Clinical Psychology Review最新文献

{"title":"Machine learning in the prediction of treatment response for emotional disorders: A systematic review and meta-analysis","authors":"Joshua Curtiss ,&nbsp;Christopher DiPietro","doi":"10.1016/j.cpr.2025.102593","DOIUrl":"10.1016/j.cpr.2025.102593","url":null,"abstract":"<div><h3>Background</h3><div>Emotional disorders such as depression and anxiety affect millions globally and pose a significant burden on public health. Personalized treatment approaches using machine learning (ML) to predict treatment response could revolutionize treatment strategies. However, there is limited evidence as to whether ML is successful in predicting treatment outcomes. This meta-analysis aims to evaluate the accuracy of ML algorithms in predicting binary treatment response (responder vs. non-responder) to evidence-based psychotherapies, pharmacotherapies, and other treatments for emotional disorders, and to examine moderators of prediction accuracy.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, a comprehensive literature search was conducted across PubMed and PsycINFO from January 1st, 2010 to March 27th, 2025. Studies were included if they used ML methods to predict treatment response in patients with emotional disorders. Data were extracted on sample size, type of treatment, predictors used, ML methods, and prediction accuracy. Meta-analytic techniques were used to synthesize findings and identify moderators of prediction accuracy.</div></div><div><h3>Results</h3><div>Out of 3816 non-duplicate records, 155 studies met inclusion criteria. The overall mean prediction accuracy was 0.76 (95 % CI: 0.74–0.78), and the mean area under the curve was 0.80 indicating good discrimination. The average sensitivity and specificity were 0.73 and 0.75, respectively. Moderator analyses indicated that studies using more robust cross-validation procedures exhibited higher prediction accuracy. Neuroimaging data as predictors were associated with higher accuracy compared to clinical and demographic data. Moreover, results indicated that studies with larger responder rates, as well as those that did not correct for imbalances in outcome rates, were associated with higher prediction accuracy.</div></div><div><h3>Conclusions</h3><div>ML methods show promise in predicting treatment response for emotional disorders, with varying degrees of accuracy depending on the type of predictors used and the rigor of methodological procedures implemented. Future research should focus on improving methodological integrity and exploring the integration of multimodal data to enhance prediction accuracy.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102593"},"PeriodicalIF":13.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241020","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":"Trauma and eating disorders: an integrated umbrella and scoping review","authors":"Irina Moroshko Master of Clinical Psychology, PhD candidate ,&nbsp;Anita Raspovic PhD ,&nbsp;Jintana Liu Master of Professional Psychology ,&nbsp;Leah Brennan PhD","doi":"10.1016/j.cpr.2025.102592","DOIUrl":"10.1016/j.cpr.2025.102592","url":null,"abstract":"<div><h3>Objective</h3><div>This comprehensive mixed-method review synthesised the trauma-eating disorder (trauma-ED) research across six objectives addressing; prevalence and risk, covariates, clinical characteristics, theories, lived experience, and intervention.</div></div><div><h3>Methods</h3><div>An umbrella review of systematic reviews, a scoping review of narrative summaries, and quality assessments were conducted.</div></div><div><h3>Results</h3><div>One hundred and ninety-nine publications were identified. Higher prevalence rates of childhood, later life, and marginalisation traumas were evident in ED samples compared to healthy controls. Dependant on trauma type, trauma rates in those with ED were higher or comparable to psychiatric controls. More consistent findings, larger effect sizes, and higher prevalence rates of trauma were evident in binge-purge, rather than restrictive, ED presentations. Overall, individuals experiencing trauma-ED present with greater emotional and behavioural dysregulation and more complex illness and treatment course. Several theories explaining the trauma-ED intersection received some empirical support. Few investigations examined mechanisms and treatment; no evidence on lived experience perspectives on treatment and no trauma-ED clinical practice guidelines were identified.</div></div><div><h3>Discussion</h3><div>The positive association between trauma and ED and the negative impact of co-existing trauma on ED illness and treatment, have been established. The clinical relevance, need, and urgency of addressing co-existing trauma in ED treatment are evident. Qualitative and intervention research is urgently needed to understand trauma-ED, elucidate lived experience perspectives on treatment, test novel treatments, and provide clinical guidance.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102592"},"PeriodicalIF":13.7,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146785","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":"Perceived need for treatment for mental disorders: A review and critical evaluation","authors":"Alan E. Kazdin","doi":"10.1016/j.cpr.2025.102591","DOIUrl":"10.1016/j.cpr.2025.102591","url":null,"abstract":"<div><div>Mental disorders are highly prevalent worldwide. Unfortunately, most people with these disorders do not receive any treatment. This is due in part to a large set of barriers that impede treatment delivery. An initial barrier is the perception that one does not need treatment. Perceived need for treatment (PNFT) refers to whether an individual sees a need to obtain an intervention for their mental health problem. Among individuals with a mental disorder, lack of perceived need is the most common reason people give for not initiating treatment. This article describes PNFT, its characteristics, correlates, and predictors. A critical evaluation of the concept challenges key notions such as whether meeting criteria for a disorder means that someone needs treatment, whether PNFT actually is the initial obstacle limiting treatment seeking, how people may seek an intervention but do not elect mental health treatment, and that PNFT is neither a necessary nor a sufficient condition for entering treatment. Several research priorities are discussed including the importance of perceived need among parents and other caregivers, evaluating whether increasing the rates of PNFT would actually increase service use, the need to study the treatment needs of many neglected groups, and considering whether PNFT influences other facets of the treatment process (e.g., adherence to treatment, dropping out early) where perceiving there no longer is a mental health problem may occur.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102591"},"PeriodicalIF":13.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070427","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":"Using the experience sampling methodology to measure anhedonia and its correlates in mental health research: A systematic review","authors":"Joanne R. Beames ,&nbsp;Lotte Uyttebroek ,&nbsp;Clementine J. Edwards ,&nbsp;Gudrun V. Eisele ,&nbsp;Nian D.F. Kemme ,&nbsp;Olivia Collier ,&nbsp;Eeske van Roekel ,&nbsp;Thomas R. Kwapil ,&nbsp;Olivia J. Kirtley ,&nbsp;Inez Myin-Germeys","doi":"10.1016/j.cpr.2025.102590","DOIUrl":"10.1016/j.cpr.2025.102590","url":null,"abstract":"<div><div>Anhedonia is a lack or loss of pleasure in daily life. This is the first systematic review to investigate anhedonia in mental health research with a focus on experience sampling methodology (ESM). The review aimed to identify how anhedonia is conceptualized and measured in ESM research, how it is experienced during daily life, and the quality of reporting in the published literature. To generate a comprehensive picture of anhedonia, we also examined associations between time-invariant measures of anhedonia and other affective, cognitive, and behavioral processes assessed via ESM. We searched PsychARTICLES, MEDLINE, Psychology Databases, EMBASE, Web of Science Core Collection, and Europe PMC (last search 6th January 2025). We identified 113 relevant articles. Anhedonia was typically conceptualized as diminished pleasure, enjoyment, or liking, with emphasis on consummatory rather than anticipatory experiences. Anticipatory and consummatory anhedonia were present in samples that experienced different mental health conditions or symptoms (between-person) and varied across daily contexts and time (within-person). Daily life correlates of anhedonia included increased negative affect, decreased positive affect, affect prediction biases, and social processes. Most studies explored anhedonia in depression or psychotic disorders, although measurement was heterogeneous, and compliance with a reporting quality assessment tool for ESM studies was generally low. This review demonstrates that using ESM to measure anhedonia in mental health research is critical to identify how and when it is experienced in daily life. Future anhedonia research would benefit from using a transdiagnostic perspective, standardized and validated ESM items, exploration of moment-to-moment changes over shorter time-scales, and increased transparency in methodological reporting.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102590"},"PeriodicalIF":13.7,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924377","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":"Dyadic coping and relationship satisfaction among couples with a chronic illness: A meta-analytical actor–partner interdependence model","authors":"Jianhua Hou ,&nbsp;Mariana Karin Falconier ,&nbsp;Wilson Tam ,&nbsp;Mike W.-L. Cheung ,&nbsp;Rong Fu ,&nbsp;He Bu ,&nbsp;Nancy Xiaonan Yu","doi":"10.1016/j.cpr.2025.102587","DOIUrl":"10.1016/j.cpr.2025.102587","url":null,"abstract":"<div><div>Chronic illness (CI) burdens both the patient and their romantic partner. CI management has been viewed as a dyadic process by theorists and clinical practitioners. Dyadic coping (DC) refers to the processes where one partner aids the other or both partners work together to cope with stress. We used the meta-analytical actor–partner interdependence model and its extension of actor–partner interdependence moderation model to evaluate the aggregated actor and partner effects of DC on relationship satisfaction (RS) in CI partners (CIP) and healthy partners (HP). This meta-analysis included 61 samples from 57 reports. The combined zero-order correlation (<em>r</em>) between total DC and RS was 0.37 (95 % <em>CI</em>: 0.33–0.40, <em>p</em> &lt; .001). The total DC for both partners with and without CI showed significant actor effects on their own RS (CIP → CIP: <em>b</em> = 0.33, <em>SE</em> = 0.03, <em>p</em> &lt; .001; HP → HP: <em>b</em> = 0.32, <em>SE</em> = 0.03, <em>p</em> &lt; .001) and significant partner effects on the other's RS (HP → CIP: <em>b</em> = 0.18, <em>SE</em> = 0.03, <em>p</em> &lt; .001; CIP → HP: <em>b</em> = 0.20, <em>SE</em> = 0.03, <em>p</em> &lt; .001). Similar patterns were observed for positive DC and negative DC. These effects were observed regardless of study quality, years since diagnosis, age, sex, and relationship length. Moreover, type of publication, publication year, country, DC measures, CI types, and both partners' education attainment moderated observed associations. Couple-based interventions for CI should incorporate psychoeducation on the importance of DC (e.g., viewing illness as a “we-disease,” communicating about stress, and providing mutual support) and skill-building components to enhance RS, recognizing the interdependent nature of both partners' coping processes.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102587"},"PeriodicalIF":13.7,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911837","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":"Characterizing predictors of response to behavioral interventions for children with autism spectrum disorder: A meta-analytic approach","authors":"Lacey Chetcuti ,&nbsp;Mirko Uljarević ,&nbsp;Rachel K. Schuck ,&nbsp;Antonio Y. Hardan ,&nbsp;Grace W. Gengoux ,&nbsp;David Trembath ,&nbsp;Yagnesh Vadgama ,&nbsp;Kandice J. Varcin ,&nbsp;Giacomo Vivanti ,&nbsp;Andrew J.O. Whitehouse ,&nbsp;Maria Helton ,&nbsp;Thomas W. Frazier","doi":"10.1016/j.cpr.2025.102588","DOIUrl":"10.1016/j.cpr.2025.102588","url":null,"abstract":"<div><div>A comprehensive understanding of specific factors contributing to variability in responsiveness of children with autism to interventions is paramount for making evidence-based clinical and policy decisions. This meta-analysis examined child and family characteristics, as well as intervention design factors, associated with outcomes of behavioral interventions for children with autism. A systematic review identified 95 studies published between 1987 and 2024, encompassing 6780 children on the autism spectrum and 2150 independent effect sizes. Results indicated that stronger post-intervention effects were observed across intervention approaches for children with higher cognitive, language, and other developmental abilities, greater adaptive functioning, and fewer autism-related features. Additionally, interventions of longer duration and greater total hours were associated with stronger post-intervention outcomes. In contrast, intervention approach (Early Intensive Behavioral Intervention, Naturalistic Developmental Behavioral Interventions, or Developmental Interventions), delivery agent, and child age at intervention onset did not significantly predict the strength of post-intervention outcomes. While study methodology and reporting quality were marginally associated with predictive strength, adjusting for these factors had minimal impact on the reported findings. The insights from this meta-analysis have significant implications for the development of personalized intervention models for children with autism. These models have the potential to optimize outcomes and offer critical guidance for decision-making in both the service and policy levels, ensuring efficient and equitable allocation of resources.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102588"},"PeriodicalIF":13.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928765","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":"Risk factors for depression, anxiety, and PTSS after loss: A systematic review and meta-analysis","authors":"C. Buur ,&nbsp;R. Zachariae ,&nbsp;M.M. Marello ,&nbsp;M. O'Connor","doi":"10.1016/j.cpr.2025.102589","DOIUrl":"10.1016/j.cpr.2025.102589","url":null,"abstract":"<div><h3>Background</h3><div>Bereavement can lead to complicated grief reactions including clinically significant symptoms of depression, anxiety, and post-traumatic stress (PTSS) post-loss. Gaining insight into specific and shared risk factors for these complicated grief reactions can help identify individuals needing support.</div></div><div><h3>Methods</h3><div>A comprehensive systematic review and meta-analysis of risk factors for post-loss depression, anxiety, and PTSS. PsycInfo, PubMed, Web of Science, and CINAHL were searched to identify risk factors for inclusion in the meta-analysis.</div></div><div><h3>Results</h3><div>The systematic review included 144 studies. Most risk factors were of small magnitude. For depression, 21 risk factors were analyzed, with six analyses of adjusted risk factors reaching statistical significance. Pre-loss depression was the strongest risk factor (ESr = 0.25, 95 %CI [0.03,0.45]). Of nine analyzed risk factors for PTSS, four reached statistical significance, with the death of a close relative yielding the largest effect (ESr = 0.24, 95 %CI [0.01,0.44]). Only female gender significantly predicted anxiety (ESr = 0.21, 95 %CI [0.09,0.32]). Female gender, the death of a partner, and violent/unnatural losses were transdiagnostic risk factors.</div></div><div><h3>Conclusions</h3><div>An overview of risk factors for three complicated grief reactions, including their predictive strength, is presented. The results provide insights into transdiagnostic risk factors and can aid early identification of people at risk of complicated grief reactions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102589"},"PeriodicalIF":13.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924375","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":"Evaluation of assessment instruments for working alliance in psychological interventions with adolescents: A systematic review","authors":"Mariana Veloso Martins ,&nbsp;Zorana Jolić Marjanović ,&nbsp;Nuno Ferreira ,&nbsp;Camellia Hancheva ,&nbsp;Emma Motrico ,&nbsp;Jose M. Mestre ,&nbsp;Nele A.J. De Witte ,&nbsp;Sibel Halfon ,&nbsp;Sidse Arnfred ,&nbsp;Margarida Rangel Henriques ,&nbsp;Nina Petričević ,&nbsp;Marcin Rzeszutek ,&nbsp;Jana Volkert ,&nbsp;Randi Ulberg ,&nbsp;Fredrik Falkenström","doi":"10.1016/j.cpr.2025.102586","DOIUrl":"10.1016/j.cpr.2025.102586","url":null,"abstract":"<div><div>The working alliance is one of the most robust predictors of outcomes in adult psychotherapy. Since the alliance is often challenging to establish and maintain in psychotherapy with adolescents, conducting high-quality assessments of the alliance using sound measures in this population is critical. Still, measurement instruments developed for adults cannot be directly transferred to adolescent samples. This systematic review aimed to identify and critically evaluate available assessment tools for working alliance in adolescent psychotherapy using the COnsensus-based Standards for the Selection of Health Measurement INstruments (COSMIN) framework. A comprehensive literature search across PsycINFO, PubMed, Web of Science, and PsycARTICLES, up to October 2024, yielded 47 research studies reporting on working alliance measurement properties. Findings indicate that self-report measures are most commonly studied, with the Working Alliance Inventory-Short Form (WAI-S) and Therapeutic Alliance Quality Scale (TAQS) showing the best psychometric properties. Nevertheless, even with these measures, there are notable shortcomings in cross-cultural validity, measurement error, and responsiveness, which are essential for applications in longitudinal studies and with diverse populations. Less commonly studied, often with very small samples, observer-rated tools displayed high reliability but limited predictive validity. Our review highlights the need for more stringent research on developmentally appropriate, reliable working alliance instruments for adolescents to support clinicians and researchers in studying and monitoring this aspect of patient-therapist relations. These findings, together with the COSMIN guidelines, inform recommendations for future research mainly in terms of improved content validity, measurement error, cross-cultural validity, and responsiveness.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102586"},"PeriodicalIF":13.7,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891115","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":"Clusters of healthy lifestyle behaviours are associated with symptoms of depression, anxiety, and psychological distress: A systematic review and meta-analysis of observational studies","authors":"Matthew Bourke ,&nbsp;Hiu Fei Wendy Wang ,&nbsp;Sarah A. McNaughton ,&nbsp;George Thomas ,&nbsp;Joseph Firth ,&nbsp;Mike Trott ,&nbsp;John Cairney","doi":"10.1016/j.cpr.2025.102585","DOIUrl":"10.1016/j.cpr.2025.102585","url":null,"abstract":"<div><div>Engagement in healthy and unhealthy lifestyle behaviours are related to a range of mental health outcomes. Most existing research has focussed on individual lifestyle behaviours, so it is not clear the extent to which clusters of healthy lifestyle behaviours relate to mental health outcomes. Therefore, this study aimed to systematically review and quantitatively synthesise research which have examined the association between clusters of lifestyle behaviours with symptoms of depression, anxiety, and psychological distress. A systematic search of five electronic databases were conducted to identify studies which used person-centred approaches (e.g., cluster analysis, latent class analysis) to identify subgroups of participants based on at least two unique lifestyle behaviours (i.e., physical activity/sedentary behaviours, diet, sleep, alcohol/tobacco/drug use) and examined differences in symptoms of depression, anxiety, or psychological distress between clusters. A correlated and hierarchical random effects meta-analysis was used to synthesise the results. A total of 81 studies reporting on nearly one-million individual participants were included in the review. Results demonstrated that participants who engaged in the healthiest clusters of lifestyle behaviours reported significantly fewer symptoms of depression (SMD = −0.41), anxiety (SMD = −0.43) and psychological distress (SMD = −0.34) compared to participants engaging in less healthy combinations of lifestyle behaviours, and a dose response relationship was observed across outcomes. These results demonstrate that there is a moderate-to-strong relationship between engaging in clusters of healthy lifestyle behaviours and mental health outcomes and demonstrate the importance of considering healthy lifestyle as a whole instead of as individual parts.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102585"},"PeriodicalIF":13.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834233","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 associations and effects of mindfulness on anger and aggression: A meta-analytic review","authors":"Siobhan M. O'Dean ,&nbsp;Elizabeth Summerell ,&nbsp;Eddie Harmon-Jones ,&nbsp;J David Creswell ,&nbsp;Thomas F. Denson","doi":"10.1016/j.cpr.2025.102584","DOIUrl":"10.1016/j.cpr.2025.102584","url":null,"abstract":"<div><div>Dispositional mindfulness and mindfulness-based interventions have been linked to emotion regulation and may reduce anger and aggression. The present set of four meta-analyses examined and quantified correlational relationships between trait mindfulness, trait anger, and trait aggression, as well as the effects of experimental mindfulness-based interventions on anger and aggression. These meta-analyses contained data from 118 correlational (dispositional mindfulness) and experimental (mindfulness-based intervention) studies. For the subset of self-report correlational studies (<em>k</em>_anger = 243, <em>k</em>_aggression = 286), we found small-to-medium inverse relationships between dispositional mindfulness and both anger (<em>r</em> = −0.23, <em>p</em> &lt; .001) and aggression (<em>r</em> = −0.19, <em>p</em> &lt; .001). For experimental studies (<em>k</em>_anger = 95, <em>k</em>_aggression = 38), we found medium effects. Specifically, mindfulness-based interventions produced lower anger (<em>d</em> = −0.48, <em>p</em> &lt; .001) and aggression (<em>d</em> = −0.61, <em>p</em> &lt; .001) relative to the control groups. In sum, results suggest that mindfulness can curb angry and aggressive responses. Effect sizes for the interventions were largest in Asia. Studies with passive versus active control groups showed larger effect sizes. Effect sizes were largely equivalent for all populations studied (e.g., clinical, forensic, healthy adults, medical, students). Our meta-analytic findings suggest that mindfulness training may aid the effective regulation of anger and aggression for diverse populations. They also highlight the need for more rigorous control groups in future research.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102584"},"PeriodicalIF":13.7,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824227","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}