Clinical Psychology Review最新文献_第3页

On the role of neural error monitoring in clinical research: An integrative model of altered error-related brain activity and psychopathology 神经错误监测在临床研究中的作用：改变错误相关的脑活动和精神病理的综合模型

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1016/j.cpr.2025.102673

Kai Härpfer, Anja Riesel

Human learning and as a result, the improvement of cognitive and behavioral performance, relies heavily on the ability of the brain to monitor errors. Event-related potentials such as the error-related negativity (ERN) enable us to observe and measure these brain processes. Meta-analytical evidence indicates that a trait-like attenuated ERN may serve as a biomarker for externalizing and thought disorders, whereas an elevated ERN is associated with increased risk for internalizing disorders. In this review, we synthesize previous research and propose an integrative model of error-related brain activity and psychopathology, highlighting the role of an altered ERN as a risk marker and its trajectories toward clinical symptoms. Early shaping factors during childhood and adolescence (i.e., genetics, gender/sex, cognition, temperament, and the psychosocial environment) contribute to a trait-like hypo- or hyperactive error monitoring system that reflects vulnerability to mental health impairments. The translation from vulnerability to psychopathology is further catalyzed by individual factors (i.e., gender/sex/hormones and temperament/personality traits) as well as environmental influences (i.e., susceptibility to adverse life events and interpersonal stress). Underlying latent symptom dimensions along the lines of threat sensitivity and risk tolerance, may explain why only certain clinical phenotypes are associated with altered ERN amplitudes. Overall, our integrative model provides a framework for future research to further investigate each of these associations, the directions of effects, or even entire pathways. Moreover, a neurobiological understanding of psychopathology may inform the development of tailored and personalized interventions.

人类的学习以及认知和行为表现的改善，在很大程度上依赖于大脑监控错误的能力。事件相关电位，如错误相关负性电位（ERN）使我们能够观察和测量这些大脑过程。荟萃分析证据表明，特征样的减弱的ERN可能作为外化和思维障碍的生物标志物，而升高的ERN与内化障碍的风险增加有关。在这篇综述中，我们综合以往的研究，提出了一个错误相关的大脑活动和精神病理的综合模型，强调了改变的ERN作为风险标志物的作用及其对临床症状的影响。儿童和青少年时期的早期塑造因素（即遗传、性别/性别、认知、气质和社会心理环境）有助于形成一个类似特质的低活跃或多活跃的错误监测系统，该系统反映了对精神健康损害的脆弱性。个体因素（即性别/性/激素和气质/人格特征）以及环境影响（即对不良生活事件和人际压力的易感性）进一步催化了从脆弱性到精神病理学的转化。潜在症状维度沿着威胁敏感性和风险承受能力的路线，可以解释为什么只有某些临床表型与改变的ERN振幅相关。总的来说，我们的综合模型为未来的研究提供了一个框架，以进一步研究这些关联，影响的方向，甚至整个途径。此外，对精神病理学的神经生物学理解可以为量身定制和个性化干预的发展提供信息。

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引用次数: 0

Intellectual achievement and cognitive functioning in children and adolescents with ADHD-affected siblings: A systematic literature review and meta-analysis 患有adhd兄弟姐妹的儿童和青少年的智力成就和认知功能：系统的文献回顾和荟萃分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-12-09 DOI: 10.1016/j.cpr.2025.102688

Ari Alex Ramos , Vinícius Boaventura , Alanis Aparecida Nascimento , Luana Lopes Rocha Leite , Liana Machado

Background

Emerging literature suggests that neurocognitive traits commonly observed in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are present, albeit to a lesser degree, in their non-ADHD siblings. This meta-analytic review aimed to quantitatively summarize intellectual and cognitive performance differences between children and adolescents without ADHD and both their ADHD-diagnosed siblings and unrelated peers without ADHD.

Methods

We implemented strategic search algorithms in four indexing databases (PubMed/MEDLINE, Web of Science, PsycINFO, and ProQuest) to retrieve potentially eligible reports published up to 5^th June 2025. Meta-analyses were conducted using three-level hierarchical models to account for the dependency among effect sizes derived from the same study. Between-group differences in intellectual and cognitive scores were quantified using standardized mean differences (SMD). Moreover, we assessed the robustness of the findings by testing for potential small-study effects.

Results

Based on 404 unique effect sizes derived from 32 studies, involving a total of 8873 participants, the current results demonstrate that the overall cognitive-intellectual performance of siblings surpasses their ADHD-affected siblings (SMD = 0.30, 95 % CI [0.23, 0.38]), but falls short of unrelated peers (SMD = −0.28, 95 % CI [−0.35, −0.21]). This suggests that non-ADHD siblings exhibit an intermediate neurocognitive profile between their ADHD-affected siblings and peers without ADHD. Notably, we observed this pattern of results consistently across the major cognitive categories examined (intellectual functioning, attention and perceptual-temporal processing, memory, and executive functions). Importantly, no evidence of small-study effects was found.

Conclusion

The current findings provide robust support for cognitive-intellectual vulnerabilities in siblings of ADHD-diagnosed children and adolescents, possibly accounted for by genetic inheritance, shared environmental influences, and gene-environment interactions.

背景：越来越多的文献表明，在患有注意力缺陷多动障碍（ADHD）的儿童和青少年中普遍观察到的神经认知特征，在他们的非注意力缺陷多动障碍兄弟姐妹中存在，尽管程度较轻。本荟萃分析综述旨在定量总结无ADHD儿童和青少年与其诊断为ADHD的兄弟姐妹和无ADHD的非亲属同龄人之间的智力和认知表现差异。方法在四个索引数据库（PubMed/MEDLINE、Web of Science、PsycINFO和ProQuest）中实施战略搜索算法，检索2025年6月5日前发表的潜在符合条件的报告。荟萃分析使用三级层次模型来解释来自同一研究的效应大小之间的依赖性。使用标准化平均差异（SMD）量化智力和认知评分的组间差异。此外，我们通过测试潜在的小型研究效应来评估研究结果的稳健性。基于来自32项研究的404个独特效应大小，涉及8873名参与者，目前的结果表明，兄弟姐妹的整体认知智力表现超过了患有adhd的兄弟姐妹（SMD = 0.30, 95% CI[0.23, 0.38]），但低于不相关的同龄人（SMD = - 0.28, 95% CI[- 0.35, - 0.21]）。这表明，在患有ADHD的兄弟姐妹和没有ADHD的同龄人之间，非ADHD的兄弟姐妹表现出一种中间的神经认知特征。值得注意的是，我们在主要的认知类别（智力功能、注意力和感知时间处理、记忆和执行功能）中观察到这种结果模式是一致的。重要的是，没有发现小型研究效应的证据。结论目前的研究结果为adhd儿童和青少年的兄弟姐妹认知智力缺陷提供了强有力的支持，这可能与基因遗传、共同环境影响和基因-环境相互作用有关。

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引用次数: 0

What about the family in intrafamilial child sexual abuse? There is significantly more familial dysfunction in families with intrafamilial child sexual abuse than in other families 家庭内部儿童性虐待中的家庭呢？有家庭内部儿童性虐待的家庭比其他家庭有更多的家庭功能障碍

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.cpr.2025.102690

Frederica M. Martijn , Nicholas Blagden , Thom Baguley , Elisabeth J. Leroux , Jennifer Mackay , Michael C. Seto

There are important scientific gaps in the understanding of the role of familial dysfunction in intrafamilial child sexual abuse perpetration and victimisation. We present the findings of a systematic review and a comparative (k = 18) and prevalence (k = 39) meta-analysis of intrafamilial child sexual abuse and familial dysfunction. We compared 3676 families in which intrafamilial child sexual abuse had occurred with 1120 families in which extrafamilial and 1145 families in which no (intrafamilial) child sexual abuse had occurred. We found that families with intrafamilial child sexual abuse experienced more familial dysfunction across all domains compared to comparison families, with odds ratios ranging from 1.10 (lower educational attainment) to 5.06 (parental alcohol abuse). Families with intrafamilial child sexual abuse experienced more socio-ecological stressors (e.g., homelessness), disorganised family structures (e.g., non-intact parental structures), dysfunctional relationships (e.g., spousal conflict), nonsexual abuse (e.g., exposure to intimate partner violence), and parental vulnerabilities (e.g., mental health and substance abuse problems) than the comparison families. The prevalence meta-analysis indicated that almost half of the families with intrafamilial child sexual abuse also experienced one or more co-occurring forms of nonsexual abuse – 48 % physical abuse, 37 % emotional abuse, 34 % neglect, and 42 % exposure to intimate partner violence – and that this was significantly higher than the comparison families. The results of this meta-analysis highlight gaps and directions for further research on the role of familial dysfunction in intrafamilial child sexual abuse, and the aetiology and prognosis of polyvictimisation.

在理解家庭功能障碍在家庭内儿童性虐待发生和受害中的作用方面存在重要的科学空白。我们提出了一项关于家庭内儿童性虐待和家庭功能障碍的系统综述和比较（k = 18）和流行（k = 39）荟萃分析的发现。我们比较了3676个发生过家庭内儿童性虐待的家庭与1120个发生过家庭外儿童性虐待的家庭和1145个没有发生过（家庭内）儿童性虐待的家庭。我们发现，与比较家庭相比，有家庭内部儿童性虐待的家庭在所有领域都经历了更多的家庭功能障碍，比值比从1.10（教育程度较低）到5.06（父母酗酒）不等。与比较家庭相比，有家庭内部儿童性虐待的家庭经历了更多的社会生态压力因素（如无家可归）、无组织的家庭结构（如不完整的父母结构）、功能失调的关系（如配偶冲突）、非性虐待（如暴露于亲密伴侣暴力）和父母脆弱性（如精神健康和药物滥用问题）。流行的荟萃分析表明，几乎一半的家庭内部儿童性虐待的家庭也经历了一种或多种形式的非性虐待并存- 48%的身体虐待，37%的情感虐待，34%的忽视，42%的接触亲密伴侣暴力-这明显高于比较家庭。本荟萃分析的结果突出了家庭功能障碍在家庭内儿童性虐待中的作用以及多重受害的病因和预后方面的差距和进一步研究的方向。

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引用次数: 0

Mechanisms linking cyberbullying victimisation to internalising problems in youth: A systematic review and meta-analytic structural equation modelling 将网络欺凌受害与青少年内化问题联系起来的机制：系统回顾和元分析结构方程模型

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1016/j.cpr.2025.102672

Yixuan Li, Yuhui Liu, Monja Knoll, Ingrid Obsuth

There is a growing body of evidence indicating that cyberbullying victimisation (CV) among youth is associated with internalising problems, such as depression, anxiety, non-suicidal self-injury (NSSI) and suicidality. Despite numerous individual studies examining the mechanisms linking CV to internalising problems, no meta-analyses have systematically synthesised the evidence on mediating pathways, leaving a critical gap in understanding how CV is linked to these internalising problems. This systematic review and meta-analysis addressed this gap by identifying and synthesising key factors that influence the link between CV and internalising problems. We searched multiple databases, identifying 125 quantitative studies in English or Chinese that met our inclusion criteria. Our review categorised the mediators into emotional dysregulation, social support, cognitive processes, internalising problems, externalising problems and life stressors across cross-sectional and longitudinal studies with 260,608 participants from 33 countries. Separate meta-analytic structural equation modelling (MASEM) analyses revealed that emotional dysregulation, internalising problems, life stressors and social support partially mediated the impact of CV on depression/anxiety, and internalising problems partially mediated the association between CV and NSSI/suicidality. These findings highlight the need for prevention and intervention strategies focused on these mechanisms to improve youth mental well-being.

越来越多的证据表明，青少年的网络欺凌受害（CV）与内化问题有关，如抑郁、焦虑、非自杀性自伤（NSSI）和自杀。尽管有大量的个体研究考察了CV与内化问题之间的联系机制，但没有荟萃分析系统地综合了介导途径的证据，这在理解CV如何与这些内化问题联系起来方面留下了一个关键的空白。本系统综述和荟萃分析通过识别和综合影响CV与内化问题之间联系的关键因素来解决这一差距。我们检索了多个数据库，确定了125项符合纳入标准的中英文定量研究。我们对来自33个国家的260,608名参与者进行了横断面和纵向研究，将中介因素分为情绪失调、社会支持、认知过程、内化问题、外化问题和生活压力因素。独立的meta分析结构方程模型（MASEM）分析显示，情绪失调、内化问题、生活压力源和社会支持在CV对抑郁/焦虑的影响中起部分中介作用，内化问题在CV与自伤/自杀的关系中起部分中介作用。这些发现强调了预防和干预策略的必要性，重点关注这些机制，以改善青少年的心理健康。

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引用次数: 0

Harnessing Compañerismo: A systematic review of peer-delivered mental health support for depression and anxiety in Latino/a communities 利用Compañerismo：拉丁裔/非裔社区中同伴传递的抑郁症和焦虑症心理健康支持的系统回顾

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1016/j.cpr.2025.102674

Anahí Collado , Antonella Onofrietti Magrassi , Jennifer Hudson , Marian Ruiz

Latinas/os in the U.S. experience depression and anxiety at rates comparable to or exceeding national averages, yet face systemic barriers to mental health care, including language access, stigma, and provider shortages. This systematic review evaluated the state of the literature on peer-delivered mental health interventions for depression and anxiety among Latinas/os, synthesizing evidence from 36 studies (published between 2007 and 2025). Findings indicate that 72 % of peer-led programs significantly reduced depression and anxiety symptoms, with the highest efficacy observed for mental health-specific interventions (88 % success rate), interventions lasting eight or more sessions (82 %), community-based group interventions (81 %). Variability in peer training (4–60+ hours) and limited inclusion of anxiety-focused programs, men, adolescents, and rural populations highlight ongoing gaps. Results highlight that peer support is an effective, culturally responsive approach for improving depression and anxiety outcomes in Latino/a populations. Its scalability and alignment with community needs suggest that such interventions may also contribute to advancing mental health equity, particularly by reaching underserved groups. Policy and research should focus on standardized training, hybrid delivery models, and extending these programs to underserved regions and populations.

在美国，拉丁裔/非拉丁裔美国人经历抑郁和焦虑的比率相当于或超过全国平均水平，但在精神卫生保健方面面临系统性障碍，包括语言获取、耻辱和提供者短缺。本系统综述综合了36项研究（发表于2007年至2025年之间）的证据，评估了拉丁裔/美洲裔人群中同伴传递的抑郁症和焦虑症心理健康干预措施的文献状况。研究结果表明，72%的同伴主导的项目显著减少了抑郁和焦虑症状，其中效果最高的是心理健康特定干预（成功率为88%）、持续8次或更长时间的干预（82%）、社区团体干预（81%）。同伴培训（4-60小时以上）的差异以及针对焦虑的项目、男性、青少年和农村人口的有限纳入突出了持续存在的差距。结果强调同伴支持是一种有效的、文化响应的方法，可以改善拉丁裔/非拉丁裔人群的抑郁和焦虑结果。它的可扩展性和与社区需求的一致性表明，这种干预措施也可能有助于促进精神卫生公平，特别是通过覆盖服务不足的群体。政策和研究应侧重于标准化培训、混合交付模式，并将这些项目扩展到服务不足的地区和人口。

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引用次数: 0

Social support and internalizing psychopathology among sexual and gender minority individuals: A meta-analysis 性少数和性别少数个体的社会支持与内化精神病理：一项元分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.cpr.2025.102686

Benjamin A. Katz , Mertcan Mutlu , Atulya Arya Kharbanda , Palomi Kurade , Geva Shenkman

Sexual and gender minority (SGM) individuals often suffer from a myriad of stressors within their social environments due to stigma and its outcomes (Meyer, 2003). Conversely, social support may impact SGM individuals' psychological resilience. To quantify the impact of their interpersonal environments, the current preregistered meta-analysis included 253 studies (N = 111,188) that reported associations between social support (i.e., family, peer, partner, school, work) and internalizing psychopathology (i.e., depression, anxiety, nonsuicidal self-injury, suicidality) among SGM samples. Overall, a small, negative association was observed, r = −0.26, with low levels of variance between studies. Larger effects were observed for depression than other measures of psychopathology, r = −0.29, while smaller effects were observed for suicidality, r = −0.17. Smaller effects were observed for samples with a larger share of bisexual individuals, and when a SGM-specific measure was used. Larger effects were observed for European studies performed in areas of greater structural stigma (but not for American studies). The negative association between social support and psychopathology was consistent across an array of demographic factors (e.g., age, gender, % white) and SGM identities (e.g., % gender minority). No evidence of publication bias was observed. These findings suggests that all forms of SGM social support are similarly associated with lower internalizing psychopathology to a small degree, most of all with regards to depression.

由于污名及其后果，性和性别少数群体（SGM）个体经常在其社会环境中遭受无数的压力源（Meyer, 2003）。相反，社会支持可能影响SGM个体的心理弹性。为了量化他们人际环境的影响，目前的预登记荟萃分析包括253项研究（N = 111,188），这些研究报告了社会支持（即家庭，同伴，伴侣，学校，工作）与SGM样本中的内化精神病理（即抑郁，焦虑，非自杀性自残，自杀）之间的关联。总体而言，观察到一个小的负相关，r = - 0.26，研究之间的差异水平很低。抑郁症的影响大于其他精神病理学指标，r = - 0.29，而自杀的影响较小，r = - 0.17。对于双性恋个体比例较大的样本，以及使用特定于sgm的测量方法时，观察到的影响较小。在欧洲的研究中观察到更大的影响，这些研究在更大的结构性耻辱领域进行（但在美国的研究中没有）。社会支持与精神病理之间的负相关在一系列人口因素（如年龄、性别、白人百分比）和SGM身份（如性别少数群体百分比）中是一致的。未观察到发表偏倚的证据。这些发现表明，所有形式的SGM社会支持在一定程度上与较低的内化精神病理相似，尤其是与抑郁症有关。

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引用次数: 0

The association between psychological distress and internet addiction: A systematic review and three-level meta-analysis 心理困扰与网络成瘾的关系：一项系统综述和三层次元分析

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.cpr.2025.102684

Yangziying Lei , Jiale Xu , Yuanxiao Ma

Internet addiction has emerged as a global public health concern, with psychological distress recognized as a key contributing factor. Numerous studies have investigated the association between psychological distress and Internet addiction; however, their findings have remained inconsistent, and the moderating factors influencing this relationship have not been comprehensively examined. To address these gaps, the present study conducted a three-level meta-analysis to systematically assess the association between psychological distress and Internet addiction, as well as to explore potential moderators. In total, 135 studies involving 263,780 participants and 632 effect sizes were identified by a systematic literature search. The results revealed a significant positive correlation between psychological distress and Internet addiction. Furthermore, several variables significantly moderated this relationship, including study design, publication year, COVID-19 pandemic context, gender, age group, educational stage, country, living arrangement, measurement of Internet addiction, dimensions of Internet addiction, and types of Internet addiction. These findings provide more comprehensive insights to understand the complex link between psychological distress and Internet addiction and offer theoretical guidance for the development of targeted prevention and intervention strategies.

网络成瘾已成为一个全球性的公共卫生问题，心理困扰被认为是一个关键因素。许多研究调查了心理困扰和网络成瘾之间的关系；然而，他们的研究结果仍然不一致，影响这种关系的调节因素尚未得到全面研究。为了解决这些差距，本研究进行了三层次的荟萃分析，以系统地评估心理困扰与网络成瘾之间的关系，并探索潜在的调节因素。通过系统的文献检索，共确定了135项研究，涉及263780名参与者和632个效应值。结果显示心理困扰与网络成瘾之间存在显著的正相关关系。此外，几个变量显著调节了这一关系，包括研究设计、出版年份、COVID-19大流行背景、性别、年龄组、教育阶段、国家、生活安排、网络成瘾的测量、网络成瘾的维度和网络成瘾的类型。这些发现为理解心理困扰与网络成瘾之间的复杂联系提供了更全面的见解，并为制定有针对性的预防和干预策略提供了理论指导。

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引用次数: 0

The intersection of trauma, mental health, and reproductive health among women veterans: A scoping review 创伤、心理健康和生殖健康在女性退伍军人中的交叉：范围审查。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-12-01 Epub Date: 2025-10-10 DOI: 10.1016/j.cpr.2025.102659

Yael I. Nillni , Anna C. Barbano , Jessica N. Coleman , Michelle Fernando , Megan R. Gerber , Nichole Goodsmith , Kristin O. Haeger , Claire A. Hoffmire , Arielle Horenstein , Sabra S. Inslicht , Amanda M. Johnson , Jodie G. Katon , Eydie L. Moses-Kolko , Katherine A. Kosman , Suzanne L. Pineles , Zoe H. Pleasure , Namrata Singh , Laura J. Miller

Compared to their non-Veteran peers, women Veterans have a higher burden of trauma and mental health conditions, which intersect with reproductive health across the lifespan. This scoping review summarizes the outcomes of 83 studies focused on the associations between trauma or mental health and reproductive health among women Veterans in the United States. While research in some areas of reproductive health (i.e., sexual dysfunction, perinatal health) have steadily increased, other areas (e.g., menopausal symptoms) remain largely unstudied. Findings reveal that trauma, particularly sexual trauma, and mental health conditions, especially PTSD and depression, are associated with adverse reproductive health outcomes for women Veterans across the lifespan, including unintended pregnancies, adverse gynecological conditions, sexual dysfunction, adverse perinatal outcomes, and increased distress during routine gynecological care procedures. The review underscores the need for trauma-informed care, integration of reproductive and mental health services, and additional research on underexplored reproductive health outcomes.

与非退伍军人同龄人相比，女性退伍军人的创伤和心理健康状况负担更高，在整个生命周期中与生殖健康交叉。本综述总结了83项研究的结果，这些研究的重点是美国女性退伍军人的创伤或心理健康与生殖健康之间的关系。虽然在生殖健康的某些领域（如性功能障碍、围产期健康）的研究稳步增加，但其他领域（如更年期症状）的研究在很大程度上仍未得到研究。研究结果表明，创伤（尤其是性创伤）和心理健康状况（尤其是创伤后应激障碍和抑郁症）与女性退伍军人一生中不利的生殖健康结果有关，包括意外怀孕、不利的妇科疾病、性功能障碍、不利的围产期结局以及在常规妇科护理过程中增加的痛苦。审查强调需要创伤知情护理，生殖和心理健康服务的整合，以及对未充分探索的生殖健康结果的额外研究。

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引用次数: 0

Do metacognitive beliefs satisfy criteria as mechanisms of change in treatment? A systematic review and evidence synthesis 元认知信念是否满足治疗改变机制的标准？系统回顾和证据综合。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1016/j.cpr.2025.102654

Erlend Pukstad , Joar Øveraas Halvorsen , Magnus Rom Jensen , Solvor Solhaug , Henrik Nordahl

The Self-Regulatory Executive Function (S-REF) model emphasizes biases in metacognition, and particularly negative metacognitive beliefs, as the central mechanism of persistent emotional distress and disorders. Hence, interventions which effectively modify dysfunctional metacognitions are predicted to create improvement regardless of whether metacognitions are directly targeted or not. With an aim to evaluate the empirical support for metacognitions as a mechanism of change in psychopathology, we conducted a systematic review of the literature focusing on metacognitive change and its relationship to change in outcomes across emotional disorders and therapeutic interventions. Systematic searches were conducted and following PRISMA 2020 guidelines, 27 articles were identified. Results were synthesized and evaluated against established criteria for accurately classifying theoretical predictors as mechanisms of change. Our review shows a consistent association between change in metacognitions, particularly negative metacognitive beliefs, and outcome changes across different mental disorders, outcomes, and interventions. This relationship held even when controlling competing mechanisms such as cognitive beliefs and support the criterion of specificity. However, most of the identified studies lacked the methodological rigor needed (e.g., multiple assessment points during the treatment phase) to draw firm conclusions about metacognitions as a causal mechanism of change. Based on the existing literature, we conclude that metacognition is promising as a candidate to be considered a transdiagnostic mechanism of change of emotional disorders. We provide directions for future research necessary to more definitely determine the role of metacognitive change in psychopathology improvement and recovery.

自我调节执行功能（Self-Regulatory Executive Function, S-REF）模型强调元认知中的偏见，特别是消极的元认知信念，是持续情绪困扰和障碍的核心机制。因此，无论元认知是否直接针对，预测有效改变功能失调元认知的干预措施都能产生改善。为了评估元认知作为一种精神病理变化机制的实证支持，我们系统地回顾了有关元认知变化及其与情绪障碍结局变化和治疗干预之间关系的文献。按照PRISMA 2020指南进行了系统检索，确定了27篇文章。对结果进行了综合和评估，以准确地将理论预测因子分类为变化机制。我们的综述显示，元认知的变化，特别是消极的元认知信念，与不同精神障碍、结果和干预措施的结果变化之间存在一致的关联。这种关系甚至在控制竞争机制（如认知信念和支持特异性标准）时也成立。然而，大多数已确定的研究缺乏所需的方法严谨性（例如，在治疗阶段的多个评估点），以得出关于元认知作为变化的因果机制的确切结论。基于已有的文献，我们认为元认知有望成为情绪障碍改变的一种跨诊断机制。为进一步明确元认知改变在精神病理改善和康复中的作用提供了必要的研究方向。

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引用次数: 0

Corrigendum to Jumping to conclusions and delusional ideation: A systematic review and meta-analysis across the psychosis continuum [Clinical Psychology Review 120 (2025) 102618] 跳跃性结论和妄想症：跨越精神病连续体的系统回顾和荟萃分析[临床心理学评论120(2025)102618]的勘误表。

IF 12.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review

Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1016/j.cpr.2025.102670

Rose Doherty , Nathan Weber , Charley Hillier , Robert Ross , Ryan Balzan

引用次数: 0