Evidence map›Paper›PMID 39916617›Full record

Trial reportClinical psychology & psychotherapy

Associations Between Transdiagnostic Psychological Processes and Global Symptom Severity Among Outpatients With Various Mental Disorders: A Cross-Sectional Study.

Anna Katharina Frei, Thomas Studnitz, Britta Seiffer, Jana Welkerling, Johanna-Marie Zeibig, Eva Herzog, Mia Maria Günak, Thomas Ehring, Keisuke Takano, Tristan Nakagawa and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Anna Katharina FreiFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.ORCID https://orcid.org/0009-0000-3629-7094
Thomas StudnitzFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.
Britta SeifferFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.
Jana WelkerlingFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.
Johanna-Marie ZeibigFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.
Eva HerzogDepartment of Psychology, Clinical Psychology and Psychological Treatment, Ludwig-Maximilians-Universität München, Munich, Germany.
Mia Maria GünakDepartment of Psychology, Clinical Psychology and Psychological Treatment, Ludwig-Maximilians-Universität München, Munich, Germany.
Thomas EhringDepartment of Psychology, Clinical Psychology and Psychological Treatment, Ludwig-Maximilians-Universität München, Munich, Germany.
Keisuke TakanoDepartment of Psychology, Clinical Psychology and Psychological Treatment, Ludwig-Maximilians-Universität München, Munich, Germany.
Tristan NakagawaDepartment of Psychology, Clinical Psychology and Psychological Treatment, Ludwig-Maximilians-Universität München, Munich, Germany.
Leonie SundmacherChair of Health Economics, Technical University Munich (TUM), Munich, Germany.
Sebastian HimmlerChair of Health Economics, Technical University Munich (TUM), Munich, Germany.
Stefan PetersGerman Association for Health-Related Fitness and Exercise Therapy (German: DVGS), Hürth-Efferen, Germany.
Anna Lena FlagmeierAOK Baden-Württemberg, Stuttgart, Germany.
Lena ZwanzleitnerTechniker Krankenkasse, Hamburg, Germany.
Ander Ramos-MurguialdayMedical Faculty, Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.
Sebastian WolfFaculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tübingen, Tübingen, Germany.

Funding

Gemeinsame BundesausschussGerman Innovation Fund of the Federal Joint Committee of Germany 01NVF19022
6 · The paper itself

Abstract

objectiveKnowledge about transdiagnostic factors associated with global symptom severity among patients diagnosed with various mental disorders remains limited. This study examined the cross-sectional associations between transdiagnostic processes including global emotion regulation and specific emotion regulation strategies (i.e., amount of physical activity and sedentary behaviour, repetitive negative thinking and sleep routines) with global symptom severity, while controlling for sociodemographic data (age, gender, employment status, relationship status, and educational level) and fear of the coronavirus.

methodsData from 401 outpatients, aged 42.08 years on average (SD = 13.26; 71.3% female), diagnosed with depressive disorders, non-organic primary insomnia, agoraphobia, panic disorder and/or post-traumatic stress disorder were examined. This study is a secondary analysis of a randomized controlled trial. Data were collected from 10 different study sites between March 2021 and May 2022 for cross-sectional analysis. The influence of predictors of global symptom severity was determined using three-step hierarchical multiple regression: (1) control variables, (2) global emotion regulation and (3) specific emotion regulation strategies. Global symptom severity was measured using the Global Severity Index, derived from the Brief Symptom Inventory-18. Predictors were measured using validated scales, and physical activity was additionally assessed via accelerometer-based sensors.

resultsIn the first step, control variables accounted for 4% of variance in global symptom severity. The inclusion of global emotion regulation in the second step explained 26% of the outcome variance, and the incorporation of specific emotion regulation strategies in the third step increased the explained variance to 37%. Significant predictors included global emotion regulation (β = 0.28), repetitive negative thinking (β = 0.26) and sleep routines (β = 0.25).

conclusionGlobal emotion regulation along with repetitive negative thinking and sleep routines as specific emotion regulation strategies are identified as transdiagnostic psychological processes that may serve as treatment targets for evidence-based interventions designed to enhance emotion regulation, particularly in transdiagnostic samples of stress-related disorders. Additional prospective longitudinal studies with transdiagnostic samples are necessary to explore possible causal relationships.

Indexed as

Emotional RegulationMental DisordersOutpatientsAdultAgoraphobiaCross-Sectional StudiesDepressive DisorderExerciseFemaleHumansMaleMiddle AgedPanic DisorderSeverity of Illness IndexSleep Initiation and Maintenance DisordersStress Disorders, Post-Traumaticemotion regulationglobal symptom severitymental disordersoutpatientstransdiagnostic psychological processes

Identifiers

PMID39916617
PMCPMC11803435

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.