Clinical Psychology Review最新文献

{"title":"Comparative effects of different physical exercises on cognitive function and intervention adherence in older adults with cognitive impairment: A systematic review and network meta-analysis","authors":"Geng Li ,&nbsp;Gesi Teng ,&nbsp;Weikun Zhang ,&nbsp;Tao Song ,&nbsp;Yafen Li ,&nbsp;Ziqin Wang ,&nbsp;Antao Chen","doi":"10.1016/j.cpr.2025.102604","DOIUrl":"10.1016/j.cpr.2025.102604","url":null,"abstract":"<div><h3>Background</h3><div>Physical exercise is increasingly recognized as a beneficial nonpharmacological intervention for cognitive impairment in older adults; however, comparative evidence regarding the optimal exercise type and its sustainability remains unclear. This study aimed to compare and rank different exercise modalities based on their effects on cognition and intervention adherence among older adults (≥60 years) with cognitive impairment.</div></div><div><h3>Methods</h3><div>This systematic review, preregistered in PROSPERO (CRD42024497896), systematically searched MEDLINE, Web of Science, Scopus, PsycINFO, PubMed, and SPORTDiscus databases through February 1, 2024, with an updated search on March 16, 2025, to identify randomized controlled trials (RCTs). Two reviewers independently screened and evaluated eligible studies assessing the effects of physical exercise interventions on global cognition and adherence among older adults aged ≥60 years with cognitive impairment. Secondary outcomes included follow-up global cognition, cognitive subdomains, activities of daily living (ADL), physical function, and neuropsychiatric symptoms. A network meta-analysis using a frequentist framework was conducted. Interventions were ranked according to the Surface Under the Cumulative Ranking Curve (SUCRA), and a two-dimensional cluster ranking plot was used to identify the optimal intervention balancing cognitive improvement and adherence.</div></div><div><h3>Results</h3><div>Our network meta-analysis evaluated 128 qualified RCTs involving 12,403 older adults (≥60 years) with cognitive impairment. Mind-body exercise emerged as the most effective intervention, demonstrating the greatest improvements in global cognition (SUCRA = 95.9 %; SMD = 0.91; 95 % CI: 0.65–1.16) and significantly higher adherence (SUCRA = 93.6 %; OR = 1.31; 95 % CI: 1.02–1.68) compared to controls. Aerobic, resistance, and multicomponent exercises also improved cognition significantly, but adherence was comparatively lower. Mind-body exercise additionally showed consistent benefits across cognitive subdomains, functional outcomes and follow-up global cognition.</div></div><div><h3>Conclusions</h3><div>All physical exercise modalities significantly improved cognition, yet mind-body exercise was identified as the optimal intervention, exhibiting superior cognitive effects, adherence, and related functional benefits. These findings can guide clinicians in developing evidence-based exercise prescriptions tailored specifically to older adults with cognitive impairment.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102604"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203479","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":"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":"2025-08-01","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":"Better together: The importance of brain health in the relationship between stress regulation, social connection and lifestyle in promoting mental health and well-being","authors":"Marie-Anne Vanderhasselt,&nbsp;Riet Vergauwe,&nbsp;Chris Baeken,&nbsp;Matias M. Pulopulos,&nbsp;Rudi De Raedt","doi":"10.1016/j.cpr.2025.102611","DOIUrl":"10.1016/j.cpr.2025.102611","url":null,"abstract":"<div><div>Regulating stress effectively has a profound impact on our well-being and is known to be significantly interrelated to our social connections, as well as healthy lifestyle behaviors. However, the complex mechanisms through which these components are associated with maintaining well-being remain enigmatic.</div><div>We propose a theoretical interrelated framework for which the maintenance of brain health assumes a central role. This involves the adaptive functionality of neural circuits associated with regulating emotions, self-control, and the ability to derive pleasure from rewards or enjoyable experiences. As a result, based on brain health as a central condition, we explore how different dimensions of social connections directly impact stress regulation, or indirectly through brain health. Furthermore, we delve into how lifestyle choices indirectly affect stress regulation, mediated by their impact on brain health. Reciprocally, our lifestyle choices are wired by our social connections, reinforcing the significant role of brain health.</div><div>In the context of this conceptual framework, it is emphasized that psychotherapeutic interventions need to expand beyond the sole concentration on psychological processes. It is imperative to focus on interconnected biopsychosocial components known to positively enhance brain health, and hence to enhance the capacity of psychotherapy to significantly amplify mental health and well-being.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102611"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272449","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":"Cooperation patterns in depression: Insights from a meta-analysis of responsive and expressive social interactive paradigms","authors":"Yuening Jin ,&nbsp;Ruolei Gu ,&nbsp;Chunliang Feng ,&nbsp;Churuo Zhang ,&nbsp;Yuan Zhou","doi":"10.1016/j.cpr.2025.102624","DOIUrl":"10.1016/j.cpr.2025.102624","url":null,"abstract":"<div><div>The use of high-ecological validity social interactive paradigms to study social impairments in depression has burgeoned in recent 10 years. However, abnormal social behaviors in depression have exhibited substantial yet unexplained variations, ranging from reduced to increased cooperation. We proposed an attentional focus theory and introduced a novel classification of social interactive paradigms, distinguishing between responsive (attentional focus on others) and expressive (attentional focus on self) paradigms. This framework systematically elucidates the underlying reasons for reduced and increased cooperation in depression. Depression encompasses current depressive episodes, remitted depression, and subclinical depressive symptoms in undiagnosed individuals. We systematically searched Web of Science, PsycInfo, and PubMed and performed a three-level meta-analysis on 44 studies with 71 effect sizes. We found an overall significant negative association between depression and cooperation, and a significant moderation effect of the responsive versus expressive category. Depression was negatively associated with cooperation in responsive paradigms overall and in each individual responsive paradigm (Cyberball game, responder-role Ultimatum Game, Prisoner's Dilemma, and investor-role Trust Game). Depression was positively associated with cooperation in expressive paradigms overall and in the trustee-role Trust Game, and a trend of positive association in allocation tasks. In our multiple-moderator analysis, while controlling for other significant single moderators, the responsive versus expressive category remained significant, explaining 66.32 % of the total variations in effect sizes. Our study completed the half-missing landscape of social dysfunctions in social interactive paradigms in depression, which may help practitioners develop different social rehabilitation strategies tailored to responsive and expressive social scenarios.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102624"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721289","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":"A scoping review of decision-aid tools for disclosure and help-seeking of mental health concerns","authors":"Kassandra Hon ,&nbsp;Mark Boyes ,&nbsp;Penelope Hasking ,&nbsp;Katrina Hon ,&nbsp;Stephen P. Lewis","doi":"10.1016/j.cpr.2025.102628","DOIUrl":"10.1016/j.cpr.2025.102628","url":null,"abstract":"<div><div>Globally, there is a large discrepancy between the prevalence of mental health concerns and the proportion of people who disclose or seek help for their mental health. As such, decision-aid tools have recently emerged in the mental health context to facilitate the disclosure and help-seeking process. Given recent developments in this field, a synthesis of the literature is needed to consolidate existing decision-aid tools and assess their effectiveness, particularly in facilitating the disclosure or help-seeking process. This scoping review aimed to capture and synthesise the growing literature on decision-aid tools designed to support people in the decision to disclose or seek help for their mental health concerns. The review considered empirical studies, including theses and dissertations that matched the following criteria: 1) focused on populations with a mental health concern, 2) reported the development and/or evaluation of a decision-aid tool, and 3) assessed a tool specifically designed to facilitate the disclosure or help-seeking process, or reported on at least one disclosure or help-seeking related outcome. The review was guided by Arksey and O’Malley's framework and the Joanna Briggs Institute's guidelines for scoping reviews. The findings of the review indicate that decision-aid tools can support various cognitive-emotional processes relevant to decision-making. There was also evidence demonstrating the effectiveness of decision-aid tools in increasing the rates of disclosure and help-seeking behaviours for mental health concerns. Overall, decision-aid tools appear to be a promising approach to enhance the effectiveness of disclosure and help-seeking decisions in the mental health context.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102628"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750281","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":"Jumping to conclusions and delusional ideation: A systematic review and meta-analysis across the psychosis continuum","authors":"Rose Doherty ,&nbsp;Nathan Weber ,&nbsp;Charley Hillier ,&nbsp;Robert Ross ,&nbsp;Ryan Balzan","doi":"10.1016/j.cpr.2025.102618","DOIUrl":"10.1016/j.cpr.2025.102618","url":null,"abstract":"<div><div>We applied a two-stage Bayesian analysis to examine the relationship between the jumping to conclusions (JTC) bias (measured on the beads, box, fishing, and/or survey tasks) and delusional ideation (measured on the Peters et al. Delusions Inventory or the Community Assessment of Psychic Experiences). MEDLINE, PsycINFO, Scopus, Web of Science, and five previous JTC reviews were searched for eligible studies published between 1988 and December 2024. Risk of bias was assessed using an adapted version of the Agency for Healthcare Research and Quality assessment tool. Forty-two studies (<em>n</em> = 7604) were identified as meeting inclusion criteria, with four subgroups: general population (<em>n</em> = 7538), psychosis with current delusions (<em>n</em> = 449), psychosis without current delusions (<em>n</em> = 29), and clinical control (<em>n</em> = 77). Our first analysis presented a meta-analysis of correlations between delusional ideation and JTC. Our second analysis presented a zero-inflated Poisson regression, assessing change in JTC across variable delusional ideation scores. Impact of data quality was assessed in both analyses. No meaningful relationships between JTC and delusional ideation were found in the full dataset or any subgroup, but the subgroup with current delusions showed a relatively greater JTC bias than the general population subgroup. Data-quality procedures did not impact results. Overall, results suggest that the JTC bias is not related to delusional ideation, or indexes of delusional ideation and/or JTC used in this meta-analysis are poor measures of these constructs. Our results did not assess delusional severity, thus interpretations in clinical populations are limited. PROSPERO <span><span>https://www.crd.york.ac.uk/PROSPERO/view/CRD42021266402</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102618"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500757","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":"General Mattering, Anti-mattering, and Depressive Symptoms: A Meta-Analysis","authors":"Benedetta Tonini ,&nbsp;Sara Bocci Benucci ,&nbsp;Gordon Flett ,&nbsp;Giulia Fioravanti ,&nbsp;Silvia Casale","doi":"10.1016/j.cpr.2025.102626","DOIUrl":"10.1016/j.cpr.2025.102626","url":null,"abstract":"<div><h3>Introduction</h3><div>The concepts of mattering and anti-mattering have garnered increasing attention in recent years, especially in relation to psychological well-being. Mattering refers to the subjective sense that one is significant to others, while anti-mattering reflects feelings of being marginalized, insignificant, and invisible with respect to others. These constructs have been linked to mental health outcomes, particularly depressive symptoms. Therefore, the aim of the present meta-analysis is to examine the association between depressive symptoms and (i) general mattering and (ii) anti-mattering.</div></div><div><h3>Method</h3><div>A keyword-based systematic literature search was performed for eligible studies in which general mattering/anti-mattering and depressive symptoms were assessed. The meta-analysis was conducted following the most updated PRISMA guidelines.</div></div><div><h3>Results</h3><div>Thirty-nine independent samples were included in quantitative analysis. Out of these, thirty-seven assessed the association between general mattering and depressive symptoms for a total of 24,397 participants (% Women = 48.09; mean age = 20.55 ± 17.24; range = 12.30–83.50) and sixteen explored the relationship between anti-mattering and depressive symptoms for a total of 9372 participants (% Women = 49.96 %; mean age = 23.62 ± 7.60; age range = 12.03–40.06). Meta-analytic results of the random effects model showed a significant negative correlation between general mattering and depressive symptoms <em>(Fisher's Z =</em> −0.41; <em>CI</em>: −0.47, −0.36; <em>Z</em> = 14.85<em>; p &lt; 0.001)</em>) and a significant positive association between anti-mattering and depressive symptoms (<em>Fisher's Z</em> = 0.67; <em>CI:</em> 0.58, 0.76; <em>Z</em> = 14.95; <em>p</em> &lt; 0.001). Anti-mattering exhibited a significantly stronger (positive) association with depressive symptoms compared to general mattering. Age did not moderate these associations, while gender did.</div></div><div><h3>Discussion</h3><div>These findings provide robust evidence for the significant relationship between both mattering and anti-mattering with depressive symptoms, also having important implications for both clinical interventions and future research.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102626"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714115","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":"A scoping review of psychosocial suicide prevention interventions among adults: Clinical trial factors, predictors, mediators, and moderators in randomized controlled trials","authors":"Jaclyn C. Kearns ,&nbsp;Craig P. Polizzi ,&nbsp;Julia Naganuma-Carreras ,&nbsp;Kyle J. Bourassa ,&nbsp;Tate F. Halverson ,&nbsp;Rokas Perskaudas ,&nbsp;Nathan A. Kimbrel ,&nbsp;Alejandro Interian ,&nbsp;Robert M. Bossarte ,&nbsp;Bryann B. DeBeer ,&nbsp;Joseph I. Constans ,&nbsp;Melissa E. Dichter ,&nbsp;Steven K. Dobscha ,&nbsp;Marianne Goodman ,&nbsp;Mark Ilgen ,&nbsp;Richard R. Owen ,&nbsp;Brian P. Marx","doi":"10.1016/j.cpr.2025.102614","DOIUrl":"10.1016/j.cpr.2025.102614","url":null,"abstract":"<div><h3>Objective</h3><div>There has been a proliferation of psychosocial interventions to prevent suicide over the past several decades with varying levels of benefit. We conducted a comprehensive scoping review to synthesize our knowledge of the effectiveness, strengths, and limitations of these interventions among adults. We focused on important aspects of randomized controlled trials (RCTs), including internal and external validity, outcome measurement, and exclusion criteria. We examined predictors, mediators, and moderators associated with suicide outcomes.</div></div><div><h3>Methods</h3><div>A systematic search was conducted for RCTs of psychosocial suicide prevention interventions with adults, following PRISMA-ScR guidelines.</div></div><div><h3>Results</h3><div>We identified 141 publications and 131 were unique RCTs. Publications had some concerns with risk of bias (internal validity); publications had moderate or high external validity. A quarter of RCTs excluded older adults (60 years or older) and individuals with psychotic symptoms/features and bipolar disorder/symptoms despite the fact that these groups are at elevated risk for suicide death. Forty-one publications (29.1 % of total publications) examined predictors, mediators, and moderators of suicide outcomes. Sixteen (11.3 % of total publications) publications included predictors, two (1.4 %) included mediators, 11 (7.8 %) included posttreatment mediators, and 16 (11.3 %) included moderators. Participant gender/sex, marital status, and race did not moderate treatment effects. Mixed results may be due to insufficient statistical power to test predictor, mediator, and moderator hypotheses.</div></div><div><h3>Conclusion</h3><div>This review highlighted RCT aspects (e.g., exclusion of older adults and individuals with serious mental illness, improving suicide outcome measurement) that may be beneficial to consider in future RCTs. Additional research on predictors, mediators, and moderators is needed.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102614"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279048","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":"A systematic review and meta-analysis of empathy in autism: The influence of measures","authors":"Noémie M. Cusson ,&nbsp;Alexa J. Meilleur ,&nbsp;Boris C. Bernhardt ,&nbsp;Isabelle Soulières ,&nbsp;Laurent Mottron","doi":"10.1016/j.cpr.2025.102623","DOIUrl":"10.1016/j.cpr.2025.102623","url":null,"abstract":"<div><div>Empathy deficits are considered a core attribute of autism and are scored in standardized autism diagnostic instruments. However, empirical evidence concerning empathy in autism is contradictory. This systematic review, which included 226 studies, thus offers a comprehensive overview of empathy in autism. It additionally examined the impact of the chosen empathy measure and the effect of several moderators. The results reveal a large effect size for cognitive empathy (<em>g</em> = −0.85) and unidimensional empathy (<em>g</em> = −1.70), but only a small effect size for affective empathy (<em>g</em> = −0.17), which became non-significant when limiting analyses to high-quality studies. Meta-regressions suggest that publication year, study quality, alexithymia, verbal IQ, and age do not moderate empathy, whereas sex specifically moderates unidimensional empathy. Critically, there were notable differences in effect sizes obtained across empathy measures and even between subscales of the same measure. For instance, results for the affective empathy subscales of the Interpersonal Reactivity Index reveal lower empathic concern (<em>g</em> = −0.59) but increased personal distress (<em>g</em> = 0.67) in autistic relative to typical participants. A qualitative review of ecological and neuroimaging tasks mostly demonstrated minimal autistic versus non-autistic differences. This meta-analysis thus suggests that measuring empathy as a unidimensional construct may both distort and increase the notion of an empathy deficit in autism.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102623"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738602","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":"A systematic review on predictors of treatment outcome among forcibly displaced adults receiving psychological and/or psychosocial interventions","authors":"Jennifer Kurath ,&nbsp;Dharani Keyan ,&nbsp;Aemal Akhtar ,&nbsp;William Vilella Martins ,&nbsp;Barbara Komenda ,&nbsp;Victoria Maurer ,&nbsp;Kadir Turgut ,&nbsp;Richard A. Bryant ,&nbsp;Naser Morina","doi":"10.1016/j.cpr.2025.102619","DOIUrl":"10.1016/j.cpr.2025.102619","url":null,"abstract":"<div><div>Forcibly displaced people (FDP) have an elevated risk of mental disorders. Though existing interventions reduce psychological symptoms overall, many FDP do not respond, indicating a need to explore contributing factors. This systematic review examined predictors of treatment outcome among adult FDP receiving psychological and/or psychosocial interventions. Studies were included if they reported predictor analyses with positive or negative mental health outcomes. Records from five databases (MEDLINE, PsycINFO, PTSDpubs, Cochrane, Embase) and citations and bibliographies of 78 reviews, as well as of all included articles were evaluated (last update: 13.09.24). Risk of bias was assessed using Cochrane tools (RoB 2.0, ROBINS-I). Findings were synthesised using a narrative review, including a summary of effect estimates and an evaluation of evidence strength with an adapted version of the Best Evidence Synthesis Research Strategy (BESRS) framework for specialised and low-intensity interventions separately. Sixty-four studies (<em>N</em> = 9982, mean age = 38.0 years, 44.9 % females) reported 321 effects, of which 223 were summarised in 21 predictor categories. Most categories yielded insufficient evidence. For specialised interventions, pain, disability, lower level of education, unemployment, and longer time since arrival to the host country were associated with worse outcomes. For low-intensity interventions, a higher level of education and female gender were associated with better outcomes. Despite identifying key predictors, the high heterogeneity across studies and the large proportion of missing data warrant caution when interpreting results. Future research should ensure larger datasets and more complex models to detect consistent effects and shed light on the interplay between predictor variables. Clinicians should consider systematically assessing disability and pain at intake to provide additional support to the severely impaired.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102619"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500754","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}