Golnaz L. Atefi , Marjolein E. de Vugt , Rosalia J.M. van Knippenberg , Michael E. Levin , Frans R.J. Verhey , Sara Laureen Bartels
{"title":"The use of Acceptance and Commitment Therapy (ACT) in informal caregivers of people with dementia and other long-term or chronic conditions: A systematic review and conceptual integration","authors":"Golnaz L. Atefi , Marjolein E. de Vugt , Rosalia J.M. van Knippenberg , Michael E. Levin , Frans R.J. Verhey , Sara Laureen Bartels","doi":"10.1016/j.cpr.2023.102341","DOIUrl":"10.1016/j.cpr.2023.102341","url":null,"abstract":"<div><p>Informal caregivers are the primary source of support for adults with chronic conditions and disabilities. Empirical research highlights chronic stress and other risks of adverse outcomes of caregiving. Acceptance and Commitment Therapy (ACT) is an emerging evidenced-based practice that shows promise in improving an array of outcomes, theoretically by increasing psychological flexibility as the primary process of change. Research has begun to evaluate ACT among informal caregivers of adult populations, and a systematic review is now needed to summarise this evidence base.</p><p>Electronic searches from five databases, including PubMed, PsycInfo, Embase, CINAHL, and Cochrane Library, yielded an initial 7896 hits, which after screening for inclusion criteria, resulted in 21 clinical trials. Studies were coded to synthesise the feasibility, effectiveness, and quality of evidence. Findings show that ACT was reported to be largely feasible and acceptable. However, the efficacy of ACT was mixed, with a more consistent pattern for informal caregivers of people with dementia.</p><p>Several methodological quality issues limited the findings. However, theoretical synthesis and preliminary evidence support the promising effect of ACT in subgroups of informal caregivers. Research on the process of change, as well as larger-scale, methodologically rigorous trials, are needed to consolidate these findings.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137972","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}
Daelin Coutts-Bain , Louise Sharpe , Pirathat Techakesari , Madeline Anne Forrester , Caroline Hunt
{"title":"A mixed-methods review and meta-synthesis of fears of recurrence and progression in people with mental health conditions","authors":"Daelin Coutts-Bain , Louise Sharpe , Pirathat Techakesari , Madeline Anne Forrester , Caroline Hunt","doi":"10.1016/j.cpr.2023.102342","DOIUrl":"10.1016/j.cpr.2023.102342","url":null,"abstract":"<div><p>A fear that one's physical illness will recur or worsen has received substantial research attention over the past decade, most notably as fear of cancer recurrence. Indeed, such fear is known to be associated with poorer quality of life, adjustment, and psychopathology. However, fear of a recurrence or progression (FORP) of mental health conditions has received comparatively little study. The present review aimed to, 1) systematically review quantitative research on FORP in mental health regarding its association with age, gender, quality of life, mental health outcomes, and health behaviours, and 2) meta-synthesize qualitative research related to FORP to construct a transdiagnostic model. A qualitative meta-synthesis of 19 studies identified four subthemes underlying FORP (<em>fear of symptoms</em>, <em>loss of progress</em>, <em>fear of death</em>, and <em>traumatic experiences</em>). The three themes related to FORP were: <em>inability to trust oneself</em>, <em>hypervigilance</em>, and a <em>low-risk low-reward lifestyle</em> which was comprised of three subthemes (<em>limiting relationships</em>, <em>limiting life goals</em>, and <em>fear of changing treatment</em>). A quantitative systematic review of 15 studies found that FORP was strongly associated with worse quality of life, and greater depression, anxiety, psychotic symptoms, and medication adherence, but was not associated with age or gender. Hence, FORP can be understood transdiagnostically, and is generally associated with poorer mental health outcomes but may also predict adaptive health behaviours, such as appropriate medication adherence.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160892","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}
Sici Zhuang , Diana Weiting Tan , Susan Reddrop , Lydia Dean , Murray Maybery , Iliana Magiati
{"title":"Psychosocial factors associated with camouflaging in autistic people and its relationship with mental health and well-being: A mixed methods systematic review","authors":"Sici Zhuang , Diana Weiting Tan , Susan Reddrop , Lydia Dean , Murray Maybery , Iliana Magiati","doi":"10.1016/j.cpr.2023.102335","DOIUrl":"10.1016/j.cpr.2023.102335","url":null,"abstract":"<div><p>Camouflaging involves hiding one's autistic characteristics in social situations. This mixed methods systematic review synthesized research on psychosocial factors associated with camouflaging and its relationship with mental well-being. Six databases were searched. The 58 included studies (40 qualitative, 13 quantitative, five mixed methods), encompassed 4808 autistic and 1780 non-autistic participants, and predominantly featured White, female, and late-diagnosed autistic adults with likely at least average intellectual and/or verbal abilities. Following a convergent integrated approach, quantitative data were transformed and synthesized with qualitative data for thematic synthesis. We identified three themes on psychosocial correlates of camouflaging: (1) social norms and pressures of a largely non-autistic world, (2) social acceptance and rejection, and (3) self-esteem and identity; and four themes on psychosocial consequences of camouflaging for well-being: (1) a pragmatic way of exerting individual agency and control; (2) overlooked, under-supported, and burnt out; (3) impact on social relationships; and (4) low self-esteem and identity confusion. Camouflaging emerges as primarily a socially motivated response linked to adverse psychosocial outcomes. A whole society approach towards acceptance and support for autistic individuals to express their authentic selves is needed. Future studies examining psychosocial influences on camouflaging should include participants who more broadly represent the autistic population.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152480","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}
Lu Zhang , Divyangana Rakesh , Vanessa Cropley , Sarah Whittle
{"title":"Neurobiological correlates of resilience during childhood and adolescence – A systematic review","authors":"Lu Zhang , Divyangana Rakesh , Vanessa Cropley , Sarah Whittle","doi":"10.1016/j.cpr.2023.102333","DOIUrl":"10.1016/j.cpr.2023.102333","url":null,"abstract":"<div><p><span>Research examining the neurobiological mechanisms<span> of resilience has grown rapidly over the past decade. However, there is vast heterogeneity in research study design, methods, and in how resilience is operationalized, making it difficult to gauge what we currently know about resilience biomarkers. This preregistered </span></span>systematic review aimed to review and synthesize the extant literature to identify neurobiological correlates of resilience to adversity during childhood and adolescence. Literature searches on MEDLINE and PsycINFO yielded 3834 studies and a total of 49 studies were included in the final review. Findings were synthesized based on how resilience was conceptualized (e.g., absence of psychopathology, trait resilience), and where relevant, the type of outcome examined (e.g., internalizing symptoms, post-traumatic stress disorder). Our synthesis showed that findings were generally mixed. Nevertheless, some consistent findings suggest that resilience neural mechanisms may involve prefrontal and subcortical regions structure/activity, as well as connectivity between these regions. Given substantial heterogeneity in the definition and operationalization of resilience, more methodological consistency across studies is required for advancing knowledge in this field.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10192894","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}
Rory A. Pfund , Meredith K. Ginley , Hyoun S. Kim , Cassandra L. Boness , Tori L. Horn , James P. Whelan
{"title":"Cognitive-behavioral treatment for gambling harm: Umbrella review and meta-analysis","authors":"Rory A. Pfund , Meredith K. Ginley , Hyoun S. Kim , Cassandra L. Boness , Tori L. Horn , James P. Whelan","doi":"10.1016/j.cpr.2023.102336","DOIUrl":"10.1016/j.cpr.2023.102336","url":null,"abstract":"<div><p><span><span>The aim of the current umbrella review and meta-analysis was to evaluate the methodological rigor of existing meta-analyses on cognitive-behavioral treatment (CBT) for gambling harm. The Cochrane Database of </span>Systematic Reviews<span>, PsycINFO, and PubMed were searched for meta-analyses of CBT for gambling harm among individuals aged 18 years and older. The search yielded five meta-analyses that met inclusion criteria, representing 56 unique studies and 5389 participants. The methodological rigor for one meta-analyses was rated high, two were moderate, and two were critically low. Including only moderate- to high-quality meta-analyses, a robust variance estimation meta-analysis indicated that CBT significantly reduced gambling disorder severity (</span></span><em>g</em> = −0.91), gambling frequency (<em>g</em> = −0.52), and gambling intensity (<em>g</em> = −0.32) relative to minimal and no treatment control at posttreatment, suggesting 65%–82% of participants receiving CBT will show greater reductions in these outcomes than minimal or no treatment controls. Overall, there is strong evidence for CBT in reducing gambling harm and gambling behavior, and this evidence provides individuals, clinicians, managed care companies, and policymakers with clear recommendations about treatment selection.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651424","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":"Comparing asexual with heterosexual, bisexual, and gay/lesbian individuals in common mental health problems: A multivariate meta-analysis","authors":"Yin Xu , Yidan Ma , Qazi Rahman","doi":"10.1016/j.cpr.2023.102334","DOIUrl":"10.1016/j.cpr.2023.102334","url":null,"abstract":"<div><p>We aimed to test whether asexual individuals were at increased risk of higher levels of depressive symptoms, self-harm attempts, and suicide attempts compared with heterosexual, bisexual, or gay/lesbian individuals using multivariate meta-analysis. Seventeen, five, and eight samples were included for depressive symptoms, self-harm attempts, and suicide attempts, respectively, reaching a total sample size of 125,675, 30,116, and 73,366, respectively. Asexual individuals reported higher levels of depressive symptoms than heterosexual individuals (Hedges' <em>g</em><span><span> = −0.44, 95%CI = [−0.61, −0.26]) but did not differ from heterosexual individuals in the risk of self-harm (odds ratio = 1.11, 95%CI = [0.88, 1.39]) and suicide attempts (odds ratio = 0.76, 95%CI = [0.56, 1.04]). Asexual individuals were at lower risk of self-harm and suicide attempts than bisexual and gay/lesbian individuals but did not differ from bisexual and gay/lesbian individuals in the levels of depressive symptoms. The greatest risk of higher levels of depressive symptoms was found in bisexual and asexual, followed by gay/lesbian individuals; the greatest risk of self-harm and suicide attempts was found in bisexual, followed by gay/lesbian individuals, and the lowest risk was found in asexual individuals. The magnitude of the disparities in the risk of poorer </span>mental health among heterosexual, bisexual, gay/lesbian, and asexual individuals depended on the type of mental health outcomes.</span></p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10192895","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}
Jared Speroni , Amanda M. Fanniff, Jennifer M. Edgemon , Valeria Martini, Amie L. Haas
{"title":"Alcohol mixed with energy drinks and aggressive behaviors in adolescents and young adults: A systematic review","authors":"Jared Speroni , Amanda M. Fanniff, Jennifer M. Edgemon , Valeria Martini, Amie L. Haas","doi":"10.1016/j.cpr.2023.102319","DOIUrl":"10.1016/j.cpr.2023.102319","url":null,"abstract":"<div><h3>Purpose</h3><p>Consuming alcohol mixed with energy drinks (AmED) is a high-risk drinking practice. This systematic review examines how AmED use contributes to aggression (physical and sexual), in what role(s) (perpetrator and/or victim), in adolescents and young adult drinkers (age 25 and younger).</p></div><div><h3>Methods</h3><p>Computer assisted search identified 844 studies conducted prior to March 2023; of them 17 met inclusion criteria.</p></div><div><h3>Results</h3><p>AmED use was significantly associated with aggressive behaviors. Between-subject studies suggests that AmED consumers have higher rates of perpetration (physical fights, bullying) and victimization compared to peers who only drink alcohol; however, within-subject studies of AmED users find no difference in physical aggression by drinking event (AmED vs. occasions where consumer drinks alcohol only). Similarly, AmED use was a risk factor for sexually aggressive behaviors (e.g., unwanted contact) and victimization.</p></div><div><h3>Conclusions</h3><p>AmED use is a significant risk factor both victimization and perpetration of violent acts. Differences in within- versus between-study findings suggests that risk is associated with use of AmED, and not event level differences in drinking occasions among AmED users. Findings highlight the relative paucity of studies examining victimization and sexual violence and the need for future studies to incorporate more diverse samples and methodologies to better understand patterns of AmED use, perpetration, and victimization.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10102434","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":"Longitudinal studies of challenging behaviours in autistic children and adults: A systematic review and meta-analysis","authors":"Dawn Adams , Nicole Dargue , Jessica Paynter","doi":"10.1016/j.cpr.2023.102320","DOIUrl":"10.1016/j.cpr.2023.102320","url":null,"abstract":"<div><p>Autistic children and adults are at increased risk of showing behaviours that may be described as challenging, however, little is known about whether or how these behaviours may change over time. Given the profound impact that challenging behaviour can have on both the autistic individual and their support network, it is critical that the trajectory of challenging behaviours be better understood. This systematic review and meta-analysis identified and synthesised observational longitudinal studies of challenging behaviour in autistic individuals. Fifty-six studies were included in the systematic review, and the effect sizes of 37 independent samples arising from 34 of these reports were examined through meta-analysis. Crucially, across the 37 samples, scores on the measures of challenging behaviour reduced by a small, yet significant, extent over time. Although age of the sample at baseline assessment did not moderate the effect, the time between the baseline assessment and final follow-up and age at final follow-up both moderated the magnitude of the effect, with challenging behaviour scores reducing to a larger extent in (a) studies with longer intervals between baseline and final follow-up and (b) studies with older samples at follow-up. The results from the current systematic review and meta-analysis have both theoretical and practical implications for understanding challenging behaviour over time in autistic individuals. Avenues for future research are also highlighted that may allow better understanding, and therefore support of, challenging behaviour in autistic individuals.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10093046","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}
Sophie Collin, Georgina Rowse, Anton P. Martinez, Richard P. Bentall
{"title":"Delusions and the dilemmas of life: A systematic review and meta-analyses of the global literature on the prevalence of delusional themes in clinical groups","authors":"Sophie Collin, Georgina Rowse, Anton P. Martinez, Richard P. Bentall","doi":"10.1016/j.cpr.2023.102303","DOIUrl":"10.1016/j.cpr.2023.102303","url":null,"abstract":"<div><p>We investigated the prevalence of persecutory, grandiose, reference, control, and religious delusions in adult clinical populations worldwide and whether they differed according to country characteristics or age, gender, or year of publication. 123 studies met inclusion criteria, across 30 countries; 102 (115 samples, <em>n</em><span> = 20,979) were included in the main random-effects meta-analysis of studies measuring multiple delusional themes (21 in a separate analysis of studies in recording a single theme). Persecutory delusions were most common (pooled point estimate: 64.5%, CI = 60.6–68.3, k = 106, followed by reference (39.7%, CI 34.5–45.3, k = 65), grandiose (28.2, CI 24.8–31.9, k = 100), control 21.6%, CI 17.8–26.0, k = 53), and religious delusions 18.3%, CI 15.4–21.6, k = 50). Data from studies recording one theme were broadly consistent with these findings. There were no effects for study quality or publication date. Prevalences were higher in samples exclusively with psychotic patients but did not differ between developed and developing countries, or by country individualism, power distance, or prevalence of atheism. Religious and control delusions were more prevalent in countries with higher income inequality. We hypothesize that these delusional themes reflect universal human dilemmas and existential challenges.</span></p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10098291","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}
L.T.A. Swinkels , M. Hoeve , J.F. ter Harmsel , L.J. Schoonmade , J.J.M. Dekker , A. Popma , T.M. van der Pol
{"title":"The effectiveness of social network interventions for psychiatric patients: A systematic review and meta-analysis","authors":"L.T.A. Swinkels , M. Hoeve , J.F. ter Harmsel , L.J. Schoonmade , J.J.M. Dekker , A. Popma , T.M. van der Pol","doi":"10.1016/j.cpr.2023.102321","DOIUrl":"10.1016/j.cpr.2023.102321","url":null,"abstract":"<div><p>Strengthening social networks is an important goal in mental health treatment. This study aimed to determine the effectiveness of social network interventions for psychiatric patients. A systematic review and meta-analysis was conducted comparing these interventions with control groups on social and mental health-related outcomes in psychiatric patients. PubMed, EMBASE.com, PsycInfo, Scopus, and IBSS were searched for studies until December 21, 2022. Three-level random effects models were used to obtain Cohen's <em>d</em> mean estimates on composite outcomes of social network and secondary mental health outcomes. Heterogeneity was examined with potential moderators. Thirty-three studies were included. Small-to-moderate effects of social network interventions were detected on positive social network (<em>d</em> = 0.115, <em>p</em> = 0.022) and support (<em>d</em> = 0.159; <em>p</em> = 0.007), general functioning (<em>d</em> = 0.127, <em>p</em> = 0.046), mental health treatment adherence (<em>d</em> = 0.332, <em>p</em> = 0.003), days substance use (<em>d</em> = 0.097, <em>p</em> = 0.004), and abstinence (<em>d</em> = 0.254, <em>p</em> = 0.004). Estimates of psychiatric functioning were higher in samples with more females. The quality of evidence was moderate-to-low. This evidence suggests that social network interventions can improve positive social networks, general functioning, mental health treatment adherence, and substance use in psychiatric patients receiving usual care.</p><p>PROSPERO ID: CRD42019131959.</p></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":null,"pages":null},"PeriodicalIF":12.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10456607","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}