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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 Pub Date : 2025-12-01 Epub Date: 2025-08-05 DOI: 10.1016/j.jadr.2025.100956
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引用次数: 0
Associations between childhood maltreatment, self-harm, and pain sensitivity in care-experienced adolescents living in the UK: a cross-sectional study 儿童虐待、自残和疼痛敏感性之间的关联:一项横断面研究
Q3 Psychology Pub Date : 2025-12-01 Epub Date: 2025-09-10 DOI: 10.1016/j.jadr.2025.100975
Tatum M. Cummins , Oliver Maltby , Martin Bellander , Moa Pontén , Johan Bjureberg , Daniel Stahl , Rory C. O’Connor , Stephen B. McMahon , Susanne Millar , Isabel Mathews , Helen Minnis , Dennis Ougrin

Background

Childhood maltreatment is a major public health issue and associated with self-harm in adolescents. Self-harm is the strongest recognised predictor of suicide. Associations between reduced pain sensitivity and childhood maltreatment have been reported. We have previously shown that pain hyposensitivity is a robust feature of adolescents living in residential care with self-harm. Here, we explore the relationship between adverse childhood experiences (ACE), self-harm, and pain sensitivity in this sample.

Methods

Forty-eight adolescents (13-17 years) completed the ACE 10-item scale and were tested using a standardised quantitative sensory testing (QST) protocol. Participants were categorised according to the subtypes of abuse experienced (e.g., physical versus sexual) and frequency of self-harm within the past year. Associations between subtypes of childhood maltreatment, self-harm, and pain sensitivity were examined using ordinal regression, linear regression and independent samples t-test.

Results

In our sample, history of sexual abuse was the strongest predictor of self-harm (p = .01). Those with experience of sexual abuse (n = 13) also showed significantly higher pain thresholds (p = .01). Those with experience of sexual abuse and the most frequent self-harm (n = 11) showed significantly higher pain thresholds compared to those without experience of sexual abuse (n = 10, p = .009).

Limitations

The cross-sectional study design does not allow us to establish causal relationships. Due to the limited sample size, findings should be interpreted as exploratory.

Conclusions

Based on a limited sample of 48, our findings suggest that a history of sexual abuse may have a unique relationship to self-harm and pain hyposensitivity. Longitudinal research is needed to estimate the predictive value of pain sensitivity as a potential biomarker to identify those at risk for self-harm and suicide.
儿童虐待是一个重大的公共卫生问题,并与青少年的自我伤害有关。自残是公认的自杀最有力的预测因素。据报道,疼痛敏感性降低与儿童虐待之间存在关联。我们以前已经表明,疼痛低敏感性是一个强大的特征,青少年生活在住宿照顾与自残。在这里,我们在这个样本中探讨童年不良经历(ACE)、自我伤害和疼痛敏感性之间的关系。方法48例青少年(13 ~ 17岁)完成ACE 10项量表,采用标准化定量感觉测试(QST)方法进行测试。参与者根据过去一年遭受虐待的亚型(例如,身体虐待还是性虐待)和自残的频率进行分类。采用有序回归、线性回归和独立样本t检验检验儿童虐待、自残和疼痛敏感性亚型之间的关系。结果在我们的样本中,性侵犯史是自我伤害的最强预测因子(p = 0.01)。有过性虐待经历的人(n = 13)也表现出明显更高的疼痛阈值(p = 0.01)。那些有性虐待经历和自残最频繁的人(n = 11)比那些没有性虐待经历的人表现出更高的疼痛阈值(n = 10, p = 0.009)。局限性横断面研究设计不允许我们建立因果关系。由于样本量有限,研究结果应被解释为探索性的。基于有限的48个样本,我们的研究结果表明,性虐待史可能与自残和疼痛敏感性低下有独特的关系。需要进行纵向研究,以估计疼痛敏感性作为潜在生物标志物的预测价值,以识别那些有自残和自杀风险的人。
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引用次数: 0
Mental health indicators and job-related factors in primary, secondary and higher institution teachers in the Douala III municipality, Cameroon: a cross-sectional school-based study 喀麦隆杜阿拉第三市中小学和高等院校教师的心理健康指标和与工作有关的因素:一项基于学校的横断面研究
Q3 Psychology Pub Date : 2025-12-01 Epub Date: 2025-10-11 DOI: 10.1016/j.jadr.2025.100986
Seraphine Njuontsop Chiamo , Germain Sotoing Taiwe , Anastase Dzudie , Nicholas Tendongfor

Background

Teachers are a high-risk group of work-related stress which can negatively impact their mental health. There is limited data on teachers’ mental health in Cameroon. We aimed at determining the prevalence and associated factors of common mental health indicators among primary, secondary and higher institution teachers in the Douala III Municipality.

Methods

This school-based cross-sectional study involved 367 teachers age 20-67 enrolled November 2022 to June 2023. Structured and standard questionnaires of MBI-ES, GHQ-12, GAD-7 and PHQ-9 were used to measure mental health status of teachers. Job-related factors were categorized and scores compared using Kruskal-Wallis and Mann-Whitney tests where appropriate. Multivariate logistic regression models were used to identify factors associated.

Results

In our sample, 64% had burnout syndrome (BS), 34.9% emotional exhaustion (EE), 9% depersonalization (DP), 39.2% reduced personal accomplishment (PA), 93.5% psychological distress (PD), 28.4% anxiety and 28.8% depressive symptoms. Primary and secondary school teachers were more burdened; EE (H = 19.27, P < 0.001), anxiety (H = 13.69, P = 0.001), poor job perception (p < 0.05) than higher institution teachers. Females were more anxious (W = 14354.5, P = 0.036). Poor job, interpersonal and social perceptions were independently associated with mental health indicators indicating work influence.

Conclusions

BS, PD, anxiety and depression are high among teachers in the Douala III Municipality. Poor job, interpersonal and social perceptions negatively affect their mental health especially primary and secondary school teachers. Causal studies and intervention strategies by stakeholders become imperative to ameliorate teachers’ mental health and productivity.
教师是工作压力的高危人群,这会对他们的心理健康产生负面影响。关于喀麦隆教师心理健康的数据有限。我们的目的是确定杜阿拉第三市小学、中学和高等院校教师中常见心理健康指标的流行情况及其相关因素。方法本研究以学校为基础,涉及367名年龄在20-67岁之间的教师,于2022年11月至2023年6月入组。采用MBI-ES、GHQ-12、GAD-7、PHQ-9等结构化标准问卷对教师心理健康状况进行测评。对工作相关因素进行分类,并在适当的情况下使用Kruskal-Wallis和Mann-Whitney测试来比较得分。采用多元逻辑回归模型确定相关因素。结果64%的人有倦怠综合征(BS)、34.9%的人有情绪衰竭(EE)、9%的人有人格解体(DP)、39.2%的人有成就感降低(PA)、93.5%的人有心理困扰(PD)、28.4%的人有焦虑、28.8%的人有抑郁症状。中小学教师负担加重;情感表达(H = 19.27, P < 0.001)、焦虑(H = 13.69, P = 0.001)、工作感知差(P < 0.05)。女性更焦虑(W = 14354.5, P = 0.036)。不良的工作、人际和社会观念与表明工作影响的心理健康指标独立相关。结论杜阿拉三区教师的抑郁、焦虑、抑郁程度较高。不良的工作、人际关系和社会观念对他们的心理健康产生负面影响,尤其是中小学教师。因果研究和利益相关者的干预策略是改善教师心理健康和生产力的必要条件。
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引用次数: 0
Adolescent pathological internet use reduce academic self-efficacy in China: The mediating role of meaning in life and the moderating role of coping style 青少年病理性网络使用降低学业自我效能:生活意义的中介作用和应对方式的调节作用
Q3 Psychology Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.jadr.2025.100981
Lingyue Kong , Ximing Hao , Yifei Wang , James Ma , Chongying Wang
Adolescents, particularly vulnerable to pathological Internet use (PIU), may experience reduced academic self-efficacy as their ability to manage academic challenges and derive meaning in life is compromised. This study investigates how PIU (excessive and compulsive online behavior impairing functioning) affects academic self-efficacy in adolescents, exploring the mediating role of meaning in life (a sense of purpose and coherence) and the moderating influence of coping styles. A total of 6445 Chinese senior high school students (Mage = 15.24, SD = 1.44) participated, a population experiencing unique academic and digital pressures that may amplify the effects of PIU. Structural equation modeling was employed to assess these mechanisms. PIU negatively predicted academic self-efficacy (r = –0.32, p < 0.01) and meaning in life (r = –0.20, p < 0.01), while meaning in life positively predicted academic self-efficacy (r = 0.50, p < 0.01). Meaning in life partially mediated the PIU–self-efficacy link, with a stronger effect under negative coping model (β = –0.093, 32 % of total effect) than under positive coping model (β = –0.033, 14 %). Moderation analyses showed opposing effects of coping styles: positive coping attenuated the PIU–self-efficacy association (β = –0.241 vs. –0.163), whereas negative coping amplified PIU’s impact on meaning in life (β = –0.190 vs. –0.227) and self-efficacy (β = –0.090 vs. –0.167). These findings highlight meaning in life as a protective mediator and coping styles as critical moderators, suggesting interventions enhancing meaning and adaptive coping could improve academic self-efficacy among adolescents with high Internet use.
青少年尤其容易受到病理性互联网使用(PIU)的影响,他们可能会经历学术自我效能降低,因为他们管理学术挑战和获得生活意义的能力受到损害。本研究旨在探讨过度和强迫性网络行为损害功能对青少年学业自我效能的影响,探讨生活意义(目标感和连贯感)的中介作用以及应对方式的调节作用。共有6445名中国高中生(Mage = 15.24, SD = 1.44)参与了这项研究,这一群体经历着独特的学术和数字压力,可能会放大PIU的影响。采用结构方程模型来评估这些机制。PIU负向预测学业自我效能(r = -0.32, p < 0.01)和生活意义(r = -0.20, p < 0.01),正向预测学业自我效能(r = 0.50, p < 0.01)。生活意义部分介导了自我效能感与自我效能感的关系,负性应对模式下的影响(β = -0.093,占总效应的32%)强于正性应对模式下的影响(β = -0.033,占总效应的14%)。适度分析显示,积极应对会减弱PIU与自我效能的关联(β = -0.241 vs. -0.163),而消极应对则会放大PIU对生活意义(β = -0.190 vs. -0.227)和自我效能的影响(β = -0.090 vs. -0.167)。研究结果表明,生活意义是一种保护性中介,而应对方式是一种关键调节因子,表明提高意义和适应性应对的干预措施可以提高高互联网青少年的学业自我效能感。
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引用次数: 0
Major depressive disorder and pareidolia: An investigation in a clinical sample 重度抑郁症和空想性视错觉:一项临床样本调查
Q3 Psychology Pub Date : 2025-12-01 Epub Date: 2025-10-04 DOI: 10.1016/j.jadr.2025.100984
Eid Abo Hamza , Reham Amer , Dalia Bedewy , Gabriel Andrade , Abdalla A.R.M. Hamid , Ahmed A. Moustafa

Background

While there have been several studies investigating pareidolia in several patient populations, including schizophrenia, bipolar disorder, and Alzheimer’s disease, to our knowledge, no study has investigated pareidolia in patients with major depressive disorder. In the current study, we, for the first time, study pareidolia in patients diagnosed with major depressive disorder.

Methods

We have recruited 75 drug-naïve patients (i.e., to minimise side effects of antidepressants) diagnosed with major depressive disorder and anxiety. We have used the following measures: demographic scale, the Hamilton Depression Rating Scale (HDRS), the Hamilton Anxiety Rating Scale (HAM-A), and the novel Noise Pareidolia Task (NPT-20).

Results

Results show that higher depression was associated with a lower capacity to distinguish noise from faces. Higher depression was also associated with a greater probability of seeing faces when they are not there (i.e., face pareidolia). Surprisingly, we did not find any relations between anxiety and pareidolia.

Discussion

Our results suggest that pareidolia is a common phenomenon in several patient populations and should be investigated in clinical settings in relation to visual hallucinations.
虽然已经有一些研究调查了包括精神分裂症、双相情感障碍和阿尔茨海默病在内的一些患者群体的空想性视错觉,但据我们所知,还没有研究调查过重度抑郁症患者的空想性视错觉。在本研究中,我们首次研究了重度抑郁症患者的空想性视错觉。方法:我们招募了75例drug-naïve患者(即,为了尽量减少抗抑郁药的副作用),诊断为重度抑郁障碍和焦虑。我们使用了以下测量方法:人口统计量表、汉密尔顿抑郁评定量表(HDRS)、汉密尔顿焦虑评定量表(HAM-A)和新颖的噪音幻想性视错任务(NPT-20)。结果抑郁程度越高,识别人脸噪声的能力越低。抑郁程度越高,看到不存在的面孔的可能性也越大(即,面孔空想性视错觉)。令人惊讶的是,我们没有发现焦虑和幻想性视错觉之间的任何关系。我们的研究结果表明,空想性视错觉在一些患者群体中是一种常见的现象,应该在临床环境中调查与视觉幻觉有关的情况。
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引用次数: 0
Burnout in the general population: Role of anxiety, depression and traumatic events 普通人群的职业倦怠:焦虑、抑郁和创伤性事件的作用
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jadr.2025.100941
Lucia Romo , Clément Duret , Laurent Cruchet , Stéphanie Nann , Samantha Tessier , Oulmann Zerhouni

Objective

This study aims to examine the predictors of work exhaustion in the general population, with a particular focus on the roles of burnout, anxiety, depression, and trauma-related symptoms.

Methods

A cross-sectional survey was conducted among a sample from the French general population. The survey included measures of burnout using the Copenhagen Burnout Inventory (CBI), anxiety (GAD-7), depression (PHQ-9), and trauma-related symptoms (International Trauma Questionnaire [ITQ]). Correlation and Regression analyses were performed to identify significant predictors of work exhaustion

Results

The analysis revealed that personal burnout (CBI) were significant positive predictors of work exhaustion. Older individuals and men reported higher levels of work exhaustion. However, anxiety, depression, and trauma-related symptoms did not emerge as significant predictors.

Conclusion

The findings underscore the critical role of specific dimensions of burnout, particularly personal burnout, in predicting work exhaustion. These results suggest that targeted interventions addressing these aspects of burnout may be crucial in reducing work-related stress and improving employee well-being. The study also highlights the need for further research on the indirect effects of trauma on work exhaustion in the general population.
目的本研究旨在探讨普通人群工作疲劳的预测因素,特别关注倦怠、焦虑、抑郁和创伤相关症状的作用。方法对法国普通人群进行横断面调查。该调查包括使用哥本哈根倦怠量表(CBI)、焦虑(GAD-7)、抑郁(PHQ-9)和创伤相关症状(国际创伤问卷[ITQ])进行倦怠测量。结果个人倦怠(personal burnout, CBI)是工作倦怠的显著正向预测因子。老年人和男性报告的工作疲劳程度更高。然而,焦虑、抑郁和创伤相关症状并没有成为显著的预测因素。结论研究结果强调了职业倦怠的特定维度,尤其是个人职业倦怠在预测工作倦怠中的重要作用。这些结果表明,针对这些方面的倦怠进行有针对性的干预可能是减少工作压力和提高员工幸福感的关键。该研究还强调,需要进一步研究创伤对普通人群工作疲劳的间接影响。
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引用次数: 0
Sociodemographic predictors of depression among economically vulnerable mothers in urban Uruguay 乌拉圭城市经济弱势母亲抑郁的社会人口学预测因素
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-09-14 DOI: 10.1016/j.jadr.2025.100978
Anahita Kumar , Juanita Bloomfield , Ana Balsa , Hang Do (Heather) , Alejandro Cid , Guilherme Lichand , Sharon Wolf

Background

Depression is a leading cause of disability worldwide, affecting women twice as much as men. In Latin America, rates are double the global average. Uruguay, despite investing in mental health, has the continent’s highest and still-rising suicide rate.

Methods

We examine predictors of depression among a sample of economically vulnerable mothers in Uruguay (N = 467). Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Sociodemographic predictors were added in blocks using hierarchical regression with robust standard errors.

Results

On average, survey respondents were 29 years of age (SD = 6.65), with children aged 24 months (SD = 5.97). The average CES-D score was 6.9 (range 0–46), with 12 % of respondents at risk (CES-D ≥ 16). Mothers who had completed middle or secondary school had lower levels. In contrast, experiencing a negative economic shock in the past year and receiving government assistance were associated with higher depression. Mothers receiving government assistance were 8 percentage points more likely to be at risk of depression, suggesting a subgroup prevalence of ∼ 20 %- a figure that aligns closely with prior estimates in similar populations. Among subgroups, mothers (not receiving assistance) who worked part-time had higher CES-D scores than those working full-time.

Limitations

We rely on self-reported, cross-sectional data.

Conclusions

Indicators of economic strain predict increased depression levels among mothers in Uruguay. Higher education and full-time employment were protective factors. The elevated risk among mothers receiving government assistance highlights the need for integrated mental health and social support interventions.
抑郁症是世界范围内致残的主要原因,对女性的影响是男性的两倍。在拉丁美洲,这一比率是全球平均水平的两倍。尽管乌拉圭在心理健康方面进行了投资,但该国的自杀率仍是非洲大陆最高的,而且仍在上升。方法研究了乌拉圭经济弱势母亲的抑郁预测因素(N = 467)。使用流行病学研究中心抑郁量表(CES-D)测量抑郁症。使用具有稳健标准误差的分层回归将社会人口学预测因子分组添加。结果调查对象平均年龄为29岁(SD = 6.65),儿童年龄为24月龄(SD = 5.97)。平均CES-D评分为6.9(范围0-46),12%的受访者存在风险(CES-D≥16)。完成初中或中学教育的母亲的水平较低。相比之下,在过去一年经历负面经济冲击和接受政府援助的人更容易抑郁。接受政府援助的母亲患抑郁症的可能性高出8个百分点,这表明亚组患病率为20%,这一数字与之前对类似人群的估计非常吻合。在亚组中,兼职母亲(不接受援助)的CES-D分数高于全职母亲。局限性:我们依赖于自我报告的横断面数据。结论经济压力指标预示着乌拉圭母亲抑郁程度的增加。高等教育和全职工作是保护因素。接受政府援助的母亲风险增加,突出表明需要采取综合心理健康和社会支助干预措施。
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引用次数: 0
Relationship between impulsivity and vocal emotion recognition following cerebellar stroke 小脑卒中后冲动与声音情绪识别的关系
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-09-03 DOI: 10.1016/j.jadr.2025.100969
Annie Sautebin , Ioana Medeleine Constantin , Philippe Voruz , Marine Thomasson , Didier Grandjean , Frédéric Assal , Julie Anne Péron

Background

Previous research has established a link between impulsivity and emotion recognition across various pathologies, highlighting the cerebellum's role in both impulsive behavior and vocal emotion processing. However, the relationship between these factors in patients with chronic cerebellar stroke remains unexplored.

Aim

This study aimed to investigate whether impulsivity predicts the auditory recognition of emotions previously identified as deficient—specifically anger, sadness, and neutral—in cerebellar stroke patients.

Methods

We conducted LASSO regressions using data extracted from the dataset of the CEREBEMO project, which assessed emotional prosody recognition through a validated task. The analysis included the French-validated Urgency-Premeditation-Perseverance-Sensation Seeking (UPPS) impulsivity scale, with a sample of 26 patients.

Results

Results revealed significant effects of sensation seeking, urgency and lack of premeditation scores on the emotional prosody recognition of anger and sadness stimuli. Significant effects of gender, age, lesion side and time since the stroke on emotional prosody performances were also found.

Conclusions

Impulsivity can predict the ability to identify vocal emotions among patients in the chronic phase following cerebellar stroke. These insights suggest that addressing impulsivity may enhance emotional recognition capabilities and, consequently, improve social functioning in this population.
先前的研究已经建立了冲动和情绪识别之间的联系,强调了小脑在冲动行为和声音情绪处理中的作用。然而,这些因素在慢性小脑卒中患者中的关系仍未被探索。目的本研究旨在探讨冲动性是否能预测小脑卒中患者对先前被认为有缺陷的情绪(特别是愤怒、悲伤和中性)的听觉识别。方法使用从CEREBEMO项目数据集提取的数据进行LASSO回归,通过验证任务评估情绪韵律识别。分析包括法国认可的紧急-预谋-坚持-感觉寻求(UPPS)冲动量表,样本为26例患者。结果发现感觉寻求、紧迫感和缺乏预谋得分对愤怒和悲伤刺激的情绪韵律识别有显著影响。性别、年龄、发病部位及发病时间对情绪韵律表现均有显著影响。结论脉冲性可以预测小脑卒中后慢性期患者的声音情绪识别能力。这些见解表明,处理冲动可能会提高情绪识别能力,从而改善这一人群的社会功能。
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引用次数: 0
Effects of group psychotherapy compared to waiting list or other active intervention on depression and other clinical outcomes in adults with autism spectrum disorder: A systematic review 与等候名单或其他积极干预相比,团体心理治疗对成年自闭症谱系障碍患者抑郁和其他临床结果的影响:一项系统综述
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-05-08 DOI: 10.1016/j.jadr.2025.100930
Donia Shalabi , Matilda Plume , Hanna Berggren , Hanna Nguyen , Steinn Steingrimsson , Tomas Larson , Jacqueline Borg , Constanze Wartenberg

Objective

This systematic review evaluates the efficacy of group psychotherapy for adults with autism spectrum disorder (ASD). Symptoms of depression, mortality, drop out due to lack of effect or side effects, complications, anxiety, global functioning, and quality of life were considered as outcomes.

Methods

Following PRISMA guidelines and pre-registration in PROSPERO, the databases MEDLINE, Cochrane Library, EMBASE, CINAHL, and APA PsycINFO were searched in December 2022 for studies involving adults with ASD that compared group psychotherapy with other individual psychotherapy, pharmacological treatment, other active interventions, or waiting list. The risk of bias of included studies was assessed, and data were extracted and summarized. Meta-analyses were planned if appropriate. The certainty of the evidence was assessed using GRADE.

Results

Five studies (n = 261) were included. Four studies (3 randomized controlled trials [RCTs], 1 non-RCT) compared group psychotherapy to waiting list. Given the studies’ heterogeneity no meta-analyses were performed. The studies reported inconsistent findings regarding depressive symptoms and anxiety. None of the studies reported data regarding quality of life, global functioning, mortality or suicide, drop out, or complications. One RCT comparing group psychotherapy to recreational activity found no significant difference in depressive symptoms, global functioning, or quality of life. No study comparing group psychotherapy with other individual psychotherapy or pharmacological treatment was found.

Conclusion

Based on five controlled studies it is uncertain whether group psychotherapy compared to waiting list or recreational activity results in differences in depressive symptoms, anxiety, global functioning, or quality of life in adults with ASD.
目的评价团体心理治疗对成人自闭症谱系障碍(ASD)的疗效。结果包括抑郁症状、死亡率、因缺乏疗效或副作用而退出治疗、并发症、焦虑、整体功能和生活质量。方法遵循PRISMA指南和PROSPERO预注册,于2022年12月检索MEDLINE、Cochrane Library、EMBASE、CINAHL和APA PsycINFO数据库,以比较团体心理治疗与其他个体心理治疗、药物治疗、其他积极干预或等待名单的成人ASD研究。对纳入研究的偏倚风险进行评估,并对数据进行提取和汇总。如果合适,计划进行meta分析。使用GRADE评估证据的确定性。结果纳入5项研究(n = 261)。4项研究(3项随机对照试验[rct], 1项非随机对照试验[rct])比较了团体心理治疗与等候名单。考虑到研究的异质性,未进行meta分析。这些研究报告了关于抑郁症状和焦虑的不一致的发现。没有一项研究报告了有关生活质量、整体功能、死亡率或自杀、辍学或并发症的数据。一项比较团体心理治疗和娱乐活动的随机对照试验发现,在抑郁症状、整体功能或生活质量方面没有显著差异。没有研究将团体心理治疗与其他个体心理治疗或药物治疗进行比较。结论基于五项对照研究,尚不确定与等候名单或娱乐活动相比,团体心理治疗是否会导致ASD成人抑郁症状、焦虑、整体功能或生活质量的差异。
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引用次数: 0
The efficacy of mindfulness-based cognitive therapy in regulating cognition and emotion of patients with depression: A systematic review of randomized controlled trials 正念认知疗法调节抑郁症患者认知和情绪的疗效:随机对照试验的系统综述
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1016/j.jadr.2025.100929
Nikapitiye Nandarathana, Jay Kumar Ranjan, Madhubanti Sinha

Background

A number of reviews report the efficacy of Mindfulness-Based Cognitive Therapy (MBCT) in the treatment of depressive disorders, however, there is a dearth of qualitative reviews examining the efficacy of MBCT in regulating cognitions and emotions.

Objective

To systematically review the efficacy of MBCT in alleviating depressive symptoms, preventing relapse in patients with depression (PWD), and identify the different cognitive and affective factors that influence its effectiveness.

Methods

A comprehensive search was conducted in six electronic databases (PubMed, EBSCOhost, Web of Science, JSTOR, Scopus, and Science Direct) up to May 13, 2024 for randomized controlled trials (RCTs) assessing MBCT in adults with depressive disorders. We appraised the methodological quality of the included studies using Cochrane Risk-of-Bias 2.0.

Results

The present systematic review followed the PRISMA guideline, and out of 1151 screened studies, 117 were eligible for full-text review. 17 studies were finally included in this review. All included studies utilized RCTs, comparing MBCT vs treatment as usual (TAU) and one study compares MBCT with cognitive behavioral therapy (CBT) and TAU. The results support that MBCT effectively manages the symptoms of depressive disorders and regulates cognition and emotions.

Conclusion

MBCT, when implemented with pharmacological treatment, demonstrates significant efficacy in alleviating depressive symptoms, reducing thought rumination, regulating emotions, and enhancing mindfulness. Further, MBCT reduces relapse rates in patients with depression.

PROSPERO registration

CRD42024548497
背景:许多综述报道了正念认知疗法(MBCT)治疗抑郁症的疗效,然而,关于MBCT在调节认知和情绪方面的疗效的定性综述却很少。目的系统回顾MBCT在缓解抑郁症(PWD)患者抑郁症状、预防复发方面的疗效,并探讨影响其疗效的不同认知和情感因素。方法综合检索截至2024年5月13日的6个电子数据库(PubMed、EBSCOhost、Web of Science、JSTOR、Scopus和Science Direct)中评估成人抑郁症MBCT的随机对照试验(RCTs)。我们使用Cochrane风险偏倚2.0评价纳入研究的方法学质量。本系统综述遵循PRISMA指南,在1151项筛选研究中,有117项符合全文综述的条件。17项研究最终纳入本综述。所有纳入的研究均采用随机对照试验,比较MBCT与常规治疗(TAU),一项研究将MBCT与认知行为治疗(CBT)和TAU进行比较。结果支持MBCT有效管理抑郁症的症状,调节认知和情绪。结论mbct配合药物治疗在缓解抑郁症状、减少思想反刍、调节情绪、增强正念等方面具有显著疗效。此外,MBCT还能降低抑郁症患者的复发率。普洛斯彼罗registrationCRD42024548497
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引用次数: 0
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Journal of Affective Disorders Reports
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