Clinical Psychology Review最新文献_第10页

A synthesis of meta-analyses of immersive virtual reality interventions in pain 沉浸式虚拟现实干预疼痛的综合元分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-03-05 DOI: 10.1016/j.cpr.2025.102566

Tessa Rooney , Louise Sharpe , Natalie Winiarski , Jemma Todd , Ben Colagiuri , Dimitri Van Ryckeghem , Geert Crombez , Stefan C. Michalski

The severity and impact of pain can vary greatly, even in individuals with the same physical injury. This variation underscores the need for a variety of treatment strategies in effective pain management. Virtual reality (VR) is an emerging technology that has been used as a treatment in diverse pain populations and for diverse indications. In recent decades, many trials, systematic reviews, and meta-analyses have examined the impact of VR for pain management. While there is some evidence for efficacy in terms of distraction, pre-exposure, and physical therapy; populations, comparators and interventions differ significantly between existing meta-analyses. Thus, the present umbrella review was conducted to determine the overall strength of evidence for all identified populations, comparators, and interventions by synthesising available meta-analyses. Fifty-four meta-analyses reporting on the effect of immersive VR interventions in pain management were identified. Overall, VR interventions appeared efficacious for procedural pain conditions, where used for distraction, and when compared to standard care. While there was some evidence for efficacy in chronic pain populations, this only indicated short-term improvement in pain intensity. We also identified numerous areas for future research wherein the available results were inconclusive, such as examining long term interventions and outcomes for chronic pain populations, reporting of adverse events, and examining the efficacy of VR interventions designed for physical therapy, augmented cognitive therapies, or pre-exposure.

疼痛的严重程度和影响可能会有很大差异，即使是身体受到同样伤害的人。这种差异凸显了有效的疼痛管理需要多种治疗策略。虚拟现实（VR）是一种新兴技术，已被用于不同疼痛人群和不同适应症的治疗。近几十年来，许多试验、系统综述和荟萃分析研究了虚拟现实技术对疼痛治疗的影响。虽然在分散注意力、预暴露和物理治疗方面有一些疗效证据，但现有的荟萃分析在人群、比较对象和干预措施方面存在很大差异。因此，本综述通过综合现有的荟萃分析，确定了所有已确定人群、参照物和干预措施的总体证据强度。54项荟萃分析报告了身临其境的 VR 干预对疼痛管理的影响。总体而言，VR 干预似乎对程序性疼痛有疗效，可用于分散注意力，并可与标准护理进行比较。虽然有一些证据表明对慢性疼痛人群有效，但这只表明疼痛强度得到了短期改善。我们还发现了许多有待未来研究的领域，这些领域的现有研究结果尚无定论，例如研究慢性疼痛人群的长期干预措施和结果、不良事件报告，以及研究为物理治疗、增强认知疗法或预暴露而设计的 VR 干预措施的疗效。

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引用次数: 0

Puberty and ADHD: A scoping review and framework for future research 青春期与注意力缺陷多动症：未来研究的范围回顾和框架

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-03-05 DOI: 10.1016/j.cpr.2025.102567

Emily Friedel , Nandi Vijayakumar , Lexy Staniland , Timothy J. Silk

Individuals with ADHD may experience puberty differently from their peers, which has implications for their health and wellbeing. This scoping review characterised and summarised literature reporting quantitative analyses of puberty and ADHD. To identify studies, nine databases (MEDLINE Complete, Web of Science, Embase, PsycInfo, ERIC, CENTRAL, PsycExtra, WHO ICTRP, and ProQuest Dissertations & Theses) were searched using key terms related to puberty/pubertal hormones and ADHD/ADHD traits. From 2795 initial records, 89 studies were eligible. Relevant analyses in included studies were categorised under five topics: 1) pubertal group comparisons between participants with ADHD and control participants; 2) associations between puberty and ADHD; 3) prevalence of ADHD in atypical puberty conditions; 4) ADHD medication effects on puberty; and 5) puberty and co-occurring psychological conditions. With some exceptions, summarised findings for each topic were generally inconsistent, indicating further well-planned primary studies are needed. A framework for future research is provided, recommending methodological improvements, including use of approaches that capture the complexities of puberty and ADHD, more inclusive sampling, and employing theories/models that recognise dynamics between puberty, psychological, social, and other biological factors. Additionally, it is recommended that research priorities in this area are identified in collaboration with key stakeholders, especially the ADHD community.

多动症患者的青春期经历可能与同龄人不同，这对他们的健康和幸福产生了影响。本范围界定综述对报告青春期和多动症定量分析的文献进行了特征描述和总结。为了确定研究内容，我们使用与青春期/青春期激素和多动症/ADHD 特征相关的关键术语检索了九个数据库（MEDLINE Complete、Web of Science、Embase、PsycInfo、ERIC、CENTRAL、PsycExtra、WHO ICTRP 和 ProQuest Dissertations & Theses）。在 2795 条初始记录中，有 89 项研究符合条件。纳入研究的相关分析分为五个主题：1）青春期多动症患者与对照组患者的比较；2）青春期与多动症之间的关联；3）非典型青春期多动症的患病率；4）多动症药物对青春期的影响；5）青春期与共存的心理状况。除个别情况外，每个主题的研究结果总结一般都不一致，这表明需要进一步开展计划周密的初步研究。报告提供了一个未来研究框架，建议改进研究方法，包括采用能反映青春期和多动症复杂性的方法、更具包容性的取样方法，以及采用能认识到青春期、心理、社会和其他生物因素之间动态关系的理论/模型。此外，建议与主要利益相关者，特别是多动症群体合作，确定该领域的研究重点。

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引用次数: 0

Ecological Momentary Assessment in psychotherapy research: A systematic review 心理治疗研究中的生态瞬时评估：系统回顾

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-28 DOI: 10.1016/j.cpr.2025.102565

Fabienne Mink , Wolfgang Lutz , Miriam I. Hehlmann

Ecological Momentary Assessment (EMA) stands as a valuable method to capture real-time data on individuals' daily experiences and behaviors. In recent years, the utilization of EMA as a measurement method has substantially increased with the majority of studies emphasizing its clinical utility. However, a comprehensive overview of its use in psychotherapy research is lacking. This study addresses that gap by systematically reviewing EMA's application in psychotherapy research. In total, 168 studies met the inclusion criteria and were classified according to clinical utilization. Six areas of clinical EMA application were identified: prediction of therapy outcome (n = 8), prediction of psychopathology (n = 40), prediction of biopsychosocial states (n = 44), evaluation of therapy outcome (n = 21), acquisition of further clinical insights into specific disorders (n = 68) and adaptation of treatment processes (n = 18). Despite studies consistently highlighting EMA's potential in tailoring psychotherapeutic treatments, its limited use in this area warrants further research. Drawing from our findings, we discuss future research directions for the direct application of EMA in psychotherapeutic settings.

生态瞬间评估（EMA）是一种获取个人日常经验和行为实时数据的重要方法。近年来，EMA 作为一种测量方法的使用率大幅提高，大多数研究都强调了它的临床实用性。然而，关于其在心理治疗研究中的应用却缺乏全面的概述。本研究通过系统回顾 EMA 在心理治疗研究中的应用，填补了这一空白。共有 168 项研究符合纳入标准，并根据临床应用情况进行了分类。研究确定了 EMA 临床应用的六个领域：治疗结果预测（8 项）、心理病理学预测（40 项）、生物心理社会状态预测（44 项）、治疗结果评估（21 项）、获得对特定疾病的进一步临床见解（68 项）和治疗过程调整（18 项）。尽管不断有研究强调 EMA 在定制心理治疗方面的潜力，但其在这一领域的有限应用仍值得进一步研究。根据我们的研究结果，我们讨论了在心理治疗环境中直接应用 EMA 的未来研究方向。

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引用次数: 0

The experience and role of dissociation in psychosis following developmental trauma: A systematic review 发展性创伤后精神分裂症的经验和作用：系统回顾

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-02-26 DOI: 10.1016/j.cpr.2025.102564

Eirini Aikaterini Melegkovits , Rui Tang , Olivia Pounds , Katie Ashcroft , Paul Jung , Helen Kennerley , Peter Fonagy , Michael Bloomfield

Developmental trauma (DT), defined as abuse or neglect before age 18, is linked with elevated risk and poorer outcomes in psychosis. This systematic review aimed to elucidate the relationship between DT and dissociation in psychosis and discern the potential mediating role of dissociation in the link between DT and psychotic manifestations. Our study protocol was pre-registered with PROSPERO (CRD42022330026). We adopted broad criteria, including a variety of methodologies exploring dissociation post-DT in individuals exhibiting psychosis or psychotic features. Risk of bias was assessed for all included studies. Our review incorporated 40 studies, totalling 6941 participants. A significant moderate association was observed between DT and dissociation (r = 0.33 (95 %CI: 0.28–0.38)), underscored by dose-response effects. Sexual and emotional abuse demonstrated the most robust associations with dissociation. Individuals with psychosis and DT reported elevated dissociation relative to their non-traumatized counterparts. Dissociation mediated the link between DT and positive psychotic symptoms, notably hallucinations, across clinical and general populations. Five studies pinpointed dissociation's mediating role in tying DT to paranoia and delusional ideation. The review delves into clinical considerations, emphasizing screening for psychotic and dissociative symptoms in DT survivors, and outlining dissociation management strategies. Future research, employing longitudinal, qualitative, and experimental approaches, remains paramount.

发育性创伤（DT）是指 18 岁以前受到的虐待或忽视，它与精神病的高风险和不良后果有关。本系统性综述旨在阐明 DT 与精神病患者解离之间的关系，并揭示解离在 DT 与精神病表现之间的潜在中介作用。我们的研究方案已在 PROSPERO（CRD42022330026）上预先注册。我们采用了宽泛的标准，包括各种探索 DT 后表现出精神病或精神病特征的个体的解离的方法。我们对所有纳入的研究进行了偏倚风险评估。我们的综述纳入了 40 项研究，共计 6941 名参与者。我们观察到 DT 与解离之间存在明显的中度关联（r = 0.33 (95 %CI: 0.28-0.38)），并强调了剂量反应效应。性虐待和情感虐待与解离之间的关系最为密切。与未受过创伤的人相比，患有精神病和 DT 的人报告的解离程度更高。在临床和普通人群中，解离在 DT 和阳性精神病症状（尤其是幻觉）之间起中介作用。有五项研究指出，解离在将 DT 与偏执狂和妄想症联系在一起时起到了中介作用。综述深入探讨了临床注意事项，强调要筛查 DT 幸存者的精神病和分离症状，并概述了分离管理策略。采用纵向、定性和实验方法进行未来研究仍然至关重要。

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引用次数: 0

Individuals with minoritized and intersecting identities in the prevention of body image and eating disorder pathology: Grounding theoretical frameworks of resilience and risk 在预防身体形象和饮食失调病理方面具有少数和交叉身份的个体：弹性和风险的基础理论框架

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.

具有交叉边缘身份的个体经历身体形象和饮食病理的比例高得不成比例。迄今为止，由于缺乏总体和指导性框架来支持假设驱动的研究和对研究结果的解释，这一领域的研究受到限制。这构成了理论上有根据的干预策略发展的一个重要障碍。在这篇文章中，我们回顾了与边缘化个体身体形象和饮食病理调查相关的理论框架，使用交叉镜头，并考虑风险和弹性的过程如何在多个层面展开。我们描述了宏观系统（例如，结构性种族主义，资本主义，父权制），外部系统（例如，食品环境，社交媒体，大众媒体）和微观系统（例如，家庭，同伴）层面的因素。在宏观系统层面，我们回顾了关键的种族理论和那些阐明维持权力、特权和压迫的系统的作用的理论，这些理论描述了系统性歧视做法如何导致边缘化个体在概念化、识别、预防和治疗身体形象和饮食病理的努力中被忽视。在外系统层面，被边缘化的个体经历了更高的社会经济压力和相关资源的缺乏，这可能会影响身体形象和饮食病理。此外，社会文化理论关注的是，在白人外表理想得到维护的同时，可见的边缘身份是如何受到歧视的。在微观系统层面，我们回顾了社会文化和少数民族压力理论，这些理论解释了人际代理如何使压迫性话语永续，以及边缘化个体如何经历影响身体形象和饮食病理的负面人际体验。我们提供了一个全面的理论框架，以指导未来的研究分布和不公平的身体形象和饮食病理在边缘人群中的决定因素。

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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 过去30年认知行为治疗焦虑症的随机对照研究的效应量

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.

认知行为疗法（CBT）是一种有效的治疗焦虑症的方法，在过去30年进行的许多随机对照试验（rct）中得到了证明。目的研究CBT效应量随时间的变化，检验出版年份是否为显著调节因子。数据来源我们汇集了三个先前发表的荟萃分析的研究，并检索了三个电子数据库（PubMed, PsychINFO, Web of Science），以确定2022年2月1日至2025年1月24日期间发表的任何其他研究。最终的分析包括49项研究，共有3645名参与者。研究选择：我们选择比较CBT治疗焦虑症与心理或药物控制条件的随机对照试验。数据提取两个独立的评分者使用预定义的数据字段，包括研究质量指标。所有比较CBT与对照组的随机对照试验的平均效应值显示，Hedges' g为0.51,95% CI[0.40, 0.62]，诊断组之间的效应值存在显著差异。非受控的前后效应大小计算显示CBT的影响很大，Hedges' g = 1.18, 95% CI[1.01, 1.34]，而对照条件的影响中等，Hedges' g = 0.59, 95% CI[0.47, 0.70]。对出版年份效应量的线性元回归（Hedges g）显示，与过去30年的对照条件相比，效应量没有显著变化（B = - 0.008, SE = 0.006, t(47) = - 1.18, p = 0.24）。结论虽然CBT是一种有效的治疗焦虑症的方法，但在过去的30年里，其效应量并没有增加。这就需要对治疗改变的过程进行研究，以提高CBT的疗效。

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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