Clinical Psychology Review最新文献

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Five-factor personality traits and functional somatic disorder: A systematic review and meta-analysis 五因素人格特质与功能性躯体障碍:系统回顾与元分析
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102529
Thomas Tandrup Lamm , Victoria Von Schrottenberg , Anneline Rauch , Bo Bach , Heidi Frølund Pedersen , Mette Trøllund Rask , Eva Ørnbøl , Kaare Bro Wellnitz , Lisbeth Frostholm
{"title":"Five-factor personality traits and functional somatic disorder: A systematic review and meta-analysis","authors":"Thomas Tandrup Lamm ,&nbsp;Victoria Von Schrottenberg ,&nbsp;Anneline Rauch ,&nbsp;Bo Bach ,&nbsp;Heidi Frølund Pedersen ,&nbsp;Mette Trøllund Rask ,&nbsp;Eva Ørnbøl ,&nbsp;Kaare Bro Wellnitz ,&nbsp;Lisbeth Frostholm","doi":"10.1016/j.cpr.2024.102529","DOIUrl":"10.1016/j.cpr.2024.102529","url":null,"abstract":"<div><h3>Introduction</h3><div>Functional Somatic Disorders (FSD) is an umbrella term for various conditions characterized by persistent and troublesome physical symptoms, that are not better explained by other psychiatric or somatic conditions. Personality traits may play a crucial role in FSD, but the link is not fully understood. This study presents a systematic review and meta-analysis examines the relationship between the Five-Factor Model (FFM) of personality traits and FSD.</div></div><div><h3>Methods</h3><div>The review was based on the PRISMA statement, and drew data from systematic searches in PsycInfo, PubMed, and Embase. To be eligible for inclusion, studies had to include eligible FSD groups and control groups and to assess FFM traits. Data were analyzed using random effects models. Sub-group and sensitivity analyses as well as meta-regression were used to explore the heterogeneity and robustness of findings.</div></div><div><h3>Results</h3><div>In total 6841 records were screened and 52 included. FSD cases scored higher on neuroticism (<em>k</em> = 46, Hedge's <em>g</em> = 0.72, [95 % CI, 0.61: 0.83]) and lower on extraversion (<em>k</em> = 31, <em>g</em> = −0.41, [−0.55:-0.28]) and agreeableness (<em>k</em> = 15, <em>g</em> = −0.22, [−0.36:-0.09]) than healthy/unspecified controls. FSD cases scored higher on neuroticism (<em>k</em> = 9, <em>g</em> = 0.26 [0.08:0.44]) and agreeableness (<em>k</em> = 4, <em>g</em> = 0.43 [0.28:0.59]) than somatic controls, but did not differ on extraversion (<em>k</em> = 6, <em>g</em> = −0.17 [−0.45:0.11]). No significant differences were found for conscientiousness and openness. For psychiatric controls, meta-analysis was only possible for neuroticism (<em>k</em> = 3,= −0.61, [−1.98:0.77]). Findings displayed significant heterogeneity but no publication bias.</div></div><div><h3>Conclusions</h3><div>This review reveals significant associations between FFM traits and FSD, providing insight into the etiology, classification, and management of FSD.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102529"},"PeriodicalIF":13.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142849248","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}
引用次数: 0
Prevalence of mental health conditions, substance use disorders, suicidal ideation and attempts, and experiences of homelessness among Veterans with criminal-legal involvement: A meta-analysis 退伍军人的精神健康状况、物质使用障碍、自杀意念和企图以及无家可归经历的流行:一项荟萃分析
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102533
Emily R. Edwards , Anthony Fortuna , Ryan Holliday , Helena Addison , Jack Tsai
{"title":"Prevalence of mental health conditions, substance use disorders, suicidal ideation and attempts, and experiences of homelessness among Veterans with criminal-legal involvement: A meta-analysis","authors":"Emily R. Edwards ,&nbsp;Anthony Fortuna ,&nbsp;Ryan Holliday ,&nbsp;Helena Addison ,&nbsp;Jack Tsai","doi":"10.1016/j.cpr.2024.102533","DOIUrl":"10.1016/j.cpr.2024.102533","url":null,"abstract":"<div><div>Veterans with histories of criminal-legal system involvement are considered high-priority within Veterans Health Administration (VHA) and criminal-legal settings. Over several decades, a large literature has accumulated to study these Veterans' needs. To consolidate findings, this meta-analysis provides aggregated prevalence estimates of common mental health conditions, substance use disorders, suicidal thoughts and behaviors, and experiences of homelessness among Veterans with current or prior involvement with the United States criminal-legal system. A total of 79 samples encompassing over 1.2 million Veterans were analyzed. Results estimate 8 in 10 Veterans with criminal-legal involvement experience a mental health condition, 7 in 10 a substance use disorder, 1 in 10 a history of suicidal ideation, and 4 in 10 a history of homelessness. Veterans with current (versus prior) criminal-legal involvement had higher rates of alcohol use, drug use, and current homelessness. Samples consisting of Veterans with a history of incarceration and samples collected in non-VHA settings tended to have lower rates of psychosocial difficulty relative to samples consisting of Veterans with other forms of criminal-legal involvement or collected in VHA settings, respectively. Remaining gaps in the literature include research on criminal-legal involved Veterans under community supervision, and/or from demographic minority groups.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102533"},"PeriodicalIF":13.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910838","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}
引用次数: 0
Do cognitive biases prospectively predict anxiety and depression? A multi-level meta-analysis of longitudinal studies
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-31 DOI: 10.1016/j.cpr.2025.102552
Lisa M.W. Vos , Inés Nieto , Yağmur Amanvermez , Tom Smeets , Jonas Everaert
{"title":"Do cognitive biases prospectively predict anxiety and depression? A multi-level meta-analysis of longitudinal studies","authors":"Lisa M.W. Vos ,&nbsp;Inés Nieto ,&nbsp;Yağmur Amanvermez ,&nbsp;Tom Smeets ,&nbsp;Jonas Everaert","doi":"10.1016/j.cpr.2025.102552","DOIUrl":"10.1016/j.cpr.2025.102552","url":null,"abstract":"<div><div>Cognitive biases have been implicated in the etiology and maintenance of depression and anxiety, but their utility in predicting future symptoms remains debated. This meta-analysis aimed to estimate the overall effect size of their predictive effects and to identify moderators relevant to theory and methodology. The study protocol was pre-registered on PROSPERO (record number: CRD42021232236). Searches of PsycINFO, Web of Science, PubMed, PsyArXiv Preprints, and ProQuest Dissertations yielded 81 studies with 621 contrasts and 17,709 participants through December 2024. The methodological quality of the included studies was evaluated using the Quality In Prognosis Studies (QUIPS) tool. Results from a three-level meta-analysis revealed a small overall effect size (<em>β</em> = 0.04, 95 %-CI [0.02, 0.06], <em>p &lt;</em> .001) and significant between- and within-study variance after removal of outliers. Equivalent effect sizes were found for the predictive utility of cognitive biases in children/adolescents and adults, for increased negative bias and decreased positive bias, and for anxiety and depression outcomes. The magnitude of the overall effect was moderated by the cognitive process, with significant effect sizes for interpretation bias and memory bias but not for attention bias. These findings support the predictive role of cognitive biases in anxiety and depression, with interpretation and memory biases emerging as key markers. These findings have implications for cognitive theories of depression and anxiety and for clinical interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102552"},"PeriodicalIF":13.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350639","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}
引用次数: 0
Addressing gambling harm to affected others: A scoping review (Part I: Prevalence, socio-demographic profiles, gambling profiles, and harm)
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-20 DOI: 10.1016/j.cpr.2025.102542
N.A. Dowling , C.O. Hawker , S.S. Merkouris , S.N. Rodda , D.C. Hodgins
{"title":"Addressing gambling harm to affected others: A scoping review (Part I: Prevalence, socio-demographic profiles, gambling profiles, and harm)","authors":"N.A. Dowling ,&nbsp;C.O. Hawker ,&nbsp;S.S. Merkouris ,&nbsp;S.N. Rodda ,&nbsp;D.C. Hodgins","doi":"10.1016/j.cpr.2025.102542","DOIUrl":"10.1016/j.cpr.2025.102542","url":null,"abstract":"<div><div>Awareness is growing that gambling harm can affect social networks, including family members and friends. This scoping review broadly aimed to examine contemporary research on gambling harm to adult affected others, covering prevalence, socio-demographic profiles, gambling profiles, and harm (Part I); and coping strategies, assessment, and treatment (Part II). A systematic search of electronic databases identified 121 studies published from 2000, 88 of which related to prevalence (9.9 %), socio-demographic profiles (6.6 %), gambling profiles (4.1 %), and harm (71.9 %). Prevalence estimates in the general population ranged from 4.5 %–21.2 %, though these may overstate direct harm by focusing on exposure to problem gambling. Socio-demographic profiles are mixed, but women are more often affected family members and men are more often affected close friends. Affected others also have higher gambling participation and problems than non-affected individuals. Gambling problems harm an average of six others, who experience an average of seven harms, many of which persist beyond problem resolution, resulting in reduced quality of life. Studies consistently identified harm across multiple domains of harm, with emotional and relationship harms the most common, followed by financial and health harms. Harms were consistently identified using measures with and without direct reference to gambling, but equivocal findings were most evident in research employing standardised measures that did not directly reference gambling. There was some discordance in harm perceptions between gamblers and affected others, suggesting differing family experiences. These findings highlight the need for targeted action by governments, industry, researchers, and service providers to protect affected others from gambling-related harm.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102542"},"PeriodicalIF":13.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257807","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}
引用次数: 0
A meta-analysis of mortality rates in eating disorders: An update of the literature from 2010 to 2024
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-12 DOI: 10.1016/j.cpr.2025.102547
Isabel Krug , Shanshan Liu , Jade Portingale , Sarah Croce , Beya Dar , Katrina Obleada , Veena Satheesh , Meila Wong , Matthew Fuller-Tyszkiewicz
{"title":"A meta-analysis of mortality rates in eating disorders: An update of the literature from 2010 to 2024","authors":"Isabel Krug ,&nbsp;Shanshan Liu ,&nbsp;Jade Portingale ,&nbsp;Sarah Croce ,&nbsp;Beya Dar ,&nbsp;Katrina Obleada ,&nbsp;Veena Satheesh ,&nbsp;Meila Wong ,&nbsp;Matthew Fuller-Tyszkiewicz","doi":"10.1016/j.cpr.2025.102547","DOIUrl":"10.1016/j.cpr.2025.102547","url":null,"abstract":"<div><div>Elevated mortality rates have been reported in individuals with eating disorders (EDs). However, no meta-analysis in the past decade has provided an updated, comprehensive synthesis of mortality across all ED diagnoses while exploring potential moderating factors. We conducted a systematic search in four databases (PsycINFO, MEDLINE, Embase and Web of Science) from 2010 to 29 Oct 2024. Studies that reported standardized mortality ratios (SMRs) in individuals with a diagnosed ED (including formal diagnoses and self-reports) were included. Random-effects meta-analyses were conducted to pool estimates across studies. Meta-regression was conducted to examine predictors of heterogeneity. Meta-analysis of SMRs of effect sizes revealed elevated mortality risk for individuals with an ED (regardless of ED subtype); weighted SMR = 3.39 (95 % CIs: 2.90, 3.95), <em>p</em> &lt; .001, I<sup>2</sup> = 95.1 %, Q<sub>(df=73)</sub> = 1492.39, <em>p</em> &lt; .001. SMRs were highest for individuals with anorexia nervosa (5.21; k = 30), followed by eating disorder not otherwise specified (2.51; k = 8); bulimia nervisa (2.20; k = 18) and binge eating disorder (1.46; k = 3). Individuals with EDs demonstrate markedly heightened mortality rates, especially among those with anorexia nervosa. Our findings are crucial for identifying key factors influencing mortality in EDs, guiding targeted interventions to reduce preventable deaths.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102547"},"PeriodicalIF":13.7,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071243","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}
引用次数: 0
Talking about trauma: A systematic review of young people's reactions to trauma-focused research 谈论创伤:系统回顾年轻人对创伤研究的反应
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-10 DOI: 10.1016/j.cpr.2025.102549
Caitlin Haile , Emily P. Taylor , Corina Orr , Eilidh MacKinnon
{"title":"Talking about trauma: A systematic review of young people's reactions to trauma-focused research","authors":"Caitlin Haile ,&nbsp;Emily P. Taylor ,&nbsp;Corina Orr ,&nbsp;Eilidh MacKinnon","doi":"10.1016/j.cpr.2025.102549","DOIUrl":"10.1016/j.cpr.2025.102549","url":null,"abstract":"<div><div>Concerns persist about the potential negative impact of asking young people about their trauma experiences in a research context. Previous research on this ethical issue has focused on adult populations, and the limited evidence for young people has limitations. This systematic review synthesised empirical evidence of young people's reactions to trauma-focused research, and associated participant and study characteristics. Eligible studies included young people aged up to 18 years in any setting who were systematically asked about their response to participating in trauma-focused research. Seventeen studies were identified, containing a total of 40,660 participants. Risk of bias was assessed using a bespoke quality assessment tool. Findings revealed higher benefits than costs, suggesting generally positive appraisals of trauma-focused research for young people. Those with a trauma history or symptoms were more vulnerable to costs. Age and gender did not appear to influence costs, but it was unclear how these factors impacted benefits. These findings suggest that young people can safely be asked about their trauma experiences and its impact, but that consideration of trauma history and symptoms is needed. Routinely asking should become part of ethical research design and would contribute to a richer evidence base.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102549"},"PeriodicalIF":13.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021240","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}
引用次数: 0
Addressing Gambling Harm to affected others: A scoping review (part II: Coping, assessment and treatment) 解决赌博对受影响的人的伤害:范围审查(第二部分:应对,评估和治疗)
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-10 DOI: 10.1016/j.cpr.2025.102543
N.A. Dowling , C.O. Hawker , S.S. Merkouris , S.N. Rodda , D.C. Hodgins
{"title":"Addressing Gambling Harm to affected others: A scoping review (part II: Coping, assessment and treatment)","authors":"N.A. Dowling ,&nbsp;C.O. Hawker ,&nbsp;S.S. Merkouris ,&nbsp;S.N. Rodda ,&nbsp;D.C. Hodgins","doi":"10.1016/j.cpr.2025.102543","DOIUrl":"10.1016/j.cpr.2025.102543","url":null,"abstract":"<div><div>Public health definitions of gambling-related harm include risks to family members and friends. This scoping review broadly aims to identify recent research on addressing gambling harm to adult affected others, focusing on prevalence, socio-demographic profiles, gambling profiles, and harm (Part I); and coping strategies, assessment, and treatment (Part II). A systematic search of electronic databases identified 121 studies published from 2000, with 82 focusing on coping strategies (22.3 %), assessment (21.5 %), and treatment (39.7 %). Findings revealed affected others employ various coping strategies, which can be gambler- or family-focussed, before accessing other forms of support. Common strategies include financial strategies and informal support but few studies have assessed their effectiveness. Few brief fit-for-purpose instruments with adequate psychometric evaluation are available to assess affected other status, harm, coping, social support, and help-seeking. Affected others are under-represented in treatment (8 % in general practices, 15 %–26 % in online gambling services, 30 %–43 % in gambling helplines), largely due to various barriers, including a lack of service awareness and shame. Low-intensity internet-delivered interventions show promise and can reach affected others who would not otherwise receive professional help. Other affected other interventions, which can be gambler- and/or family-focused, demonstrate good acceptability but somewhat limited efficacy, while couple interventions demonstrate some promising outcomes, although more rigorous evaluations are needed. The diverse treatment needs and preferences of affected others, coupled with the relatively limited efficacy of current treatments, highlight the need for the development of tailored interventions. The findings of this review can be used to inform clinical, research, and policy decision-making.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102543"},"PeriodicalIF":13.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021168","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}
引用次数: 0
Involuntary autobiographical memories as a transdiagnostic factor in mental disorders
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-10 DOI: 10.1016/j.cpr.2025.102545
Yanyan Shan , David C. Rubin , Dorthe Berntsen
{"title":"Involuntary autobiographical memories as a transdiagnostic factor in mental disorders","authors":"Yanyan Shan ,&nbsp;David C. Rubin ,&nbsp;Dorthe Berntsen","doi":"10.1016/j.cpr.2025.102545","DOIUrl":"10.1016/j.cpr.2025.102545","url":null,"abstract":"<div><div>Involuntary autobiographical memories are memories of personal events that come to mind with no preceding retrieval attempts. They have been studied broadly in autobiographical memory for decades and shown to be common and mostly positive in everyday life. Clinical literature has focused on negative intrusive memories of stressful events and tended to neglect other forms of involuntary autobiographical memories. However, recently, there has been an upsurge of research addressing involuntary memories more broadly in clinical disorders, including both stressful and mundane memories, and both real life events and simulated events. We here provide the first integrated and comprehensive review of all studied types of involuntary memories in clinical and subclinical populations. We review their frequencies and characteristics across a broad selection of memory properties. A systematic search of the PsycInfo, PubMed, and Web of Science databases yielded 79 empirical studies, with the majority focusing on depression, post-traumatic stress disorder, and psychosis, and a few addressing attention-deficit/hyperactivity disorder, bipolar disorder, eating disorders, health anxiety, obsessive-compulsive disorder, and social anxiety.</div><div>Findings show that an increased frequency of involuntary memories–in all forms–is found across disorders, possibly reflecting executive deficits. Additionally, heightened negativity, greater emotional impact, and the use of maladaptive emotion regulation strategies in response to these memories are typically reported among individuals with PTSD and depression, but less consistently for psychotic disorders. Overall, the findings identify involuntary memories with distinct characteristics as a transdiagnostic phenomenon, suggesting a deeper understanding of mental health problems and more targeted treatment approaches.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102545"},"PeriodicalIF":13.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057357","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}
引用次数: 0
Moderators of cognitive and behaviour therapies for prevention and treatment of anxiety disorders in children and adolescents: A systematic review and meta-analysis 预防和治疗儿童和青少年焦虑症的认知和行为疗法的调节因素:一项系统回顾和荟萃分析。
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-09 DOI: 10.1016/j.cpr.2025.102548
Siyu Zhou , Cathy Creswell , Urška Košir , Tessa Reardon
{"title":"Moderators of cognitive and behaviour therapies for prevention and treatment of anxiety disorders in children and adolescents: A systematic review and meta-analysis","authors":"Siyu Zhou ,&nbsp;Cathy Creswell ,&nbsp;Urška Košir ,&nbsp;Tessa Reardon","doi":"10.1016/j.cpr.2025.102548","DOIUrl":"10.1016/j.cpr.2025.102548","url":null,"abstract":"<div><div>Previous studies have indicated wide variation in the effectiveness of cognitive and behaviour therapies (CBTs) for preventing and treating anxiety disorders in children and adolescents, indicating the presence of moderators influencing outcomes. This meta-analysis investigated whether sample characteristics (child age, child baseline anxiety levels, parental baseline anxiety levels) and intervention characteristics (intervention duration, facilitator contact time, facilitator background, delivery formats, parental involvement) moderate the effectiveness of CBTs for universal prevention, targeted prevention, and treatment of anxiety disorders in children and adolescents. We identified 86 eligible randomized controlled trials (RCTs) assessing the effectiveness of 98 CBTs versus non-active controls. Effect sizes were the post-intervention standardized mean difference of children's broad anxiety symptoms between CBT and non-active controls. Moderation analyses were conducted separately on child- and parent-reported outcomes using meta-regression and subgroup analyses. We found some evidence for (1) a moderating role of child age, facilitator background, and parental involvement on the effectiveness of CBTs for universal prevention; (2) a moderating role of child age and intervention duration on the effectiveness of CBTs for targeted prevention; (3) a moderating role of child age, facilitator contact time, and delivery formats on the effectiveness of CBTs for treatment. There was no evidence for a moderating role of child baseline anxiety levels on the effectiveness of CBTs for universal/targeted prevention or treatment. The moderating role of parental baseline anxiety levels and its potential interaction with parental involvement was not tested given the limited available data. Although these findings provide insights into the question of what works for whom, they should be interpreted cautiously given the limited available data, wide variation in outcomes, potential confounders, and discrepancies between child- and parent-reported outcomes.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102548"},"PeriodicalIF":13.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972814","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}
引用次数: 0
Mental illness and personal recovery: A narrative identity framework 精神疾病与个人康复:一个叙事认同框架
IF 13.7 1区 心理学
Clinical Psychology Review Pub Date : 2025-01-09 DOI: 10.1016/j.cpr.2025.102546
Dorthe Kirkegaard Thomsen , Henry R. Cowan , Dan P. McAdams
{"title":"Mental illness and personal recovery: A narrative identity framework","authors":"Dorthe Kirkegaard Thomsen ,&nbsp;Henry R. Cowan ,&nbsp;Dan P. McAdams","doi":"10.1016/j.cpr.2025.102546","DOIUrl":"10.1016/j.cpr.2025.102546","url":null,"abstract":"<div><div>This article presents a metamorphic model to describe the manifold role of narrative identity, a person's internal life story, across the course of mental illness and personal recovery. First, early adversity and negative co-authoring may contribute to the development of a fragile life story, which itself may combine with life stressors to increase the likelihood of mental illness. Second, mental illness may negatively impact the development of narrative identity, which in turn may exacerbate the devastating effects of mental illness on daily functioning. Finally, positive changes in narrative identity, as they are influenced by recovery stories of peers and the supportive co-authorship provided by mental health professionals, may contribute in powerful ways to the process of personal recovery. In sum, the metamorphic model demonstrates how narrative identity, as it is implicated in a variety of social spheres, shapes and is shaped by the course of mental illness and recovery. We also show how the model differs from other personality-oriented theories of psychopathology and how it may guide future research and interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102546"},"PeriodicalIF":13.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987019","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}
引用次数: 0
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