抑郁症中的合作模式：来自反应性和表达性社会互动范式的元分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-07-24 DOI:10.1016/j.cpr.2025.102624

Yuening Jin , Ruolei Gu , Chunliang Feng , Churuo Zhang , Yuan Zhou

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引用次数: 0

摘要

近十年来，高生态效度社会互动范式在抑郁症社会障碍研究中的应用迅速发展。然而，抑郁症患者的异常社会行为表现出大量尚未解释的变化，从减少到增加合作。我们提出了注意焦点理论，并引入了一种新的社会互动范式分类，区分了反应性范式（注意关注他人）和表达性范式（注意关注自我）。这个框架系统地阐明了抑郁症中合作减少和增加的潜在原因。抑郁症包括当前的抑郁发作，抑郁症缓解，和亚临床抑郁症状在未确诊的个体。我们系统地检索了Web of Science、PsycInfo和PubMed，并对44项研究的71个效应量进行了三水平的荟萃分析。我们发现抑郁与合作之间存在显著的负相关，反应性与表达性之间存在显著的调节作用。在整体和个体反应范式（网络球游戏、反应者-角色最后通牒游戏、囚徒困境和投资者-角色信任游戏）中，抑郁与合作呈负相关。在整体表达范式和受托人-角色信任博弈中，抑郁与合作呈正相关，在分配任务中呈正相关趋势。在我们的多重调节因子分析中，在控制其他重要的单一调节因子的同时，反应性与表达性类别仍然显著，解释了66.32%的效应量总变化。我们的研究完成了抑郁症患者社会互动范式中社会功能障碍的半缺失景观，这可能有助于从业者制定针对反应性和表达性社会情景的不同社会康复策略。

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Cooperation patterns in depression: Insights from a meta-analysis of responsive and expressive social interactive paradigms

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.

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.