Parlak Melisa, Salazar de Pablo Gonzalo, Nyikavaranda Patrick, Easterbrook Matthew, Michelson Daniel
School of Psychology, University of Sussex, Brighton, UK.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Child Psychiatry Hum Dev. 2025 Apr 7. doi: 10.1007/s10578-025-01832-4.
Wise interventions (WIs) use theory-driven approaches to reshape individuals' interpretations of their experiences. In these pre-registered meta-analyses, we conducted random-effects, fixed-effects, moderation, and subgroup meta-analyses across different time points to evaluate the effects of WIs on depressive or anxiety symptoms. We also conducted quality assessments and evaluated publication bias and heterogeneity. Sixteen RCTs were included, revealing small but significant effects of WIs on depressive symptoms post-intervention (g = 0.22; p = 0.00) and anxiety symptoms at post-intervention (g = 0.20; p = 0.00) and 3-month follow-up (g = 0.09; p = 0.02). The strongest post-intervention effects on depressive symptoms were found for gratitude interventions (g = 0.29; p = 0.04) and online delivery (g = 0.35; p = 0.03). Moderation analyses for other endpoints yielded equivocal results. These findings highlight new opportunities to support youth by reframing their identities as sources of strength and fostering gratitude.
明智干预（WIs）采用理论驱动的方法来重塑个体对自身经历的解读。在这些预先注册的荟萃分析中，我们在不同时间点进行了随机效应、固定效应、调节和亚组荟萃分析，以评估明智干预对抑郁或焦虑症状的影响。我们还进行了质量评估，并评估了发表偏倚和异质性。纳入了16项随机对照试验，结果显示明智干预在干预后对抑郁症状有微小但显著的影响（g = 0.22；p = 0.00），在干预后对焦虑症状有影响（g = 0.20；p = 0.00），在3个月随访时对焦虑症状也有影响（g = 0.09；p = 0.02）。在干预后对抑郁症状影响最强的是感恩干预（g = 0.29；p = 0.04）和在线干预方式（g = 0.35；p = 0.03）。对其他终点的调节分析结果不明确。这些发现凸显了通过将青少年的身份重新塑造为力量源泉并培养感恩之心来支持他们的新机会。
