R.L. Dean , K.J. Lester , E. Grant , A.P. Field , F. Orchard , V. Pile
{"title":"The impact of interventions for depression on self-perceptions in young people: A systematic review & meta-analysis","authors":"R.L. Dean , K.J. Lester , E. Grant , A.P. Field , F. Orchard , V. Pile","doi":"10.1016/j.cpr.2024.102521","DOIUrl":"10.1016/j.cpr.2024.102521","url":null,"abstract":"<div><div>Negative self-perceptions are implicated in the development and maintenance of depression in young people, but little is known about their receptiveness to change in response to treatment. This paper reports on a pre-registered meta-analysis examining the extent to which treatments for depression in young people aged 11–24 result in changes to self-perceptions. Controlled treatment trials examining outcomes related to self-perceptions were synthesised (<em>k</em> = 20, <em>N</em> = 2041), finding small reductions in both symptoms of depression (<em>g</em> = −0.30; 95 % CI: −0.52, −0.08) and self-perception outcomes (<em>g</em> = 0.33; 95 % CI: 0.16, 0.49) for interventions compared with control groups. Meta-regression analyses found no significant association between reductions in depressive symptoms and improvements in self-perception following treatment, suggesting that despite interventions generally improving both outcomes these changes may be unrelated to each other. Our results indicate that young people's self-perceptions are sensitive to change following treatment for depression, however effect sizes are small and treatments could be more effective in targeting and changing negative self-perceptions. Given the importance that young people place on integrating work on their sense of self into treatments for depression, future interventions could aim to support young people with depression to develop a positive sense of self.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102521"},"PeriodicalIF":13.7,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757052","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}
Lisa Steinmetz , Laura Simon , Bernd Feige , Dieter Riemann , Anna F. Johann , Johanna Ell , David D. Ebert , Harald Baumeister , Fee Benz , Kai Spiegelhalder
{"title":"Corrigendum to “Network meta-analysis examining efficacy of components of cognitive behavioural therapy for insomnia’ [Clinical Psychology Review 114 (2024) 102507].","authors":"Lisa Steinmetz , Laura Simon , Bernd Feige , Dieter Riemann , Anna F. Johann , Johanna Ell , David D. Ebert , Harald Baumeister , Fee Benz , Kai Spiegelhalder","doi":"10.1016/j.cpr.2024.102519","DOIUrl":"10.1016/j.cpr.2024.102519","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102519"},"PeriodicalIF":13.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693671","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}
Nur Hani Zainal , Chui Pin Soh , Natalia Van Doren , Corina Benjet
{"title":"Do the effects of internet-delivered cognitive-behavioral therapy (i-CBT) last after a year and beyond? A meta-analysis of 154 randomized controlled trials (RCTs)","authors":"Nur Hani Zainal , Chui Pin Soh , Natalia Van Doren , Corina Benjet","doi":"10.1016/j.cpr.2024.102518","DOIUrl":"10.1016/j.cpr.2024.102518","url":null,"abstract":"<div><div>Although the short-term efficacy of internet-delivered cognitive-behavioral therapy (i-CBT) is well-established, its long-term efficacy remains understudied. Robust variance estimation meta-analysis was thus conducted across guided and self-guided i-CBT, synthesizing data from 154 randomized controlled trials (<em>N</em> = 45,335) with ≥ 12-month follow-ups. For binary outcomes, guided (52.3% vs. 38.6%; log-risk ratio [LOG-RR] = 1.15 95% confidence interval [1.04, 1.26]) yielded higher remission, reliable improvement, and response rates, and lower suboptimal treatment outcome rates (9.3% vs. 10.8%; LOG-RR = 0.63 [0.45, 0.80]) than treatment-as-usual, active controls, and waitlists at ≥12 months. Insufficient studies precluded testing the efficacy between self-guided i-CBT and controls for binary outcomes. For baseline-to-12-month dimensional outcomes, guided i-CBT produced greater reductions in anxiety, depressive, post-traumatic stress disorder (PTSD) symptoms, and repetitive negative thinking (Hedge's <em>g</em> = −1.86 to −0.31), and self-guided i-CBT yielded stronger reductions in depressive symptoms (<em>g</em> = −0.51) than all controls. For outcome scores aggregated at ≥ 12-month follow-ups, guided i-CBT alleviated anxiety, depression, distress, insomnia, PTSD symptoms, role impairment, emotion regulation, and quality of life (<em>g</em> = −0.31 to 0.26), and self-guided i-CBT yielded lower anxiety and depressive symptoms (<em>g</em> = −0.16 to −0.09) than all controls. No significant differences in efficacy emerged between guided and self-guided i-CBT when sufficient studies existed for a meta-analysis. There was no evidence for publication bias. Long-term efficacy was similar to short-term efficacy for most outcomes. Implementing scalable i-CBTs should entail transparency about their long-term benefits and drawbacks.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102518"},"PeriodicalIF":13.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695919","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}
Amber Billens , Sophie Van Oosterwijck , Evy Dhondt , Mira Meeus , Indra De Greef , Stefaan Van Damme , Jessica Van Oosterwijck
{"title":"The influence of expectations and attention on conditioned pain modulation: A systematic review and meta-analysis","authors":"Amber Billens , Sophie Van Oosterwijck , Evy Dhondt , Mira Meeus , Indra De Greef , Stefaan Van Damme , Jessica Van Oosterwijck","doi":"10.1016/j.cpr.2024.102517","DOIUrl":"10.1016/j.cpr.2024.102517","url":null,"abstract":"<div><div>Conditioned pain modulation (CPM) is a psychophysical experimental measure of endogenous pain inhibition in humans. Within this paradigm, one noxious stimulus, the conditioning stimulus (CS), reduces the pain perception from another heterotopic noxious stimulus, the test stimulus (TS). Cognitive processes are known to influence pain perception and might impact the underlying mechanisms of CPM. This systematic review and meta-analysis synthesizes the existing scientific literature addressing the influence of cognitive factors, namely, expectations and attention on CPM. Four electronic databases were searched to identify relevant literature. Risk of bias and quality of evidence were assessed according to two modified Newcastle-Ottawa Scales and the GRADE approach, respectively. Twenty-four articles were included. Qualitative analysis showed more efficient CPM when pain relief is expected, and an association between intrinsic attention to pain and reduced CPM. Although the evidence is not unanimous, meta-analyses showed that CPM is more efficient when attention is directed towards the CS versus the TS, and is not influenced by distraction. In conclusion, while CPM seems robust to attentional distraction, expectations and attentional focus appear to influence CPM. However, the evidence is limited and conflicting and warrants further study in order to prevent cognitive confounding and enhance mechanistic understanding.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102517"},"PeriodicalIF":13.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of app-based mobile health interventions for stress management: A systematic review and meta-analysis of self-reported, physiological, and neuroendocrine stress-related outcomes","authors":"Vasile Sîrbu , Oana Alexandra David","doi":"10.1016/j.cpr.2024.102515","DOIUrl":"10.1016/j.cpr.2024.102515","url":null,"abstract":"<div><div>Stress is a significant mental health concern for the general population, highlighting the need for effective and scalable solutions, such as mobile health (mHealth) app interventions. This systematic review and meta-analysis aimed to investigate the effects of mHealth apps designed primarily to reduce stress and distress in non-clinical and subclinical populations. A comprehensive literature search was conducted up to August 2024, including studies that measured both self-reported and physiological stress outcomes. 80 studies were analyzed. A small but significant effect size (<em>g</em> = 0.33) was found for self-reported stress outcomes, with studies that used specific active controls, operated in naturalistic contexts, and had a low risk of bias showing significantly lower effect sizes. A similarly small effect size was observed for physiological outcomes (<em>g</em> = 0.24). Notably, studies that employed muscle and breathing relaxation, meditation strategies, personalized guidance, experimental usage settings, and measured acute stress responses demonstrated significantly higher effect sizes. Further analysis of specific physiological systems revealed small effect sizes for autonomic (<em>g</em> = 0.32) and cardiac outcomes (<em>g</em> = 0.36). The significant effects observed across both psychological and physiological outcomes support the efficacy and potential of mHealth apps for the self-management of stress responses in the broader population.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102515"},"PeriodicalIF":13.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630781","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}
Julia C. Beker , Martin J. Dorahy , Jaimee Moir , Jacinta Cording
{"title":"Inter-identity amnesia and memory transfer in dissociative identity disorder: A systematic review with a meta-analysis","authors":"Julia C. Beker , Martin J. Dorahy , Jaimee Moir , Jacinta Cording","doi":"10.1016/j.cpr.2024.102514","DOIUrl":"10.1016/j.cpr.2024.102514","url":null,"abstract":"<div><div>Individuals with dissociative identity disorder (DID) often report an inability to retrieve memories associated with other identities, termed inter-identity amnesia (IIA). Research investigating IIA has amassed, and interest surrounds whether objective deficits in retrieval mechanisms necessarily underlie the experience of IIA. This study conducted a systematic literature review with meta-analyses to examine current findings on IIA in DID. In particular, we explored whether DID patients' clinical reports of retrieval failure across identities were substantiated by controlled measures of memory. Nineteen empirical and four case studies informed the systematic review. The meta-analyses comprised twelve of the included studies. The systematic review findings suggested a degree of inter-identity memory transfer, a conclusion which was supported by two of the four meta-analyses. The remaining two meta-analyses evidenced patterns closer to IIA. Closer examination drew attention to methodological considerations that may limit definitive conclusions drawn from present studies. These include substantial heterogeneity between participants' scores which is masked by group statistics, a small and homogenous cumulative sample, limited research teams, and minimal domains of memory assessed. The paper urges a nuanced understanding of the phenomenon of IIA in light of current findings.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102514"},"PeriodicalIF":13.7,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630783","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}
Yixin Chen , Zhenyang Xi , Rob Saunders , David Simmons , Vasiliki Totsika , Will Mandy
{"title":"A systematic review and meta-analysis of the relationship between sensory processing differences and internalising/externalising problems in autism","authors":"Yixin Chen , Zhenyang Xi , Rob Saunders , David Simmons , Vasiliki Totsika , Will Mandy","doi":"10.1016/j.cpr.2024.102516","DOIUrl":"10.1016/j.cpr.2024.102516","url":null,"abstract":"<div><div>There is evidence to suggest that sensory processing differences (SPDs) to external stimuli are a plausible underlying mechanism for mental health problems among autistic people. In the current systematic review, we examined the associations between, on the one hand, eleven types of SPDs and, on the other hand, internalising and externalising problems. The literature search was conducted on five databases (MEDLINE, PsycINFO, Web of Science, EMBASE, and CINAHL) between 1990 and August 2024. Studies with autistic people aged under 65 years-old that reported correlations between SPDs and internalising/externalising problems were included. Three-level and random-effects meta-analyses and narrative synthesis were conducted. In total, we included 63 articles (11,659 participants) in the current review. Overall, higher levels of all SPD subtypes were found to be associated with greater internalising/externalising problems. Hypersensitivity, visual, auditory, and tactile sensitivities were strongly associated with internalising/externalising problems, while smaller effects were observed for unusual processing of smell and taste. Sensation seeking was highly linked with externalising problems, whereas it was the least associated sensory subtype with internalising problems. Future studies could address the limitations in the extant literature (e.g., heterogeneity in the estimates of associations, a lack of externalising problem investigations and longitudinal studies) to further advance our understanding of the role of SPDs in the aetiology, development, and treatment of internalising/externalising problems in autism.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102516"},"PeriodicalIF":13.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604331","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":"Altered representation of peripersonal and interpersonal space in psychopathology","authors":"Hyeon-Seung Lee , Daphne J. Holt , Sohee Park","doi":"10.1016/j.cpr.2024.102509","DOIUrl":"10.1016/j.cpr.2024.102509","url":null,"abstract":"<div><div>The space surrounding the body, and the regulation of this buffer zone play a central role in adaptive behavior, with direct implications for psychopathology. The physical distance that we choose to maintain between ourselves and others for social comfort is known as Interpersonal Distance (IPD), whereas the action space that marks the perceptual border between the self and the external world is known as Peripersonal Space (PPS</div><div>). While both IPD and PPS represent personal space, they are distinct constructs, each associated with different methodologies. Here we review the existing literature on IPD and PPS to elucidate their distinct and common contributions to psychiatric conditions including schizophrenia, autism, anxiety, and others. Altered representation and regulation of IPD and PPS were associated with clinical symptoms and social impairments across a wide range of psychiatric disorders, underscoring the important role of the self-other boundary and personal space regulation in adaptive social behavior. Future research should clarify the relationship between IPD and PPS and specify risk factors for self-other boundary dysregulation and associated psychopathologies.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102509"},"PeriodicalIF":13.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704239","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}
Andrew I.G. McLennan , Emily M. Winters , Michelle M. Gagnon , Thomas Hadjistavropoulos
{"title":"The psychometric assessment of the older adult in pain: A systematic review of assessment instruments","authors":"Andrew I.G. McLennan , Emily M. Winters , Michelle M. Gagnon , Thomas Hadjistavropoulos","doi":"10.1016/j.cpr.2024.102513","DOIUrl":"10.1016/j.cpr.2024.102513","url":null,"abstract":"<div><div>We conducted a systematic review of pain assessment tools suitable for community-dwelling older adults. For this work, we conceptualized existing psychometric tools as falling under the following domains: a) pain intensity/characteristics; b) pain-related interference/disability; c) coping strategies; d) pain beliefs/attitudes/cognitions; e) pain-related fear and anxiety; and f) pain-specific emotional distress. Multi-dimensional and condition-specific tools were also considered. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology for systematic reviews of patient-reported outcome measures guided the evaluation of measurement properties, quality of evidence ratings, and recommendations for each measure. A search of Medline, PsycINFO, Web of Science, and the Cumulative Index of Nursing and Allied Health Literature, yielded a total of 21,755 records. Of these, 120 studies, focusing on 57 psychometric tools, were included in this review and categorized into the aforementioned pain assessment domains. The availability of psychometric studies with older adult populations was insufficient for most tools and the quality of evidence ranged from very low to high. Only a small number of tools met the criteria for a strong or tentative recommendation favoring their use. We identified gaps that should be addressed in future research.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102513"},"PeriodicalIF":13.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605215","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":"Comparison of effects of interventions to promote the mental health of parents of children with autism: A systematic review and network meta-analysis","authors":"Shuliang Mo , Fan Bu , Shujuan Bao , Zhou Yu","doi":"10.1016/j.cpr.2024.102508","DOIUrl":"10.1016/j.cpr.2024.102508","url":null,"abstract":"<div><div>Individuals diagnosed with autism spectrum disorders often face persistent challenges in social interaction and engage in repetitive and stereotyped behaviors. Parenting a child with autism can profoundly affect parents both physically and psychologically, potentially leading to negative impacts on their mental health. This study employs a network meta-analysis methodology to evaluate the comparative effectiveness of mental health interventions specifically designed for parents of autistic children. A total of 69 empirical intervention studies involving 4213 parents of autistic children were included in the analysis. Employing the frequency framework model and utilizing Stata 16.0 software, we quantitatively analyzed the impact of various interventions on anxiety, depression, parenting stress, and parenting self-efficacy. Our findings indicate that mindfulness-based interventions demonstrate the highest efficacy in reducing parenting stress, while cognitive behavioral therapy is effective in alleviating anxiety and depression in parents of children with autism. Psychoeducational interventions have shown significant benefits in mitigating parental anxiety, depression, and parenting stress, and acceptance and commitment (ACT) displays promising outcomes in reducing depression. We also elaborate on the underlying mechanisms that contribute to the effectiveness of these interventions. This network meta-analysis presents valuable insights for the development of targeted interventions to provide support to parents of children with autism.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"114 ","pages":"Article 102508"},"PeriodicalIF":13.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569929","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}