Clinical psychology & psychotherapy最新文献_第6页

Relationship Between the Feeling of Emptiness and Suicide Reattempt: Conclusions From Cross-Sectional and Longitudinal Analyses 空虚感与自杀再企图之间的关系：横向和纵向分析的结论。

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-23 DOI: 10.1002/cpp.70000

Andres Pemau, Carolina Marin-Martin, Alejandro de la Torre-Luque, Wala Ayad-Ahmed, Jose Manuel Lopez-Villatoro, Veronica Fernandez-Rodrigues, Pablo Mola, Jose Luis Carrasco, Marina Diaz-Marsa

Introduction

The feeling of emptiness is a complex subjective experience considered relevant in the suicidal process, acting as a risk factor for suicide ideation, attempts and even reattempts. However, empirical studies are still scarce.

Objectives

This study has three objectives: to compare emptiness levels in healthy people and those with suicide attempts; to compare the emptiness level between people with a single suicide attempt and multiple suicide attempts at baseline; and to study emptiness as a risk factor for the appearance of new suicidal attempts after an index one.

Methodology

In the study, 382 healthy controls and 58 participants with a recent suicide attempt (in the past 15 days) participated. All completed the feeling of emptiness scale (FES). Information was also collected on sociodemographic characteristics and history of suicide attempts. First, the control sample scores were compared with those of the clinical sample. Later, the single attempt and reattempt groups (any amount greater than one attempt at baseline) were compared. Finally, the clinical sample was followed for 1 year and 3 months (through clinical records). Survival analysis was performed.

Results

The clinical group obtained higher scores across the FES subscales, even when controlling for other relevant variables (p < 0.01). When comparing people with one versus several attempts, differences were also observed in all subscales except one, the reattempt group getting higher scores (p < 0.05). Regarding the survival analysis, the feeling of emptiness was significantly associated with the risk of reattempt (HR = 1.04; p < 0.05). All people who reattempted during follow-up belonged to the reattempt group at baseline.

Conclusions

People who have attempted suicide present higher emptiness scores. Furthermore, emptiness appears to significantly predict the occurrence of new attempts at follow-up. The feeling of emptiness may be associated with the lack of vital meaning and disconnection from others, fundamental aspects of the ideation-to-action suicide models. Including emptiness in suicide assessments could increase clinicians' predictive ability.

简介空虚感是一种复杂的主观体验，被认为与自杀过程有关，是自杀意念、自杀未遂甚至再次自杀的风险因素。然而，实证研究仍然很少：本研究有三个目标：比较健康人和自杀未遂者的空虚感水平；比较基线时有过一次自杀未遂和多次自杀未遂的人的空虚感水平；研究空虚感作为一次自杀未遂后出现新的自杀未遂的风险因素：在这项研究中，有382名健康对照者和58名最近（过去15天内）有过自杀企图的参与者参加。所有人都填写了空虚感量表（FES）。此外，还收集了有关社会人口学特征和自杀未遂史的信息。首先，将对照样本的得分与临床样本的得分进行比较。然后，比较单次自杀未遂组和再次自杀未遂组（基线时自杀未遂次数超过一次）。最后，对临床样本进行了 1 年零 3 个月的跟踪调查（通过临床记录）。结果显示结果：即使在控制了其他相关变量的情况下，临床组在 FES 各分量表中的得分仍然较高（P自杀未遂者的空虚感得分较高。此外，空虚感似乎还能显著预测自杀未遂者在后续治疗中再次自杀的可能性。空虚感可能与缺乏生命意义和与他人脱节有关，而这正是从意念到行动的自杀模式的基本方面。将空虚感纳入自杀评估可提高临床医生的预测能力。

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引用次数: 0

Psychometric Evaluation of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+) in Chinese Bereaved People 创伤性悲伤量表--自我报告增强版（TGI-SR+）在中国丧亲人群中的心理测量学评估。

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-22 DOI: 10.1002/cpp.3066

Suqin Tang, Zhiwei Chen, Paul A. Boelen, Maarten C. Eisma, Lonneke I. M. Lenferink

Objective

The Traumatic Grief Inventory-Self Report Plus (TGI-SR+) measures the most recent prolonged grief disorder (PGD) symptom sets defined in the 11^th edition of the International Statistical of Diseases and Related Health Problems (ICD-11) and the text revision of the fifth edition of the Diagnostical and Statistical Manual of Mental Disorders (DSM-5-TR). However, the TGI-SR+ has not yet been translated and validated in Chinese. This study aims to evaluate the psychometric properties of the Chinese translation of the TGI-SR+.

Methods

We examined the Chinese TGI-SR+'s factor structure, internal consistency, convergent validity, discriminant validity, known-groups validity, and optimal clinical cut-off scores in 443 Chinese bereaved adults.

Results

Confirmatory factor analyses showed that the two-factor models showed the best fit for the Chinese TGI-SR+ items assessing ICD-11 and DSM-5-TR prolonged grief symptoms. Items assessing ICD-11 and DSM-5-TR prolonged grief symptoms demonstrated good internal consistency. Associations of TGI-SR+ scores with symptom levels of prolonged grief (assessed by the International Prolonged Grief Disorder Scale), posttraumatic stress, anxiety, and depression supported convergent and discriminant validity. Associations with background/loss-related variables provided evidence for known-groups validity. Cut-off points for probable ICD-11 PGD (liberal scoring rule), probable ICD-11 PGD (conservative scoring rule), and probable DSM-5-TR PGD were ≥67, ≥75, and ≥68, respectively.

Discussion

The Chinese TGI-SR+ appears to be a reliable and valid measure to assess prolonged grief symptoms per ICD-11 and DSM-5-TR among Chinese bereaved adults.

目的：创伤性悲伤量表--自我报告增强版（TGI-SR+创伤性悲伤量表--自我报告增强版（TGI-SR+）测量的是第 11 版《国际疾病和相关健康问题统计》（ICD-11）和第五版《精神疾病诊断和统计手册》（DSM-5-TR）文本修订版中最新定义的长期悲伤障碍（PGD）症状集。然而，TGI-SR+ 尚未翻译成中文并进行验证。本研究旨在评估 TGI-SR+ 中文译本的心理测量学特性：我们以 443 名中国成年丧亲者为研究对象，考察了中文版 TGI-SR+ 的因子结构、内部一致性、收敛效度、区分效度、已知群体效度和最佳临床截断分数：结果：确认性因子分析显示，双因子模型对评估 ICD-11 和 DSM-5-TR 长时间悲伤症状的中文 TGI-SR+ 项目的拟合效果最佳。评估ICD-11和DSM-5-TR长期悲伤症状的项目显示出良好的内部一致性。TGI-SR+ 分数与长时悲伤症状水平（由国际长时悲伤障碍量表评估）、创伤后应激、焦虑和抑郁的相关性支持了收敛性和区分性有效性。与背景/损失相关变量的关联为已知组的有效性提供了证据。可能的ICD-11 PGD（自由评分规则）、可能的ICD-11 PGD（保守评分规则）和可能的DSM-5-TR PGD的临界点分别为≥67、≥75和≥68：讨论：根据ICD-11和DSM-5-TR，中文TGI-SR+似乎是评估中国成年丧亲者长期悲伤症状的可靠而有效的方法。

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引用次数: 0

Addressing Technology-Assisted Child Sexual Abuse During an Initial Clinical Assessment: A modified Delphi Study 在初步临床评估中处理技术辅助儿童性虐待问题：修改后的德尔菲研究。

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-22 DOI: 10.1002/cpp.3071

Felipa Schmidt, Sandra Bucci, Ethel Quayle, Filippo Varese

Objective

Technology-assisted child sexual abuse (TA-CSA) is defined as any type of sexual abuse with an online element occurring under the age of 18. The literature suggests that victims often experience difficulty in finding support that adequately addresses the online elements of TA-CSA. Research also suggests that practitioners are unsure about how to best approach TA-CSA during initial assessments.

Design

This modified Delphi study with healthcare professionals and researchers as experts was conducted to understand best practice principles on how to approach the topic of TA-CSA when a young person presents to clinical services.

Methods

An online, two round modified Delphi study was completed. Round 1 consisited of statements generated from existing published TA-CSA literature. One hundred and twelve participants were invited to complete Round 1. Twenty-four participants responded to Round 1, and of those responders, 15 completed Round 2. All healthcare professionals (10) and eight researchers were located in the United Kingdom. The remaining researchers were based in North and South America, Australia and Europe.

Results

Participants agreed that there is a need to provide practitioners with guidance on how to approach TA-CSA and that asking general questions about online life can help ease into the topic of TA-CSA. Additionally, a clear multi-agency approach and adequate training can provide practitioners confidence in their ability in managing risk and disclosure of TA-CSA.

Conclusions

This study provides important initial findings in approaching TA-CSA within an initial assessment. However, future research is necessary in understanding the transferability of these findings to clinical settings.

目的：技术协助下的儿童性虐待（TA-CSA）是指发生在 18 岁以下儿童身上的任何一种具有网络元素的性虐待。文献表明，受害者往往很难找到能够充分解决 TA-CSA 在线因素的支持。研究还表明，从业人员在初步评估时并不确定如何以最佳方式处理 TA-CSA：设计：以医疗保健专业人员和研究人员为专家，开展了这项经修改的德尔菲研究，以了解在年轻人向临床服务机构求助时如何处理 TA-CSA 主题的最佳实践原则：方法：完成了两轮在线修改德尔菲研究。第一轮研究包括从现有已发表的 TA-CSA 文献中产生的陈述。有 24 名参与者对第一轮研究做出了回应，其中 15 人完成了第二轮研究。所有医护人员（10 人）和 8 名研究人员都在英国。其余的研究人员分布在北美、南美、澳大利亚和欧洲：结果：与会者一致认为，有必要为从业人员提供如何处理 TA-CSA 的指导，而询问有关在线生活的一般性问题有助于轻松进入 TA-CSA 的主题。此外，明确的多机构方法和充分的培训可以让从业人员对自己管理 TA-CSA 风险和披露 TA-CSA 的能力充满信心：本研究为在初步评估中处理 TA-CSA 问题提供了重要的初步发现。然而，未来的研究有必要了解这些发现在临床环境中的可移植性。

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引用次数: 0

Do Attachment, Educator Characteristics and Youth–Educator Relationship Matter in 6-Month Changes of Institutionalized Adolescents? 依恋、教育者特征和青少年与教育者之间的关系对机构收容青少年 6 个月的变化有影响吗？

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-18 DOI: 10.1002/cpp.3059

S. Muzi, G. Rogier, F. Bizzi, C. S. Pace

Objective

This longitudinal study involved youths in residential care due to previous adverse experiences and their educators, aiming to investigate the role of youths and educators' attachment, educators' psychopathology, and the quality of youth–educator relationship on change scores of youths' symptoms and youth–educator relationship security over 6 months.

Method

Participants were 36 institutionalized youths (M_age = 16.50 ± 2.13) and their 25 main educators (M_age = 38.48 ± 5.75), assessed at baseline (T1) and 6 months later (T2). Youths were assessed in total, internalizing and externalizing problems via a multi-informant approach, and educators in psychopathology levels. Attachment representations of youths and educators were assessed through validated attachment interviews (Friends and Family Interview and Adult Attachment Interview), and both separately rated the youth–educator relationship.

Results

(1) Most cases remain stable over 6 months. (2) Educator narrative coherence and the quality of youth–educator relationship at baseline were correlated but not predictive of change in youths' symptoms. (3) Youths' higher attachment disorganization at baseline was the unique predictor of 14% variance of positive change in the youth–educator relationship security perceived by the youth. (4) Youth attachment avoidance uniquely predicted 37% of positive change variance in the youth–educator relationship security perceived by educators.

Conclusion

In conclusion, attachment-based assessment of youths and educators can inform intervention to foster youth improvement.

目的本纵向研究涉及曾有不良经历的寄宿青少年及其教育者，旨在探讨青少年与教育者的依恋关系、教育者的心理病理学以及青少年与教育者关系的质量对青少年症状和青少年与教育者关系安全感在6个月内的变化得分的影响。方法参与者为 36 名福利院青少年（年龄=16.50 ± 2.13）及其 25 名主要教育者（年龄=38.48 ± 5.75），分别在基线（T1）和 6 个月后（T2）进行评估。通过多信息方法对青少年的总问题、内化问题和外化问题进行评估，并对教育者的心理病理学水平进行评估。通过有效的依恋访谈（亲友访谈和成人依恋访谈）对青少年和教育者的依恋表征进行评估，双方分别对青少年与教育者的关系进行评分。结果 (1) 大部分病例在 6 个月内保持稳定。(2）基线时教育者叙述的连贯性和青少年与教育者关系的质量与青少年症状的变化相关，但不能预测青少年症状的变化。(3) 基线时青少年较高的依恋无序性是预测青少年认为的青少年与教育者关系安全感的积极变化的唯一因素，其变化幅度为 14%。(4) 青少年的依恋回避是预测教育者所感知的青少年与教育者关系安全感的 37% 积极变化的唯一因素。结论总之，对青少年和教育工作者进行以依恋为基础的评估，可以为促进青少年进步的干预措施提供依据。

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引用次数: 0

The Reciprocal Relationship Between Social Support in Bereavement and Posttraumatic Growth—A Random Intercept Cross-Lagged Analysis 丧亲之痛中的社会支持与创伤后成长之间的互惠关系--随机截距交叉滞后分析

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-18 DOI: 10.1002/cpp.3069

Yihan Gai, Jie Li, Mengyuan Long, Mei Li, Kan Shi

Social support can promote posttraumatic growth (PTG) in the general trauma population. However, evidence on the reciprocal predictive relationship between social support and PTG is lacking, particularly among the bereaved. In this longitudinal study, we surveyed 181 adults who had lost first-degree relatives within 1 year at three intervals, each 6 months apart. The study utilized The Scale of Social Support in Bereavement (SSB), which distinguishes four domains of social support for the bereaved: living support, economic support, grief processing and emotion restoration. Additionally, The Posttraumatic Growth Inventory (PTGI) was used to measure PTG. Random intercepts cross-lagged panel model analyses revealed that social support and PTG were positively correlated at each time point at the within-person level. Moreover, at the within-person level, the total social support, as well as social support in the restoration-oriented domains at Time 2, positively predicted PTG at Time 3, but this relationship was not observed for grief processing support. Additionally, PTG at Time 1 positively predicted the receipt of emotion restoration support at Time 2 at the within-person level. The mutual influence between PTG and social support, as well as the differential relationship between types of support and PTG, enriches our understanding of ways to promote positive changes among the bereaved. The findings underscore the importance of restoration-oriented social support for bereaved individuals in facilitating PTG.

社会支持可以促进一般创伤人群的创伤后成长（PTG）。然而，社会支持与创伤后成长之间的相互预测关系还缺乏证据，尤其是在失去亲人的人群中。在这项纵向研究中，我们对 181 名在一年内失去一级亲属的成年人进行了调查，每隔 6 个月调查一次。研究采用了丧亲社会支持量表（SSB），该量表将丧亲者的社会支持分为四个领域：生活支持、经济支持、悲伤处理和情绪恢复。此外，创伤后成长量表（PTGI）也用于测量创伤后成长。随机截距交叉滞后面板模型分析表明，在每个时间点上，社会支持和创伤后成长量表在个人水平上呈正相关。此外，在个人层面上，总的社会支持以及在时间 2 以恢复为导向的领域中的社会支持都能正向预测时间 3 的 PTG，但在悲伤处理支持中却观察不到这种关系。此外，在个人层面上，时间 1 的 PTG 对时间 2 的情绪恢复支持有正向预测作用。PTG与社会支持之间的相互影响，以及支持类型与PTG之间的不同关系，丰富了我们对促进丧亲者积极改变的方法的理解。研究结果强调了以恢复为导向的社会支持在促进丧亲者PTG方面的重要性。

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引用次数: 0

The Connections Between Alexithymia, Childhood Maltreatment, Impulsivity and Extreme Sensory Processing Patterns in Relation to Bipolar Symptoms in Inpatients With Bipolar Disorder 双相情感障碍住院患者的亚历山大症、童年虐待、冲动性和极端感官处理模式与双相情感障碍症状之间的联系

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-15 DOI: 10.1002/cpp.3070

Morteza Aghaeimazraji, Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Michael Berk, Mahmoud Najafi

Childhood maltreatment, alexithymia and impulsivity are related to bipolar disorder (BD), but the role of potential underlying mechanisms of this link, such as extreme sensory processing, in BD are unclear. This study compared sensory processing patterns between individuals with BD-I or BD-II and between those with and without alexithymia and childhood maltreatment. Additionally, the study aimed to examine the role of extreme sensory processing in the relationship between childhood trauma, alexithymia and impulsivity with both depression and mania in a sample of hospitalized individuals with BD (n = 300). Participants completed self-report and clinician-rated scales. Patients with BD-II exceeded those with BD-I in low registration, sensory sensitivity and sensation avoidance, whereas patients with BD-I exhibited a more heightened sensation-seeking pattern. Patients with BD who had alexithymia and a history of childhood maltreatment exhibited more heightened sensory processing patterns, apart from sensory seeking, compared to those without alexithymia and childhood maltreatment. Additionally, the same pattern was more pronounced in individuals with BD who had both alexithymia and childhood maltreatment compared to those with either condition or neither of these conditions. The pathways from childhood maltreatment and alexithymia to depressive symptoms were mediated by low registration and sensation avoidance. Sensory seeking indirectly affected the link between alexithymia and manic symptoms. Childhood maltreatment and challenges in effectively processing emotional information, along with their related hypo- and hypersensitivity, may characterize BD individuals and its manifestation of depressive and manic symptoms.

童年虐待、亚历山大症和冲动与双相情感障碍（BD）有关，但这种联系的潜在潜在机制（如极端感觉处理）在双相情感障碍中的作用尚不清楚。本研究比较了躁狂症Ⅰ和躁狂症Ⅱ患者之间的感觉处理模式，以及患有和未患有lexithymia和童年虐待的患者之间的感觉处理模式。此外，该研究还以住院的 BD 患者为样本（n = 300），旨在研究极端感觉处理在童年创伤、情感障碍和冲动与抑郁和躁狂之间的关系中的作用。参与者完成了自我报告和临床医生评分量表。BD-II患者在低登记、感觉敏感性和感觉回避方面超过了BD-I患者，而BD-I患者则表现出更强烈的感觉寻求模式。与没有情感障碍和童年虐待史的患者相比，有情感障碍和童年虐待史的 BD 患者除了感觉寻求外，还表现出更强的感觉处理模式。此外，与同时患有自闭症和童年遭受过虐待的人相比，同时患有自闭症和童年遭受过虐待的 BD 患者的感觉处理模式更为明显。从童年虐待和自闭症到抑郁症状的路径是由低注册和感觉回避中介的。感官寻求间接影响了情感障碍与躁狂症状之间的联系。童年虐待和有效处理情感信息方面的挑战，以及与之相关的低敏感性和高敏感性，可能是BD患者的特征，也是抑郁症状和躁狂症状的表现形式。

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引用次数: 0

Correction to ‘Mentalizing Countertransference? A Model for Research on the Elaboration of Countertransference Experience in Psychotherapy’ 心理化反移情？心理治疗中反移情体验阐述的研究模式

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-10 DOI: 10.1002/cpp.3068

Barreto, J. F., & Matos, P. M. (2018). Mentalizing countertransference? A model for research on the elaboration of countertransference experience in psychotherapy. Clinical Psychology and Psychotherapy, 25(3), 427–439. https://doi.org/10.1002/cpp.2177.

In page 428, last but one paragraph, the text

‘Examples include the so-called evenly-hovering attention (Freud/hovering attention (Freud, 1912)’

was incorrect. This should have read

‘Examples include the so-called evenly-suspended/hovering attention (Freud, 1912/1958)’.

We apologize for this error.

Barreto, J. F., & Matos, P. M. (2018)。心理化反移情？心理治疗中反移情体验阐述的研究模型。临床心理学与心理治疗》，25（3），427-439。https://doi.org/10.1002/cpp.2177。第 428 页，最后一段中的 "例子包括所谓的均匀徘徊注意（弗洛伊德/徘徊注意（弗洛伊德，1912 年）"不正确。我们对此错误表示歉意。

引用次数: 0

Uncovering Patterns in Perceived Therapist Behaviour: A Latent Profile Analysis of Broaching Experiences Among Ethnic Minority Group Member Clients 发现治疗师行为的模式：对少数族裔群体成员客户的 "说教 "经历的潜在特征分析

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-10 DOI: 10.1002/cpp.3067

Hilde Depauw, Alain Van Hiel

Objective

Recent research shows that for clients who identify as ethnic minority group members, therapists' effort to include ethnic-cultural topics in therapy conversations—that is, broaching—is important for clients' evaluations of therapy and symptom improvement. However, little is known about how this is experienced by clients and how different patterns of broaching behaviours are related to the therapeutic process. This study aimed to identify meaningful combinations of therapist broaching behaviours in a sample of clients that identify as ethnic minority group members in outpatient psychotherapy (N = 452; 64.6% women, 33.6% men, 1.3% nonbinary; 0.4% preferred not to say; M_age = 33.8).

Methods

In the present research, we employed latent profile analysis to discern therapist profiles based on the similarity of their reported broaching behaviours. Group differences were analysed with Welch's analysis of variance.

Results

Five profiles were delineated, each revealing specific broaching patterns. The obtained profiles were named Pending, Neutral, Inappropriate, Uninvolved and Engaged. Reported cultural identity concealment was lower and client-estimated improvement higher in the Pending and Engaged profiles compared to the Inappropriate profile. Both the Neutral and Uninvolved profiles yielded scores in between.

Conclusions

Pending and Engaged profiles are equally beneficial and the Inappropriate profile is the most harmful in terms of reported cultural concealment and client-estimated improvement. Implications of findings for practice, training and research are discussed.

目的最近的研究表明，对于被认定为少数族裔群体成员的求助者来说，治疗师在治疗对话中纳入族裔文化话题的努力（即 "撩拨"）对于求助者对治疗的评价和症状的改善非常重要。然而，人们对此知之甚少，也不知道不同模式的 "搭讪 "行为与治疗过程有何关系。本研究旨在确定治疗师在门诊心理治疗中对少数族群客户进行的有意义的引导行为组合（N = 452；64.6% 为女性，33.6% 为男性，1.3% 为非二元；0.4% 不愿透露；Mage = 33.8）。方法在本研究中，我们采用了潜在特征分析法，根据治疗师报告的 "搭讪行为 "的相似性来识别治疗师的特征。用韦尔奇方差分析法分析了组间差异。结果共划分出五种特征，每种特征都揭示了特定的拉皮模式。这些特征被命名为 "待定"、"中立"、"不恰当"、"不参与 "和 "参与"。与 "不恰当 "特征相比，"待定 "特征和 "参与 "特征中报告的文化身份隐瞒程度较低，客户估计的改善程度较高。中立型和未参与型的得分介于两者之间。结论就报告的文化隐蔽性和客户估计的改善程度而言，"等待 "和 "参与 "特征同样有益，而 "不恰当 "特征则最有害。本文讨论了研究结果对实践、培训和研究的影响。

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引用次数: 0

Science-Based Mobile Apps for Reducing Anxiety: A Systematic Review and Meta-Analysis 用于减轻焦虑的科学移动应用程序：系统回顾与元分析

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-10 DOI: 10.1002/cpp.3058

Türkan Doğan, Nilüfer Koçtürk, Ercan Akın, M. Furkan Kurnaz, Cemile Dur Öztürk, Ali Şen, Mehmet Yalçın

This systematic review and meta-analysis examines the effectiveness of science-based mobile apps for reducing anxiety. A systematic review was employed to identify experimental studies on science-based mobile applications developed anxiety disorders. International databases such as PubMed, Web of Science, SCOPUS and ProQuest were searched to locate relevant articles. After the systematic review, 16 (k = 20) experimental studies on the effectiveness of science-based mobile apps for reducing anxiety that met the inclusion criteria were included in the meta-analysis study. The analysis findings concluded that science-based mobile apps have a noteworthy impact on reducing anxiety symptoms. Additionally, the moderator analysis indicated that various factors, including participant characteristics (such as gender and age), methodological factors (such as the measurement tool for anxiety and type of control group) and the intervention duration, play a crucial role in this impact. These findings suggest that science-based mobile apps can provide a helpful tool for individuals seeking to manage their anxiety symptoms and that a range of therapeutic techniques, such as mindfulness, cognitive restructuring and psychoeducation, can be effectively employed in these apps.

本系统综述和荟萃分析研究了基于科学的移动应用程序在减少焦虑方面的有效性。本研究采用了系统综述的方法，以确定有关基于科学的移动应用开发焦虑症的实验研究。我们搜索了 PubMed、Web of Science、SCOPUS 和 ProQuest 等国际数据库，以查找相关文章。经过系统回顾，16 项（k = 20）符合纳入标准的关于基于科学的移动应用程序对减少焦虑症的有效性的实验研究被纳入了荟萃分析研究。分析结果表明，基于科学的移动应用程序对减轻焦虑症状有显著影响。此外，调节因素分析表明，包括参与者特征（如性别和年龄）、方法因素（如焦虑测量工具和对照组类型）和干预持续时间在内的各种因素在这种影响中起着至关重要的作用。这些研究结果表明，以科学为基础的移动应用程序可以为寻求控制焦虑症状的个人提供有用的工具，而且这些应用程序可以有效地采用一系列治疗技术，如正念、认知重组和心理教育。

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引用次数: 0

Efficacy of Social Norm Interventions on Addictive Behaviours—A Systematic Review and Meta-Analysis of Randomised Controlled Trials 社会规范干预对成瘾行为的效果--随机对照试验的系统回顾和元分析。

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy

Pub Date : 2024-10-09 DOI: 10.1002/cpp.3057

Frederike Katharina Lemmel, Nexhmedin Morina

Mental health-related behaviours including addictive behaviours contribute significantly to the global burden of disease. Social norm interventions appear to be a cost-effective means of reducing addictive behaviour. We conducted a systematic review and meta-analysis of the efficacy of social norm interventions for addictive behaviours. We searched the databases Medline and PsycInfo from inception to April 2024 as well as reference lists of eligible studies and related systematic reviews for randomised controlled trials (RCTs) comparing the efficacy of social norm interventions for addictive behaviours to control conditions. Out of the 11,515 potentially eligible RCTs, 52 trials with a total of 31,764 adult participants met inclusion criteria, with 45 trials targeting alcohol consumption, three trials targeting Marijuana use, two trials targeting other substance abuse and two trials targeting gambling. Overall, 37 trials were included in the random-effects meta-analysis. The comparison of social norm interventions to control conditions at posttreatment showed a small but statistically significant effect (g = −0.12; 95% CI = −0.22 to −0.02; p < 0.01). Risk of bias was rated low in 37 RCTs, 14 RCTs were rated as having some risk of bias concerns and one RCT was rated as having high risk of bias. Social norm interventions can be an effective intervention method for reducing substance abuse and gambling. Yet, data is largely derived from studies targeting alcohol consumption and current trials suffer from methodological and practical limitations. The small effect sizes need to be appraised in the context of cost-effectiveness of these interventions.

包括成瘾行为在内的心理健康相关行为在全球疾病负担中占很大比重。社会规范干预似乎是减少成瘾行为的一种具有成本效益的手段。我们对社会规范干预对成瘾行为的疗效进行了系统回顾和荟萃分析。我们检索了 Medline 和 PsycInfo 数据库（从开始到 2024 年 4 月），以及符合条件的研究和相关系统综述的参考文献列表，以了解针对成瘾行为的社会规范干预与对照条件的疗效比较的随机对照试验 (RCT)。在11,515项可能符合条件的随机对照试验中，有52项试验符合纳入标准，共有31,764名成年参与者参加，其中45项针对饮酒，3项针对吸食大麻，2项针对其他药物滥用，2项针对赌博。总共有 37 项试验被纳入随机效应荟萃分析。在治疗后，社会规范干预与对照条件的比较显示出微小但具有统计学意义的效果（g = -0.12; 95% CI = -0.22 to -0.02; p

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