Efficacy of systemic therapy on adults with depressive disorders: A meta-analysis.

OBJECTIVE: This meta-analysis evaluates the efficacy of systemic therapy approaches on adult clients with depressive disorders. METHODS: The illness-specific systematic review updates a previous meta-analysis on the efficacy of systemic therapy on psychiatric disorders in adulthood. It integrates the results of 30 randomized controlled trials (RCTs) comparing systemic psychotherapy for depression with an untreated control group or alternative treatments. Studies were identified through systematic searches in relevant electronic databases and cross-referencing. A random-effects model calculated weighted mean effect sizes for each type of comparison (alternative treatments, control group with no alternative treatment/waiting list) on two outcomes (depressive symptoms change, drop-out rates). RESULTS: On average, systemic interventions show larger improvements in depressive symptoms compared to no-treatment controls at post-test (g = 1.09) and follow-up (g = 1.23). Changes do not significantly differ when comparing systemic interventions with alternative treatments (post-test g = 0.25; follow-up g = 0.09). Results also vary, in part, by participant age, publication year, and active control condition. CONCLUSION: This meta-analysis indicates the potential benefits of systemic interventions for adult patients with depression. Future randomized clinical trials in this area should enhance study quality and include relational and other relevant outcome measures.

The relationship between exercise-related expectancies and exercise behaviour in adolescent athletes.

Background: In recent years, a decline in sports behaviour among adolescents was observed, even though it is generally known that sports contribute to healthy development. According to the social cognitive theory of Bandura, outcome expectancies play an important role in the practice of health behaviour. Methods: This study analysed the relationship between exercise-related outcome expectancies (EOEs) and exercise behaviour among adolescent athletes, and the differences of EOEs according to age, gender and type of sport played. In an online survey N = 223 (female = 140, male = 83) athletes between the age of 10-19 (Mage = 14.27, SD = 3.21) completed the Exercise-related Outcome Expectancies Questionnaire for Adolescents (EOEQ-A), as well as questions about their sociodemographic background and training behaviour. Results: A small positive correlation of psychological EOEs with the overall amount of training was discovered while expectancies about negative consequences of sports were associated with lower training efforts. Athletes between 14 and 16 years reported significantly stronger negative EOEs than younger or older participants. Regarding gender, no significant differences were found. Furthermore, a positive correlation between social EOEs and participation in team sports, as well as training in a group was found. Conclusion: These results could help with adapting exercise-related interventions so that the positive expectancies of the athletes can be fulfilled and exercise behaviour among adolescents can be promoted. Future studies should investigate the relationship between changes in expectancies and changes in exercise behaviour.

Effects of reminiscence interventions on depression and anxiety: a meta-analysis of randomized controlled trials.

OBJECTIVES: The goal of the present meta-analysis was to compare effects of reminiscence interventions on depression and anxiety across different target groups. METHODS: Systematic search in electronic data bases and cross-referencing identified 195 randomized controlled trials that were included in random-effects meta-analysis. RESULTS: Reminiscence interventions resulted, on average, in moderate improvement of depressive symptoms and small-to-moderate improvements of anxiety symptoms. Life review therapy for individuals with elevated psychological symptoms tended to be more effective (with moderate to strong improvements) than life review with nonclinical samples and simple reminiscence. Effects were similar for individuals with cognitive impairment, physical illness and general community-based samples. Intervention effects varied, in part, by intervention length, kind of control condition, publication status, and region where the study was conducted. CONCLUSIONS: We conclude that reminiscence interventions should be offered for all adults interested in reflecting on their past, although adaptations of intervention contents can be made according to the needs of potential participants.

Change in Alcohol Consumption in Adolescence and Emerging Adulthood: A Meta-Analysis.

OBJECTIVE: Most young people start to drink alcohol in adolescence and increase their consumption until their early 20s. The present study meta-analyzed results of longitudinal studies across the age range of 10 to 25 years. METHOD: A systematic search in the PsycINFO, PSYNDEX, and Web of Science databases resulted in 513 studies that were included in multilevel meta-analysis. RESULTS: On average, alcohol consumption increased by .21 standard deviation units per year, with the strongest increase at age 12 to 13 years. Regarding cumulative change, drinking peaked around 22 years. Drinking started to decline at age 24, with minor changes being observed in 24- and 25-year-olds. Female participants increased their consumption less than their male peers, but gender differences were very small. Weaker increases in drinking were found in countries with higher minimum legal age of buying alcohol. Passing the minimum legal age of 16 years was associated with a stronger immediate increase in drinking compared with countries with higher minimum legal age, whereas passing higher minimum legal ages had no effect on alcohol consumption. In U.S. samples, smaller increases in drinking were observed in more recent studies. CONCLUSIONS: Prevention must start before age 12. Passing a low minimum legal drinking age only seems to have a short-term effect on alcohol consumption.

Better than expected? Predictors of coping with expectation violations in the communication about death and dying.

Background: End-of-life (EOL) communication is often avoided, especially among young adults. Negative expectations concerning EOL conversations with relatives or significant others are one major reason. Objective: To investigate how best to violate negative expectations concerning EOL conversations by identifying predictors of coping with expectation violations in this context. Methods: Vignettes describing expectation violations in the context of EOL communication were presented to a sample of 261 university students. In a first experiment, the credibility of the expectation-disconfirming information was manipulated. In a second experiment, the valence of the disconfirming evidence was manipulated. As outcome measures, the subjective likelihood of two different responses to the expectation violation was assessed: (1) ignoring the disconfirming evidence (immunization) and (2) changing expectations (accommodation). Results: Overall, participants experiencing a worse-than-expected event showed more immunization [F(1, 257) = 12.15, p < 0.001, ηp = 0.05], while participants experiencing a better-than-expected event showed more accommodation [F(1, 257) = 30.98, p < 0.001, ηp = 0.11]. Participants with higher fear of death [F(1, 257) = 12.24, p < 0.001, ηp = 0.05] as well as higher death avoidance tendencies [F(1, 257) = 17.16, p < 0.001, ηp = 0.06] showed less accommodation in response to a better-than-expected event. Conclusion: In general, young adults appear to update their expectations quickly in response to unexpectedly positive experiences in the context of EOL communication. However, individuals with higher fear of death and higher death avoidance tendencies appear to be at higher risk of maintaining negative expectations despite disconfirming evidence.

Predicting coping with expectation violations: combining the ViolEx Model and the Covariation Principle.

An experimental vignette study examined whether three specific situational cues predict ways of coping with violated expectations. The situational cues (consistency, distinctiveness, consensus) were derived from the Covariation Principle. The assessed coping strategies were based on the ViolEx Model-assimilation (activities to fulfill one's expectation), accommodation (expectation change) and immunization (ignoring the discrepant information). A sample of 124 adults (mean age = 23.60 years; 49.19 percent psychology students) were randomly assigned to an experimental and control condition. Participants of the experimental condition read several vignettes about expectation violations with systematically manipulated situational cues, while participants of the control condition received the same vignettes without such cues. Participants had to rate the usefulness of each coping strategy per vignette. The situational cues mostly led to response shifts in coping tendencies: Situations with low consistency cues mostly led to immunization, whereas high consistency led to assimilation in the case of high distinctiveness and to accommodation in the case of low distinctiveness. Consensus cues only played a minor part in the coping process. The results show that situational characteristics influence people's coping behavior, regardless of their dispositional preferences for certain coping strategies.

Health Behaviors of Colombian First-Semester University Students in Association with Behaviors of Close Social Ties, Living Arrangement, and Time Spent with Peers.

OBJECTIVE: in Colombia, many first-year university students consume unhealthy food, are physically inactive, and drink regularly, which can be associated with the behavior of social ties, living with social ties, and time with peers. The present cross-sectional study assessed the association between health behaviors of first-semester students and these factors. METHOD: N = 189 (Mage = 18.79; SD = 1.07; female = 68.8%) first-semester students in Colombia completed an online questionnaire investigating current and expected health behaviors as well as influencing factors. ANCOVAs, bivariate correlations, moderation analyses, and hierarchical regressions were used to analyze the data. RESULTS: expected food consumption (stronger among participants who live with parents) as well as current and expected heavy drinking and binge drinking (stronger among participants who do not live with parents) were significantly correlated to the respective parental behavior. Current and expected drinking was significantly correlated to partners' drinking. Expected physical activity was correlated with peers' physical activity. Partners' attempts to encourage drinking moderated the association between participants' current and expected drinking with partners' drinking. Time spent with peers was related to heavy drinking and engaging in more physical activity. CONCLUSION: in Colombia, parents appear to play a significant role in their offspring's health behaviors during their first semester at university, particularly regarding food consumption and alcohol use. Partners' drinking and time spent with peers are strongly related to heavy drinking.

Expectations do not need to be accurate to be maintained: Valence and need for cognitive closure predict expectation update vs. persistence.

Expectations about us and our environment serve to successfully anticipate the future, make accurate predictions, and guide behavior and decisions. However, when expectations are not accurate, individuals need to resolve or minimize incongruence. Coping is especially important when expectations affect important domains such as students' academic self-concept. Whether expectations are adjusted after expectation violation (accommodation), maintained by denying the discrepancy (immunization), or whether individuals modify behavior to minimize the likelihood of future expectation violations (assimilation) depends on situational and dispositional predictors. In our experiment, we examined valence of expectation violation (positive vs. negative) as a situational predictor together with need for cognitive closure (NCC) as a dispositional predictor with N = 297 participants in a word riddle study. MANCOVA revealed that students tended to assimilate and accommodate more strongly after worse-than-expected achievement, and also NCC promoted both stronger accommodation and assimilation. NCC interacted with the valence of expectation violation: individuals with high NCC reported more assimilation and accommodation only after worse-than-expected achievement. The results replicate and extend previous findings: individuals do not always strive to have the most accurate expectations possible. Instead, both affective (valence) and cognitive (NCC) predictors appear to affect which coping strategy is preferred by the individual.

Influences on change in expected and actual health behaviors among first-year university students.

Background: First-year students often adopt health risk behaviors during their first semester such as increased consumption of unhealthy food, decreased physical activity, and increased alcohol use. Expectations, social tie's efforts to motivate behavior, and coresidence with parents can influence said behaviors. Aims: We assessed how students' health behaviors and expectations change over the first semester, and how the aforementioned factors influence the maintenance or change of behavior and expectations. Methods: A longitudinal survey design was implemented. A total of N = 163 German first-year students (81% female; 18% male; 1% non-binary; M age = 21.20, SD = 2.66) completed online questionnaires, including the NCHRBS and AUDIT, during the Covid-19 pandemic at the beginning (November 2020) and after the end (May 2021) of their first semester. Results: Current and expected food consumption and physical activity became healthier over time. The current and expected number of drinks consumed per month increased. Change in expectations for physical activity, number of drinks and binge drinking were predicted by the initial respective behavior. The number of drinks and expected physical activity became unhealthier in relation to reported initial parental influence to drink and to be physically inactive. Moving out of the parental home predicted an increase in current and expected number of drinks and in current and expected binge drinking. These effects of moving out were not mediated by perceived parental or peer influence. Conclusions: Interventions should target these behaviors and expectations during the first semester and address parental influence on physical activity and alcohol use.

Associations of Self-Esteem With Attachment to Parents: A Meta-Analysis.

The main objective of the present meta-analysis was to analyze associations between security of attachment to parents and self-esteem. Studies were included if they assessed bivariate associations between self-esteem and attachment security with mothers and/or fathers, or with both parents in general. A systematic search in the electronic databases PSYCINFO, Web of Science, Google Scholar, and PSYNDEX identified 202 studies with 81,485 participants that were included in this multilevel meta-analysis. Criteria from the Mixed Methods Appraisal Tool were used for assessing the quality of the individual studies. Most studies assessed security with verbal measures (190 studies), and the mean age of participants was 16.5 years. We found a moderate positive concurrent correlation of attachment security to parents with self-esteem (r = .34; 95% confidence interval [CI], .33-.36), with associations being stronger when assessing attachment to parents in general (r = .37; CI, .35 to .40) rather than to mothers (r = .33; CI, .31 to .35) or fathers (r = .32; CI, .30 to .34) in particular. Cross-lagged effects indicate that higher initial attachment security predicts an increase in self-esteem over time (r = .19; CI, .09 to .28), while initial self-esteem predicts change in security (r = .08; CI, .02 to .14). Correlations of attachment security with self-esteem were weaker in older participants and stronger in studies with validated attachment measures. As most of the included studies have been conducted with adolescents and young adults, knowledge about associations of secure attachment to parents and self-esteem in the first years of life is still limited. Nonetheless, it is concluded that the available results support suggestions of attachment theory on the role of secure attachment for self-esteem, although causal effects could only be tested in experimental studies.

Behavior Problems, Self-Esteem, and Prosocial Behavior in Siblings of Children With Chronic Physical Health Conditions: An Updated Meta-Analysis.

OBJECTIVE: Chronic physical health conditions (CPHC) of children affect the whole family. The aim of the present meta-analysis was to compare levels of internalizing, externalizing, and total problems as well as self-esteem/positive self-concept and prosocial behavior of the healthy siblings with children from families not affected by CPHC and test norms, respectively. METHODS: A systematic search for literature was conducted using the electronic data bases CINAHL, PsycInfo, PubMed, PSYNDEX, and Web of Science. In total, results from 216 studies were included in random-effects meta-analyses that had been published or made available online before February 15, 2022. RESULTS: Healthy siblings of children with CPHC had elevated levels of internalizing (g = .18 standard deviation units), externalizing (g = .13), and total behavior problems (g = .22), and effect sizes were found to be small to very small. While levels of self-esteem did, on average, not vary between healthy children with and without a sibling with CPHC or test norms (g = .08), higher levels of prosocial behavior were found in the healthy siblings of children with CPHC (g = .18). In addition, some moderating effects of kind of CPHC and its intrusiveness as well as mortality risk, country, sociodemographic equivalence of the compared groups, and year of publication were identified. CONCLUSIONS: It is concluded that CPHC of a child can have negative as well as positive effects on psychosocial outcomes of healthy siblings. Psychosocial interventions are recommended for healthy siblings at elevated risk for psychological problems.

Predictors of Coping with Health-related Expectation Violations among University Students.

Objectives: Individuals often experience expectation violations related to the consumption of healthy food and physical activity and they may cope with expectation-disconfirming information by (1) ignoring the discrepancy (immunization), (2) increasing efforts to fulfill them (assimilation), or (3) changing their expectations (accommodation). We investigated whether valence, discrepancy magnitude, and controllability of the expectation disconfirming event predicted coping with expectation violations. Methods: A 2 (valence: positive vs negative) x 2 (discrepancy: larger vs smaller) x 2 (controllability: control vs no control) experimental design was implemented. Overall, we presented 297 university students with vignettes describing expectation violations and present different combinations of predictor levels. Results: Regarding physical activity, participants showed significantly higher accommodation when experiencing a better-than-expected event and showed significantly higher immunization when experiencing a worse-than-expected event. Regarding food consumption and physical activity, individuals experiencing lower discrepancy showed significantly higher immunization; individuals with control over the source of expectation disconfirmation showed significantly higher assimilation; and individuals without control over the source of expectation disconfirmation showed significantly higher accommodation.Conclusions: To promote the maintenance of healthy expectations, despite expectation violations, interventions could foster the perception of control as well as assimilative behavior.

Expectations in the Communication About Death and Dying: Development and Initial Validation of the End-of-Life Conversations - Expectations Scale.

End-of-life (EOL) conversations with relatives or significant others are often avoided. One reason can be negative expectations regarding these conversations. The present study was conducted to develop and initially validate the End-of-Life Conversations - Expectations Scale (EOLC-E). An exploratory factor analysis (N = 307) resulted in a 20-item version with three distinct dimensions: expected own emotional burden (α = .92), expected other person's emotional burden (α = .94) and communication self-efficacy (α = .89). The EOLC-E total score correlated significantly with communication apprehension about death (r = .62), fear of death (r = .58), death avoidance (r = .52) as well as readiness for end-of-life conversations (r = -.38) and occurrence of previous conversations (r = -.29). Results suggest that the EOLC-E is a reliable and valid instrument to assess death and dying communication expectations. This measure has utility in communication research focusing on optimizing expectations and increasing EOL communication.

Change in alcohol outcome expectancies from childhood to emerging adulthood: A meta-analysis of longitudinal studies.

ISSUES: Knowledge on the development of alcohol outcome expectancies (AOE) is relevant because AOE predict change in drinking behaviours. The present meta-analysis integrates results of longitudinal studies on change in AOE from childhood to emerging adulthood (age 23/24). APPROACH: A systematic search in electronic databases identified 64 studies that were analysed with three-level meta-analyses. KEY FINDINGS: AOE about positive and social consequences tended to increase, on average, from childhood to middle or late adolescence, respectively. In contrast, negative AOE declined over time. Change in positive, social and tension reduction AOE were described as an inverted u-shaped curve. The strongest increase of more than two standard deviation units was observed with regard to social AOE between the age of 7 and 16, followed by small decline in the transition to emerging adulthood. IMPLICATIONS: The meta-analysis found evidence for strong increases of positive AOE from childhood to middle or late adolescence. CONCLUSIONS: The results inform about reasonable age-ranges for expectancy-challenging interventions. To obtain a clearer picture of change in AOE beyond adolescence, longitudinal research is needed on younger children and beyond college age.

Dispositional and situational predictors of coping with violated achievement expectations.

Most students experience expectation violations during their academic career, such as unexpected failed tests. However, contradictory evidence does not always result in expectation change (accommodation). Expectations often persist through stronger efforts to fulfil the expectation (assimilation) or ignoring the discrepancy (immunisation). Our study addresses possible situational and dispositional predictors that may be decisive influences on the use of the three coping strategies. We conducted an experimental study with n = 439 students who experienced an expectation violation in an achievement test. Dispositional coping tendencies, valence of expectation violation, and the interaction of valence and degree of expectation violation were found to predict situational coping. Furthermore, higher need for cognitive closure predicted stronger accommodation, and a large degree of expectation violation predicted stronger immunisation. Thus, our study provides initial evidence on which situational and dispositional factors predict coping with expectation violations in an educational context. Expectation violation in a performance context mainly resulted in stronger efforts to protect positive achievement expectations.

A Revised Framework for the Investigation of Expectation Update Versus Maintenance in the Context of Expectation Violations: The ViolEx 2.0 Model.

Expectations are probabilistic beliefs about the future that shape and influence our perception, affect, cognition, and behavior in many contexts. This makes expectations a highly relevant concept across basic and applied psychological disciplines. When expectations are confirmed or violated, individuals can respond by either updating or maintaining their prior expectations in light of the new evidence. Moreover, proactive and reactive behavior can change the probability with which individuals encounter expectation confirmations or violations. The investigation of predictors and mechanisms underlying expectation update and maintenance has been approached from many research perspectives. However, in many instances there has been little exchange between different research fields. To further advance research on expectations and expectation violations, collaborative efforts across different disciplines in psychology, cognitive (neuro)science, and other life sciences are warranted. For fostering and facilitating such efforts, we introduce the ViolEx 2.0 model, a revised framework for interdisciplinary research on cognitive and behavioral mechanisms of expectation update and maintenance in the context of expectation violations. To support different goals and stages in interdisciplinary exchange, the ViolEx 2.0 model features three model levels with varying degrees of specificity in order to address questions about the research synopsis, central concepts, or functional processes and relationships, respectively. The framework can be applied to different research fields and has high potential for guiding collaborative research efforts in expectation research.

Health behaviors of German university freshmen during COVID-19 in association with health behaviors of close social ties, living arrangement, and time spent with peers.

OBJECTIVE: The start of university is a critical period for health risk behavior (i.e. eating, physical activity, alcohol use) which can be influenced by expectations and by environmental factors such as living arrangement, health behaviors of close social ties (i.e. parents, partners, peers), and time spent with peers. We investigated associations between environmental factors and current/expected health behaviors of German freshmen during the COVID-19 pandemic. METHOD: A cross-sectional survey design was used. A total of N = 208 students (82.7% female; M age = 20.90, SD = 4.10) completed an online questionnaire assessing health behaviors and environmental factors at the beginning of their first semester. RESULTS: Current and expected physical activity was associated to that of all social ties, current and expected alcohol use to partner's and peers' alcohol use, while current and expected eating was only associated to peers' eating. The relationship between partner's or peers' and participant's alcohol use was moderated by coresidence, with a greater probability of engaging in these behaviors observed in case of coresidence. Perceived peer encouragement for alcohol consumption moderated the relationship between peer alcohol use and the number of drinks consumed by participants per month. Participants who spend more time with peers were more likely to consume higher amounts of alcohol. No differences were found regarding present and expected behaviors of participants who moved out of their parents' home and those who did not. CONCLUSION: Partners and peers significantly influence students' health behaviors, particularly alcohol use. Interventions to prevent health risk behaviors among freshmen should therefore address these social ties' influence.

Expectancy challenge interventions to reduce alcohol consumption among high school and college students: A meta-analysis.

OBJECTIVE: Alcohol expectancies are a critical factor in the development of problematic alcohol use. Expectancy challenge (EC) interventions aim to manipulate positive alcohol expectancies to reduce or prevent alcohol use among young people. The present meta-analysis investigated the effects of ECs at changing expectations and alcohol use among high school and college students, and moderating effects of study and individual characteristics on these changes. METHOD: A total of 23 EC studies (N = 4,122; mean age = 19.0; 57% males) was included as they reported enough information to calculate effect sizes, had a control condition that did not receive an active intervention, and were presented as of August 1, 2020. Two independent coders coded relevant variables and calculated effect sizes at posttest using a random-effects model. RESULTS: ECs showed significant yet small effects at modifying alcohol consumption and alcohol expectancies in the desired direction (g's ranged from -.18 to -.42). Changes in social, tension, liquid courage, and risk aggression expectancies explained significant variance in change in alcohol use. The effects of ECs at changing social, sexual, tension, and liquid courage expectancies were stronger among college students compared to high school students. More favorable results were observed for interventions delivered at a higher dose. CONCLUSIONS: ECs targeting high school and college students produce small effects at reducing alcohol use and changing alcohol expectancies. Future efforts are needed to determine under which circumstances and among which subgroups ECs are expected to produce greater effects. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Subjective age from childhood to advanced old age: A meta-analysis.

The present meta-analysis analyzed how the gap between subjective age and chronological age changes across the life-span and whether the size of this gap varies across regions of the globe. In addition, we tested for sources of the national differences. A systematic search in electronic databases (PsycInfo, Medline, Google Scholar, PSYNDEX) and cross-referencing identified 294 studies (with mean age ranging from 8 to 105 years) that were included in random-effects meta-analyses. While children felt about 3 years or 34% older than their chronological age, older adults (60+ years) felt, on average, between 10.74 and 21.07 years or 13%-18% younger. Associations between chronological age and the size of proportional differences between subjective and chronological were best described as a quadratic relationship, while associations with the size of absolute differences could also be described as a linear relationship. The widening of the gap between subjective age and chronological age across adulthood was found in all continents. Although adults reported a relatively younger subjective age across the globe, these differences were strongest in North America, Western Europe, and Australia/Oceania, and weakest in Africa. The regional differences disappeared after statistically controlling for national levels of individualism-collectivism, power distance, preference for young people rather than older adults, and quality of life of older people. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Why expectations do or do not change after expectation violation: A comparison of seven models.

Individuals are often confronted with events that violate their expectations, but disconfirming evidence does not always lead to expectation change. We review seven theoretical models on how individuals cope with disconfirming expectations: associative learning theories, the ViolEx Model, the model of coping with expectation disconfirmation (Roese & Sherman, 2007), the Meaning Maintenance Model, the Predictive Processing Framework, Expectancy Violations Theory, and the Expectation-Disconfirmation Model of consumer satisfaction. We focus on the proposed processes that relate to persistence or change of expectations. We discuss similarities and differences between the models. Three core coping processes are identified across most of these models - minimization of the importance of expectation-disconfirming evidence, search for/production of future expectation-confirming evidence, and expectation change. Suggestions for refinements and extensions of the models as well as for future empirical work on model testing are drawn.