Mathias Harrer, Clara Miguel, Wouter van Ballegooijen, Marketa Ciharova, Constantin Yves Plessen, Paula Kuper, Antonia A Sprenger, Claudia Buntrock, Davide Papola, Ioana A Cristea, Nino de Ponti, Đorđe Bašić, Darin Pauley, Ellen Driessen, Soledad Quero, Jorge Grimaldos, Sara Fernández Buendía, Cristina Botella, Jessica L Hamblen, Paula P Schnurr, Sadie E Larsen, Rory A Pfund, Emma Motrico, Irene Gómez-Gómez, Kim Setkowski, Minoo Matbouriahi, Yingying Wang, Josine Rawee, Heleen Riper, Annemieke van Straten, Marit Sijbrandij, Stefan Leucht, Toshi A Furukawa, Eirini Karyotaki, Pim Cuijpers
The scientific output generated in psychology has surged in recent decades, including the number of studies investigating psychological treatments. To keep track of all this evidence, we developed the "Metapsy" meta-analytic research domain: a comprehensive system of open databases and tailored software that allows for rapid evidence generation. We leverage this novel infrastructure to summarize the effect of psychological treatment across 12 mental health problems and trace back the global expansion of psychotherapy research over the past 50 years. Including 1,029 studies with 85,952 patients, our results indicate small to moderate average benefits in treating psychosis (g = 0.32), suicidal ideation (g = 0.34), borderline personality disorder (g = 0.46), and prolonged grief (g = 0.49). In contrast, psychological interventions have large average effects on depression (g = 0.73), problem gambling (g = 0.80), panic (g = 0.83), generalized anxiety (g = 0.86), social anxiety (g = 0.95), obsessive-compulsive (g = 1.18), posttraumatic stress disorder (g = 1.18), and phobias (g = 1.25). Most available evidence (83.4%-86.1%) comes from high-income and Western countries, but their dominance is declining. We found no indication that psychotherapy is less effective in low- and middle-income countries (g = 0.38-2.41) or non-Western cultures (g = 0.74-2.20). We discuss ways to further enhance psychotherapy's public health impact, as well as how the meta-analytic research domain concept may be extended to other types of psychological research in the future. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Effectiveness of psychotherapy: Synthesis of a \"meta-analytic research domain\" across world regions and 12 mental health problems.","authors":"Mathias Harrer, Clara Miguel, Wouter van Ballegooijen, Marketa Ciharova, Constantin Yves Plessen, Paula Kuper, Antonia A Sprenger, Claudia Buntrock, Davide Papola, Ioana A Cristea, Nino de Ponti, Đorđe Bašić, Darin Pauley, Ellen Driessen, Soledad Quero, Jorge Grimaldos, Sara Fernández Buendía, Cristina Botella, Jessica L Hamblen, Paula P Schnurr, Sadie E Larsen, Rory A Pfund, Emma Motrico, Irene Gómez-Gómez, Kim Setkowski, Minoo Matbouriahi, Yingying Wang, Josine Rawee, Heleen Riper, Annemieke van Straten, Marit Sijbrandij, Stefan Leucht, Toshi A Furukawa, Eirini Karyotaki, Pim Cuijpers","doi":"10.1037/bul0000465","DOIUrl":"10.1037/bul0000465","url":null,"abstract":"<p><p>The scientific output generated in psychology has surged in recent decades, including the number of studies investigating psychological treatments. To keep track of all this evidence, we developed the \"Metapsy\" meta-analytic research domain: a comprehensive system of open databases and tailored software that allows for rapid evidence generation. We leverage this novel infrastructure to summarize the effect of psychological treatment across 12 mental health problems and trace back the global expansion of psychotherapy research over the past 50 years. Including 1,029 studies with 85,952 patients, our results indicate small to moderate average benefits in treating psychosis (g = 0.32), suicidal ideation (g = 0.34), borderline personality disorder (g = 0.46), and prolonged grief (g = 0.49). In contrast, psychological interventions have large average effects on depression (g = 0.73), problem gambling (g = 0.80), panic (g = 0.83), generalized anxiety (g = 0.86), social anxiety (g = 0.95), obsessive-compulsive (g = 1.18), posttraumatic stress disorder (g = 1.18), and phobias (g = 1.25). Most available evidence (83.4%-86.1%) comes from high-income and Western countries, but their dominance is declining. We found no indication that psychotherapy is less effective in low- and middle-income countries (g = 0.38-2.41) or non-Western cultures (g = 0.74-2.20). We discuss ways to further enhance psychotherapy's public health impact, as well as how the meta-analytic research domain concept may be extended to other types of psychological research in the future. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"151 5","pages":"600-667"},"PeriodicalIF":19.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249296","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}
Myrto F Mavilidi, Spyridoula Vazou, David R Lubans, Katie Robinson, Andrew J Woods, Valentin Benzing, Sofia Anzeneder, Katherine B Owen, Celia Álvarez-Bueno, Levi Wade, Jade Burley, George Thomas, Anthony D Okely, Caterina Pesce
Although numerous reviews and meta-analyses have examined the effects of physical activity on cognition, no previous meta-analysis has comprehensively explored the role of contextual factors. In this systematic review, we examined the role of contextual moderators along with more commonly investigated individual (e.g., age) and physical activity-related moderators (e.g., intensity, type). A multilevel meta-analysis was applied to 171 chronic (654 effect sizes) and 68 acute studies (305 effect sizes) involving 48,625 participants from preschool to older adulthood. On average, small positive effects on cognition were found for participation in both chronic (g = 0.25, 95% CI [0.19, 0.31]) and acute physical activity (g = 0.21, 95% CI [0.12, 0.30]). Physical activity effects on cognition seem to be jointly moderated by contextual and physical activity-related factors. The largest effect sizes were depicted for chronic practice of outdoor physical activity of moderate-to-vigorous intensity (g = 0.63, 95% CI [0.41; 0.85]) and with high cognitive demand (g = 0.53, 95% CI [0.15, 0.91]), and for acute bouts of outdoor physical activity of moderate intensity (g = 0.71, 95% CI [0.42, 0.99]). These results may inform the design of future chronic and acute physical activity trials to foster a more comprehensive understanding of the intersection between multiple moderators. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"How physical activity context relates to cognition across the lifespan: A systematic review and meta-analysis.","authors":"Myrto F Mavilidi, Spyridoula Vazou, David R Lubans, Katie Robinson, Andrew J Woods, Valentin Benzing, Sofia Anzeneder, Katherine B Owen, Celia Álvarez-Bueno, Levi Wade, Jade Burley, George Thomas, Anthony D Okely, Caterina Pesce","doi":"10.1037/bul0000478","DOIUrl":"10.1037/bul0000478","url":null,"abstract":"<p><p>Although numerous reviews and meta-analyses have examined the effects of physical activity on cognition, no previous meta-analysis has comprehensively explored the role of contextual factors. In this systematic review, we examined the role of contextual moderators along with more commonly investigated individual (e.g., age) and physical activity-related moderators (e.g., intensity, type). A multilevel meta-analysis was applied to 171 chronic (654 effect sizes) and 68 acute studies (305 effect sizes) involving 48,625 participants from preschool to older adulthood. On average, small positive effects on cognition were found for participation in both chronic (g = 0.25, 95% CI [0.19, 0.31]) and acute physical activity (g = 0.21, 95% CI [0.12, 0.30]). Physical activity effects on cognition seem to be jointly moderated by contextual and physical activity-related factors. The largest effect sizes were depicted for chronic practice of outdoor physical activity of moderate-to-vigorous intensity (g = 0.63, 95% CI [0.41; 0.85]) and with high cognitive demand (g = 0.53, 95% CI [0.15, 0.91]), and for acute bouts of outdoor physical activity of moderate intensity (g = 0.71, 95% CI [0.42, 0.99]). These results may inform the design of future chronic and acute physical activity trials to foster a more comprehensive understanding of the intersection between multiple moderators. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"151 5","pages":"544-579"},"PeriodicalIF":19.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249298","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}
Several meta-analyses on hand preference in mental and neurodevelopmental disorders have been published in the last decade. Some disorders, like schizophrenia, have been associated with increased rates of atypical hand preference (i.e., non-right-, left-, or mixed-hand preference)-but others, like depression, have not. To identify overarching patterns between hand preference and psychopathology and estimate the influence of potential moderators independent of diagnosis, we need to leverage rich information in the databases of these meta-analyses and conduct a higher level of analysis of meta-analytic data across diagnoses. To this end, we performed a second-order meta-analysis after reviewing, updating, and reanalyzing previously published meta-analyses on hand preference in various mental and neurodevelopmental disorders. In total, this study includes 402 data sets totaling 202,434 individuals. On average, atypical hand preference had a significantly higher frequency in cases compared to controls (nonright odds ratio [OR]: 1.46, 95% CI [1.35, 1.59]; left OR: 1.34, 95% CI [1.22, 1.48]; mixed OR: 1.63, 95% CI [1.38, 1.93]). Further analyses indicated that case-control differences varied with diagnosis. Some diagnoses, like schizophrenia, are associated with a high frequency of atypical hand preference (nonright OR: 1.50, 95% CI [1.32, 1.70]; left OR: 1.37, 95% CI [1.17, 1.61]; mixed OR: 1.70, 95% CI [1.19, 2.44]). Moderator analyses showed that neurodevelopmental conditions, nonneurodevelopmental conditions with an early age of onset, and conditions that include symptoms related to language were all associated with higher rates of atypical hand preference. This finding suggests that the association between handedness and clinical conditions is best understood from a transdiagnostic, developmental, and symptom-focused perspective. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在过去的十年里,已经发表了一些关于精神和神经发育障碍中手部偏好的荟萃分析。一些疾病,如精神分裂症,与非典型用手偏好(即非右手、左手或混合用手偏好)的比例增加有关,但其他疾病,如抑郁症,则没有关系。为了确定手偏好和精神病理学之间的总体模式,并估计独立于诊断的潜在调节因子的影响,我们需要利用这些荟萃分析数据库中的丰富信息,并对跨诊断的荟萃分析数据进行更高水平的分析。为此,我们在回顾、更新和重新分析之前发表的关于各种精神和神经发育障碍的手部偏好的荟萃分析后,进行了二级荟萃分析。这项研究总共包括402个数据集,共计202,434人。平均而言,非典型手偏好在病例中出现的频率显著高于对照组(非右优势比[OR]: 1.46, 95% CI [1.35, 1.59];左OR: 1.34, 95% CI [1.22, 1.48];混合OR: 1.63, 95% CI[1.38, 1.93])。进一步分析表明,病例-对照差异因诊断而异。一些诊断,如精神分裂症,与非典型手偏好的高频率相关(非右OR: 1.50, 95% CI [1.32, 1.70];左OR: 1.37, 95% CI [1.17, 1.61];混合OR: 1.70, 95% CI[1.19, 2.44])。调节分析表明,神经发育状况、早期发病的非神经发育状况以及包括语言相关症状的状况都与非典型手偏好的较高发生率相关。这一发现表明,从跨诊断、发育和以症状为中心的角度来理解利手性与临床状况之间的关系是最好的。(PsycInfo Database Record (c) 2025 APA,版权所有)。
{"title":"Handedness in mental and neurodevelopmental disorders: A systematic review and second-order meta-analysis.","authors":"Julian Packheiser,Jette Borawski,Gesa Berretz,Sarah Alina Merklein,Marietta Papadatou-Pastou,Sebastian Ocklenburg","doi":"10.1037/bul0000471","DOIUrl":"https://doi.org/10.1037/bul0000471","url":null,"abstract":"Several meta-analyses on hand preference in mental and neurodevelopmental disorders have been published in the last decade. Some disorders, like schizophrenia, have been associated with increased rates of atypical hand preference (i.e., non-right-, left-, or mixed-hand preference)-but others, like depression, have not. To identify overarching patterns between hand preference and psychopathology and estimate the influence of potential moderators independent of diagnosis, we need to leverage rich information in the databases of these meta-analyses and conduct a higher level of analysis of meta-analytic data across diagnoses. To this end, we performed a second-order meta-analysis after reviewing, updating, and reanalyzing previously published meta-analyses on hand preference in various mental and neurodevelopmental disorders. In total, this study includes 402 data sets totaling 202,434 individuals. On average, atypical hand preference had a significantly higher frequency in cases compared to controls (nonright odds ratio [OR]: 1.46, 95% CI [1.35, 1.59]; left OR: 1.34, 95% CI [1.22, 1.48]; mixed OR: 1.63, 95% CI [1.38, 1.93]). Further analyses indicated that case-control differences varied with diagnosis. Some diagnoses, like schizophrenia, are associated with a high frequency of atypical hand preference (nonright OR: 1.50, 95% CI [1.32, 1.70]; left OR: 1.37, 95% CI [1.17, 1.61]; mixed OR: 1.70, 95% CI [1.19, 2.44]). Moderator analyses showed that neurodevelopmental conditions, nonneurodevelopmental conditions with an early age of onset, and conditions that include symptoms related to language were all associated with higher rates of atypical hand preference. This finding suggests that the association between handedness and clinical conditions is best understood from a transdiagnostic, developmental, and symptom-focused perspective. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"8 1","pages":"476-512"},"PeriodicalIF":22.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897313","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}
Humans often face moral dilemmas posing a conflict between two motives: deontology (rule-following, e.g., "thou shalt not kill") and utilitarianism (greater-good-maximization, e.g., sacrificing one for many). A long-standing debate concerns the influence of cognitive processing on moral judgments in such dilemmas. One popular dual process account suggests that intuition favors "deontological" judgments, whereas "utilitarian" judgments require more reflection. We conducted a comprehensive multilevel, multivariate meta-analysis to assess the cumulative evidence favoring intuitive deontology, its heterogeneity within and across studies, and its robustness to bias. Following established standards, our search for published and gray literature identified 731 unique effects nested in 139 studies from 80 reports meeting our eligibility criteria. Overall, we found a significant but small effect favoring intuitive deontology (OR = 1.18, 95% CI [1.10, 1.26]; p < .0001). We also observed substantial effect heterogeneity stemming from differences within and between studies. Results were robust to outliers, and we found no consistent indications of publication bias. Our preregistered exploration of various moderators resulted in significant explanation of the residual variance by manipulation and dilemma type, with the highest effects of intuitive deontology found for studies using foreign language or induction manipulations and the footbridge dilemma. In a post hoc analysis, restricting the data set to dilemma actions requiring personal force and instrumentality, we found an increased effect of intuitive deontology (OR = 1.30, 95% CI [1.19, 1.42]). Results question the universality of intuitive deontology, inform current discussions on the effect's underlying mechanisms, and call for more carefully designed studies testing the effect. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
人类经常面临道德困境,导致两种动机之间的冲突:义务论(遵守规则,例如,“你不应该杀人”)和功利主义(更大的利益最大化,例如,牺牲一人为多人)。在这种困境中,认知加工对道德判断的影响是一个长期存在的争论。一种流行的双重过程解释表明,直觉倾向于“义务论”判断,而“功利主义”判断则需要更多的反思。我们进行了一项全面的多水平、多变量荟萃分析,以评估支持直觉义务论的累积证据、研究内部和研究之间的异质性及其对偏倚的稳健性。按照既定的标准,我们对已发表文献和灰色文献进行了搜索,从80份报告的139项研究中发现了731种独特的效应,符合我们的资格标准。总的来说,我们发现直觉道义的影响显著但很小(OR = 1.18, 95% CI [1.10, 1.26];P < 0.0001)。我们还观察到由于研究内部和研究之间的差异而产生的实质性效应异质性。结果对于异常值是稳健的,我们没有发现一致的发表偏倚迹象。我们对各种调节因子的预登记探索结果通过操纵和困境类型对剩余方差进行了显著的解释,直觉义务论在使用外语或归纳操纵和人行桥困境的研究中发现了最高的影响。在事后分析中,将数据集限制为需要个人力量和工具的两难行动,我们发现直觉义务论的效果增加(OR = 1.30, 95% CI[1.19, 1.42])。结果质疑了直觉义务论的普遍性,为当前关于该效应潜在机制的讨论提供了信息,并呼吁进行更仔细设计的研究来测试该效应。(PsycInfo Database Record (c) 2025 APA,版权所有)。
{"title":"Intuitive deontology? A systematic review and multivariate, multilevel meta-analysis of experimental studies on the psychological drivers of moral judgments.","authors":"Alina Fahrenwaldt,Jerome Olsen,Rima-Maria Rahal,Susann Fiedler","doi":"10.1037/bul0000472","DOIUrl":"https://doi.org/10.1037/bul0000472","url":null,"abstract":"Humans often face moral dilemmas posing a conflict between two motives: deontology (rule-following, e.g., \"thou shalt not kill\") and utilitarianism (greater-good-maximization, e.g., sacrificing one for many). A long-standing debate concerns the influence of cognitive processing on moral judgments in such dilemmas. One popular dual process account suggests that intuition favors \"deontological\" judgments, whereas \"utilitarian\" judgments require more reflection. We conducted a comprehensive multilevel, multivariate meta-analysis to assess the cumulative evidence favoring intuitive deontology, its heterogeneity within and across studies, and its robustness to bias. Following established standards, our search for published and gray literature identified 731 unique effects nested in 139 studies from 80 reports meeting our eligibility criteria. Overall, we found a significant but small effect favoring intuitive deontology (OR = 1.18, 95% CI [1.10, 1.26]; p < .0001). We also observed substantial effect heterogeneity stemming from differences within and between studies. Results were robust to outliers, and we found no consistent indications of publication bias. Our preregistered exploration of various moderators resulted in significant explanation of the residual variance by manipulation and dilemma type, with the highest effects of intuitive deontology found for studies using foreign language or induction manipulations and the footbridge dilemma. In a post hoc analysis, restricting the data set to dilemma actions requiring personal force and instrumentality, we found an increased effect of intuitive deontology (OR = 1.30, 95% CI [1.19, 1.42]). Results question the universality of intuitive deontology, inform current discussions on the effect's underlying mechanisms, and call for more carefully designed studies testing the effect. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"9 1","pages":"428-454"},"PeriodicalIF":22.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897315","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}
Allyson C Bontempo,John M Bontempo,Paul R Duberstein
The upsurge in the prevalence of contested, ambiguous, and difficult-to-diagnose illnesses presents challenges for clinicians who too often respond by invalidating patients' symptoms. Although numerous qualitative studies have reported the effects of invalidation on patients' psychological and behavioral outcomes, this body of research has not been systematically reviewed. Informed by Linehan's (1993) conceptualization of invalidation, this systematic review elucidated the negative consequences, of symptom invalidation, or the dismissal or minimization of a person's experiences with illness. We reviewed 151 qualitative reports representing 11,307 individuals with Ehlers-Danlos syndrome, endometriosis, fibromyalgia syndrome, Gulf War syndrome, irritable bowel syndrome, long COVID, multiple chemical sensitivity, myalgic encephalomyelitis/chronic fatigue syndrome, postural orthostatic tachycardia syndrome, systemic lupus erythematosus, and vulvodynia. Consistent with Linehan's theorizing, thematic analysis identified four broad classes of consequences: induced emotional states and beliefs (e.g., shame, suicidality), induced health care emotional states and beliefs (e.g., health care-related anxiety and trauma), induced health care behavior (e.g., health care system avoidance), and diagnostic delay. Informed by these findings, we developed a novel conceptual model explaining how symptom invalidation leads to these consequences and thereby undermines health outcomes. Future work should explore the proposed conceptual model and identify theoretically informed interventions and policies aimed at preventing symptom invalidation to improve psychological, behavioral, and health outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
有争议的、不明确的、难以诊断的疾病流行率的上升,给临床医生带来了挑战,他们往往以无效的患者症状来应对。虽然许多定性研究已经报道了无效对患者心理和行为结果的影响,但这一研究尚未得到系统的回顾。根据Linehan(1993)对无效的概念化,这一系统综述阐明了症状无效的负面后果,或者对一个人的疾病经历的忽视或最小化。我们回顾了151份定性报告,涉及11,307例ehers - danlos综合征、子宫内膜异位症、纤维肌痛综合征、海湾战争综合征、肠易激综合征、长COVID、多种化学物质敏感性、肌痛性脑脊髓炎/慢性疲劳综合征、体位性心动过速综合征、系统性红斑狼疮和外阴痛。与Linehan的理论一致,专题分析确定了四大类后果:诱导的情绪状态和信念(例如,羞耻,自杀),诱导的医疗保健情绪状态和信念(例如,与医疗保健相关的焦虑和创伤),诱导的医疗保健行为(例如,医疗保健系统回避)和诊断延迟。根据这些发现,我们开发了一个新的概念模型来解释症状无效如何导致这些后果,从而破坏健康结果。未来的工作应该探索提出的概念模型,并确定理论上知情的干预措施和政策,旨在预防症状失效,以改善心理、行为和健康结果。(PsycInfo Database Record (c) 2025 APA,版权所有)。
{"title":"Ignored, dismissed, and minimized: Understanding the harmful consequences of invalidation in health care-A systematic meta-synthesis of qualitative research.","authors":"Allyson C Bontempo,John M Bontempo,Paul R Duberstein","doi":"10.1037/bul0000473","DOIUrl":"https://doi.org/10.1037/bul0000473","url":null,"abstract":"The upsurge in the prevalence of contested, ambiguous, and difficult-to-diagnose illnesses presents challenges for clinicians who too often respond by invalidating patients' symptoms. Although numerous qualitative studies have reported the effects of invalidation on patients' psychological and behavioral outcomes, this body of research has not been systematically reviewed. Informed by Linehan's (1993) conceptualization of invalidation, this systematic review elucidated the negative consequences, of symptom invalidation, or the dismissal or minimization of a person's experiences with illness. We reviewed 151 qualitative reports representing 11,307 individuals with Ehlers-Danlos syndrome, endometriosis, fibromyalgia syndrome, Gulf War syndrome, irritable bowel syndrome, long COVID, multiple chemical sensitivity, myalgic encephalomyelitis/chronic fatigue syndrome, postural orthostatic tachycardia syndrome, systemic lupus erythematosus, and vulvodynia. Consistent with Linehan's theorizing, thematic analysis identified four broad classes of consequences: induced emotional states and beliefs (e.g., shame, suicidality), induced health care emotional states and beliefs (e.g., health care-related anxiety and trauma), induced health care behavior (e.g., health care system avoidance), and diagnostic delay. Informed by these findings, we developed a novel conceptual model explaining how symptom invalidation leads to these consequences and thereby undermines health outcomes. Future work should explore the proposed conceptual model and identify theoretically informed interventions and policies aimed at preventing symptom invalidation to improve psychological, behavioral, and health outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"48 1","pages":"399-427"},"PeriodicalIF":22.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897316","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}
Uyen Doan,Dou Hong,Leo Mares,Molly Butler,Adrian Dahl Askelund,Charlotte Gutenbrunner,Rachel Hiller,Reginald D V Nixon,Vanessa Puetz,Paul E Jose,Allison Metts,Lauren B Alloy,Brandon E Gibb,Alison E Hipwell,Karen Salmon,Victoria Powell,Naomi Warne,Frances Rice,Caitlin Hitchcock
Reduced autobiographical memory (AM) specificity, characterized by difficulty recalling specific past events, is a feature of multiple psychiatric disorders. While meta-analyses indicate that reduced AM specificity can predict future symptom severity, its role as a premorbid risk factor for mental illness onset in young people remains unclear. Our preregistered individual participant data meta-analysis (PROSPERO; CRD42022287786) synthesized longitudinal data from 14 community-based studies of children and adolescents (N = 9,165). Most studies reported symptom severity (92.9%), with one third also reporting diagnostic status (35.7%). Assessment timing ranged from 2 months to 8.3 years following the autobiographical memory task. Multivariate mixed-effect models found no support for AM specificity predicting future symptom severity in depression or posttraumatic stress disorder. Contrary to expectations, higher memory specificity significantly predicted higher anxiety symptoms, but the quality of evidence was low. Intriguingly, reduced AM specificity significantly predicted an increased risk of receiving a psychiatric diagnosis and an earlier onset of disorder (hazard ratio = 0.55, p = .018). This risk was most robust for depressive disorders (hazard ratio = 0.21, p < .001). Findings suggest reduced AM specificity could be a risk factor for the onset of functionally impairing psychiatric disorders, but it does not consistently predict elevated symptoms in community-based samples. Further theoretical development is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"The predictive power of autobiographical memory in shaping the mental health of young people: An individual participant data meta-analysis.","authors":"Uyen Doan,Dou Hong,Leo Mares,Molly Butler,Adrian Dahl Askelund,Charlotte Gutenbrunner,Rachel Hiller,Reginald D V Nixon,Vanessa Puetz,Paul E Jose,Allison Metts,Lauren B Alloy,Brandon E Gibb,Alison E Hipwell,Karen Salmon,Victoria Powell,Naomi Warne,Frances Rice,Caitlin Hitchcock","doi":"10.1037/bul0000474","DOIUrl":"https://doi.org/10.1037/bul0000474","url":null,"abstract":"Reduced autobiographical memory (AM) specificity, characterized by difficulty recalling specific past events, is a feature of multiple psychiatric disorders. While meta-analyses indicate that reduced AM specificity can predict future symptom severity, its role as a premorbid risk factor for mental illness onset in young people remains unclear. Our preregistered individual participant data meta-analysis (PROSPERO; CRD42022287786) synthesized longitudinal data from 14 community-based studies of children and adolescents (N = 9,165). Most studies reported symptom severity (92.9%), with one third also reporting diagnostic status (35.7%). Assessment timing ranged from 2 months to 8.3 years following the autobiographical memory task. Multivariate mixed-effect models found no support for AM specificity predicting future symptom severity in depression or posttraumatic stress disorder. Contrary to expectations, higher memory specificity significantly predicted higher anxiety symptoms, but the quality of evidence was low. Intriguingly, reduced AM specificity significantly predicted an increased risk of receiving a psychiatric diagnosis and an earlier onset of disorder (hazard ratio = 0.55, p = .018). This risk was most robust for depressive disorders (hazard ratio = 0.21, p < .001). Findings suggest reduced AM specificity could be a risk factor for the onset of functionally impairing psychiatric disorders, but it does not consistently predict elevated symptoms in community-based samples. Further theoretical development is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"2 1","pages":"455-475"},"PeriodicalIF":22.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897317","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}
Pub Date : 2025-03-01Epub Date: 2025-02-17DOI: 10.1037/bul0000467
Angela Shakeri, Michael S North
As older women drive aging population trends, it is crucial to understand how target age and gender jointly influence perceiver attitudes. Although the prevailing "double jeopardy" perspective portrays older women as the most derogated age-gender group due to facing both age and sex bias, some evidence suggests gender attitudes converge with target age (i.e., a "convergence" perspective). Investigating these competing hypotheses, we meta-analyzed 55 reports (k = 92 samples, N = 37,235) comparing attitudes toward younger, middle-aged, and older women and men. Results suggested more positive overall attitudes toward younger and middle-aged adults versus older adults-and, perhaps surprisingly, toward women versus men. Moderator analyses revealed significant Age × Gender interactions. Consistent with convergence, a pro-female bias emerged toward younger (g = -0.12) and middle-aged (g = -0.11) targets, but attitudes toward older women and men were virtually equivalent (g = -0.01). Consistent with double jeopardy, a stronger pro-younger (vs. older) bias existed for women (g = -0.34) as compared to men (g = -0.22), and a stronger pro-middle aged (vs. older) bias existed for women (g = -0.34) as compared to men (g = -0.22). Attitude dimension emerged as a significant moderator: For example, whereas warmth and agency stereotypes reflected a double jeopardy pattern-older women seen as the warmest but least agentic group-behaviors followed a pattern of gender convergence with age. Our findings highlight the complex interplay of age and gender in shaping attitudes, underscoring the need to simultaneously consider both identities in social perception research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"The gender convergence effect in older age: A meta-analytic review comparing modern attitudes toward younger, middle-aged, and older women and men.","authors":"Angela Shakeri, Michael S North","doi":"10.1037/bul0000467","DOIUrl":"10.1037/bul0000467","url":null,"abstract":"<p><p>As older women drive aging population trends, it is crucial to understand how target age and gender jointly influence perceiver attitudes. Although the prevailing \"double jeopardy\" perspective portrays older women as the most derogated age-gender group due to facing both age and sex bias, some evidence suggests gender attitudes converge with target age (i.e., a \"convergence\" perspective). Investigating these competing hypotheses, we meta-analyzed 55 reports (<i>k</i> = 92 samples, <i>N</i> = 37,235) comparing attitudes toward younger, middle-aged, and older women and men. Results suggested more positive overall attitudes toward younger and middle-aged adults versus older adults-and, perhaps surprisingly, toward women versus men. Moderator analyses revealed significant Age × Gender interactions. Consistent with convergence, a pro-female bias emerged toward younger (<i>g</i> = -0.12) and middle-aged (<i>g</i> = -0.11) targets, but attitudes toward older women and men were virtually equivalent (<i>g</i> = -0.01). Consistent with double jeopardy, a stronger pro-younger (vs. older) bias existed for women (<i>g</i> = -0.34) as compared to men (<i>g</i> = -0.22), and a stronger pro-middle aged (vs. older) bias existed for women (<i>g</i> = -0.34) as compared to men (<i>g</i> = -0.22). Attitude dimension emerged as a significant moderator: For example, whereas warmth and agency stereotypes reflected a double jeopardy pattern-older women seen as the warmest but least agentic group-behaviors followed a pattern of gender convergence with age. Our findings highlight the complex interplay of age and gender in shaping attitudes, underscoring the need to simultaneously consider both identities in social perception research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":" ","pages":"261-284"},"PeriodicalIF":17.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441717","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}
Research on social hierarchy is flourishing. Often, researchers employ self- or peer-report measures to assess variables such as power or dominance. One drawback of studies in this line of research is that researchers use different scales to measure the same constructs and different researchers use the same scale but aim to measure different constructs. Moreover, hierarchy concepts have been used interchangeably and terms have been used for a specific variable but operationalized with a measure that taps into another construct. This practice leads to problems such as the jingle-jangle fallacy. As these fallacies occur at the construct and the measurement levels, we first delineate an Integrative Model of Social Hierarchy Concepts and provide definitions of different hierarchy concepts (power, status, dominance, prestige, motives regarding these variables) to establish conceptual consensus. Based on a systematic literature search, we then present 67 validated scales that aim to measure these constructs. Additionally, we discuss other measurement approaches beyond self-reports (e.g., indirect tests, language features). For a selected subset of scales, we conducted an empirical study to provide additional analyses on reliability, model fit, and exploratory factor analyses to detect similarities and differences between scales. Eventually, we derive recommendations on which scales and measures to use for assessing which hierarchy variable and how to advance measurement practices in this domain. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
关于社会等级的研究正在蓬勃发展。通常,研究人员采用自我或同伴报告的方法来评估诸如权力或支配地位之类的变量。这方面研究的一个缺点是研究人员使用不同的量表来测量相同的构念,不同的研究人员使用相同的量表,但旨在测量不同的构念。此外,层次结构概念可以互换使用,术语可以用于特定变量,但可以使用进入另一个结构的度量进行操作。这种做法导致了诸如叮当声谬误之类的问题。由于这些谬误发生在结构和测量层面,我们首先描绘了一个社会等级概念的综合模型,并提供了不同等级概念的定义(权力,地位,支配地位,声望,关于这些变量的动机),以建立概念共识。基于系统的文献检索,我们提出了67个有效的量表,旨在测量这些结构。此外,我们还讨论了自我报告之外的其他测量方法(例如,间接测试、语言特征)。对于选定的量表子集,我们进行了实证研究,对可靠性、模型拟合和探索性因子分析进行了额外的分析,以检测量表之间的相似性和差异性。最后,我们推导出关于使用哪个尺度和度量来评估哪个层次变量以及如何在这个领域推进度量实践的建议。(PsycInfo Database Record (c) 2025 APA,版权所有)。
{"title":"Structuring hierarchy concepts: Evaluating measures of power, status, dominance, and prestige on the basis of an integrative model and systematic literature review.","authors":"Robert Körner, Jennifer R Overbeck, Astrid Schütz","doi":"10.1037/bul0000470","DOIUrl":"10.1037/bul0000470","url":null,"abstract":"<p><p>Research on social hierarchy is flourishing. Often, researchers employ self- or peer-report measures to assess variables such as power or dominance. One drawback of studies in this line of research is that researchers use different scales to measure the same constructs and different researchers use the same scale but aim to measure different constructs. Moreover, hierarchy concepts have been used interchangeably and terms have been used for a specific variable but operationalized with a measure that taps into another construct. This practice leads to problems such as the jingle-jangle fallacy. As these fallacies occur at the construct and the measurement levels, we first delineate an Integrative Model of Social Hierarchy Concepts and provide definitions of different hierarchy concepts (power, status, dominance, prestige, motives regarding these variables) to establish conceptual consensus. Based on a systematic literature search, we then present 67 validated scales that aim to measure these constructs. Additionally, we discuss other measurement approaches beyond self-reports (e.g., indirect tests, language features). For a selected subset of scales, we conducted an empirical study to provide additional analyses on reliability, model fit, and exploratory factor analyses to detect similarities and differences between scales. Eventually, we derive recommendations on which scales and measures to use for assessing which hierarchy variable and how to advance measurement practices in this domain. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"151 3","pages":"322-364"},"PeriodicalIF":19.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754246","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}
Teacher-student relationships (TSRs) play a vital role in establishing a positive classroom climate and promoting positive student outcomes. Several meta-analyses have suggested significant correlations between positive TSRs and, for example, academic achievement, motivation, executive functions, and well-being, as well as between negative TSRs that result in behavior problems or bullying. These meta-analyses have differed substantially in TSR-outcome relationships, moderators, and methodological quality, thus complicating the interpretation of these findings. In this preregistered systematic review of meta-analyses plus original second-order meta-analyses (SOMAs), we aimed to (a) synthesize the meta-analytic evidence on relations between TSRs and student outcomes, (b) map influential moderators of these relations, and (c) assess the methodological quality of the meta-analyses. We synthesized over 70 years of educational research across 26 meta-analyses encompassing 119 meta-analytic effect sizes based on approximately 2.64 million prekindergarten and K-12 students. We conducted several three-level SOMAs and found that TSRs had similar large significant relations with eight clusters of student outcomes: academic achievement, academic emotions, appropriate student behavior, behavior problems, executive functions and self-control, motivation, school belonging and engagement, and well-being. The link with bullying was only marginally significant. Our moderator analyses suggested a larger TSR-outcome link for middle and high school students. Although more recent meta-analyses fulfilled more methodological quality criteria, these differences were not associated with TSR-outcome relations. These results map the field of TSR research; present their relations, moderators, and methodological quality in meta-analyses; and show how TSRs are equally important for a wide range of student outcomes and samples. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
师生关系在建立积极的课堂氛围和促进积极的学生成果方面发挥着至关重要的作用。几项荟萃分析表明,积极的tsr与学业成绩、动机、执行功能和幸福感之间存在显著相关性,而消极的tsr与导致行为问题或欺凌之间也存在显著相关性。这些荟萃分析在tsr结果关系、调节因子和方法质量方面存在很大差异,因此使这些发现的解释复杂化。在这篇对meta分析和原始二阶meta分析(SOMAs)的预注册系统综述中,我们旨在(a)综合tsr与学生成绩之间关系的meta分析证据,(b)绘制这些关系的有影响力的调节因子,以及(c)评估meta分析的方法学质量。我们综合了超过70年的教育研究,包括26项荟萃分析,包括119项荟萃分析效应量,基于大约264万学前班和K-12学生。我们进行了几个三个层次的soma,发现tsr与八类学生成果有相似的显著关系:学业成绩、学业情绪、适当的学生行为、行为问题、执行功能和自我控制、动机、学校归属感和参与以及幸福感。与恃强凌弱的联系只是微乎其微。我们的调节因子分析显示,初中生和高中生的tsr结果之间存在较大的联系。虽然最近的荟萃分析满足了更多的方法学质量标准,但这些差异与tsr -结果关系无关。这些结果描绘了TSR研究的领域;介绍它们在meta分析中的关系、调节因素和方法质量;并表明tsr对广泛的学生成绩和样本同样重要。(PsycInfo Database Record (c) 2025 APA,版权所有)。
{"title":"Teacher-student relationships and student outcomes: A systematic second-order meta-analytic review.","authors":"Valentin Emslander, Doris Holzberger, Sverre Berg Ofstad, Antoine Fischbach, Ronny Scherer","doi":"10.1037/bul0000461","DOIUrl":"10.1037/bul0000461","url":null,"abstract":"<p><p>Teacher-student relationships (TSRs) play a vital role in establishing a positive classroom climate and promoting positive student outcomes. Several meta-analyses have suggested significant correlations between positive TSRs and, for example, academic achievement, motivation, executive functions, and well-being, as well as between negative TSRs that result in behavior problems or bullying. These meta-analyses have differed substantially in TSR-outcome relationships, moderators, and methodological quality, thus complicating the interpretation of these findings. In this preregistered systematic review of meta-analyses plus original second-order meta-analyses (SOMAs), we aimed to (a) synthesize the meta-analytic evidence on relations between TSRs and student outcomes, (b) map influential moderators of these relations, and (c) assess the methodological quality of the meta-analyses. We synthesized over 70 years of educational research across 26 meta-analyses encompassing 119 meta-analytic effect sizes based on approximately 2.64 million prekindergarten and K-12 students. We conducted several three-level SOMAs and found that TSRs had similar large significant relations with eight clusters of student outcomes: academic achievement, academic emotions, appropriate student behavior, behavior problems, executive functions and self-control, motivation, school belonging and engagement, and well-being. The link with bullying was only marginally significant. Our moderator analyses suggested a larger TSR-outcome link for middle and high school students. Although more recent meta-analyses fulfilled more methodological quality criteria, these differences were not associated with TSR-outcome relations. These results map the field of TSR research; present their relations, moderators, and methodological quality in meta-analyses; and show how TSRs are equally important for a wide range of student outcomes and samples. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":" ","pages":"365-397"},"PeriodicalIF":17.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391506","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}
Junhui Wu, Daniel Balliet, Mingliang Yuan, Wenqi Li, Yanyan Chen, Shuxian Jin, Shenghua Luan, Paul A M Van Lange
Two theoretical perspectives (i.e., the risk management perspective and the resource perspective) offer competing predictions that higher class individuals-relative to lower class individuals-tend to be less versus more prosocial, respectively. Different predictions can also be drawn from each perspective about how the class-prosociality association varies across sociocultural contexts. To date, each perspective has received mixed empirical support. To test these competing perspectives, we synthesized 1,106 effect sizes from 471 independent studies on social class and prosociality (total N = 2,340,806, covering the years 1968-2024) conducted within 60 societies. Supporting the resource perspective, we found higher class individuals to be slightly more prosocial (r = .065, 95% confidence interval [.055, .075]); this association held for children, adolescents, and adults and did not significantly vary by any sociocultural variable. In testing the methodological moderators, we found no significant difference in the class-prosociality association in studies measuring objective social class (r = .066) and those measuring or manipulating subjective social class (r = .063). Nevertheless, the observed class-prosociality association was stronger when assessing prosocial behavior involving actual commitment of material or nonmaterial resources (r = .079) compared to prosocial intention (r = .039), and stronger under public (r = .065) than private (r = .016) circumstances. These findings generally support the resource perspective on class-based differences in prosociality-that the relatively higher cost of prosocial behavior, combined with heightened experience of deprivation, results in lower levels of prosociality among individuals with a lower social class background. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Social class and prosociality: A meta-analytic review.","authors":"Junhui Wu, Daniel Balliet, Mingliang Yuan, Wenqi Li, Yanyan Chen, Shuxian Jin, Shenghua Luan, Paul A M Van Lange","doi":"10.1037/bul0000469","DOIUrl":"10.1037/bul0000469","url":null,"abstract":"<p><p>Two theoretical perspectives (i.e., the risk management perspective and the resource perspective) offer competing predictions that higher class individuals-relative to lower class individuals-tend to be less versus more prosocial, respectively. Different predictions can also be drawn from each perspective about how the class-prosociality association varies across sociocultural contexts. To date, each perspective has received mixed empirical support. To test these competing perspectives, we synthesized 1,106 effect sizes from 471 independent studies on social class and prosociality (total N = 2,340,806, covering the years 1968-2024) conducted within 60 societies. Supporting the resource perspective, we found higher class individuals to be slightly more prosocial (r = .065, 95% confidence interval [.055, .075]); this association held for children, adolescents, and adults and did not significantly vary by any sociocultural variable. In testing the methodological moderators, we found no significant difference in the class-prosociality association in studies measuring objective social class (r = .066) and those measuring or manipulating subjective social class (r = .063). Nevertheless, the observed class-prosociality association was stronger when assessing prosocial behavior involving actual commitment of material or nonmaterial resources (r = .079) compared to prosocial intention (r = .039), and stronger under public (r = .065) than private (r = .016) circumstances. These findings generally support the resource perspective on class-based differences in prosociality-that the relatively higher cost of prosocial behavior, combined with heightened experience of deprivation, results in lower levels of prosociality among individuals with a lower social class background. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20854,"journal":{"name":"Psychological bulletin","volume":"151 3","pages":"285-321"},"PeriodicalIF":19.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754243","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}