Penedo Juan Martín Gómez, Areas Malenka, Flückiger Cristoph
University of Kassel Germany, Kassel, Germany.
Osnabrück University, Osnabrück, Germany.
Clin Psychol Psychother. 2025 Jul-Aug;32(4):e70143. doi: 10.1002/cpp.70143.
Although empirical studies have shown that interpersonal distress is related to mental health indicators in depression, there are no previous meta-analyses evaluating this association. We performed a systematic review and meta-analytic study to estimate the association between interpersonal distress and non-relational mental health indicators (NR-MHI) in depression. Following PRISMA criteria, we performed a systematic search on PubMed and PsycINFO. We conducted multilevel meta-analytic (i.e., random-effects) models to estimate a pooled correlation coefficient representing the strength of the association between interpersonal distress and NR-MHI. Thirty-eight studies (reporting 88 effect sizes) met inclusion criteria. The models showed a significant correlation between interpersonal distress and NR-MHI (r = 0.41, p < 0.001), with moderate heterogeneity, Q(87) = 710.38, p < 0.001. A funnel plot did not present evidence of publication bias. We found no significant moderation effects of specific depressive diagnoses, type of study or levels of interpersonal distress. This study is the first to report a meta-analytic synthesis of the association between interpersonal distress and NR-MHI in depression, showing that in individuals with depression, NR-MHI was positively associated with interpersonal distress, presenting a medium-to-large pooled effect size.
尽管实证研究表明人际困扰与抑郁症的心理健康指标有关，但此前尚无评估这种关联的荟萃分析。我们进行了一项系统评价和荟萃分析研究，以估计人际困扰与抑郁症中非关系性心理健康指标（NR-MHI）之间的关联。按照PRISMA标准，我们在PubMed和PsycINFO上进行了系统检索。我们采用多层次荟萃分析（即随机效应）模型来估计一个汇总相关系数，以表示人际困扰与NR-MHI之间关联的强度。38项研究（报告了88个效应量）符合纳入标准。模型显示人际困扰与NR-MHI之间存在显著相关性（r = 0.41，p < 0.001），异质性适中，Q(87) = 710.38，p < 0.001。漏斗图未显示发表偏倚的证据。我们未发现特定抑郁诊断、研究类型或人际困扰水平的显著调节效应。本研究首次报告了抑郁症中人际困扰与NR-MHI之间关联的荟萃分析综合结果，表明在抑郁症患者中，NR-MHI与人际困扰呈正相关，呈现出中等至较大的汇总效应量。
