Clinical Psychology Review最新文献

{"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, I² = 95.1 %, Q_(df=73) = 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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"title":"To be aware or not to be aware of the prognosis in the terminal stage of cancer? A systematic review of the associations between prognostic awareness with anxiety, depression, and quality of life according to cancer stage","authors":"Federica Luciani ,&nbsp;Giorgio Veneziani ,&nbsp;Emanuele Giraldi ,&nbsp;Virginia Campedelli,&nbsp;Federica Galli,&nbsp;Carlo Lai","doi":"10.1016/j.cpr.2025.102544","DOIUrl":"10.1016/j.cpr.2025.102544","url":null,"abstract":"<div><div>Prognostic awareness (PA) has an important role in promoting informed care planning in cancer patients. However, studies in the literature showed discordant results regarding the impact of PA on psychological and quality of life outcomes. The present systematic review aimed to investigate the associations between PA with anxiety, depression, and quality of life in oncological patients according to early, advanced, and terminal cancer stages. The review adhered to PRISMA guidelines and was registered on PROSPERO. The research identified 42.357 studies, of which 54 were included. The main result showed that the associations of PA with anxiety, depression, and quality of life varied according to the cancer stage. In studies with early and advanced cancer patients, 0 % and 9 %, respectively, showed favourable associations, while in those with terminal cancer patients, 53 % showed favourable associations. In terminal stage cancer, the associations were favourable when patients were enrolled in hospice, had a mean survival time shorter than 60 days, and a mean age older than 65 years. These findings suggest that it could be important within psychological interventions for patients to consider the impact of PA at different stages of cancer. While in the early and advanced stages of cancer, patients might benefit most from interventions focused on implementing psychological resources to face the illness and maintaining a hopeful outlook, in the terminal stage of cancer, it could be important to promote the process of becoming aware of their prognosis.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102544"},"PeriodicalIF":13.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985111","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":"Towards an understanding of readiness for trauma-focussed therapy in post-traumatic stress disorder: A conceptual integration of empirical data and theoretical constructs","authors":"Sarah Bendall ,&nbsp;Wilma Peters ,&nbsp;Ilias Kamitsis","doi":"10.1016/j.cpr.2024.102534","DOIUrl":"10.1016/j.cpr.2024.102534","url":null,"abstract":"<div><div>For people with post-traumatic stress disorder (PTSD), the concept of being ‘ready’ for trauma-focused therapy (TFT) has emerged from research as an important factor in initiation and completion of therapy. Lack of readiness of individual service users has been proposed as a reason for poor uptake of TFT in large implementation programs. However, there has been almost no investigation of what constitutes readiness for TFT. In this review we build a conceptual case for readiness for TFT. We use qualitative research exploring PTSD treatment service users' and providers' experiences and perspectives of care together with two motivational theories (self-determination theory and motivation to engage in treatment) to propose a model of readiness for TFT. Readiness appears to encompass a) a motivational factor that includes willingness to undertake TFT and b) a set of determinants of motivation that may include the emotional burden of TFT, perceived suitability of TFT rationale; outcome expectancy; level of suffering; perceived competence; therapeutic relationship; autonomy; social supports; stigma; and problem recognition. This review is designed to encourage further research into this important clinical construct. It offers a new perspective on the need for a preparation phase before exposure in TFT, an issue of debate in the field.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102534"},"PeriodicalIF":13.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142936943","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":"How a strong measurement validity review can go astray: A look at Higgins et al. (2024) and recommendations for future measurement-focused reviews","authors":"Brett A. Murphy ,&nbsp;Judith A. Hall","doi":"10.1016/j.cpr.2024.102506","DOIUrl":"10.1016/j.cpr.2024.102506","url":null,"abstract":"<div><div>Critical reviews of a test's measurement validity are valuable scientific contributions, yet even strong reviews can be undermined by subtle problems in how evidence is compiled and presented to readers. First, if discussions of poor reporting practices by a test's users are interwoven with discussions about validity support for the test itself, readers can be inadvertently misled into impressions of the latter which are improperly conflated with the former. Second, test reviewers should give at least as much careful attention to a test's external validity as to its structural validity; test reviewers who prioritize factor analysis and internal consistency at the expense of discriminant and convergent validity can inadvertently mislead readers into perceptions of a test which are more negative or more positive than is warranted by the evidence overall. In this commentary, we aim to help test evaluators in crafting critical investigations of measurement validity. We use <span><span>Higgins et al.'s (2024)</span></span> review of the Reading the Mind in the Eyes Test (RMET; <span><span>Baron-Cohen et al., 2001</span></span>) as a basis for discussion. We argue that their otherwise impressive review went astray in the two ways described above. After considering both the psychometric evidence that <span><span>Higgins et al. (2024)</span></span> provided and the external validity evidence that they did not provide, we conclude that their recommendations that the RMET should be abandoned, and that most prior research findings based on it should be reassessed or disregarded, are unwarranted.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102506"},"PeriodicalIF":13.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745083","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":"Are digital psychological interventions for psychological distress and quality of life in cancer patients effective? A systematic review and network meta-analysis","authors":"Tao Zhang ,&nbsp;Zhihong Ren ,&nbsp;Claire Elizabeth Wakefield ,&nbsp;Bryant Pui Hung Hui ,&nbsp;Tatsuo Akechi ,&nbsp;Congrong Shi ,&nbsp;Xiayu Du ,&nbsp;Wenke Chen ,&nbsp;Lizu Lai ,&nbsp;Chunxiao Zhao ,&nbsp;Ying Li ,&nbsp;Yubu Zhou","doi":"10.1016/j.cpr.2024.102520","DOIUrl":"10.1016/j.cpr.2024.102520","url":null,"abstract":"<div><h3>Background</h3><div>Many cancer patients experience psychological distress and/or poor quality of life during or after their cancer treatment, yet they face multiple barriers to accessing psychological support. Digital psychological interventions represent a promising approach for addressing these barriers, however their comparative effectiveness remains uncertain.</div></div><div><h3>Methods</h3><div>Nine databases were searched for randomized controlled trials (RCTs) from inception to July 2024. The primary outcomes were psychological distress and quality of life, and the secondary outcomes were measures of depression, anxiety, insomnia, fatigue, and fear of cancer recurrence in this study.</div></div><div><h3>Results</h3><div>One hundred and thirty-six RCTs with 23,154 participants were identified. Of these interventions, three types—digitally-delivered cognitive behavioral therapy (CBT), health education, and virtual reality therapy (VRT)—demonstrated significant reductions in psychological distress compared to non-active controls. Digital CBT, narrative interventions, and VRT significantly improved quality of life compared to non-active controls. For depression, both digital CBT and VRT were superior to the non-active control group. Regarding anxiety, CBT, psychoeducation, and VRT outperformed the non-active control group. In terms of fatigue, CBT, psychoeducation, VRT, and multi-component interventions all showed enhanced efficacy compared to the non-active control group. However, only CBT exhibited significantly superior effectiveness in alleviating insomnia compared to non-active controls. Similarly, only mindfulness-based interventions significantly reduced fear of cancer recurrence compared to the non-active control condition.</div></div><div><h3>Conclusions</h3><div>Our results suggest that digital CBT and VRT are highly promising options for reducing psychological distress and enhancing the quality of life among cancer patients; further high-quality randomized controlled trials involving diverse populations are essential to validate these findings.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102520"},"PeriodicalIF":13.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757053","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}