Clinical Psychology Review最新文献

{"title":"Narrative identity, mental illness, and recovery: A systematic review across diagnoses","authors":"Dorthe Kirkegaard Thomsen, Anne Mai Pedersen, Jonathan M. Adler, Rikke Amalie Agergaard Jensen, Majse Lind","doi":"10.1016/j.cpr.2026.102805","DOIUrl":"https://doi.org/10.1016/j.cpr.2026.102805","url":null,"abstract":"Individuals across a range of mental illnesses struggle with identity problems. These problems are important to investigate because they may represent vulnerability to mental illness, emerge as consequences of psychopathology, and pose barriers to recovery. The narrative identity approach is especially suited to illuminate identity problems because it combines a first-person perspective with systematic quantitative studies and provides a strong theoretical foundation for recovery-oriented care. We present a pre-registered systematic review across diagnoses to examine 1) how mental illness is associated with narrative identity and 2) whether narrative identity is related to recovery. After screening 2,327 abstracts, we identified 75 relevant papers. The studies sampled individuals with a range of diagnoses and employed a multitude of narrative identity and recovery measures. Our synthesis suggests that across the examined mental illnesses, narrative identity is less coherent and with adversely affected meaning-making and self-event connections as well as more negatively emotionally toned with lower agency and lower communion themes. The evidence was most robust for schizophrenia, which was more often studied. Regarding relations between narrative identity and recovery, we could not detect consistent patterns, likely due to the complex pairing of multiple narrative identity and recovery measures combined with small sample sizes. Future research could examine a broader array of mental illnesses with respect to transdiagnostic and disorder-specific narrative identity problems and prioritize well-powered, prospective and carefully controlled studies to gain a deeper understanding of the sources of narrative identity problems and the predictive power of narrative identity in relation to recovery.","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"49 1","pages":""},"PeriodicalIF":12.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"One size fits none: A call for an idionomic revolution\" [Clinical Psychology Review, 129 (2026) 102800].","authors":"Steven C Hayes, Joseph Ciarrochi, Baljinder K Sahdra, Stefan G Hofmann, Clarissa W Ong, Cristóbal Hernández","doi":"10.1016/j.cpr.2026.102802","DOIUrl":"https://doi.org/10.1016/j.cpr.2026.102802","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":" ","pages":"102802"},"PeriodicalIF":11.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral activation for depression: A comprehensive systematic review and meta-analysis","authors":"Pim Cuijpers,&nbsp;Marketa Ciharova,&nbsp;Lingyao Tong,&nbsp;Yunwei Liu,&nbsp;Antonia A. Sprenger,&nbsp;Clara Miguel,&nbsp;Eirini Karyotaki,&nbsp;Mathias Harrer","doi":"10.1016/j.cpr.2026.102783","DOIUrl":"10.1016/j.cpr.2026.102783","url":null,"abstract":"<div><h3>Introduction</h3><div>No recent comprehensive meta-analysis has integrated the results of randomized controlled trials of Behavioral activation (BA), one of the most important treatments of depression.</div></div><div><h3>Methods</h3><div>We used the data from our meta-analytic research domain of randomized controlled trials on the treatment of depression and selected all trials on BA in all age and target groups, settings and comparators.</div></div><div><h3>Results</h3><div>We included 105 trials (13,933 patients), including 40 with low risk of bias. The standardized mean difference (<em>SMD</em>) of BA for adult outpatients compared with control conditions was 0.67 (95% confidence interval [CI]: 0.54 to 0.80; <em>k</em> = 61) with high heterogeneity (<em>I</em>^<em>2</em> = 71%; 95% CI: 63% to 78%) and a broad 95% prediction interval (PI; −0.11 to 1.46). This remained significant in most sensitivity analyses, and at 12 months after randomization. We found no significant difference between BA and other therapies (<em>k</em> = 27; <em>SMD</em> = 0.04; 95% CI: −0.10 to 0.18). Self-guided BA was also effective (<em>k</em> = 15; <em>SMD</em> = 0.36; 95% CI: 0.20 to 0.51), as was BA in institutional settings (<em>k</em> = 10; <em>SMD</em> = 0.36; 95% CI: 0.17 to 0.55). Too few trials were available to estimate the effects of BA in children and adolescents (<em>k</em> = 4) and when compared to pharmacotherapy in adults (<em>k</em> = 4).</div></div><div><h3>Conclusion</h3><div>BA is an efficacious treatment of depression in adults and its effect is significant up to 12 months after randomization. BA has smaller but significant effects in a self-guided format and in institutional settings.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"128 ","pages":"Article 102783"},"PeriodicalIF":11.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580611","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":"Randomized controlled evidence of the efficacy of acceptance and commitment therapy: A systematic review and meta-analysis","authors":"Tricia Gower,&nbsp;Zoe R. Styler,&nbsp;Brett T. Litz","doi":"10.1016/j.cpr.2026.102786","DOIUrl":"10.1016/j.cpr.2026.102786","url":null,"abstract":"<div><div>The comparative efficacy of acceptance and commitment therapy (ACT) relative to other bona fide psychotherapies has been obscured by methodological limitations and variability in how ACT and active comparators are operationalized. We therefore conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing full-model ACT (therapist-delivered, multi-session interventions targeting the core ACT processes) to bona fide psychotherapies. We identified 34 RCTs meeting our inclusion criteria. In line with prior critiques of the ACT literature, we identified several common methodological shortcomings, such as lack of preregistration of primary outcomes and hypotheses, inadequate statistical power for detecting differential effects, limited use of intent-to-treat analyses, and interpretive overreach. Random-effects three-level meta-analyses indicated that full-model ACT was not superior to bona fide psychotherapies on mental and behavioral health outcomes (<em>g</em> = −0.01, <em>p</em> = .86). Secondary, hypothesis-generating post hoc analyses examined clinical significance, ACT-targeted processes, and an exploratory TOST comparison against a prespecified equivalence region (<em>g</em> = ±0.20). Current RCT evidence does not justify recommending full-model ACT over other established treatments. Further progress will require more rigorous comparative trials and idiographic designs that better align with the ACT model.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"128 ","pages":"Article 102786"},"PeriodicalIF":11.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ketamine-assisted psychotherapies for mental disorders: A historical overview and systematic review","authors":"J.K.E. Veraart ,&nbsp;N. Schimmers ,&nbsp;J.J. Breeksema ,&nbsp;C. Seybert ,&nbsp;J. Kamphuis ,&nbsp;L.F.T. Huber ,&nbsp;A. Rota ,&nbsp;D.T. Coerts ,&nbsp;A.J. Oliveira-Maia ,&nbsp;R.A. Schoevers","doi":"10.1016/j.cpr.2026.102706","DOIUrl":"10.1016/j.cpr.2026.102706","url":null,"abstract":"<div><h3>Introduction</h3><div>Ketamine-assisted psychotherapy (KAP) is considered a promising treatment strategy in psychiatric disorders, combining psychotherapeutic interventions with the rapid-acting pharmacological effects of ketamine towards enhancing outcomes. Although KAP has been practiced for many years across different diagnoses, evidence regarding optimal treatment methods and working mechanisms remains limited and has only partly been synthesized.</div></div><div><h3>Methods</h3><div>This systematic review provides a historical overview of studies published up to 2025, that combined ketamine and psychotherapy for the treatment of mental disorders. Psychotherapeutic approaches were categorized into their overarching psychological paradigms: psychoanalytic and psychodynamic, behavioral, humanistic, cognitive-behavioral, integrative/holistic, and other therapeutic frameworks.</div></div><div><h3>Results</h3><div>64 articles, reporting on 72 studies, were included in this review, of which only 11 were randomized controlled trials (RCTs), highlighting the limited representation of RCTs in the overall body of evidence. Diverse therapeutic approaches were found, most were classified into the ‘other’ category (<em>n</em> = 24). Results suggest transdiagnostic effectiveness for indications including major depressive disorder, posttraumatic stress disorder, obsessive-compulsive disorder, substance use disorders and eating disorders. KAP, compared to only psychotherapy, was observed to enhance treatment engagement, symptom reduction, and duration of treatment response. Only two studies randomized psychotherapy in the context of ketamine treatment, neither of which reported added effects for psychotherapy. One of those studies also randomized ketamine and did not find a significant interaction effect. This limited evidence does not support added benefit from psychotherapy nor evidence of synergy. Methodological heterogeneity and the limited number of trials that used a psychotherapy control group, restrict definitive conclusions.</div></div><div><h3>Discussion</h3><div>Clinical effects are generally reported to be quite positive across psychiatric indications, however, there is a clear need for well-controlled trials to test for potential additive or synergistic effects of the combined use of ketamine and psychotherapy and to identify optimal therapeutic protocols.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102706"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146110122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of cultivating human strengths and virtues on well-being: A one-stage meta-analytic structural equation modeling approach","authors":"Ausiàs Cebolla ,&nbsp;Belén Fernández-Castilla ,&nbsp;Oscar Lecuona ,&nbsp;Jéssica Navarro-Siurana ,&nbsp;Julieta Galante ,&nbsp;Pedro Sarrión ,&nbsp;Joana Vidal ,&nbsp;Rosa M. Baños ,&nbsp;Carmelo Vázquez","doi":"10.1016/j.cpr.2026.102692","DOIUrl":"10.1016/j.cpr.2026.102692","url":null,"abstract":"<div><div>Mental health research emphasizes the importance of fostering character strengths to promote well-being. However, whether the strengths supposedly developed by these interventions actually mediate their effects on well-being is still unknown. The included studies were RCTs of strength-based interventions on well-being. Among 83,908 reviewed abstracts, five strengths met the strict inclusion criteria to be meta-analyzed. We included 114 RCTs with a total of 20,853 participants. A One-Stage Meta-Analytic Structural Equation Modeling approach was used to combine studies and analyze the mediation models. Perspective-based interventions showed improvements in perspective. Kindness-based interventions and gratitude-based interventions demonstrated moderate associations with their respective strengths. Humor and hope-based interventions did not significantly enhance their respective trained strengths. Significant mediation effects on well-being were found for all strengths, except hope. The robust pattern of mediations aligns with eudaemonic theories, emphasizing the importance of virtue-driven actions in fostering psychological well-being.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102692"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The conceptualization and assessment of dissociation: An umbrella review of synthesis studies","authors":"Carlo Garofalo ,&nbsp;Irene Severi ,&nbsp;Gianluca Bruno ,&nbsp;Elisa Delvecchio ,&nbsp;Adriano Schimmenti ,&nbsp;Claudia Mazzeschi","doi":"10.1016/j.cpr.2026.102702","DOIUrl":"10.1016/j.cpr.2026.102702","url":null,"abstract":"<div><div>Dissociation is a central yet controversial topic in psychopathology, eliciting interest from diverse areas of mental health research and clinical practice. Fundamental debates persist regarding its conceptualization and measurement. The present umbrella review synthesizes findings from all existing systematic reviews (<em>n</em> = 44), meta-analyses (<em>n</em> = 27), and mixed works (i.e., both systematic reviews and meta-analyses; <em>n</em> = 4) on dissociation, published between 1996 and 2025, encompassing 3864 primary studies and over 1,596,432 participants. We addressed three foundational questions: (1) Is dissociation conceptualized and measured as a categorical or dimensional construct? (2) Is it conceptualized and measured as unidimensional or multidimensional? (3) Do synthesis studies account for sample-specific factors such as culture, language, or environment? Regarding (1), findings revealed an almost equal split in the conceptualization of dissociation as categorical versus dimensional. However, measurement predominantly employs continuous scales, revealing inconsistencies between theoretical framing and empirical methods. Regarding (2), most studies endorse a multidimensional understanding of dissociation. Yet, most studies rely on total scores rather than subscale-level analyses. This suggests divergence in how multidimensionality is operationalized. Regarding (3), despite frequent use of group comparisons, few reviews systematically address cross-cultural or contextual comparability. This raises concerns about measurement validity across diverse populations. Overall, this review highlights a hybrid and sometimes inconsistent approach to dissociation in the literature. Advancing the field requires greater alignment between conceptual models and methods of operationalization, as well as systematic attention to cultural and contextual influences on dissociation assessment. Establishing consensus in these areas will strengthen theoretical clarity and improve the rigor and relevance of future research on dissociation.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102702"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146033030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment modifiers of interpersonal functioning in psychotherapy for people with borderline personality disorder: Systematic review with meta-analyses of individual participant data","authors":"Johanne Pereira Ribeiro ,&nbsp;Jutta Stoffers-Winterling ,&nbsp;Mie Sedoc Jørgensen ,&nbsp;Sophie Juul ,&nbsp;Minoo Matbouriahi ,&nbsp;David Fisher ,&nbsp;Wouter van Ballegooijen ,&nbsp;Mickey Kongerslev ,&nbsp;Erik Simonsen ,&nbsp;Eirini Karyotaki ,&nbsp;Pim Cuijpers ,&nbsp;Anthony Bateman ,&nbsp;Jan Philipp Klein ,&nbsp;Federico Amianto ,&nbsp;Peter Fonagy ,&nbsp;Katherine Dixon-Gordon ,&nbsp;Alexander L. Chapman ,&nbsp;Kathleen Thomaes ,&nbsp;Gitta A. Jacob ,&nbsp;Ueli Kramer ,&nbsp;Ole Jakob Storebø","doi":"10.1016/j.cpr.2026.102707","DOIUrl":"10.1016/j.cpr.2026.102707","url":null,"abstract":"<div><h3>Background</h3><div>Borderline personality disorder (BPD) is often accompanied by interpersonal dysfunction. Psychotherapy can improve interpersonal functioning, but individual characteristics may moderate outcomes. This systematic review used individual participant data meta-analysis (IPD-MA) to examine such moderators.</div></div><div><h3>Method</h3><div>A literature search up to 26 November 2025 across 10 databases (including PubMed, Medline, Embase, PsychINFO, CINAHL, Web of Science, and Cochrane CENTRAL) identified randomised clinical trials (RCTs) investigating the effects of psychotherapy on interpersonal functioning in individuals with BPD compared to treatment as usual (TAU) or clinical management control interventions (CM). Authors of included trials were contacted to retrieve IPD. IPD-MAs employed a one-stage random-effects approach to estimate treatment effects on interpersonal functioning and potential moderators in bivariate linear mixed-effects models. The study was registered with PROSPERO (CRD42021210688).</div></div><div><h3>Results</h3><div>Out of 23,735 identified records, 32 RCTs (2762 participants) met inclusion criteria. Individual participant data (IPD) were available for 17 trials (1431 participants). All trials were rated as having either high risk of bias or some concerns. Missing data were common, with 321 out of 1431 participants (23%) lost to follow-up. Meta-analyses of both aggregate data and IPD yielded comparable effect estimates, though statistical significance differed (IPD-MA: β = −0.21, CI: −0.45 to −0.02, SE = 0.12, <em>p</em> = 0.0778; 17 trials, 1071 participants). In unadjusted analyses, the presence of co-occurring anxiety disorder(s) (β = −0.40, 95% CI: −0.73 to −0.08) and a higher number of co-occurring disorders (β = −0.08, 95% CI: −0.15 to −0.01) were associated with larger treatment effects (not significant after alpha correction).</div></div><div><h3>Conclusion</h3><div>Psychotherapy appears to be effective for individuals with BPD. Although moderator effects did not remain statistically significant after alpha correction, unadjusted analyses suggested larger treatment effects in individuals with co-occurring anxiety and greater clinical complexity. Importantly, these findings indicate that such comorbidities may not be a contraindication for psychotherapy for BPD.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102707"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The standalone effect of safety behavior manipulations: A systematic review and meta-analysis","authors":"Jason T. Goodson ,&nbsp;Tapan A. Patel ,&nbsp;James M. Zech ,&nbsp;Matthew C. Sala ,&nbsp;Jesse R. Cougle","doi":"10.1016/j.cpr.2026.102703","DOIUrl":"10.1016/j.cpr.2026.102703","url":null,"abstract":"<div><div>Safety behaviors are maladaptive behavioral and mental strategies individuals may employ to prevent or avoid a negative symptom. While reducing safety behaviors have been a core component of cognitive-behavioral treatments, recent research has begun examining the efficacy of standalone safety behavior manipulations. Some have examined the effect of increasing the behaviors in a non-treatment experimental context while others have examined the effect of reducing these behaviors in both non-treatment and treatment contexts. In this systematic review and meta-analysis we examined the efficacy of these manipulations. A total of 26 studies were included in our review and 19 were eligible for our meta-analyses. We examined the effect of safety behavior manipulations on both safety behavior frequency and the primary symptoms within the studies. We found that relative to control, safety behavior reduction led to significantly greater reductions in safety behaviors (<em>d</em> = 0.52, 95% CI [0.36, 0.68]) and symptoms (<em>d</em> = 0.43, 95% CI [0.27, 0.59]). We also found that relative to control, safety behavior increase conditions led to significantly greater safety behaviors (<em>d</em> = 2.96, 95% CI [2.14, 3.78]) and clinical symptoms (<em>d</em> = 0.65, 95% CI [0.46, 0.83]). Some moderators emerged, and evidence of publication bias was found. Altogether, the present study provides support for the potential role safety behaviors may play in a range of disorders. Further, standalone manipulations targeting safety behaviors may be an efficacious method of reducing symptoms of psychopathology, but further research will be necessary to better understand the efficacy of this approach.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102703"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive bias modification in alcohol use disorder and problematic drinking: A revised and updated IPD Bayesian meta-analysis","authors":"Ting Pan ,&nbsp;Xiaochang Zhao ,&nbsp;František Bartoš ,&nbsp;Helle Larsen ,&nbsp;Victoria Manning ,&nbsp;Marilisa Boffo ,&nbsp;Reinout W. Wiers","doi":"10.1016/j.cpr.2026.102709","DOIUrl":"10.1016/j.cpr.2026.102709","url":null,"abstract":"<div><h3>Background</h3><div>Recent advances in Cognitive Bias Modification (CBM) for problematic drinking, including Alcohol Use Disorder, alongside methodological refinements, warrant an update of the Individual Participant Data (IPD) Bayesian meta-analysis. This study integrates new datasets, focuses on alcohol CBM, and applies a two-stage IPD framework to examine CBM's effects on cognitive bias, alcohol consumption, and relapse.</div></div><div><h3>Methods</h3><div>A two-stage IPD Bayesian meta-analysis was performed, supplemented by frequentist sensitivity analyses. The first stage estimated study-specific CBM effects, the second stage pooled these to examine within-study moderators (adherence, addiction severity) and between-study moderators (CBM type, control condition, additional therapy, training congruency, and context).</div></div><div><h3>Results</h3><div>23 studies with 8297 participants were included. CBM showed a small unadjusted effect on bias (d = −0.18, 95% CrI [−0.32, 0.00], BF₁₀ = 10.88) and relapse (log OR = −0.26, 95% CrI [−0.38, −0.14], BF₁₀ = 155.07; number needed to treat = 18.7), but not on alcohol consumption (d = 0.003, 95% CrI [0.00, 0.06], BF₁₀ = 0.08). Effects were attenuated after adjusting for moderators. Moderator analyses revealed that face-to-face CBM context (unadjusted and within-study adjusted) and additional psychological therapy (within-study adjusted) were associated with greater bias reduction, and higher training intensity (unadjusted) was related to better relapse prevention. Frequentist sensitivity analyses largely supported these findings.</div></div><div><h3>Conclusions</h3><div>CBM reduced alcohol-related biases and relapse risk. Although overall evidence was no longer supported after adjusting for moderators, moderator analyses suggest CBM can be effective under specific conditions (e.g., face-to-face delivery, alongside therapy, higher training intensity). These findings underscore the need for refined, context-sensitive CBM protocols in alcohol interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102709"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146110123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}