Clinical Psychology Review最新文献

Individuals with minoritized and intersecting identities in the prevention of body image and eating disorder pathology: Grounding theoretical frameworks of resilience and risk

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-14 DOI: 10.1016/j.cpr.2025.102554

Rachel R. Rodgers , Ariel L. Beccia , Lauren M. Schaefer , Vivienne M. Hazzard , Natasha L. Burke

Individuals with intersecting marginalized identities experience body image and eating pathology at disproportionately high rates. To date, research in this area has been limited by an absence of overarching and guiding frameworks to support hypothesis-driven research and interpretation of the findings. This constitutes an important barrier to the development of theoretically grounded intervention strategies. In this article, we review theoretical frameworks relevant to the investigation of body image and eating pathology among marginalized individuals using an intersectional lens and considering how processes of both risk and resilience unfold at multiple levels. We describe factors at the macrosystem (e.g., structural racism, capitalism, patriarchy), exosystem (e.g., food environment, social media, mass media), and microsystem (e.g., family, peers) levels. At the macrosystem level, we review critical race theories and those illuminating the role of systems that maintain power, privilege, and oppression, which describe how systemic discriminatory practices have led to marginalized individuals being neglected in efforts to conceptualize, identify, prevent, and treat body image and eating pathology. At the exosystem level, marginalized individuals experience heightened socioeconomic stressors and associated lack of access to resources that may impact body image and eating pathology. Furthermore, sociocultural theories focus on how visible marginalized identities are discriminated against, while white appearance ideals are upheld. At the micosystem level, we review sociocultural and minority stress theories that account for how interpersonal agents may perpetuate oppressive discourses and how marginalized individuals may experience negative interpersonal experiences that impact body image and eating pathology. We provide a comprehensive theoretical framework to guide future research on the distribution and determinants of inequities in body image and eating pathology among marginalized populations.

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引用次数: 0

Effect sizes of randomized-controlled studies of cognitive behavioral therapy for anxiety disorders over the past 30 years

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-10 DOI: 10.1016/j.cpr.2025.102553

Stefan G. Hofmann, Chantal Kasch, Andreas Reis

Background

Cognitive-behavioral therapy (CBT) is an effective treatment for the range of anxiety disorders as demonstrated in many randomized controlled trials (RCTs) conducted over the past 30 years.

Objective

To examine the change of CBT effect sizes over time, we tested whether publication year was a significant moderator.

Data sources

We pooled studies from three previously published meta-analyses and searched three electronic databases (PubMed, PsychINFO, Web of Science) to identify any additional studies published from February 1, 2022 to January 24, 2025. The final analysis included 49 studies comprising a total of 3645 participants.

Study selection

We selected RCTs comparing CBT for anxiety disorders with psychological or pill control conditions.

Data extraction

Two independent raters used predefined data fields, including study quality indicators.

Data synthesis

The mean effect size of all RCTs comparing CBT vs. controls revealed a Hedges' g of 0.51, 95 % CI [0.40, 0.62], with significant differences in effect sizes between the diagnostic groups. Uncontrolled pre-post effect size calculations revealed a large effect for CBT, Hedges' g = 1.18, 95 % CI [1.01, 1.34], and a medium effect for the control conditions, Hedges' g = 0.59, 95 % CI [0.47, 0.70]. A linear meta-regression of publication year on effect sizes (Hedges g) showed no significant change in effect sizes as compared to the control conditions over the span of the last 30 years (B = −0.008, SE = 0.006, t(47) = −1.18, p = 0.24).

Conclusion

Although CBT is an effective treatment for anxiety disorders, the effect sizes did not increase over the last 3 decades. This calls for studies on the processes of treatment change to improve the efficacy of CBT.

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引用次数: 0

System justification, subjective well-being, and mental health symptoms in members of disadvantaged minority groups 弱势少数群体成员的制度正当性、主观幸福感和心理健康症状。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102532

Bruno Ponte Belarmino Lima , Luana Elayne Cunha de Souza , John T. Jost

Although system justification—believing that the societal status quo is legitimate and desirable—is positively associated with subjective well-being and mental health outcomes for members of advantaged groups, the picture is more complicated for members of disadvantaged minority groups. According to system justification theory, believing that the social system is legitimate and desirable is a way of coping with one's own and fellow in-group members' state of disadvantage. At the same time, it is also a potential stressor, insofar as it implies that there are deficiencies of the individuals and groups who “fail” to succeed in a fair system. In this article, we quantitatively summarize the results of 34 articles (and 65 effect sizes) identified through computerized searches of scientific databases. Meta-analytic results revealed that system justification among members of disadvantaged minority groups was associated with lower levels of psychological distress (r = −0.131, k = 22, N = 25,506) and higher levels of subjective well-being (r = 0.190, k = 31, N = 172,075) and self-esteem (r = 0.106, k = 12, N = 4,839). These findings are consistent with the notion that, in general, system justification serves the palliative function of reducing distress and improving subjective well-being, most likely by increasing perceptions of personal control and individual mobility and decreasing perceptions of discrimination. At the same time, system justification can come at the expense of mental health when associated with the internalization of inferiority. Suggestions for future research are provided.

尽管制度正当性——相信社会现状是合理的和可取的——与优势群体成员的主观幸福感和心理健康结果呈正相关，但弱势少数群体成员的情况更为复杂。根据制度正当化理论，相信社会制度是合法的、可取的，是一种应对自身和群体内成员劣势状态的方式。与此同时，它也是一个潜在的压力源，因为它意味着在公平制度中“失败”的个人和群体存在缺陷。在这篇文章中，我们定量地总结了34篇文章（65个效应值）的结果，这些结果是通过计算机检索科学数据库确定的。meta分析结果显示，弱势少数群体成员的制度合理化与较低的心理困扰水平（r = -0.131, k = 22, N = 25,506）、较高的主观幸福感（r = 0.190, k = 31, N = 172,075）和自尊水平（r = 0.106, k = 12, N = 4,839）相关。这些发现与这样一种观点是一致的，即总的来说，制度辩护具有减轻痛苦和改善主观幸福感的缓和功能，最有可能的是通过增加个人控制和个人流动性的感知，以及减少歧视的感知。与此同时，当与自卑感内化联系在一起时，制度正当性可能以牺牲心理健康为代价。最后对今后的研究提出了建议。

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引用次数: 0

Why most research based on the Reading the Mind in the Eyes Test is unsubstantiated and uninterpretable: A response to Murphy and Hall (2024) 为什么大多数基于 "读心术测试 "的研究都是未经证实和无法解读的？对墨菲和霍尔（2024）的回应

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102530

Wendy C. Higgins , David M. Kaplan , Eliane Deschrijver , Robert M. Ross

Murphy and Hall (2024) present two criticisms of our review of construct validity evidence reporting practices for the Reading the Mind in the Eyes Test (RMET; Higgins, Kaplan, Deschrijver, & Ross, 2024). Namely, they argue that we conflated poor reporting practices with poor validity and that our conclusions about the validity of RMET scores relied too heavily on structural validity evidence at the cost of external validity evidence. Moreover, they argue that the existing external and structural validity evidence indicates that RMET scores are generally valid for assessing emotion recognition ability. In this response, we clarify that our conclusion that RMET scores are unsubstantiated as measurements of social cognitive ability was based on evidence that spans the structural, external, and substantive components of validity. Furthermore, reiterating and expanding on the validity evidence in our review, we argue that, based on existing validity evidence, RMET scores are unlikely to be valid measurements of social cognitive ability. Therefore, we stand by our recommendation that researchers stop using the RMET as a measure of social cognitive ability and re-evaluate research findings that rely on RMET scores as measurements of social cognitive ability.

墨菲和霍尔（2024）对我们对 "眼中读心测验"（RMET；Higgins, Kaplan, Deschrijver, & Ross, 2024）的建构效度证据报告实践的审查提出了两点批评。也就是说，他们认为我们将不良的报告实践与不良的效度混为一谈，而且我们关于 RMET 分数效度的结论过于依赖结构效度证据，而忽视了外部效度证据。此外，他们还认为，现有的外部和结构效度证据表明，RMET 分数在评估情绪识别能力方面总体上是有效的。在此回应中，我们要澄清的是，我们认为 RMET 分数作为社会认知能力测量的结论是未经证实的，这一结论是基于结构效度、外部效度和实质效度等方面的证据得出的。此外，我们重申并扩展了我们审查中的效度证据，认为根据现有的效度证据，RMET 分数不太可能成为社会认知能力的有效测量指标。因此，我们坚持建议研究人员停止使用 RMET 作为社会认知能力的测量方法，并重新评估依赖 RMET 分数作为社会认知能力测量方法的研究成果。

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引用次数: 0

What is fidelity? A systematic review of provider fidelity and its associations with engagement and outcomes in parenting programs 什么是忠诚？一个系统的审查提供者忠诚和它的关系参与和结果在育儿计划。

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102531

Sydni A.J. Basha, Joanna J. Kim, Qiyue Cai, Mary Kuckertz, Abigail H. Gewirtz

As developers and practitioners translate parenting interventions from research to practice, significant heterogeneity in provider fidelity and parent engagement with the program has contributed to observed declines in intervention effectiveness. Despite this, empirical investigations of the relationship between provider fidelity, parent engagement, and intervention outcomes are scarce and those that exist show discrepant outcomes. This is, in part, due to the variability in the way fidelity is defined, operationalized, and measured. Therefore, following PRISMA-P guidelines, this review elucidates the relationship between provider fidelity, parent engagement, and intervention outcomes in parenting interventions, with a particular emphasis on how provider fidelity is defined and measured. A systematic search revealed 264 articles, of which 25 met inclusion criteria. As anticipated, results suggest that there are inconsistencies in the relationship between provider fidelity, parent engagement, and intervention outcomes, and these inconsistencies appear related to how fidelity is defined. Across studies, definitions of fidelity were related to one or more dimensions, including adherence, competence/quality, and knowledge, with those measures that captured all three dimensions demonstrating the most consistency in the relation between fidelity and intervention outcomes. Although methodological limitations exist, increased precision in fidelity measurement will have positive implications for the widespread implementation of parenting programs.

当开发者和实践者将育儿干预从研究转化为实践时，提供者忠诚度和家长参与项目的显著异质性导致了观察到的干预有效性下降。尽管如此，关于提供者忠诚、父母参与和干预结果之间关系的实证研究很少，而且那些存在的研究结果也存在差异。这在一定程度上是由于保真度的定义、操作和测量方式的可变性。因此，遵循PRISMA-P指南，本综述阐明了提供者忠诚、父母参与和育儿干预结果之间的关系，特别强调了提供者忠诚是如何定义和测量的。系统检索得到264篇文章，其中25篇符合纳入标准。正如预期的那样，结果表明在提供者忠诚、父母参与和干预结果之间的关系存在不一致，而这些不一致似乎与如何定义忠诚有关。在所有研究中，保真度的定义与一个或多个维度相关，包括依从性、能力/质量和知识，那些捕获了所有三个维度的测量显示了保真度与干预结果之间关系的一致性。虽然存在方法上的局限性，但保真度测量精度的提高将对育儿计划的广泛实施产生积极影响。

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引用次数: 0

Five-factor personality traits and functional somatic disorder: A systematic review and meta-analysis 五因素人格特质与功能性躯体障碍：系统回顾与元分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102529

Thomas Tandrup Lamm , Victoria Von Schrottenberg , Anneline Rauch , Bo Bach , Heidi Frølund Pedersen , Mette Trøllund Rask , Eva Ørnbøl , Kaare Bro Wellnitz , Lisbeth Frostholm

Introduction

Functional Somatic Disorders (FSD) is an umbrella term for various conditions characterized by persistent and troublesome physical symptoms, that are not better explained by other psychiatric or somatic conditions. Personality traits may play a crucial role in FSD, but the link is not fully understood. This study presents a systematic review and meta-analysis examines the relationship between the Five-Factor Model (FFM) of personality traits and FSD.

Methods

The review was based on the PRISMA statement, and drew data from systematic searches in PsycInfo, PubMed, and Embase. To be eligible for inclusion, studies had to include eligible FSD groups and control groups and to assess FFM traits. Data were analyzed using random effects models. Sub-group and sensitivity analyses as well as meta-regression were used to explore the heterogeneity and robustness of findings.

Results

In total 6841 records were screened and 52 included. FSD cases scored higher on neuroticism (k = 46, Hedge's g = 0.72, [95 % CI, 0.61: 0.83]) and lower on extraversion (k = 31, g = −0.41, [−0.55:-0.28]) and agreeableness (k = 15, g = −0.22, [−0.36:-0.09]) than healthy/unspecified controls. FSD cases scored higher on neuroticism (k = 9, g = 0.26 [0.08:0.44]) and agreeableness (k = 4, g = 0.43 [0.28:0.59]) than somatic controls, but did not differ on extraversion (k = 6, g = −0.17 [−0.45:0.11]). No significant differences were found for conscientiousness and openness. For psychiatric controls, meta-analysis was only possible for neuroticism (k = 3,= −0.61, [−1.98:0.77]). Findings displayed significant heterogeneity but no publication bias.

Conclusions

This review reveals significant associations between FFM traits and FSD, providing insight into the etiology, classification, and management of FSD.

功能性躯体疾病（FSD）是一个总称，涵盖了以持续和麻烦的身体症状为特征的各种疾病，这些症状不能用其他精神或躯体疾病更好地解释。性格特征可能在FSD中起着至关重要的作用，但两者之间的联系尚不完全清楚。本研究对人格特质的五因素模型（FFM）与FSD之间的关系进行了系统回顾和meta分析。

{"title":"Five-factor personality traits and functional somatic disorder: A systematic review and meta-analysis","authors":"Thomas Tandrup Lamm , Victoria Von Schrottenberg , Anneline Rauch , Bo Bach , Heidi Frølund Pedersen , Mette Trøllund Rask , Eva Ørnbøl , Kaare Bro Wellnitz , Lisbeth Frostholm","doi":"10.1016/j.cpr.2024.102529","DOIUrl":"10.1016/j.cpr.2024.102529","url":null,"abstract":"<div><h3>Introduction</h3><div>Functional Somatic Disorders (FSD) is an umbrella term for various conditions characterized by persistent and troublesome physical symptoms, that are not better explained by other psychiatric or somatic conditions. Personality traits may play a crucial role in FSD, but the link is not fully understood. This study presents a systematic review and meta-analysis examines the relationship between the Five-Factor Model (FFM) of personality traits and FSD.</div></div><div><h3>Methods</h3><div>The review was based on the PRISMA statement, and drew data from systematic searches in PsycInfo, PubMed, and Embase. To be eligible for inclusion, studies had to include eligible FSD groups and control groups and to assess FFM traits. Data were analyzed using random effects models. Sub-group and sensitivity analyses as well as meta-regression were used to explore the heterogeneity and robustness of findings.</div></div><div><h3>Results</h3><div>In total 6841 records were screened and 52 included. FSD cases scored higher on neuroticism (<em>k</em> = 46, Hedge's <em>g</em> = 0.72, [95 % CI, 0.61: 0.83]) and lower on extraversion (<em>k</em> = 31, <em>g</em> = −0.41, [−0.55:-0.28]) and agreeableness (<em>k</em> = 15, <em>g</em> = −0.22, [−0.36:-0.09]) than healthy/unspecified controls. FSD cases scored higher on neuroticism (<em>k</em> = 9, <em>g</em> = 0.26 [0.08:0.44]) and agreeableness (<em>k</em> = 4, <em>g</em> = 0.43 [0.28:0.59]) than somatic controls, but did not differ on extraversion (<em>k</em> = 6, <em>g</em> = −0.17 [−0.45:0.11]). No significant differences were found for conscientiousness and openness. For psychiatric controls, meta-analysis was only possible for neuroticism (<em>k</em> = 3,= −0.61, [−1.98:0.77]). Findings displayed significant heterogeneity but no publication bias.</div></div><div><h3>Conclusions</h3><div>This review reveals significant associations between FFM traits and FSD, providing insight into the etiology, classification, and management of FSD.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"Article 102529"},"PeriodicalIF":13.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142849248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of mental health conditions, substance use disorders, suicidal ideation and attempts, and experiences of homelessness among Veterans with criminal-legal involvement: A meta-analysis 退伍军人的精神健康状况、物质使用障碍、自杀意念和企图以及无家可归经历的流行：一项荟萃分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-01 DOI: 10.1016/j.cpr.2024.102533

Emily R. Edwards , Anthony Fortuna , Ryan Holliday , Helena Addison , Jack Tsai

Veterans with histories of criminal-legal system involvement are considered high-priority within Veterans Health Administration (VHA) and criminal-legal settings. Over several decades, a large literature has accumulated to study these Veterans' needs. To consolidate findings, this meta-analysis provides aggregated prevalence estimates of common mental health conditions, substance use disorders, suicidal thoughts and behaviors, and experiences of homelessness among Veterans with current or prior involvement with the United States criminal-legal system. A total of 79 samples encompassing over 1.2 million Veterans were analyzed. Results estimate 8 in 10 Veterans with criminal-legal involvement experience a mental health condition, 7 in 10 a substance use disorder, 1 in 10 a history of suicidal ideation, and 4 in 10 a history of homelessness. Veterans with current (versus prior) criminal-legal involvement had higher rates of alcohol use, drug use, and current homelessness. Samples consisting of Veterans with a history of incarceration and samples collected in non-VHA settings tended to have lower rates of psychosocial difficulty relative to samples consisting of Veterans with other forms of criminal-legal involvement or collected in VHA settings, respectively. Remaining gaps in the literature include research on criminal-legal involved Veterans under community supervision, and/or from demographic minority groups.

在退伍军人健康管理局（VHA）和刑事法律设置中，有刑事法律系统参与历史的退伍军人被认为是优先考虑的对象。几十年来，研究这些退伍军人需求的大量文献已经积累起来。为了巩固研究结果，本荟萃分析提供了目前或以前与美国刑事法律系统有关的退伍军人中常见精神健康状况、物质使用障碍、自杀想法和行为以及无家可归经历的总体流行估计。总共分析了79个样本，涵盖120多万退伍军人。结果估计，每10名有刑事法律问题的退伍军人中就有8人有精神健康问题，每10人中有7人有药物使用障碍，每10人中有1人有自杀念头，每10人中有4人有无家可归的历史。目前（与以前相比）有刑事法律行为的退伍军人饮酒、吸毒和目前无家可归的比例更高。有监禁史的退伍军人样本和在非VHA环境中收集的样本相对于有其他形式的刑事法律参与的退伍军人样本或在VHA环境中收集的样本，心理社会困难的发生率更低。文献中剩余的空白包括对社区监督下的退伍军人和/或人口少数群体的刑事法律研究。

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引用次数: 0

Do cognitive biases prospectively predict anxiety and depression? A multi-level meta-analysis of longitudinal studies

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-01-31 DOI: 10.1016/j.cpr.2025.102552

Lisa M.W. Vos , Inés Nieto , Yağmur Amanvermez , Tom Smeets , Jonas Everaert

Cognitive biases have been implicated in the etiology and maintenance of depression and anxiety, but their utility in predicting future symptoms remains debated. This meta-analysis aimed to estimate the overall effect size of their predictive effects and to identify moderators relevant to theory and methodology. The study protocol was pre-registered on PROSPERO (record number: CRD42021232236). Searches of PsycINFO, Web of Science, PubMed, PsyArXiv Preprints, and ProQuest Dissertations yielded 81 studies with 621 contrasts and 17,709 participants through December 2024. The methodological quality of the included studies was evaluated using the Quality In Prognosis Studies (QUIPS) tool. Results from a three-level meta-analysis revealed a small overall effect size (β = 0.04, 95 %-CI [0.02, 0.06], p < .001) and significant between- and within-study variance after removal of outliers. Equivalent effect sizes were found for the predictive utility of cognitive biases in children/adolescents and adults, for increased negative bias and decreased positive bias, and for anxiety and depression outcomes. The magnitude of the overall effect was moderated by the cognitive process, with significant effect sizes for interpretation bias and memory bias but not for attention bias. These findings support the predictive role of cognitive biases in anxiety and depression, with interpretation and memory biases emerging as key markers. These findings have implications for cognitive theories of depression and anxiety and for clinical interventions.

{"title":"Do cognitive biases prospectively predict anxiety and depression? A multi-level meta-analysis of longitudinal studies","authors":"Lisa M.W. Vos , Inés Nieto , Yağmur Amanvermez , Tom Smeets , Jonas Everaert","doi":"10.1016/j.cpr.2025.102552","DOIUrl":"10.1016/j.cpr.2025.102552","url":null,"abstract":"<div><div>Cognitive biases have been implicated in the etiology and maintenance of depression and anxiety, but their utility in predicting future symptoms remains debated. This meta-analysis aimed to estimate the overall effect size of their predictive effects and to identify moderators relevant to theory and methodology. The study protocol was pre-registered on PROSPERO (record number: CRD42021232236). Searches of PsycINFO, Web of Science, PubMed, PsyArXiv Preprints, and ProQuest Dissertations yielded 81 studies with 621 contrasts and 17,709 participants through December 2024. The methodological quality of the included studies was evaluated using the Quality In Prognosis Studies (QUIPS) tool. Results from a three-level meta-analysis revealed a small overall effect size (<em>β</em> = 0.04, 95 %-CI [0.02, 0.06], <em>p <</em> .001) and significant between- and within-study variance after removal of outliers. Equivalent effect sizes were found for the predictive utility of cognitive biases in children/adolescents and adults, for increased negative bias and decreased positive bias, and for anxiety and depression outcomes. The magnitude of the overall effect was moderated by the cognitive process, with significant effect sizes for interpretation bias and memory bias but not for attention bias. These findings support the predictive role of cognitive biases in anxiety and depression, with interpretation and memory biases emerging as key markers. These findings have implications for cognitive theories of depression and anxiety and for clinical interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102552"},"PeriodicalIF":13.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing gambling harm to affected others: A scoping review (Part I: Prevalence, socio-demographic profiles, gambling profiles, and harm)

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-01-20 DOI: 10.1016/j.cpr.2025.102542

N.A. Dowling , C.O. Hawker , S.S. Merkouris , S.N. Rodda , D.C. Hodgins

Awareness is growing that gambling harm can affect social networks, including family members and friends. This scoping review broadly aimed to examine contemporary research on gambling harm to adult affected others, covering prevalence, socio-demographic profiles, gambling profiles, and harm (Part I); and coping strategies, assessment, and treatment (Part II). A systematic search of electronic databases identified 121 studies published from 2000, 88 of which related to prevalence (9.9 %), socio-demographic profiles (6.6 %), gambling profiles (4.1 %), and harm (71.9 %). Prevalence estimates in the general population ranged from 4.5 %–21.2 %, though these may overstate direct harm by focusing on exposure to problem gambling. Socio-demographic profiles are mixed, but women are more often affected family members and men are more often affected close friends. Affected others also have higher gambling participation and problems than non-affected individuals. Gambling problems harm an average of six others, who experience an average of seven harms, many of which persist beyond problem resolution, resulting in reduced quality of life. Studies consistently identified harm across multiple domains of harm, with emotional and relationship harms the most common, followed by financial and health harms. Harms were consistently identified using measures with and without direct reference to gambling, but equivocal findings were most evident in research employing standardised measures that did not directly reference gambling. There was some discordance in harm perceptions between gamblers and affected others, suggesting differing family experiences. These findings highlight the need for targeted action by governments, industry, researchers, and service providers to protect affected others from gambling-related harm.

{"title":"Addressing gambling harm to affected others: A scoping review (Part I: Prevalence, socio-demographic profiles, gambling profiles, and harm)","authors":"N.A. Dowling , C.O. Hawker , S.S. Merkouris , S.N. Rodda , D.C. Hodgins","doi":"10.1016/j.cpr.2025.102542","DOIUrl":"10.1016/j.cpr.2025.102542","url":null,"abstract":"<div><div>Awareness is growing that gambling harm can affect social networks, including family members and friends. This scoping review broadly aimed to examine contemporary research on gambling harm to adult affected others, covering prevalence, socio-demographic profiles, gambling profiles, and harm (Part I); and coping strategies, assessment, and treatment (Part II). A systematic search of electronic databases identified 121 studies published from 2000, 88 of which related to prevalence (9.9 %), socio-demographic profiles (6.6 %), gambling profiles (4.1 %), and harm (71.9 %). Prevalence estimates in the general population ranged from 4.5 %–21.2 %, though these may overstate direct harm by focusing on exposure to problem gambling. Socio-demographic profiles are mixed, but women are more often affected family members and men are more often affected close friends. Affected others also have higher gambling participation and problems than non-affected individuals. Gambling problems harm an average of six others, who experience an average of seven harms, many of which persist beyond problem resolution, resulting in reduced quality of life. Studies consistently identified harm across multiple domains of harm, with emotional and relationship harms the most common, followed by financial and health harms. Harms were consistently identified using measures with and without direct reference to gambling, but equivocal findings were most evident in research employing standardised measures that did not directly reference gambling. There was some discordance in harm perceptions between gamblers and affected others, suggesting differing family experiences. These findings highlight the need for targeted action by governments, industry, researchers, and service providers to protect affected others from gambling-related harm.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102542"},"PeriodicalIF":13.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A meta-analysis of mortality rates in eating disorders: An update of the literature from 2010 to 2024

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-01-12 DOI: 10.1016/j.cpr.2025.102547

Isabel Krug , Shanshan Liu , Jade Portingale , Sarah Croce , Beya Dar , Katrina Obleada , Veena Satheesh , Meila Wong , Matthew Fuller-Tyszkiewicz

Elevated mortality rates have been reported in individuals with eating disorders (EDs). However, no meta-analysis in the past decade has provided an updated, comprehensive synthesis of mortality across all ED diagnoses while exploring potential moderating factors. We conducted a systematic search in four databases (PsycINFO, MEDLINE, Embase and Web of Science) from 2010 to 29 Oct 2024. Studies that reported standardized mortality ratios (SMRs) in individuals with a diagnosed ED (including formal diagnoses and self-reports) were included. Random-effects meta-analyses were conducted to pool estimates across studies. Meta-regression was conducted to examine predictors of heterogeneity. Meta-analysis of SMRs of effect sizes revealed elevated mortality risk for individuals with an ED (regardless of ED subtype); weighted SMR = 3.39 (95 % CIs: 2.90, 3.95), p < .001, I² = 95.1 %, Q_(df=73) = 1492.39, p < .001. SMRs were highest for individuals with anorexia nervosa (5.21; k = 30), followed by eating disorder not otherwise specified (2.51; k = 8); bulimia nervisa (2.20; k = 18) and binge eating disorder (1.46; k = 3). Individuals with EDs demonstrate markedly heightened mortality rates, especially among those with anorexia nervosa. Our findings are crucial for identifying key factors influencing mortality in EDs, guiding targeted interventions to reduce preventable deaths.

{"title":"A meta-analysis of mortality rates in eating disorders: An update of the literature from 2010 to 2024","authors":"Isabel Krug , Shanshan Liu , Jade Portingale , Sarah Croce , Beya Dar , Katrina Obleada , Veena Satheesh , Meila Wong , Matthew Fuller-Tyszkiewicz","doi":"10.1016/j.cpr.2025.102547","DOIUrl":"10.1016/j.cpr.2025.102547","url":null,"abstract":"<div><div>Elevated mortality rates have been reported in individuals with eating disorders (EDs). However, no meta-analysis in the past decade has provided an updated, comprehensive synthesis of mortality across all ED diagnoses while exploring potential moderating factors. We conducted a systematic search in four databases (PsycINFO, MEDLINE, Embase and Web of Science) from 2010 to 29 Oct 2024. Studies that reported standardized mortality ratios (SMRs) in individuals with a diagnosed ED (including formal diagnoses and self-reports) were included. Random-effects meta-analyses were conducted to pool estimates across studies. Meta-regression was conducted to examine predictors of heterogeneity. Meta-analysis of SMRs of effect sizes revealed elevated mortality risk for individuals with an ED (regardless of ED subtype); weighted SMR = 3.39 (95 % CIs: 2.90, 3.95), <em>p</em> < .001, I<sup>2</sup> = 95.1 %, Q<sub>(df=73)</sub> = 1492.39, <em>p</em> < .001. SMRs were highest for individuals with anorexia nervosa (5.21; k = 30), followed by eating disorder not otherwise specified (2.51; k = 8); bulimia nervisa (2.20; k = 18) and binge eating disorder (1.46; k = 3). Individuals with EDs demonstrate markedly heightened mortality rates, especially among those with anorexia nervosa. Our findings are crucial for identifying key factors influencing mortality in EDs, guiding targeted interventions to reduce preventable deaths.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"116 ","pages":"Article 102547"},"PeriodicalIF":13.7,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0