Social identification and depression: A meta-analysis

A meta-analysis of 76 studies (N = 31,016) examined the relationship between social identification and depression. Overall, individuals who identify highly with a group tend to report less depression (average r_z = −.15). However, a large amount of variability between studies was observed. The 95% prediction interval, which indicates the true effect size that can be expected in future research, ranged from r_z = −.50 to .19. The relationship between depression and social identification is more complex than previously assumed. Some variability is related to the social identification measure used. Studies that focused on identification with interactive groups (r_z = −.28) had larger effect sizes than studies that focused on social categories (r_z = −.11). Moreover, studies of non-stigmatized groups (r_z = −.24) had larger effect sizes than studies of stigmatized groups (r_z = −.10). In conclusion, the structure and social identity content of groups appear to play an important role in the relationship between depression and social identification.     

Changes in Pediatric Health-Related Quality of Life in Cystic Fibrosis After IV Antibiotic Treatment for Pulmonary Exacerbations

Intravenous (IV) antibiotic therapy for pulmonary exacerbations (PE) has been shown to improve pulmonary functioning for patients with cystic fibrosis (CF); however, little is known about its effects on pediatric health-related quality of life (HRQOL). This prospective study assessed the impact of IV treatment of a PE on generic and CF-specific HRQOL for children and adolescents with CF. Participants included 52 children and adolescents with CF experiencing a PE (M _age = 13.6 years; 54% males; M_\textFEV1% M_{{{\text{FEV}}_{1\% } }} predicted = 58.8%). HRQOL, pulmonary functioning, and body mass index were assessed before and after IV antibiotic treatment. Results of this prospective, observational study indicated significant improvements on CFQ-R Respiratory (M _{change score} = 11.7; 95% CI = 6.3–17.1; p < .0001) and Weight (M _{change score} = 15.9; 95% CI = 7.9–23.8; p < .0001) scales. The CF-specific measure was more sensitive to changes in HRQOL than the generic instrument. These data suggest that CF-specific HRQOL improves with treatment for a PE with IV antibiotics. The noted statistically and clinically significant changes in the CFQ-respiratory scale indicate that the measure may be beneficial to pulmonary health care teams.     

Loneliness and the Big Five Personality Traits: A Meta-analysis

This preregistered meta-analysis (k = 113, total n = 93 668) addressed how the Big Five dimensions of personality (extraversion, agreeableness, conscientiousness, neuroticism, and openness) are related to loneliness. Robust variance estimation accounting for the dependency of effect sizes was used to compute meta-analytic bivariate correlations between loneliness and personality. Extraversion (r = −.370), agreeableness (r = −.243), conscientiousness (r = −.202), and openness (r = −.107) were negatively related to loneliness. Neuroticism (r = .358) was positively related to loneliness. These associations differed meaningfully in strength depending on how loneliness was assessed. Additionally, meta-analytic structural equation modelling was used to investigate the unique association between each personality trait and loneliness while controlling for the other four personality traits. All personality traits except openness remained statistically significantly associated with loneliness when controlling for the other personality traits. Our results show the importance of stable personality factors in explaining individual differences in loneliness. © 2020 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology.     

Real-life outgroup exposure,self-reported outgroup contact and the other-race effect

People are better at recognizing faces from their own racial or ethnic group compared with faces from other racial or ethnic groups, known as the other-‘race’ effect (ORE). Several theories of the ORE assume that memory for other-race faces is impaired because people have less contact with members of other racial or ethnic groups, resulting in lower visual expertise. The present research investigates contact theories of the ORE, using self-report contact measures and objective measures of potential outgroup exposure (estimated from participants' residential location and from GPS tracking). Across six studies (total N = 2660), we observed that White American and White German participants displayed better memory for White faces compared with Black or Middle Eastern faces, whereas Black American participants displayed similarly equal or better memory for White compared with Black faces. We did not observe any relations between the ORE and objective measures of potential outgroup exposure. Only in Studies 2a and 2b, we observed very small correlations (rs = −.08 to .06) between 4 out of 30 contact measures and the ORE. We discuss methodological limitations and implications for theories of the ORE.     

Should research experience be used for selection into graduate school: A discussion and meta‐analytic synthesis of the available evidence

Prior research experience is widely considered by graduate school admissions committees in the United States of America. Here, we use meta‐analytic methods and data from 18 unique samples and a total sample size of 3,525 students to shed light on the validity of prior research experience as a predictor of graduate school performance. Prior research experience was largely unrelated to academic performance (ρ = .01, k = 8, N = 1,419), degree attainment (ρ = .05, k = 3, N = 140), professional/practice performance (ρ = .06, k = 4, N = 1,120), and publication performance (ρ = .11, k = 7, N = 1,094). We also discuss whether consideration of prior research experience may unfairly disadvantage the students with lower levels of SES, students with childcare or eldercare responsibilities, and students from institutions at which research opportunities are limited.     

Sizing up physical activity: The relationships between dog characteristics,dog owners' motivations,and dog walking

ObjectiveRegular dog walking is likely a symbiotic relationship between the needs of the dog and its owner. This relationship has seen limited attention. The purpose of this study was to examine the relationships between dog characteristics, dog owners' perceptions of responsibility and attachment to their dogs, and the qualities of dog owner exercise motivations (self-determined regulations) with dog walking behavior.MethodParticipants were 228 adult dog owners who completed an online survey that included demographics, dog walking, dog responsibility/attachment and exercise regulations.ResultsUsing mediation procedures, the results showed that the owner's sense of dog walking responsibility and walking relationship was completely mediated by identified (indirect β = .06; bootstrapped lower CI = .02, bootstrapped higher CI = .17) and intrinsic (β = .05; bootstrapped lower CI = .01, bootstrapped higher CI = .15) regulations but these regulations could not account for substantial variance in the dog-related factors. Instead, intrinsic regulation (β = .27), identified regulation (β = .20), dog size (β = .22), and energy level of the dog (β = .13) all contributed to explain 30% of walking behavior.ConclusionA sense of responsibility to walk the dog, generally the most reliable correlate in past dog walking research, appears to align with more self-determined forms of motivation than controlled. The findings, however, support the premise that dog walking behavior may be a complex mix of human and dog-related factors. This dog and owner relationship may need consideration for successful future dog walking promotion initiatives.     

Students' defending and passive bystanding behaviours when witnessing school bullying in North Western Ethiopia: Roles of personal and situational factors

Guided by Thornberg et al.'s (2012) framework on motivation to intervene, the present study examines whether personal and situational factors are associated with defending and passive bystanding behaviours in school bullying. Self-reported survey data were collected from 612 students (aged 12–16 years) attending grades 7, 8, 9, and 10 in East Gojjam Administrative Zone, North Western Ethiopia. Hierarchical regression analysis revealed that the strongest, significant predictors of defending were self-efficacy for defending (β = .215, p = .000), affective empathy (β = .173, p = .000), students' experience as victim (β = .119, p = .002), personal sense of power (β = .119, p = .006), followed by moral disengagement (β = .118, p = .002), and age level (β = −.082, p = .036). All variables jointly explained 18.6% of the total variance in defending, F (12, 599) = 11.397, p < .00; with medium effect size (f² = 0.23). In contrast, the strongest predictors of passive bystanding were moral disengagement (β = .233, p = .000), perceived costs and benefits of defending (β = −.163, p = .000), self-efficacy (β = −.139, p = .003), students' experience as victim (β = .097, p = .014), followed by gender (β = −.080, p = .042). The model explained 16.7% of the total variance in passive bystanding, F (12, 599) = 10.043, p < .001; with medium effect size (f² = 0.20). The findings enrich our understanding of factors associated with defending and passive bystanding behaviours. The implications for intervention are discussed. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.     

Psychological Empowerment Among Urban Youth: Measurement Model and Associations with Youth Outcomes

Empowerment‐based strategies have become widely used method to address health inequities and promote social change. Few researchers, however, have tested theoretical models of empowerment, including multidimensional, higher‐order models. We test empirically a multidimensional, higher‐order model of psychological empowerment (PE), guided by Zimmerman's conceptual framework including three components of PE: intrapersonal, interactional, and behavioral. We also investigate if PE is associated with positive and negative outcomes among youth. The sample included 367 middle school youth aged 11–16 (M = 12.71; SD = 0.91); 60% female, 32% (n = 117) white youth, 46% (n = 170) African‐American youth, and 22% (n = 80) identifying as mixed race, Asian‐American, Latino, Native American, or other ethnic/racial group; schools reported 61–75% free/reduced lunch students. Our results indicated that each of the latent factors for the three PE components demonstrate a good fit with the data. Our results also indicated that these components loaded on to a higher‐order PE factor (X² = 32.68; df: 22; p = .07; RMSEA: 0.04; 95% CI: .00, .06; CFI: 0.99). We found that the second‐order PE factor was negatively associated with aggressive behavior and positively associated with prosocial engagement. Our results suggest that empowerment‐focused programs would benefit from incorporating components addressing how youth think about themselves in relation to their social contexts (intrapersonal), understanding social and material resources needed to achieve specific goals (interactional), and actions taken to influence outcomes (behavioral). Our results also suggest that integrating the three components and promoting PE may help increase likelihood of positive behaviors (e.g., prosocial involvement); we did not find an association between PE and aggressive behavior. Implications and future directions for empowerment research are discussed.     

Depression mediates the relationship between social performance impairment and hostility

The goal of this study was to test depressive symptoms as a mediator between social difficulties and hostility in young adults. Hostility is often a reaction to both intrinsic and extrinsic factors; therefore a greater understanding of contributing factors is needed, especially among emerging adults. College students (n = 608; 408 females, 200 males) self-reported on social difficulties, depression, and hostility. Via exploratory factor analyses, two latent constructs related to social difficulty were identified: social performance and social motivation. Using structural equation modeling, the direct effects found that poor social performance was significantly positively associated with BPAQ Total (β = .44, p < .01). Social motivation was not associated with BPAQ Total (β = −.07, p = .21). Further, depression scores were found to partially mediate the relationship between social performance deficits (β = .34, p < .01; 95% CI = .05–.16), but not social motivation (β = −.06, p > .05; 95% CI = −.04 to .04), and overall aggression. Results are discussed in terms of the influence of negative affect and impaired emotion regulatory processes on hostility as a consequence of social performance deficits.     

Nonsuicidal Self‐Injury among Adolescents: A Training Priority for Primary Care Providers

Primary care providers were surveyed to determine how prepared they feel to address nonsuicidal self‐injury (NSSI) among adolescents, their interest in training on NSSI, and factors associated with routinely asking about NSSI when providing health supervision. Participants included family medicine physicians (n = 260), pediatricians (n = 127), family nurse practitioners (n = 96), and pediatric nurse practitioners (n = 54). Almost 50% felt unprepared to address NSSI, and over 70% wanted training in this area. Overall, relative to other areas of mental health care, clinicians felt least prepared to address and wanted more training on NSSI. Just 27% reported they routinely inquired about NSSI during health supervision. Factors associated with routinely asking about NSSI were identifying as female (OR = 2.37; 95% CI = 1.25–4.49), feeling better prepared to address NSSI (OR = 1.51; 95% CI = 1.04–2.20), and more frequently using a psychosocial interview to identify adolescents in distress (OR = 1.23; 95% CI = 1.02–1.48). Teaching clinicians to assess NSSI within a psychosocial interview may increase screening for and identification of the behavior among adolescents in primary care.     

Perfectionism and doping willingness in athletes: The mediating role of moral disengagement

Although trait perfectionism has been related to doping attitudes in athletes, research investigating variables that could account for relationships between perfectionism and doping outcomes has received scant attention. Consequently, the aim of the present study was to investigate whether perfectionism was related to doping willingness directly, and indirectly via moral disengagement. We recruited a sample of 204 student athletes (M age = 19.12 years, SD = 1.17, n = 81 females - 39.70%) who completed measures of perfectionistic strivings, perfectionistic concerns, doping moral disengagement, and doping willingness. Multiple regression analyses revealed a significant positive relationship between perfectionistic concerns and doping willingness (β = .13, p < .05) and a nonsignificant relationship between perfectionistic strivings and doping willingness (β = −.01, p > .05). Moreover, bias-corrected bootstrapped indirect effects revealed that doping moral disengagement mediated the relationship between perfectionistic concerns and doping willingness (ab = .12; 95% CI = 0.02 to 0.21). The findings suggest that the relationship between perfectionistic concerns and doping extends beyond attitudes – to doping willingness – and the propensity to morally disengage explains why this is the case.     

Social and emotional loneliness and self‐reported difficulty initiating and maintaining sleep (DIMS) in a sample of Norwegian university students

Social and emotional loneliness negatively impact several areas of health, including sleep. However, few comprehensive population‐based studies have evaluated this relationship. Over 12,000 students aged 21–35 years who participated in the student survey for higher education in Norway (the SHoT study) were assessed. Loneliness was assessed using the Social and Emotional Loneliness Scale. Difficulty initiating and maintaining sleep (DIMS) was assessed by a single‐item subjective response on the depression scale of the Hopkins Symptoms Checklist (HSCL‐25). Social loneliness was associated with more serious DIMS (unadjusted proportional odds‐ratio [OR] = 2.69, 95% CI = 2.46–2.95). This association was attenuated following adjustment for anxiety (adjusted OR = 1.92, 95% CI = 1.75–2.10) and depression (adjusted OR = 1.48, 95% CI = 1.34–1.63), however was not substantially altered when all demographics and psychological distress were accounted for (fully adjusted OR = 1.46, 95% CI = 1.30–1.63). Emotional loneliness was also associated with more serious DIMS (unadjusted proportional OR = 2.33, 95% CI = 2.12–2.57). Adjustment for anxiety (adjusted OR = 1.96, 95% CI = 1.78–2.15) and depression (adjusted OR = 1.64, 95% CI = 1.48–1.80) attenuated, but did not extinguish this relationship in the fully adjusted model (adjusted OR = 1.22, 95% CI = 1.09–1.31). Mediation analyses revealed that the social loneliness‐DIMS association was fully attributed to psychological distress, while the emotional loneliness‐DIMS association was only partially mediated, and a direct association was still observed. Associations between social and emotional loneliness and subjective DIMS were embedded in a larger pattern of psychological distress. Mitigating underlying feelings of loneliness may reduce potentially deleterious effects on sleep health and psychological wellbeing in young adults.     

Psychological and Social Characteristics Associated with Religiosity in Women’s Health Initiative Participants

Measures of religiosity are linked to health outcomes, possibly indicating mediating effects of associated psychological and social factors. We examined cross-sectional data from 92,539 postmenopausal participants of the Women’s Health Initiative Observational Study who responded to questions on religious service attendance, psychological characteristics, and social support domains. We present odds ratios from multiple logistic regressions controlling for covariates. Women attending services weekly during the past month, compared with those not attending at all in the past month, were less likely to be depressed [OR = 0.78; CI = 0.74–0.83] or characterized by cynical hostility [OR = 0.94; CI = 0.90–0.98], and more likely to be optimistic [OR = 1.22; CI = 1.17–1.26]. They were also more likely to report overall positive social support [OR = 1.28; CI = 1.24–1.33], as well as social support of four subtypes (emotional/informational support, affection support, tangible support, and positive social interaction), and were less likely to report social strain [OR = 0.91; CI = 0.88–0.94]. However, those attending more or less than weekly were not less likely to be characterized by cynical hostility, nor were they less likely to report social strain, compared to those not attending during the past month.     

A little shot of humility: Intellectual humility predicts vaccination attitudes and intention to vaccinate against COVID-19

Vaccinations remain a critical, albeit surprisingly controversial, health behavior, especially with the promise of widely available COVID-19 vaccine. Intellectual humility, a virtue characterized by nonjudgmental recognition of one's own intellectual fallibility, may counter rigidity associated with anti-vaccination attitudes and help promote vaccine-related behaviors. This study investigated whether intellectual humility is related to anti-vaccination attitudes and intentions to vaccinate against COVID-19, and whether intellectual humility can predict unique variance in these outcomes beyond participant demographic and personal factors. Participants (N = 351, 57.23% male, mean age = 37.41 years, SD = 11.51) completed a multidimensional measure for intellectual humility, the anti-vaccination attitudes (VAX) scale, and a two-item COVID-19 vaccination intention scale. Bivariate correlations demonstrated that intellectual humility was negatively related with anti-vaccination attitudes overall, r(349) = −.46, p < .001, and positively related to intentions to vaccinate against COVID-19, r(349) = .20, p < .001. Hierarchical multiple regression revealed that intellectual humility predicted all four types anti-vaccination attitudes, overall anti-vaccination attitudes, and COVID-19 vaccination intentions above and beyond demographic and personal factors (i.e., sex, race/ethnicity, age, education, socioeconomic status, and political orientation), ΔR² between .08 and .18, ps < .001. These results bolster intellectual humility as a malleable psychological factor to consider in efforts to combat anti-vaccination attitudes and promote COVID-19 vaccination uptake.     

Échelle de temporalité : validation française d’une version courte de la Zimbardo Time Perspective Inventory (ZTPI)

Lewin (1951, p. 75) defined time perspective as the “totality of the individual's view of his psychological future and psychological past existing at a given time”. Indeed, time perspective is considered to guide behaviors and participate in the construction of personal identity. The Zimbardo Time Perspective Inventory (ZTPI) was constructed by Zimbardo and Boyd (1999) to measure the five dimensions of time perspective (Past-Negative, Past-Positive, Present-Hedonistic, Present-Fatalistic and Future scales) and contained fifty-six items. The ZTPI was validated in more than twenty countries, as well in France (Apostolidis and Fieulaine, 2004) and a short version (15-25 items) was also studied in numerous cultural settings like in USA, Australia and various European countries. Nevertheless, the short version of the ZTPI has never been validated in French. The aim of this study is to validate a brief French measure of the ZTPI (Zimbardo and Boyd, 1999) in order to apply it to adults of all ages. Based on the long ZTPI (fifty-four items) validated by Apostolidis and Fieulaine (2004), we tested a version containing fifteen items, the ZTPI-15, among 466 adults (18-98 years). The exploratory analysis revealed a factorial structure representing five factors comprising three items for each scale. The model was tested through a confirmatory factorial analysis, showing that the ZTPI-15 fit indices were satisfactory (χ²/dl = 2.58, RMSEA =.066, CFI = .90, AGFI =.90, RMSR = .067). Internal consistency and test-retest reliability was verified. Correlations between mean scores of the five factors showed relationships. Present-Fatalistic was related to Past-Negative (r =.23) and to Future (r = −.20), whereas a correlation between Past-Negative and Future (r = −.22) was demonstrated. Moreover, Future related to Past-Positive (r =.12). Age was associated to all scales of the ZTPI-15 and the strongest correlation was to Present-Hedonistic (r = −.31). The comparison between 253 young adults (M = 22.5 years) and 160 older adults (M = 73.3 years) showed that the older were less oriented to Past-Negative and Present-Hedonistic but more to Past-Positive, Present-Fatalistic and Future. Furthermore, educational level was correlated to Fatalistic-Present (r = −.28). The validity of the ZTPI-15 was also confirmed with the scores of anxiety and depression and with the Self-Esteem Scale: individuals with high score of anxiety were oriented to Past-Negative (r = .34) and those with high score of depression were oriented to past-Negative (r = .27) and Fatalistic-Present (r = .27). Finally, individuals with low self-esteem were strongly oriented to Past-Negative (r = −.45) and Present-Fatalistic (r = −.27), and individuals with high self-esteem to Future (r = .28).     

Self-compassion and women athletes' responses to emotionally difficult sport situations: An evaluation of a brief induction

ObjectivesTo examine self-compassion as a way to promote healthy responses in women athletes when faced with emotionally difficult sport-specific situations.DesignPhase I, cross-sectional; Phase II, experimental.MethodsIn Phase I, participants (N = 101; M_age = 20.0, SD = 2.8 years) completed measures of self-compassion, self-esteem, and narcissism, as well as reactions, thoughts, and emotions in response to hypothetical (i.e., responsible for a team loss) and recalled scenarios. Participants returning for Phase II were randomly assigned to a brief self-compassion induction (n = 21), self-esteem induction (n = 20), or writing control (n = 18) group. Following the induction, they responded to the same hypothetical scenario as in Phase I.Phase I resultsAfter partialling out self-esteem and narcissism, self-compassion was related (p < .01) to negative affect (r = −.40), catastrophizing thoughts (r = −.30), personalizing thoughts (r = −.32), and behavioral equanimity (r = .28) for the hypothetical scenario. A similar pattern was found for the recalled scenario.Phase II resultsA MANOVA with Phase I self-compassion, self-esteem, and narcissism as covariates resulted in a non-significant group by time interaction, Wilks' Lambda = .75, F(12,96) = 1.27, p = .25. Follow-up hierarchical regression analysis showed Phase I levels of self-compassion as the only significant predictor for negative affect, personalizing thoughts, and behavioral equanimity.ConclusionsWomen athletes with higher self-compassion levels generally responded in healthier ways to emotionally difficult hypothetical and recalled situations in sport than their less self-compassionate counterparts. However, future research needs continued focus on evaluating self-compassion inductions and interventions for use in sport.     

Measuring executive function skills in young children in Kenya: Associations with school readiness

Most of what is known about the association between children’s executive function (EF) and school readiness skills is derived from research conducted in Western countries. We tested whether these associations were evident in a middle‐income country context. Participants were 1,480 children, aged 4–7 years old, who participated in an endline assessment of the Tayari program, an early childhood education (ECE) model that is being delivered by the Kenyan education system. High rates of task completion, low rates of floor effects, and high rates of assessor quality ratings supported the feasibility of large‐scale direct assessments of EF with young children. Assessor ratings of children’s attention‐related behaviors during testing were positively associated with their performance on EF tasks (rs = 0.12–0.27). An EF composite score was not related to demographic factors or to children’s exposure to the Tayari program. However, the EF composite score was uniquely associated with performance‐based measures of early literacy (β = 0.18, 95% confidence interval [CI] = 0.05, 0.31), early numeracy (β = 0.16, 95% CI = 0.07, 26), and social‐emotional competencies (β = 0.12, 95% CI = 0.03, 0.20), even after adjustment for multiple covariates. These results are discussed with respect to the ways in which EF skills inform ongoing efforts to invest in ECE in low‐ and middle‐income countries.     

Investigating the Links Between Cultural Values and Belief in Conspiracy Theories: The Key Roles of Collectivism and Masculinity

Research suggests that belief in conspiracy theories (CT) stems from basic psychological mechanisms and is linked to other belief systems (e.g., religious beliefs). While previous research has extensively examined individual and contextual variables associated with CT beliefs, it has not yet investigated the role of culture. In the current research, we tested, based on a situated cultural cognition perspective, the extent to which culture predicts CT beliefs. Using Hofstede's model of cultural values, three nation-level analyses of data from 25, 19, and 18 countries using different measures of CT beliefs (Study 1, N = 5323; Study 2a, N = 12,255; Study 2b, N = 30,994) revealed positive associations between masculinity, collectivism, and CT beliefs. A cross-sectional study among U.S. citizens (Study 3, N = 350), using individual-level measures of Hofstede's values, replicated these findings. A meta-analysis of correlations across studies corroborated the presence of positive links between CT beliefs, collectivism, r = .31, 95% CI = [.15; .47], and masculinity, r = .39, 95% CI = [.18; .59]. Our results suggest that in addition to individual differences and contextual variables, cultural factors also play an important role in shaping CT beliefs.     

The Starting Early Starting Smart Integrated Services Model: Improving Access to Behavioral Health Services in the Pediatric Health Care Setting for At-Risk Families with Young Children

We evaluated the Starting Early Starting Smart (SESS) national initiative to integrate behavioral health services (parenting, mental health, and drug treatment) into the pediatric health care setting for families with young children. Data are presented from five pediatric care (PC) sites, drawing from families at risk due to demographic and behavioral health factors, with infants less than 12 months of age (n = 612). Families were randomly assigned to either the SESS program or a standard care Comparison group. We utilized longitudinal analyses to estimate differences in utilization rates for parenting, mental health, and drug treatment over 6 follow-up time points (3, 6, 9, 12, 15 and 18 months). Our findings indicate that SESS caregiver participants were 4.6 times (p < 0.001; CI = 3.33–6.26) more likely to receive parenting services, 2.1 times (p < 0.001; CI = 1.48–2.86) more likely to receive outpatient mental health treatment, and 1.8 times (p = 0.025; CI = 1.08–3.14) more likely to receive drug treatment than Comparison group participants. Our results demonstrate the success of the SESS program in coordinating and improving access to behavioral health services for high-risk caregivers within the pediatric health care setting and highlight the importance of continuing to focus public health policy on the behavioral health care needs of families with young children.     

The Effectiveness of Functional Family Therapy for Adolescent Behavioral and Substance Misuse Problems: A Meta‐Analysis

A systematic review of published and unpublished English language articles identified 14 studies containing 18 comparisons between functional family therapy (FFT) and another condition in the treatment of adolescent disruptive behavior and substance use disorders. In 11 of these comparisons, assignment to conditions was random, while nonrandom assignment occurred in seven studies. For both random and nonrandom comparisons, separate meta‐analyses were conducted for subgroups of studies depending on the type of comparison group used. Data from studies of untreated control groups (CTL), treatment as usual (TAU), and well‐defined alternative treatments (ALTs) were analyzed separately. Effect sizes from these six meta‐analyses were as follows: random assignment FFT versus CTL (k = 3, d = 0.48, p < .01); random assignment FFT versus TAU (k = 3, d = .20, ns); random assignment FFT versus ALT (k = 5, d = .35, p < .05); nonrandom assignment FFT versus CTL (k = 2, d = .90, ns); nonrandom assignment FFT versus TAU (k = 2, d = .08, ns); and nonrandom assignment FFT versus ALT (k = 3, d = .75, p < .001). These results provide support for the effectiveness of FFT compared with untreated controls and well‐defined ALTs, such as cognitive behavior therapy, other models of family therapy, and individual and group therapy for adolescents.