial for effective emotion regulation. Instead, we conclude that acceptance is the key psychological mechanism, indicating that the traditional focus on attention monitoring in mindfulness training may be less effective than a primary emphasis on acceptance. This study provides a critical review of past research, highlighting issues with operationalising acceptance, and offers recommendations for future studies and practical implications for developing mindfulness interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100507"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interoception primes negative emotion processing during cognitive reappraisal: Electroencephalographical evidence","authors":"Lele Chen ,&nbsp;Fangmin Chen ,&nbsp;Ke Bo ,&nbsp;Jingyi Sun ,&nbsp;Renlai Zhou","doi":"10.1016/j.ijchp.2024.100515","DOIUrl":"10.1016/j.ijchp.2024.100515","url":null,"abstract":"<div><div>Interoception, which refers to sensing, interpreting, and integrating internal bodily signals, has been suggested to be associated with emotion regulation. Previous research has demonstrated individual differences in interoception and its impact on emotion regulation. However, the priming effect of interoception on emotion regulation and the underlying neural mechanisms remain unknown. This study aims to examine how interoception primes different strategies of cognitive reappraisal, using electroencephalography (EEG). Thirty-seven healthy participants completed an interoceptive priming task. We found that interoception increased the amplitudes of the late positive potential (LPP) during both interpretation and detachment strategies. The priming effect of interoception in enhancing LPP amplitudes lasted longer for interpretation than for detachment. A decrease in alpha power during reinterpretation was observed after interoceptive priming, but not during detachment. The results revealed that interoception enhanced attention to bodily signals associated with negative emotions during cognitive reappraisal. Interoception showed distinct effects on different strategies of cognitive reappraisal, with different underlying neural mechanisms. Interoception-based programs may be an effective way to enhance the capacity for cognitive reappraisal.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100515"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural and gaze pattern responses to happy faces in autism: Predictors of adaptive difficulties and re-evaluation of the social motivation hypothesis","authors":"Mengyuan Yang ,&nbsp;Lan Zhang ,&nbsp;Zijie Wei ,&nbsp;Pingping Zhang ,&nbsp;Lei Xu ,&nbsp;Lihui Huang ,&nbsp;Keith M. Kendrick ,&nbsp;Yi Lei ,&nbsp;Juan Kou","doi":"10.1016/j.ijchp.2024.100527","DOIUrl":"10.1016/j.ijchp.2024.100527","url":null,"abstract":"<div><h3>Background</h3><div>The “Social Motivation” hypothesis posits that social deficits in autism spectrum disorder (ASD) arise from altered reward perception. However, few studies have examined neural and behavioral responses to social reward-related cues in low functioning ASD children with limited cognitive or language abilities.</div></div><div><h3>Objective</h3><div>This study investigated if young children with ASD show atypical gaze towards happy faces and its association with altered brain reward responses.</div></div><div><h3>Methods</h3><div>Eye-tracking was performed in 36 ASD and 36 typically developing (TD) children (2.5–6 years) viewing happy faces of children or emoticons. Functional near infrared spectroscopy was used to record group differences in orbitofrontal cortex (OFC) activation simultaneously.</div></div><div><h3>Results</h3><div>Children with ASD showed increased pupil diameter and OFC activation compared to TD children when viewing all happy faces and gazed less at the eyes of actual faces and the mouths of emoticons. These atypical responses was associated with lower adaptive behavior scores and greater symptom severity.</div></div><div><h3>Conclusion</h3><div>Our research reveals distinct neural hyperactivity and viewing patterns in young children with ASD when presented with reward-related facial stimuli. These results contradict the Social Motivation Hypothesis. Children with ASD exhibit heightened levels of arousal and employ less efficient facial processing strategies. This heightened demand for cognitive resources could have long-term effects on children's well-being and may hinder their ability to develop adaptive skills effectively.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100527"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superhero in a skirt: Psychological resilience of Ukrainian refugee women in Poland. A thematic analysis","authors":"Maria Baran ,&nbsp;Halina Grzymała-Moszczyńska ,&nbsp;Marcelina Zjawińska ,&nbsp;Larysa Sugay ,&nbsp;Irena Pujszo ,&nbsp;Yuliia Ovsiienko ,&nbsp;Viktoriia Naritsa ,&nbsp;Julia Niedziałek ,&nbsp;Marta Boczkowska","doi":"10.1016/j.ijchp.2024.100506","DOIUrl":"10.1016/j.ijchp.2024.100506","url":null,"abstract":"<div><div>This study delves into the diverse experiences of Ukrainian refugee women in Poland amid the ongoing Russian war, employing a community-based participatory action research approach in collaboration with a Polish foundation aiding Ukrainian war refugees. With the practical aim of formulating recommendations for the third sector assisting refugees, 33 semi-structured interviews (<em>M</em> = 40.29; <em>SD</em> = 11.41) were conducted between December 2022 and February 2023, seeking to understand and identify factors building and hindering psychological resilience. Our study unveiled the complexity and diversity of refugees' situations, revealing various coping strategies and distinct resources coexisting with psychological distress. Despite this diversity, certain common and often unmet needs (stability and safety, basic needs) were identified. The study also highlights refugees' agency, the need to prioritize current needs. The findings emphasize the significance of natural social support and varied coping strategies for fostering psychological resilience. Ongoing research is recommended to track the evolving well-being of Ukrainian refugee women in post-2022 Poland.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100506"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavior and emotion regulation of socially inhibited individuals in uncomfortable social situations: A mixed methods study","authors":"Stefanie Duijndam ,&nbsp;Annemiek Karreman ,&nbsp;Melissa de Smet ,&nbsp;Nina Kupper","doi":"10.1016/j.ijchp.2024.100532","DOIUrl":"10.1016/j.ijchp.2024.100532","url":null,"abstract":"<div><div>The current study aimed to identify patterns of emotion regulation and behaviors in specific uncomfortable situations using a sequential exploratory mixed methods design and to examine how the trait social inhibition (SI) is related to these patterns. The sample (N = 451, 66% female, M_age = 34 (SD=17.2)) collected in 2016-2017 completed the social inhibition questionnaire (SIQ15) and open-ended questions on self-indicated uncomfortable situations and the regulation of emotions and behaviors in those situations. The open-ended questions were analyzed and coded into quantitative data, after which a latent profile analysis (LPA) was performed to (A) identify latent profiles of emotion regulation and behaviors in specific situations, and (B) to examine how SI and facets are related to these profiles. LPA revealed seven profiles that differed in the type of situation described and how people regulated their emotions and behaved in the situation. The results show that it is the type of situation which determines regulation style and behavior. Additionally, SI was found to rely on active avoidance to deal with uncomfortable social situations, while not using emotion regulation to modify how they feel in that situation. In conclusion, our findings show that context seems to be the most important factor that drives the choice or decision of how emotions are regulated. SI individuals tend not to use emotion regulation strategies but rely on active avoidance in dealing with uncomfortable situations. Importantly, the sample was mainly female and highly educated, suggesting that our results may not generalize to other populations.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100532"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis","authors":"Guannan Hu ,&nbsp;Bingyue Han ,&nbsp;Hayley Gains ,&nbsp;Yong Jia","doi":"10.1016/j.ijchp.2024.100520","DOIUrl":"10.1016/j.ijchp.2024.100520","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (<em>SMD</em>=-1.64; <em>95% CI</em>, -1.95 to -1.32; <em>p</em>&lt;.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.</div></div><div><h3>Discussion</h3><div>This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100520"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}