Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis

Autores
Gómez Penedo, Juan Martín; Areas, Malenka Alejandra; Flückiger, Cristoph
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of Kassel; Alemania
Fil: Areas, Malenka Alejandra. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Flückiger, Cristoph. University of Kassel; Alemania
Materia
meta analisis
interpersonal problems
depression
psychotherapy
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/281108

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spelling Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐AnalysisGómez Penedo, Juan MartínAreas, Malenka AlejandraFlückiger, Cristophmeta analisisinterpersonal problemsdepressionpsychotherapyhttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Although 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.Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of Kassel; AlemaniaFil: Areas, Malenka Alejandra. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Flückiger, Cristoph. University of Kassel; AlemaniaWiley2025-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/281108Gómez Penedo, Juan Martín; Areas, Malenka Alejandra; Flückiger, Cristoph; Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis; Wiley; Clinical Psychology & Psychotherapy; 32; 4; 8-2025; 1-141063-39951099-0879CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/cpp.70143info:eu-repo/semantics/altIdentifier/doi/10.1002/cpp.70143info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-02-26T10:06:18Zoai:ri.conicet.gov.ar:11336/281108instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-02-26 10:06:18.389CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
title Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
spellingShingle Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
Gómez Penedo, Juan Martín
meta analisis
interpersonal problems
depression
psychotherapy
title_short Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
title_full Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
title_fullStr Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
title_full_unstemmed Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
title_sort Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis
dc.creator.none.fl_str_mv Gómez Penedo, Juan Martín
Areas, Malenka Alejandra
Flückiger, Cristoph
author Gómez Penedo, Juan Martín
author_facet Gómez Penedo, Juan Martín
Areas, Malenka Alejandra
Flückiger, Cristoph
author_role author
author2 Areas, Malenka Alejandra
Flückiger, Cristoph
author2_role author
author
dc.subject.none.fl_str_mv meta analisis
interpersonal problems
depression
psychotherapy
topic meta analisis
interpersonal problems
depression
psychotherapy
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv 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.
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of Kassel; Alemania
Fil: Areas, Malenka Alejandra. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Flückiger, Cristoph. University of Kassel; Alemania
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2025-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/281108
Gómez Penedo, Juan Martín; Areas, Malenka Alejandra; Flückiger, Cristoph; Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis; Wiley; Clinical Psychology & Psychotherapy; 32; 4; 8-2025; 1-14
1063-3995
1099-0879
CONICET Digital
CONICET
url http://hdl.handle.net/11336/281108
identifier_str_mv Gómez Penedo, Juan Martín; Areas, Malenka Alejandra; Flückiger, Cristoph; Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta‐Analysis; Wiley; Clinical Psychology & Psychotherapy; 32; 4; 8-2025; 1-14
1063-3995
1099-0879
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/cpp.70143
info:eu-repo/semantics/altIdentifier/doi/10.1002/cpp.70143
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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