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Worry and rumination as a transdiagnostic target in young people: a co-produced systematic review and meta-analysis
Journal article   Open access   Peer reviewed

Worry and rumination as a transdiagnostic target in young people: a co-produced systematic review and meta-analysis

Sarah J. Egan, Danyelle Greene, Thomas Callaghan, Shravan Raghav, Julia Funk, Theresa Badenbach, Samuel Talam, Georgia Kemp, Peter McEvoy, Thomas Ehring, …
Cognitive behaviour therapy, Vol.54(1), pp.17-40
2025
PMID: 38923912
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Published1.12 MBDownloadView
Open Access CC BY V4.0

Abstract

adolescents anxiety depression psychosis Review rumination Worry
Repetitive Negative Thinking (RNT) encompasses both worry and rumination and is a transdiagnostic process. A systematic review and meta-analysis were co-produced with individuals with lived experience of anxiety and depression. The objective was to examine the efficacy of RNT-specific psychological interventions. Inclusion criteria were mean age or range 10-24 years, and including a measure of worry, rumination, RNT, anxiety, depression, psychosis, self-harm, or suicide. The Cochrane Risk of Bias measure was used. PsycInfo, Medline/PubMed, Scopus and Embase databases were searched on 24 April 2023. There were 16 studies with 20 RNT interventions, N = 1,183 participants, 79% female, mean pooled age = 20.08 years. There was a small effect of RNT interventions on anxiety symptoms (g = −0.43 to −0.47, 95% CI = −0.23 to −0.70). There were small-to-medium effects on depressive symptoms (g = −0.40 to −0.52, 95% CI = −0.19 to −0.84), and RNT (g = −0.59 to −0.71, 95% CI = −0.41 to −1.01). Most studies indicated some concerns for risk of bias. Transdiagnostic interventions that target RNT are efficacious in reducing symptoms of anxiety, depression, and RNT in young people. Further research is required to address younger age groups, psychosis, and different cultural contexts.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.21 Psychiatry
1.21.1179 Mindfulness and Mental Health
Web Of Science research areas
Behavioral Sciences
Psychology, Clinical
ESI research areas
Psychiatry/Psychology
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