Pub Date : 2025-08-13DOI: 10.1016/j.cpr.2025.102641
Xiaochen Luo , Alytia A. Levendosky
Despite advancements in psychotherapy research on effectiveness and critical therapy processes, there remains a significant gap between the science and the art of psychotherapy, specifically on how to understand what to do moment-to-moment with each patient. A burgeoning research literature addresses this question by examining psychotherapy microprocesses, which typically referred to within-session changes of therapy processes, aiming to bridge psychotherapy research with clinical practice. In this pre-registered systematic review, we reviewed 86 empirical quantitative studies examining observational psychotherapy microprocesses over 35 years. We extracted 28 microprocess constructs across six categories (affective/emotional, behavioral, cognitive, relational/interpersonal, linguistic, and movement), four key methodological features of operationalizing microprocesses, and three types of research questions that focused on within-session change patterns, dyadic and intra-personal momentary associations, and associations with outcomes/macroprocesses/predictors. The literature demonstrated unique advantages in embracing theoretical plurality, real-world settings, and dyadic influences, while being limited by theoretical and methodological challenges such as the scatteredness in construct operationalizations, limited inclusion of diverse samples/therapy modalities and culture-related constructs, disconnections from theoretically driven hypotheses, and a lack of standard in reporting methodological features. To address these challenges, we propose the Multilevel Integrative Microprocess Model (MIMM), an integrative framework that situates microprocesses within the broader context of psychotherapy research traditionally centered on macro-level processes and outcomes. We conclude by suggesting a future research agenda that provides a checklist for future microprocess studies to enhance theoretical coherence and methodological rigor.
{"title":"A systematic review and integrative framework of psychotherapy microprocess: Linking the science of psychological interventions with the art of moment-to-moment practice","authors":"Xiaochen Luo , Alytia A. Levendosky","doi":"10.1016/j.cpr.2025.102641","DOIUrl":"10.1016/j.cpr.2025.102641","url":null,"abstract":"<div><div>Despite advancements in psychotherapy research on effectiveness and critical therapy processes, there remains a significant gap between the science and the art of psychotherapy, specifically on how to understand what to do moment-to-moment with each patient. A burgeoning research literature addresses this question by examining psychotherapy microprocesses, which typically referred to within-session changes of therapy processes, aiming to bridge psychotherapy research with clinical practice. In this pre-registered systematic review, we reviewed 86 empirical quantitative studies examining observational psychotherapy microprocesses over 35 years. We extracted 28 microprocess constructs across six categories (affective/emotional, behavioral, cognitive, relational/interpersonal, linguistic, and movement), four key methodological features of operationalizing microprocesses, and three types of research questions that focused on within-session change patterns, dyadic and intra-personal momentary associations, and associations with outcomes/macroprocesses/predictors. The literature demonstrated unique advantages in embracing theoretical plurality, real-world settings, and dyadic influences, while being limited by theoretical and methodological challenges such as the scatteredness in construct operationalizations, limited inclusion of diverse samples/therapy modalities and culture-related constructs, disconnections from theoretically driven hypotheses, and a lack of standard in reporting methodological features. To address these challenges, we propose the Multilevel Integrative Microprocess Model (MIMM), an integrative framework that situates microprocesses within the broader context of psychotherapy research traditionally centered on macro-level processes and outcomes. We conclude by suggesting a future research agenda that provides a checklist for future microprocess studies to enhance theoretical coherence and methodological rigor.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102641"},"PeriodicalIF":12.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144894955","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 : 2025-08-08DOI: 10.1016/j.cpr.2025.102638
Wencke Donath , Robin Van der Linde , Bruno Verschuere , John J.B. Allen , Richard J. McNally , Rafaele J.C. Huntjens
{"title":"Does meta-analytic evidence support inter-identity amnesia in dissociative identity disorder? A commentary and corrected analysis for Beker et al. (2024)","authors":"Wencke Donath , Robin Van der Linde , Bruno Verschuere , John J.B. Allen , Richard J. McNally , Rafaele J.C. Huntjens","doi":"10.1016/j.cpr.2025.102638","DOIUrl":"10.1016/j.cpr.2025.102638","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102638"},"PeriodicalIF":12.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856794","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 : 2025-08-05DOI: 10.1016/j.cpr.2025.102629
Julia Beker , Martin J. Dorahy , Jacinta Cording
{"title":"To Tigger from Pooh, “There's still work to do”: A response to Donath et al.","authors":"Julia Beker , Martin J. Dorahy , Jacinta Cording","doi":"10.1016/j.cpr.2025.102629","DOIUrl":"10.1016/j.cpr.2025.102629","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102629"},"PeriodicalIF":12.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838301","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 : 2025-08-01Epub Date: 2025-07-19DOI: 10.1016/j.cpr.2025.102621
Hassan Mansour, Suman Kurana, Aphrodite Eshetu, Sarah Hoare, Celine El Baou, Isabelle Arnold, Clemence Halys, Gavin R Stewart, Roopal Desai, Amber John, Will Mandy, Elizabeth O'Nions, Joshua Stott
Autistic individuals are more likely to encounter traumatic events and mental health challenges throughout their lives. While multiple studies have explored the link between autism and post-traumatic stress disorder (PTSD), no meta-analysis has comprehensively synthesised PTSD prevalence rates according to DSM or ICD diagnostic manuals. This is important for ensuring appropriate intervention for this underserved population. Therefore, the current meta-analysis investigated the point and lifetime prevalence of PTSD among diagnosed autistic children or young people (CYP) and adults. A thorough systematic search identified 17 studies involving 53,918 autistic CYP and 13 studies with 142,081 autistic adults. Random-effects meta-analyses indicated a point prevalence of 1.11 % (95 % CI: 0.32; 2.38) among autistic CYP and 2.06 % (95 % CI: 0.00; 11.97) among autistic adults. Lifetime prevalence was 5.74 % (95 % CI: 2.12; 10.99) for autistic CYP and 2.72 % (95 % CI: 2.54; 2.90) for autistic adults. Subgroup analyses identified several factors influencing rates: co-occurring intellectual disability, gender proportion, diagnostic criteria (e.g., DSM vs. ICD), and informant type (self-report vs. combined self and carer/parent). Although PTSD prevalence rates are similar to general population estimates, they contrast with previous studies using screening tools, which reported substantially higher PTSD symptomatology in autistic individuals. This discrepancy may highlight some limitations of current PTSD diagnostic criteria, which may not fully capture how trauma is experienced and expressed by autistic individuals, leading to underdiagnosis and potentially significant adverse outcomes. Future research should focus on developing autism-specific diagnostic guidelines to better identify and address PTSD in this population, ensuring more timely support.
{"title":"Prevalence of Post-Traumatic Stress Disorder (PTSD) in autistic children or young people (CYP) and adults: A systematic review and meta-analysis.","authors":"Hassan Mansour, Suman Kurana, Aphrodite Eshetu, Sarah Hoare, Celine El Baou, Isabelle Arnold, Clemence Halys, Gavin R Stewart, Roopal Desai, Amber John, Will Mandy, Elizabeth O'Nions, Joshua Stott","doi":"10.1016/j.cpr.2025.102621","DOIUrl":"10.1016/j.cpr.2025.102621","url":null,"abstract":"<p><p>Autistic individuals are more likely to encounter traumatic events and mental health challenges throughout their lives. While multiple studies have explored the link between autism and post-traumatic stress disorder (PTSD), no meta-analysis has comprehensively synthesised PTSD prevalence rates according to DSM or ICD diagnostic manuals. This is important for ensuring appropriate intervention for this underserved population. Therefore, the current meta-analysis investigated the point and lifetime prevalence of PTSD among diagnosed autistic children or young people (CYP) and adults. A thorough systematic search identified 17 studies involving 53,918 autistic CYP and 13 studies with 142,081 autistic adults. Random-effects meta-analyses indicated a point prevalence of 1.11 % (95 % CI: 0.32; 2.38) among autistic CYP and 2.06 % (95 % CI: 0.00; 11.97) among autistic adults. Lifetime prevalence was 5.74 % (95 % CI: 2.12; 10.99) for autistic CYP and 2.72 % (95 % CI: 2.54; 2.90) for autistic adults. Subgroup analyses identified several factors influencing rates: co-occurring intellectual disability, gender proportion, diagnostic criteria (e.g., DSM vs. ICD), and informant type (self-report vs. combined self and carer/parent). Although PTSD prevalence rates are similar to general population estimates, they contrast with previous studies using screening tools, which reported substantially higher PTSD symptomatology in autistic individuals. This discrepancy may highlight some limitations of current PTSD diagnostic criteria, which may not fully capture how trauma is experienced and expressed by autistic individuals, leading to underdiagnosis and potentially significant adverse outcomes. Future research should focus on developing autism-specific diagnostic guidelines to better identify and address PTSD in this population, ensuring more timely support.</p>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"102621"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812595","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 : 2025-08-01DOI: 10.1016/j.cpr.2025.102628
Kassandra Hon , Mark Boyes , Penelope Hasking , Katrina Hon , Stephen P. Lewis
Globally, there is a large discrepancy between the prevalence of mental health concerns and the proportion of people who disclose or seek help for their mental health. As such, decision-aid tools have recently emerged in the mental health context to facilitate the disclosure and help-seeking process. Given recent developments in this field, a synthesis of the literature is needed to consolidate existing decision-aid tools and assess their effectiveness, particularly in facilitating the disclosure or help-seeking process. This scoping review aimed to capture and synthesise the growing literature on decision-aid tools designed to support people in the decision to disclose or seek help for their mental health concerns. The review considered empirical studies, including theses and dissertations that matched the following criteria: 1) focused on populations with a mental health concern, 2) reported the development and/or evaluation of a decision-aid tool, and 3) assessed a tool specifically designed to facilitate the disclosure or help-seeking process, or reported on at least one disclosure or help-seeking related outcome. The review was guided by Arksey and O’Malley's framework and the Joanna Briggs Institute's guidelines for scoping reviews. The findings of the review indicate that decision-aid tools can support various cognitive-emotional processes relevant to decision-making. There was also evidence demonstrating the effectiveness of decision-aid tools in increasing the rates of disclosure and help-seeking behaviours for mental health concerns. Overall, decision-aid tools appear to be a promising approach to enhance the effectiveness of disclosure and help-seeking decisions in the mental health context.
{"title":"A scoping review of decision-aid tools for disclosure and help-seeking of mental health concerns","authors":"Kassandra Hon , Mark Boyes , Penelope Hasking , Katrina Hon , Stephen P. Lewis","doi":"10.1016/j.cpr.2025.102628","DOIUrl":"10.1016/j.cpr.2025.102628","url":null,"abstract":"<div><div>Globally, there is a large discrepancy between the prevalence of mental health concerns and the proportion of people who disclose or seek help for their mental health. As such, decision-aid tools have recently emerged in the mental health context to facilitate the disclosure and help-seeking process. Given recent developments in this field, a synthesis of the literature is needed to consolidate existing decision-aid tools and assess their effectiveness, particularly in facilitating the disclosure or help-seeking process. This scoping review aimed to capture and synthesise the growing literature on decision-aid tools designed to support people in the decision to disclose or seek help for their mental health concerns. The review considered empirical studies, including theses and dissertations that matched the following criteria: 1) focused on populations with a mental health concern, 2) reported the development and/or evaluation of a decision-aid tool, and 3) assessed a tool specifically designed to facilitate the disclosure or help-seeking process, or reported on at least one disclosure or help-seeking related outcome. The review was guided by Arksey and O’Malley's framework and the Joanna Briggs Institute's guidelines for scoping reviews. The findings of the review indicate that decision-aid tools can support various cognitive-emotional processes relevant to decision-making. There was also evidence demonstrating the effectiveness of decision-aid tools in increasing the rates of disclosure and help-seeking behaviours for mental health concerns. Overall, decision-aid tools appear to be a promising approach to enhance the effectiveness of disclosure and help-seeking decisions in the mental health context.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102628"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750281","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 : 2025-08-01DOI: 10.1016/j.cpr.2025.102623
Noémie M. Cusson , Alexa J. Meilleur , Boris C. Bernhardt , Isabelle Soulières , Laurent Mottron
Empathy deficits are considered a core attribute of autism and are scored in standardized autism diagnostic instruments. However, empirical evidence concerning empathy in autism is contradictory. This systematic review, which included 226 studies, thus offers a comprehensive overview of empathy in autism. It additionally examined the impact of the chosen empathy measure and the effect of several moderators. The results reveal a large effect size for cognitive empathy (g = −0.85) and unidimensional empathy (g = −1.70), but only a small effect size for affective empathy (g = −0.17), which became non-significant when limiting analyses to high-quality studies. Meta-regressions suggest that publication year, study quality, alexithymia, verbal IQ, and age do not moderate empathy, whereas sex specifically moderates unidimensional empathy. Critically, there were notable differences in effect sizes obtained across empathy measures and even between subscales of the same measure. For instance, results for the affective empathy subscales of the Interpersonal Reactivity Index reveal lower empathic concern (g = −0.59) but increased personal distress (g = 0.67) in autistic relative to typical participants. A qualitative review of ecological and neuroimaging tasks mostly demonstrated minimal autistic versus non-autistic differences. This meta-analysis thus suggests that measuring empathy as a unidimensional construct may both distort and increase the notion of an empathy deficit in autism.
{"title":"A systematic review and meta-analysis of empathy in autism: The influence of measures","authors":"Noémie M. Cusson , Alexa J. Meilleur , Boris C. Bernhardt , Isabelle Soulières , Laurent Mottron","doi":"10.1016/j.cpr.2025.102623","DOIUrl":"10.1016/j.cpr.2025.102623","url":null,"abstract":"<div><div>Empathy deficits are considered a core attribute of autism and are scored in standardized autism diagnostic instruments. However, empirical evidence concerning empathy in autism is contradictory. This systematic review, which included 226 studies, thus offers a comprehensive overview of empathy in autism. It additionally examined the impact of the chosen empathy measure and the effect of several moderators. The results reveal a large effect size for cognitive empathy (<em>g</em> = −0.85) and unidimensional empathy (<em>g</em> = −1.70), but only a small effect size for affective empathy (<em>g</em> = −0.17), which became non-significant when limiting analyses to high-quality studies. Meta-regressions suggest that publication year, study quality, alexithymia, verbal IQ, and age do not moderate empathy, whereas sex specifically moderates unidimensional empathy. Critically, there were notable differences in effect sizes obtained across empathy measures and even between subscales of the same measure. For instance, results for the affective empathy subscales of the Interpersonal Reactivity Index reveal lower empathic concern (<em>g</em> = −0.59) but increased personal distress (<em>g</em> = 0.67) in autistic relative to typical participants. A qualitative review of ecological and neuroimaging tasks mostly demonstrated minimal autistic versus non-autistic differences. This meta-analysis thus suggests that measuring empathy as a unidimensional construct may both distort and increase the notion of an empathy deficit in autism.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102623"},"PeriodicalIF":12.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738602","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 : 2025-07-24DOI: 10.1016/j.cpr.2025.102627
Emily K. Burr , Lauren M. Schaefer , Robert D. Dvorak , Stephen A. Wonderlich
Binge eating disorder (BED) is characterized by recurrent binge eating episodes. Many factors have been analyzed in the maintenance of binge eating disorder, but current treatments still fall short of optimal success rates, with approximately half of individuals with BED relapsing following intervention. Perhaps partially due to the many shared vulnerabilities and high rates of comorbidity, interventions of BED have increasingly incorporated strategies utilized in substance use disorder treatment and indeed, there are many overlapping components in prevailing theories of BED and addiction. Despite interventions increasingly sharing mechanisms, there is lacking an in-depth review of conceptualization overlaps and differences. Although there are many reviews of models for BED and substance use disorders, none to-date compare and contrast the models of the most analyzed maintenance factors across both disorders: affect-based models and reward-based models. This narrative review, incorporating key and currently influential models that have been included in reviews with empirical support from the last 15 years, explores these models in-depth and provides critical analysis of where they differ and overlap to inform future interventions. Affect-based models largely evolved separably, however, most contemporary reward-based models of BED borrow concepts historically explored in addiction. Clinical implications, including refinement of treatment for individuals with BED or BED and concurrent problematic substance use are discussed.
{"title":"Integrating maintaining theories for addiction and binge-eating pathology: A review of affective and reward-based theories","authors":"Emily K. Burr , Lauren M. Schaefer , Robert D. Dvorak , Stephen A. Wonderlich","doi":"10.1016/j.cpr.2025.102627","DOIUrl":"10.1016/j.cpr.2025.102627","url":null,"abstract":"<div><div>Binge eating disorder (BED) is characterized by recurrent binge eating episodes. Many factors have been analyzed in the maintenance of binge eating disorder, but current treatments still fall short of optimal success rates, with approximately half of individuals with BED relapsing following intervention. Perhaps partially due to the many shared vulnerabilities and high rates of comorbidity, interventions of BED have increasingly incorporated strategies utilized in substance use disorder treatment and indeed, there are many overlapping components in prevailing theories of BED and addiction. Despite interventions increasingly sharing mechanisms, there is lacking an in-depth review of conceptualization overlaps and differences. Although there are many reviews of models for BED and substance use disorders, none to-date compare and contrast the models of the most analyzed maintenance factors across both disorders: affect-based models and reward-based models. This narrative review, incorporating key and currently influential models that have been included in reviews with empirical support from the last 15 years, explores these models in-depth and provides critical analysis of where they differ and overlap to inform future interventions. Affect-based models largely evolved separably, however, most contemporary reward-based models of BED borrow concepts historically explored in addiction. Clinical implications, including refinement of treatment for individuals with BED or BED and concurrent problematic substance use are discussed.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102627"},"PeriodicalIF":13.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714133","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}
The use of high-ecological validity social interactive paradigms to study social impairments in depression has burgeoned in recent 10 years. However, abnormal social behaviors in depression have exhibited substantial yet unexplained variations, ranging from reduced to increased cooperation. We proposed an attentional focus theory and introduced a novel classification of social interactive paradigms, distinguishing between responsive (attentional focus on others) and expressive (attentional focus on self) paradigms. This framework systematically elucidates the underlying reasons for reduced and increased cooperation in depression. Depression encompasses current depressive episodes, remitted depression, and subclinical depressive symptoms in undiagnosed individuals. We systematically searched Web of Science, PsycInfo, and PubMed and performed a three-level meta-analysis on 44 studies with 71 effect sizes. We found an overall significant negative association between depression and cooperation, and a significant moderation effect of the responsive versus expressive category. Depression was negatively associated with cooperation in responsive paradigms overall and in each individual responsive paradigm (Cyberball game, responder-role Ultimatum Game, Prisoner's Dilemma, and investor-role Trust Game). Depression was positively associated with cooperation in expressive paradigms overall and in the trustee-role Trust Game, and a trend of positive association in allocation tasks. In our multiple-moderator analysis, while controlling for other significant single moderators, the responsive versus expressive category remained significant, explaining 66.32 % of the total variations in effect sizes. Our study completed the half-missing landscape of social dysfunctions in social interactive paradigms in depression, which may help practitioners develop different social rehabilitation strategies tailored to responsive and expressive social scenarios.
近十年来，高生态效度社会互动范式在抑郁症社会障碍研究中的应用迅速发展。然而，抑郁症患者的异常社会行为表现出大量尚未解释的变化，从减少到增加合作。我们提出了注意焦点理论，并引入了一种新的社会互动范式分类，区分了反应性范式（注意关注他人）和表达性范式（注意关注自我）。这个框架系统地阐明了抑郁症中合作减少和增加的潜在原因。抑郁症包括当前的抑郁发作，抑郁症缓解，和亚临床抑郁症状在未确诊的个体。我们系统地检索了Web of Science、PsycInfo和PubMed，并对44项研究的71个效应量进行了三水平的荟萃分析。我们发现抑郁与合作之间存在显著的负相关，反应性与表达性之间存在显著的调节作用。在整体和个体反应范式（网络球游戏、反应者-角色最后通牒游戏、囚徒困境和投资者-角色信任游戏）中，抑郁与合作呈负相关。在整体表达范式和受托人-角色信任博弈中，抑郁与合作呈正相关，在分配任务中呈正相关趋势。在我们的多重调节因子分析中，在控制其他重要的单一调节因子的同时，反应性与表达性类别仍然显著，解释了66.32%的效应量总变化。我们的研究完成了抑郁症患者社会互动范式中社会功能障碍的半缺失景观，这可能有助于从业者制定针对反应性和表达性社会情景的不同社会康复策略。
{"title":"Cooperation patterns in depression: Insights from a meta-analysis of responsive and expressive social interactive paradigms","authors":"Yuening Jin , Ruolei Gu , Chunliang Feng , Churuo Zhang , Yuan Zhou","doi":"10.1016/j.cpr.2025.102624","DOIUrl":"10.1016/j.cpr.2025.102624","url":null,"abstract":"<div><div>The use of high-ecological validity social interactive paradigms to study social impairments in depression has burgeoned in recent 10 years. However, abnormal social behaviors in depression have exhibited substantial yet unexplained variations, ranging from reduced to increased cooperation. We proposed an attentional focus theory and introduced a novel classification of social interactive paradigms, distinguishing between responsive (attentional focus on others) and expressive (attentional focus on self) paradigms. This framework systematically elucidates the underlying reasons for reduced and increased cooperation in depression. Depression encompasses current depressive episodes, remitted depression, and subclinical depressive symptoms in undiagnosed individuals. We systematically searched Web of Science, PsycInfo, and PubMed and performed a three-level meta-analysis on 44 studies with 71 effect sizes. We found an overall significant negative association between depression and cooperation, and a significant moderation effect of the responsive versus expressive category. Depression was negatively associated with cooperation in responsive paradigms overall and in each individual responsive paradigm (Cyberball game, responder-role Ultimatum Game, Prisoner's Dilemma, and investor-role Trust Game). Depression was positively associated with cooperation in expressive paradigms overall and in the trustee-role Trust Game, and a trend of positive association in allocation tasks. In our multiple-moderator analysis, while controlling for other significant single moderators, the responsive versus expressive category remained significant, explaining 66.32 % of the total variations in effect sizes. Our study completed the half-missing landscape of social dysfunctions in social interactive paradigms in depression, which may help practitioners develop different social rehabilitation strategies tailored to responsive and expressive social scenarios.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102624"},"PeriodicalIF":12.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721289","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 : 2025-07-24DOI: 10.1016/j.cpr.2025.102626
Benedetta Tonini , Sara Bocci Benucci , Gordon Flett , Giulia Fioravanti , Silvia Casale
Introduction
The concepts of mattering and anti-mattering have garnered increasing attention in recent years, especially in relation to psychological well-being. Mattering refers to the subjective sense that one is significant to others, while anti-mattering reflects feelings of being marginalized, insignificant, and invisible with respect to others. These constructs have been linked to mental health outcomes, particularly depressive symptoms. Therefore, the aim of the present meta-analysis is to examine the association between depressive symptoms and (i) general mattering and (ii) anti-mattering.
Method
A keyword-based systematic literature search was performed for eligible studies in which general mattering/anti-mattering and depressive symptoms were assessed. The meta-analysis was conducted following the most updated PRISMA guidelines.
Results
Thirty-nine independent samples were included in quantitative analysis. Out of these, thirty-seven assessed the association between general mattering and depressive symptoms for a total of 24,397 participants (% Women = 48.09; mean age = 20.55 ± 17.24; range = 12.30–83.50) and sixteen explored the relationship between anti-mattering and depressive symptoms for a total of 9372 participants (% Women = 49.96 %; mean age = 23.62 ± 7.60; age range = 12.03–40.06). Meta-analytic results of the random effects model showed a significant negative correlation between general mattering and depressive symptoms (Fisher's Z = −0.41; CI: −0.47, −0.36; Z = 14.85; p < 0.001)) and a significant positive association between anti-mattering and depressive symptoms (Fisher's Z = 0.67; CI: 0.58, 0.76; Z = 14.95; p < 0.001). Anti-mattering exhibited a significantly stronger (positive) association with depressive symptoms compared to general mattering. Age did not moderate these associations, while gender did.
Discussion
These findings provide robust evidence for the significant relationship between both mattering and anti-mattering with depressive symptoms, also having important implications for both clinical interventions and future research.
{"title":"General Mattering, Anti-mattering, and Depressive Symptoms: A Meta-Analysis","authors":"Benedetta Tonini , Sara Bocci Benucci , Gordon Flett , Giulia Fioravanti , Silvia Casale","doi":"10.1016/j.cpr.2025.102626","DOIUrl":"10.1016/j.cpr.2025.102626","url":null,"abstract":"<div><h3>Introduction</h3><div>The concepts of mattering and anti-mattering have garnered increasing attention in recent years, especially in relation to psychological well-being. Mattering refers to the subjective sense that one is significant to others, while anti-mattering reflects feelings of being marginalized, insignificant, and invisible with respect to others. These constructs have been linked to mental health outcomes, particularly depressive symptoms. Therefore, the aim of the present meta-analysis is to examine the association between depressive symptoms and (i) general mattering and (ii) anti-mattering.</div></div><div><h3>Method</h3><div>A keyword-based systematic literature search was performed for eligible studies in which general mattering/anti-mattering and depressive symptoms were assessed. The meta-analysis was conducted following the most updated PRISMA guidelines.</div></div><div><h3>Results</h3><div>Thirty-nine independent samples were included in quantitative analysis. Out of these, thirty-seven assessed the association between general mattering and depressive symptoms for a total of 24,397 participants (% Women = 48.09; mean age = 20.55 ± 17.24; range = 12.30–83.50) and sixteen explored the relationship between anti-mattering and depressive symptoms for a total of 9372 participants (% Women = 49.96 %; mean age = 23.62 ± 7.60; age range = 12.03–40.06). Meta-analytic results of the random effects model showed a significant negative correlation between general mattering and depressive symptoms <em>(Fisher's Z =</em> −0.41; <em>CI</em>: −0.47, −0.36; <em>Z</em> = 14.85<em>; p < 0.001)</em>) and a significant positive association between anti-mattering and depressive symptoms (<em>Fisher's Z</em> = 0.67; <em>CI:</em> 0.58, 0.76; <em>Z</em> = 14.95; <em>p</em> < 0.001). Anti-mattering exhibited a significantly stronger (positive) association with depressive symptoms compared to general mattering. Age did not moderate these associations, while gender did.</div></div><div><h3>Discussion</h3><div>These findings provide robust evidence for the significant relationship between both mattering and anti-mattering with depressive symptoms, also having important implications for both clinical interventions and future research.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102626"},"PeriodicalIF":13.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714115","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 : 2025-07-24DOI: 10.1016/j.cpr.2025.102625
Insa M. Borm, Steffen Hartmann, Sven Barnow, Luise Pruessner
Over the past decade, app-based studies have increasingly explored whether binge eating may serve as a form of emotion regulation. While theoretical models consistently propose that binge eating is triggered by aversive states, they diverge on whether the behavior is reinforced by subsequent temporary emotional improvements. This meta-analysis synthesized findings from 59 reports (42 unique studies, 1745 participants, 478 effect sizes) using ecological momentary assessment (EMA) to examine the role of negative and positive emotions in binge eating. Our analysis focused on two aspects: the emotion levels before and after binge eating, quantified using standardized mean change effect sizes, and the temporal emotion trajectories before and after binge eating, analyzed using Fisher's r-to-z transformed correlations. Using robust variance estimation (RVE) to account for dependent effect sizes, random-effects models revealed consistent emotion deterioration before binge eating across analyses, supporting the premise that emotional distress triggers binge eating. However, post-binge emotions yielded mixed results: while emotion levels indicated a continued deterioration, temporal trajectories suggested slight improvements after binge eating. Meta-regressions revealed no significant moderating effects, suggesting unexplained heterogeneity between studies. These findings partially support the emotion regulation function by affirming emotional distress as a trigger for binge eating but challenging the reinforcement premise. Treatments may benefit from incorporating strategies to regulate both negative and positive emotions. Substantial between-study heterogeneity highlights the need for future research to address methodological inconsistencies and refine our understanding of how emotions contribute to binge eating maintenance, which is essential for improving therapeutic outcomes for individuals with eating disorders.
{"title":"Binge eating as emotion regulation? A meta-analysis of ecological momentary assessment studies","authors":"Insa M. Borm, Steffen Hartmann, Sven Barnow, Luise Pruessner","doi":"10.1016/j.cpr.2025.102625","DOIUrl":"10.1016/j.cpr.2025.102625","url":null,"abstract":"<div><div>Over the past decade, app-based studies have increasingly explored whether binge eating may serve as a form of emotion regulation. While theoretical models consistently propose that binge eating is triggered by aversive states, they diverge on whether the behavior is reinforced by subsequent temporary emotional improvements. This meta-analysis synthesized findings from 59 reports (42 unique studies, 1745 participants, 478 effect sizes) using ecological momentary assessment (EMA) to examine the role of negative and positive emotions in binge eating. Our analysis focused on two aspects: the emotion levels before and after binge eating, quantified using standardized mean change effect sizes, and the temporal emotion trajectories before and after binge eating, analyzed using Fisher's <em>r</em>-to-<em>z</em> transformed correlations. Using robust variance estimation (RVE) to account for dependent effect sizes, random-effects models revealed consistent emotion deterioration before binge eating across analyses, supporting the premise that emotional distress triggers binge eating. However, post-binge emotions yielded mixed results: while emotion levels indicated a continued deterioration, temporal trajectories suggested slight improvements after binge eating. Meta-regressions revealed no significant moderating effects, suggesting unexplained heterogeneity between studies. These findings partially support the emotion regulation function by affirming emotional distress as a trigger for binge eating but challenging the reinforcement premise. Treatments may benefit from incorporating strategies to regulate both negative and positive emotions. Substantial between-study heterogeneity highlights the need for future research to address methodological inconsistencies and refine our understanding of how emotions contribute to binge eating maintenance, which is essential for improving therapeutic outcomes for individuals with eating disorders.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102625"},"PeriodicalIF":12.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771878","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}
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