Journal of Affective Disorders Reports最新文献_第6页

Activation/inhibition in major depressive episodes of unipolar, bipolar, and borderline patients measured with the multidimensional assessment of Thymic States (MAThyS) 用胸腺状态多维评估（MAThyS）测量单极、双相和边缘型患者重性抑郁发作的激活/抑制

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.jadr.2025.100991

J. Lumikukka Socada , John J. Söderholm , Tom Rosenström , Jari Lahti , Jesper Ekelund , Erkki T. Isometsä

Background

Major depressive episodes (MDEs) are phenomenologically heterogeneous. The Multidimensional Assessment of Thymic States (MAThyS) scale was developed to estimate activation/inhibition, emotional reactivity, and to differentiate types of depression in bipolar disorder (BD). Their role in diagnosis or other depressions remains unclear.

Methods

We assessed validity of Finnish translation of the MAThyS in 94 patients with Major Depressive Disorder (MDD), MDE/BD, or MDE/BPD (MDE comorbid with Borderline Personality Disorder), and 29 healthy controls. We examined the associations of MAThyS total score with depression severity (MADRS), (hypo)manic symptoms (YMRS, MIXMDE), and BPD severity (BPDSI), assessed internal consistency, and conducted confirmatory factor analysis to test the postulated two-factor structure.

Results

MAThyS demonstrated good internal consistency in patient subcohorts (Cronbach’s α = 0.78–0.88), but not in controls (α = 0.19). In hierarchical regression model (adjusted R² = 0.34), MAThyS total score was negatively associated with depression severity (MADRS) (β = –0.316, p = 0.003), but positively with mixed symptoms (MIXMDE; β = 0.319, p = 0.017), borderline severity (BPDSI; β = 0.195, p = 0.13) and momentary (hypo)manic symptoms (YMRS; β = 0.171, p = 0.15). The two-factor model had poor fit (CFI = 0.687; RMSEA = 0.125).

Conclusions

The Finnish MAThyS translation retains good internal consistency, for total scores assessed in MDE patient subgroups, but validity of the scale in assessing activation and emotional reactivity specifically remains unclear. MAThyS may aid in detecting signs of increased activation and mixed features. Further studies are needed to evaluate its validity and clinical utility.

重度抑郁发作（MDEs）在现象上是异质的。开发胸腺状态多维评估（MAThyS）量表来评估激活/抑制，情绪反应，并区分双相情感障碍（BD）的抑郁类型。它们在诊断或其他抑郁症中的作用尚不清楚。方法对94例重度抑郁症（MDD）、MDE/BD或MDE/BPD （MDE合并边缘型人格障碍）患者和29名健康对照者进行芬兰语翻译mays的有效性评估。我们检查了MAThyS总分与抑郁严重程度（MADRS）、（轻度）躁狂症状（YMRS、MIXMDE）和BPD严重程度（BPDSI）的关联，评估了内部一致性，并进行了验证性因子分析以检验假设的双因素结构。结果mathys在患者亚群中表现出良好的内部一致性（Cronbach’s α = 0.78-0.88），而在对照组中则不然（α = 0.19）。在层次回归模型（调整后R²= 0.34）中，MAThyS总分与抑郁严重程度（MADRS）呈负相关（β = -0.316, p = 0.003），与混合性症状（MIXMDE; β = 0.319, p = 0.017）、边缘性严重程度（BPDSI; β = 0.195, p = 0.13）和短暂性（轻度）躁狂症状（YMRS; β = 0.171, p = 0.15）呈正相关。双因素模型拟合较差（CFI = 0.687; RMSEA = 0.125）。结论芬兰语MAThyS翻译保持了良好的内部一致性，在MDE患者亚组中评估总分，但量表在评估激活和情绪反应方面的有效性尚不清楚。MAThyS可能有助于检测激活增加和混合特征的迹象。需要进一步的研究来评估其有效性和临床应用。

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引用次数: 0

Understanding risky sexual behaviors assessment and factors among men engaging in sexual activities with other men (MSM) in Palembang city 巨港市男性与其他男性发生性活动（MSM）的危险性行为评估及其影响因素

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.jadr.2025.100992

Rico Januar Sitorus , Debby Amanda Putri , Anita Rahmiwati , Rizma Adlia Syakurah , Merry Natalia Panjaitan , Akhmad Dwi Priyatno , Nyoman Yudi Antara

Background

Men who have sex with men (MSM) are often perceived as exclusively homosexual, although some identify as bisexual. Social and familial pressures may influence sexual behavior, contributing to engagement in high-risk sexual behaviors and increasing HIV transmission risk. This study aimed to describe risky sexual behaviors among MSM and identify associated psychosocial and demographic factors.

Methods

A cross-sectional quantitative study was conducted in Palembang. Purposive sampling recruited 240 MSM participants. Risky sexual behaviors were assessed using a validated instrument adapted from previous studies. Logistic regression was used to identify factors associated with high-risk behaviors.

Results

Of the participants, 76.5 % engaged in high-risk sexual behaviors. A majority of respondents who reported homosexual orientation also disclosed having experienced childhood sexual abuse; this experience was often mentioned as a meaningful life event shaping their self-perception.Self-efficacy was the strongest predictor of risky sexual behaviors: MSM with low self-efficacy had a 4.022 fold higher likelihood of engaging in high-risk behaviors compared to those with high self-efficacy (adjusted OR = 4.022, 95 % CI: (2.408–7.899)

Limitations

The study may be subject to information bias, as respondents’ initial discomfort and fear could have affected the accuracy of self-reported sexual behaviors. The use of purposive sampling may also limit the generalizability of the findings.

Conclusions

Risky sexual behaviors among MSM are significantly associated with sexual orientation and self-efficacy. Societal and familial pressures may compel homosexual-identified individuals to engage in heterosexual relationships. Interventions addressing psychosocial determinants and risk-reduction strategies are needed to mitigate HIV risk in this population.

男男性行为者（MSM）通常被认为是完全的同性恋，尽管有些人认为是双性恋。社会和家庭压力可能影响性行为，导致从事高危性行为，增加艾滋病毒传播风险。本研究旨在描述男男性接触者的危险性行为，并确定相关的社会心理和人口因素。方法在巨港市进行横断面定量研究。目的抽样共招募240名男男性行为者。危险性行为的评估使用了一种经过验证的工具，该工具改编自以前的研究。采用Logistic回归分析确定与高危行为相关的因素。结果76.5%的参与者有高危性行为。大多数报告有同性恋倾向的受访者还透露曾经历过童年性虐待；这种经历经常被认为是有意义的生活事件，塑造了他们的自我认知。自我效能是高风险性行为的最强预测因子：自我效能低的男男性接触者从事高风险行为的可能性是自我效能高的男男性接触者的4.022倍(调整OR = 4.022, 95% CI:（2.408-7.899）局限性研究可能受到信息偏差的影响，因为被调查者最初的不适和恐惧可能会影响自我报告的性行为的准确性。目的性抽样的使用也可能限制研究结果的普遍性。结论MSM高危性行为与性取向和自我效能感显著相关。社会和家庭压力可能会迫使同性恋认同的个体参与异性恋关系。需要针对心理社会决定因素的干预措施和降低风险战略，以减轻这一人群中的艾滋病毒风险。

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引用次数: 0

Mapping the landscape of scientific research on suicide in South Africa: A Bibliometric Analysis 绘制南非自杀科学研究图景：文献计量学分析

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.jadr.2025.100989

Charity Lebogang Manganyi, Tholene Sodi

Introduction

Suicide is a major public health concern in South Africa, yet little is known about the patterns, trends, and collaborative networks shaping research output in this field. This study provides an overview of the current state of published scientific research on suicide in South Africa.

Methods

A bibliometric analysis was conducted using data retrieved from Web of Science, Scopus, and PubMed databases through a comprehensive search strategy. Biblioshiny, an R-based bibliometric tool, was employed to analyse annual scientific production, contributing authors, institutions, and journal productivity. VOSviewer was used to perform co-occurrence and co-authorship analyses.

Results

The search strategy found 336 scientific documents authored by 730 researchers across 143 journals from 1950 to 2025. The study findings revealed a steady growth of suicide research, with notable increase in outputs over the past two decades. Research productivity was concentrated among a small group of authors, with Bantjes J, Stein D, and Meel B emerging as key contributors. Research in this field is primarily dominated by highly ranked institutions, with the University of Cape Town being the most productive, followed by Stellenbosch University. Local journals, including the South African Journal of Psychiatry and the South African Medical Journal, were the most frequent publication outlets, reflecting the importance of national platforms in disseminating suicide-related findings. International collaboration was evident, with strong partnerships established between South African institutions and high-income countries.

Conclusion

Suicide research in SA is growing, but remains dominated by a limited number of authors and institutions. Strengthening research capacity, diversifying institutional contributions, and increasing funding are critical for expanding the scope and impact of suicide research.

在南非，自杀是一个主要的公共卫生问题，但人们对这一领域形成研究成果的模式、趋势和合作网络知之甚少。本研究概述了南非发表的自杀科学研究的现状。方法采用综合检索策略，对Web of Science、Scopus和PubMed数据库的数据进行文献计量学分析。使用基于r的文献计量工具Biblioshiny分析年度科学产出、贡献作者、机构和期刊生产率。使用VOSviewer进行共现性和合著性分析。该搜索策略在1950年至2025年间发现了143种期刊上730名研究人员撰写的336篇科学论文。研究结果显示，自杀研究稳步增长，在过去二十年中，产出显著增加。研究生产力集中在一小群作者身上，其中Bantjes J、Stein D和Meel B是主要贡献者。这一领域的研究主要由排名靠前的大学主导，其中开普敦大学（University of Cape Town）的产出最高，其次是斯泰伦博斯大学（Stellenbosch University）。包括《南非精神病学杂志》和《南非医学杂志》在内的地方期刊是最常见的出版渠道，这反映了国家平台在传播与自杀有关的调查结果方面的重要性。国际合作是显而易见的，南非各机构与高收入国家之间建立了牢固的伙伴关系。结论SA的自杀研究正在增长，但仍由有限的作者和机构主导。加强研究能力、使机构贡献多样化和增加资助对于扩大自杀研究的范围和影响至关重要。

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引用次数: 0

Profile of suicides in a spanish cohort of people living with HIV (PLWH) 西班牙艾滋病毒感染者（PLWH）自杀概况

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.jadr.2025.100980

Julián Olalla , Joaquim Peraire , Roberto Carlos Güerri Fernández , Naya Faro , Antonia Maria Castillo-Navarro , Pepa Galindo , Nuria Espinosa , Javier Pérez-Stachowski , Alfonso del Arco , Javier de la Torre , Francisco Rivas

Background

People living with HIV (PLWH) face a higher risk of suicide compared to the general population. Understanding the incidence and characteristics of suicide in this population is essential to design effective prevention strategies.

Objective

This study aimed to estimate the incidence rate of suicide among PLWH in Spain and to describe the demographic, clinical, and treatment-related profiles of affected individuals.

Methods

A retrospective cohort study was conducted using data from the CoRIS cohort, including 19,352 PLWH followed from January 2004 to December 2022. Sociodemographic, clinical, and virological data were analyzed, and suicide incidence rates were calculated per 100,000 person-years.

Results

Over 134,375 person-years, 22 suicides were recorded, corresponding to an incidence rate of 16.37 per 100,000 person-years (95 % CI: 10.26-24.79). Most cases (90.9 %) occurred in men, with a mean age of 37.7 years. A higher proportion of injection drug use (18.2 % vs. 6.4 %) and psychiatric non-AIDS events, including depression and previous suicide attempts, were noted among suicide cases. The suicide incidence rate decreased significantly after 2015, coinciding with the broader use of integrase inhibitors.

Conclusion

The suicide incidence rate among PLWH in Spain has declined in recent years, approaching levels observed in the general population. However, targeted interventions are needed to address mental health challenges and enhance support for vulnerable individuals within this population.

与一般人群相比，艾滋病毒感染者（PLWH）面临着更高的自杀风险。了解这一人群的自杀发生率和特征对于设计有效的预防策略至关重要。目的本研究旨在估计西班牙PLWH的自杀发生率，并描述受影响个体的人口统计学、临床和治疗相关概况。方法采用CoRIS队列数据进行回顾性队列研究，包括2004年1月至2022年12月随访的19352名PLWH。分析了社会人口学、临床和病毒学数据，并计算了每10万人年的自杀发生率。结果134,375人/年自杀22例，发生率为16.37 / 10万人/年（95% CI: 10.26 ~ 24.79）。大多数病例（90.9%）为男性，平均年龄37.7岁。在自杀病例中，注射吸毒（18.2%对6.4%）和精神疾病（非艾滋病事件，包括抑郁症和既往自杀企图）的比例较高。自杀率在2015年后显著下降，与整合酶抑制剂的广泛使用相一致。结论西班牙PLWH的自杀率近年来呈下降趋势，已接近一般人群的自杀率水平。然而，需要有针对性的干预措施来应对心理健康挑战，并加强对这一人群中弱势个人的支持。

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引用次数: 0

Corrigendum to ‘Profile of suicides in a spanish cohort of people living with HIV (PLWH)’ [Journal of Affective Disorders Reports 22 (2025)100980] 西班牙艾滋病毒感染者（PLWH）自杀概况的勘误表[Journal of Affective Disorders Reports 22 (2025)100980]

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-26 DOI: 10.1016/j.jadr.2025.100987

Julián Olalla , Joaquim Peraire , Roberto Carlos Güerri Fernández , Naya Faro , Antonia Maria Castillo-Navarro , Pepa Galindo , Nuria Espinosa , Javier Pérez-Stachowski , Alfonso del Arco , Javier de la Torre , Francisco Rivas , on behalf CoRIS Cohort*

引用次数: 0

French validation of the Core Beliefs Inventory and the Event-Related Rumination Inventory 核心信念量表和事件相关反刍量表的法语验证

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.jadr.2025.100990

Emma Gendre , Andrea Soubelet , Charlotte Henson , Stacey Callahan

Background

Posttraumatic growth (PTG) is associated with two important cognitive factors: challenge to core beliefs and event-related rumination. The objectives of this study were to 1) validate the French versions of the Core Beliefs Inventory (CBI, Cann et al., 2010) and the Event-Related Rumination Inventory (ERRI, Cann et al., 2011) and 2) explore direct and indirect effects of core beliefs and rumination on PTG in the long-term.

Methods

A sample of adults (N = 433 at T1, N = 222 at T2, six months later) who had experienced at least one traumatic event in their lifetime completed online questionnaires measuring core beliefs, rumination, distress, and PTG. Confirmatory factor analyses, correlations, and structural equation modeling were performed.

Results

Analyses supported a two-factor structure for the CBI: (1) beliefs about justice, control, and the causality of events and (2) beliefs about relationships, self, and the future; as well as for the ERRI: (1) intrusive rumination and (2) deliberate rumination. Both scales showed good psychometric qualities. Disruption of beliefs about relationships, self, and the future at T1 and deliberate rumination at T2 had a direct positive effect on PTG at T2, while intrusive rumination at T1 had no effect. Deliberate rumination mediated both the relationship between disruption of core beliefs and PTG and the relationship between intrusive rumination and PTG.

Conclusions

The results demonstrate the validity of the CBI and ERRI and are consistent with the theoretical model emphasizing the importance of cognitive processing in the development of PTG.

创伤后成长（PTG）与两个重要的认知因素有关：对核心信念的挑战和与事件相关的反刍。本研究的目的是：1)验证法语版本的核心信念量表（CBI, Cann et al., 2010）和事件相关反刍量表（ERRI, Cann et al., 2011）； 2)探索核心信念和反刍对PTG的长期直接和间接影响。方法对至少经历过一次创伤事件的成年人（T1时为433人，T2时为222人，6个月后为222人）进行在线问卷调查，测量核心信念、反刍、痛苦和PTG。验证性因素分析，相关性和结构方程建模进行。结果分析支持CBI的双因素结构：(1)关于正义、控制和事件因果关系的信念；(2)关于关系、自我和未来的信念；以及ERRI:(1)侵入性反刍和(2)故意反刍。两种量表均表现出良好的心理测量质量。T1阶段的人际关系、自我和未来信念的破坏和T2阶段的刻意反刍对T2阶段的PTG有直接的积极影响，而T1阶段的侵入性反刍对PTG没有影响。刻意反刍在核心信念破坏与PTG的关系和侵入性反刍与PTG的关系中起中介作用。结论CBI和ERRI测试的有效性与强调认知加工在PTG发展中的重要性的理论模型一致。

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引用次数: 0

Understanding risk and protective factors for suicidal behaviour in a military context: A concept mapping approach 理解军事背景下自杀行为的风险和保护因素：一种概念映射方法

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1016/j.jadr.2025.100977

Kairi Kõlves , Luke Bayliss , Alex Donaldson , Geoff Dickson , Zoe Jenkins , Nikki Jamieson , Martine Cosgrove , Ed Heffernan , Jennifer Wild , Jacinta Hawgood

Background

There are increasing efforts to better understand suicidal behaviour among current and former military personnel in Australia. More research using innovative methodologies is needed to identify risk and protective factors that could be addressed within the military.

Objective

To better understand perceived risk and protective factors associated with suicidal behaviour within the military context.

Methods

Three groups of stakeholders were recruited: people with lived experience of suicide in a military context, military mental health clinicians, and researchers with expertise in suicide in a military context. Using concept mapping, participants individually generated risk and/or protective factors for suicidal behaviour in a military context, before organising and rating all statements. Data were collected, analysed, and visually represented using the GroupWisdom platform.

Results

In total, 57 stakeholders participated in at least one stage of the study (i.e., brainstorming, sorting and/or rating). Brainstorming generated 97 perceived risk-factors and 63 perceived protective factors, which were thematically grouped by participants. A multidimensional scaling and hierarchical cluster analysis generated a 7-cluster solution for risk factors and a 5-cluster solution for protective factors. Most of the risk and protective factors rated highly both in terms of importance and feasibility for the military to address were from workplace-related clusters.

Conclusions

The risk and protective factors for suicidal behaviours within a military context were identified on three social-ecological levels: workplace (community), relational, and individual. The results of this study may inform future suicide research and prevention activities targeted to military personnel.

为了更好地了解澳大利亚现役和退役军人的自杀行为，人们付出了越来越多的努力。需要使用创新方法进行更多的研究，以确定可以在军队内部解决的风险和保护因素。目的更好地了解军人自杀行为的感知风险和保护因素。方法招募三组利益相关者：有军事背景自杀生活经验的人、军队心理健康临床医生和具有军事背景自杀专业知识的研究人员。使用概念图，参与者在组织和评估所有陈述之前，分别生成军事背景下自杀行为的风险和/或保护因素。使用GroupWisdom平台收集、分析和可视化表示数据。结果总共有57名利益相关者参与了研究的至少一个阶段（即头脑风暴、分类和/或评级）。头脑风暴产生了97个感知风险因素和63个感知保护因素，这些因素按参与者的主题分组。多维尺度和分层聚类分析为风险因素生成了7个聚类解决方案，为保护因素生成了5个聚类解决方案。大多数风险和保护因素在重要性和可行性方面都被军方高度评价，这些因素来自与工作场所有关的集群。结论军事背景下自杀行为的风险和保护因素在三个社会生态层面上被确定：工作场所（社区）、关系和个人。本研究结果可为未来针对军人的自杀研究及预防活动提供参考。

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引用次数: 0

The efficacy of the unified protocol for emotional disorders in children and adolescents: A systematic review and meta-analysis 儿童和青少年情绪障碍统一方案的疗效：系统回顾和荟萃分析

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-09-04 DOI: 10.1016/j.jadr.2025.100970

Malte Schäpermeier , Anna-Lena Jesussek , Jasmin Kirchherr , Maximilian Monninger , Anja C. Feneberg , Tanja Hechler

Transdiagnostic treatments such as the Unified Protocol for Emotional Disorders in Children and Adolescents (UP-C/A; Ehrenreich-May, J., Kennedy, S.M., Sherman, J.A., Bilek, E.L., Buzzella, B.A., Bennett, S.M., Barlow, D.H., 2017a) aim to target shared mechanisms across mental disorders and to achieve positive treatment outcomes. Several studies investigated the UP-C/A with promising results regarding the improvement of internalizing symptoms. However, there is currently no meta-analysis investigating the efficacy across the existing studies. In this preregistered systematic review and meta-analysis (PROSPERO CRD 42023474832), we analyzed whether the UP-C/A is effective in reducing internalizing symptoms (primary outcome) and secondary outcomes such as emotion regulation in comparison to control treatments where applicable, and from pre- to post-treatment and follow-up. We also examined whether moderators (i.e., sample and treatment characteristics) predicted the effects of the UP-C/A. We included 21 studies (9 RCTs, 11 uncontrolled studies, 1 single-case experimental study) with a total of N = 994 participants. For internalizing symptoms, we found moderate to large controlled effects post-treatment (g = 0.58, p = .014) and at follow-up (g = 0.79, p = .003). Uncontrolled effects were large in both cases. We also found moderate to large effects for secondary outcomes (i.e., emotion regulation, global severity of psychopathology, global functioning). Treatment format did not impact the efficacy. Overall, our findings suggest that the UP-C/A is effective in treating internalizing symptoms in children and adolescents that can be offered in different formats. However, more research is needed to draw robust conclusions regarding specific treatment mechanisms underlying these effects.

跨诊断治疗，如儿童和青少年情绪障碍统一协议（UP-C/A; Ehrenreich-May， J., Kennedy, s.m., Sherman, j.a., Bilek, e.l., Buzzella, b.a., Bennett, s.m., Barlow, d.h., 2017a）旨在针对精神障碍的共同机制并获得积极的治疗结果。几项研究调查了UP-C/A，在改善内化症状方面取得了令人鼓舞的结果。然而，目前还没有对现有研究的疗效进行荟萃分析。在这项预登记的系统评价和荟萃分析（PROSPERO CRD 42023474832）中，我们分析了UP-C/A与适用的对照治疗相比，在减少内化症状（主要结局）和次要结局（如情绪调节）方面是否有效，以及从治疗前到治疗后和随访。我们还检查了调节因子（即样本和处理特征）是否预测UP-C/A的效果。我们纳入了21项研究（9项随机对照试验，11项非对照研究，1项单例实验研究），共N = 994名受试者。对于内化症状，我们发现治疗后（g = 0.58, p = 0.014）和随访时（g = 0.79, p = 0.003）的控制效果中等至较大。在这两种情况下，不受控制的影响都很大。我们还发现次要结果（即情绪调节，精神病理的整体严重程度，整体功能）有中等到较大的影响。治疗方式对疗效无影响。总的来说，我们的研究结果表明，UP-C/A在治疗儿童和青少年的内化症状方面是有效的，可以以不同的形式提供。然而，需要更多的研究来得出关于这些影响的具体治疗机制的有力结论。

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引用次数: 0

Factors associated with mental health resilience in the child, adolescent and adult offspring of depressed parents: A systematic literature review 抑郁症父母的儿童、青少年和成年后代心理健康弹性相关因素：系统文献综述

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1016/j.jadr.2025.100983

Eglė Padaigaitė-Gulbinienė , Jessica Mayumi Maruyama , Gemma Hammerton , Frances Rice , Stephan Collishaw

Offspring of depressed parents are at high risk for mental health problems. Nevertheless, some of them do not develop mental health difficulties or do so only temporarily, implying that certain modifiable protective factors could buffer parental-depression-related effects. This systematic review aimed to 1) review the evidence for protective factors enhancing mental health resilience in the offspring of depressed parents; 2) identify outcome-, developmental-stage, and sex-specific protective factors; and 3) summarise conceptual and operational definitions of mental health resilience. We searched PsycINFO, Embase, MEDLINE, Web of Science Core Collection, and Cochrane Library in March 2021. Two reviewers blinded to each other’s decisions independently screened abstracts and full texts against pre-determined eligibility criteria, extracted data, and performed risk of bias assessments. Sixty studies (N = 52,966 offspring) examining 70 protective factors were included. Most studies were from high-earning countries (97 %), defined resilience as the absence of psychopathology (90 %), and considered protective factors before young adulthood (97 %) - the peak age for common mental health problems. Most protective factors were examined in only one study (56 %). We observed limited evidence for 10 demographic, parenting, individual, and social protective factors, of which parent-child relationships, co-parent support, and parental positivity were supported across mental health outcomes, and parental positivity was supported across developmental stages. Findings for sex-specific protective factors were inconsistent. Future studies should build further evidence for the protective factors examined and investigate if these associations are causal.

抑郁父母的后代患精神健康问题的风险很高。然而，他们中的一些人没有出现精神健康问题，或者只是暂时出现，这意味着某些可改变的保护因素可以缓冲父母抑郁相关的影响。本系统综述旨在：1)回顾保护因素对抑郁症父母子女心理健康弹性增强的证据；2)确定结局、发育阶段和性别特异性的保护因素；3)总结心理健康弹性的概念和操作定义。我们在2021年3月检索了PsycINFO、Embase、MEDLINE、Web of Science Core Collection和Cochrane Library。两名审稿人对彼此的决定不知情，根据预先确定的资格标准独立筛选摘要和全文，提取数据，并进行偏倚风险评估。60项研究（N = 52966个后代）检查了70个保护因素。大多数研究来自高收入国家（97%），将恢复力定义为没有精神病理（90%），并在年轻成年（97%）之前考虑保护因素——这是常见心理健康问题的高峰年龄。大多数保护性因素仅在一项研究中被检测（56%）。我们观察到10个人口统计学、养育、个人和社会保护因素的有限证据，其中亲子关系、共同父母支持和父母积极性在心理健康结果中得到支持，父母积极性在发展阶段得到支持。性别特异性保护因素的研究结果不一致。未来的研究应该为所检查的保护因素建立进一步的证据，并调查这些关联是否有因果关系。

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引用次数: 0

Erratum regarding missing Statements in previously published articles 关于先前发表的文章中缺失陈述的勘误

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-12-01 Epub Date: 2025-07-31 DOI: 10.1016/j.jadr.2025.100957

引用次数: 0