scholarly journals Psychopathology and Episodic Future Thinking: A Systematic Review and Meta-Analysis of Specificity and Episodic Detail

2021 ◽  
Author(s):  
David John Hallford ◽  
David W. Austin ◽  
Keisuke Takano ◽  
Filip Raes

Episodic future thinking (EFT) refers to the mental simulation of possible future events; a crucial mental process in adaptation. Psychiatric disorders are associated with deficits in recalling episodic memory, however, no study has reviewed the empirical literature to assess for similar deficits in EFT. A systematic review comparing psychiatric groups with control groups on the specificity and episodic detail of EFT returned 19 eligible studies. An overall effect of g = -0.84 (95%CI = -1.06, - 0.62, p < .001) indicated individuals with a psychiatric diagnosis have significantly less specific and detailed EFT. Publication bias was not detected, but heterogeneity was. No methodological characteristics were significant moderators. Subgroup analyses showed significant effects for depression (g = -0.79, p < .001, k = 7), bipolar disorder (g = -1.00, p < .001, k = 2), and schizophrenia (g = -1.06, p < .001, k = 6), but not posttraumatic stress disorder (g = -1.04, p = .260, k = 2) or complicated grief (g = -0.41, p = .08, k = 2). Deficits in EFT are apparent in some psychiatric disorders. However, many clinical groups are understudied, and the causal mechanisms and remediation of these deficits require further research attention.

2021 ◽  
Author(s):  
◽  
Rebecca Olsen

<p>Delay discounting refers to the fact that rewards lose their value if they are delayed. Excessive delay discounting is associated with various health-related problems such as over-eating and substance abuse. One phenomenon shown to reduce delay discounting is Episodic Future Thinking (EFT; imagining personal future events). Across multiple experiments and a meta-analysis, the current thesis examined the reliability of the effect of EFT on delay discounting and also sought to clarify the components of EFT that are necessary to reduce delay discounting.  Experiment 1 replicated the EFT effect using a common titrating-amount procedure, and the meta-analysis based on 40 independent studies confirmed that EFT has a reliable, medium-sized effect on delay discounting. The meta-analysis also assessed the robustness of the EFT effect across various methodological features and participant characteristics. A multiple meta-regression revealed that the between-study variability in the size of the EFT effect was accounted for by study design and type of discounting measure. Within-subjects design studies had significantly smaller effect sizes than between-subjects design studies. Studies that used k as a discounting rate measure had significantly smaller effect sizes than studies that used area under the discounting curve or other atheoretical discounting measures. The size of the EFT effect was robust across different participant characteristics and ages, suggesting that EFT may be utilized as an effective intervention for a variety of age groups and impulsive behaviors.  Experiments 2A, 2B and 2C assessed the suitability of an alternative and briefer delay discounting procedure (in which participants simply report their indifference points) for subsequent EFT experiments. The report indifference points procedure produced a high percentage of invalid data, a finding that was replicated across all three experiments. We therefore continued to use the well-established titrating-amount procedure in subsequent studies.  Experiment 3A found that episodic past thinking (imagining personal past events) and semantic future thinking (estimating what a person could buy with the larger, delayed amount) had no effect on discounting, indicating that both episodic thinking and future thinking are necessary components of the EFT effect. Experiment 3A results also indicated that financial relevance alone is not sufficient to reducing discounting. Experiment 3B found that the future events also need to be personally relevant to reduce discounting, and that participants perceived EFT to reduce their discounting by primarily making the larger, delayed reward more valuable. We also showed that demand characteristics, where participants change their behavior to conform to the researcher’s expectations, are an unlikely explanation for the EFT effects found in Experiments 3A and 3B. Further research is warranted to form a better understanding of the mechanism(s) through which EFT reduces delay discounting.</p>


2021 ◽  
Author(s):  
◽  
Rebecca Olsen

<p>Delay discounting refers to the fact that rewards lose their value if they are delayed. Excessive delay discounting is associated with various health-related problems such as over-eating and substance abuse. One phenomenon shown to reduce delay discounting is Episodic Future Thinking (EFT; imagining personal future events). Across multiple experiments and a meta-analysis, the current thesis examined the reliability of the effect of EFT on delay discounting and also sought to clarify the components of EFT that are necessary to reduce delay discounting.  Experiment 1 replicated the EFT effect using a common titrating-amount procedure, and the meta-analysis based on 40 independent studies confirmed that EFT has a reliable, medium-sized effect on delay discounting. The meta-analysis also assessed the robustness of the EFT effect across various methodological features and participant characteristics. A multiple meta-regression revealed that the between-study variability in the size of the EFT effect was accounted for by study design and type of discounting measure. Within-subjects design studies had significantly smaller effect sizes than between-subjects design studies. Studies that used k as a discounting rate measure had significantly smaller effect sizes than studies that used area under the discounting curve or other atheoretical discounting measures. The size of the EFT effect was robust across different participant characteristics and ages, suggesting that EFT may be utilized as an effective intervention for a variety of age groups and impulsive behaviors.  Experiments 2A, 2B and 2C assessed the suitability of an alternative and briefer delay discounting procedure (in which participants simply report their indifference points) for subsequent EFT experiments. The report indifference points procedure produced a high percentage of invalid data, a finding that was replicated across all three experiments. We therefore continued to use the well-established titrating-amount procedure in subsequent studies.  Experiment 3A found that episodic past thinking (imagining personal past events) and semantic future thinking (estimating what a person could buy with the larger, delayed amount) had no effect on discounting, indicating that both episodic thinking and future thinking are necessary components of the EFT effect. Experiment 3A results also indicated that financial relevance alone is not sufficient to reducing discounting. Experiment 3B found that the future events also need to be personally relevant to reduce discounting, and that participants perceived EFT to reduce their discounting by primarily making the larger, delayed reward more valuable. We also showed that demand characteristics, where participants change their behavior to conform to the researcher’s expectations, are an unlikely explanation for the EFT effects found in Experiments 3A and 3B. Further research is warranted to form a better understanding of the mechanism(s) through which EFT reduces delay discounting.</p>


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pooya Ebrahimi ◽  
Mahdi Hadilou ◽  
Ferdos Naserneysari ◽  
Amirmohammad Dolatabadi ◽  
Rana Tarzemany ◽  
...  

Abstract Background Photobiomodulation is widely being used to improve the wound healing process in dentistry and a vast majority of studies have proven its benefits. But there are plenty of knowledge gaps according to the optimal laser characteristics which should be used to maximize the healing effects of lasers. The goal of this systematic review and meta-analysis was to determine the effect of photobiomodulation (PBM) as an adjunctive treatment to periodontal therapies to evaluate secondary intention gingival wound healing and post-operative pain. Methods Five databases (PubMed, Embase, Scopus, ProQuest, and Web of Sciences) were searched up to November 30, 2020, for clinical trials that reported the result of the application of PBM on secondary gingival healing wounds and post-operative pain and discomfort after periodontal surgeries. Two independent reviewers selected the eligible studies and the outcomes of interest were extracted. The quality of eligible studies was assessed using the Cochrane Handbook for Systematic Reviews of Interventions. Results Ultimately, twelve studies were included in this review. The application of PBM as an adjunct to periodontal surgeries resulted in a significant improvement in wound healing indices. The Landry wound healing index at the 7th post-operative day was significantly improved (SMD = 1.044 [95% CI 0.62–1.46]; p < 0.01) in PBM + surgery groups compared to the control groups. There was also a statistically significant increase in the complete wound epithelialization (RR = 3.23 [95% CI 1.66–6.31]; p < 0.01) at the 14th post-operative day compared to the control groups. The methods used to assess the post-operative pain were heterogeneous, and therefore the results were limited which made the meta-analysis for post-operative pain assessment not possible. Conclusion Based on the results of this review, PBM can be effectively used as a method to improve secondary intention wound healing. High-quality randomized clinical trials, however, are needed in the future to identify the optimal PBM irradiation parameters and the effect of PBM on post-operative pain.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 457
Author(s):  
Filipe Manuel Clemente ◽  
Rodrigo Ramirez-Campillo ◽  
Hugo Sarmento ◽  
Daniel Castillo ◽  
Javier Raya-González ◽  
...  

This systematic review with meta-analysis was conducted to assess the effects of small-sided games (SSG)-based training programs on bone mineral density (BMD) in untrained adults. The data sources utilized were Cochrane, Embase, Medline (PubMed), Scopus, SPORTDiscus, and Web of Science. The study eligibility criteria were: (i) untrained adults (>18 years old) of any sex, with or without a noncommunicable disease; (ii) SSG-based programs with a minimum duration of four weeks and no restrictions regarding frequency (number of sessions per week); (iii) passive or active control groups; (iv) pre-post values of BMD; (v) only randomized controlled trials; and (vi) only original and full-text studies written in English. The database search initially yielded 374 titles. From those, nine articles were eligible for the systematic review and meta-analysis. The age of included population varied from a minimum of 20 and a maximum of 71 years old. Non-significant differences between SSG and passive and active control groups on total BMD (ES = 0.14; p = 0.405 and ES = 0.28; p = 0.05, respectively). Meanwhile, significant differences in favor of SSGs vs. passive and control groups were detected, evidencing an improvement of BMD in lower limbs of the adult population for both sexes (ES = 0.26; p = 0.05 and ES = 0.28; p = 0.156, respectively). As conclusions, SSGs can be used as a non-pharmacological alternative to increase the BMD in the lower limbs despite having no significant impact on total body BMD. Careful generalization should be done of the level of heterogeneity.


2021 ◽  
pp. 152483802199128
Author(s):  
David S. Lapsey ◽  
Bradley A. Campbell ◽  
Bryant T. Plumlee

Sexual assault and case attrition at the arrest stage are serious problems in the United States. Focal concerns have increasingly been used to explain police decision making in sexual assault cases. Because of the popularity of the focal concerns perspective and potential to inform evidence-based training, a systematic review and meta-analysis are needed to condense the literature. In this study, we assess the overall strength of the relationship between focal concerns variables and police decisions to arrest in cases of sexual assault. Our assessment of the effects of focal concerns variables on arrest decision making in sexual assault cases followed the systematic review protocols provided by the Campbell Collaboration of Systematic Reviews. Specifically, we used the Campbell Collaboration recommendations to search empirical literature and used meta-analysis to evaluate the size, direction, and strength of the impact of focal concerns variables on arrest decisions. Our search strategy detected 14 eligible studies and 79 effect sizes. The meta-analysis found several robust and statistically significant correlates of arrest. In fact, each focal concerns concept produced at least one robust arrest correlate. Overall, focal concerns offers a strong approach for explaining police decisions in sexual assault cases. Although practical concerns and resource constraints produced the strongest arrest correlates, results show the importance of additional case characteristics in officers’ decision to arrest.


2021 ◽  
pp. 009385482110614
Author(s):  
Marie-Hélène Goulet ◽  
Laura Dellazizzo ◽  
Clara Lessard-Deschênes ◽  
Alain Lesage ◽  
Anne G. Crocker ◽  
...  

Given the increasing literature on forensic assertive community treatment (FACT), we conducted a systematic review and meta-analysis to explore the effectiveness of FACT among justice-involved individuals with severe mental illness. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Sixteen studies were included in the systematic review, six of which were included in the meta-analyses for a total of 1,246 participants. Mixed results regarding health-related outcomes were found. The pre-post FACT analysis and comparison with control groups did not yield significant results other than increased outpatient service use. Results on forensic outcomes were more compelling. Both the narrative review and the meta-analysis highlighted that FACT programs may improve justice outcomes such as the number of days spent in jail. More high quality and multisite randomized controlled trials are needed to consolidate findings. Further research is needed to examine other psychosocial factors related to FACT program success.


2019 ◽  
Vol 8 (2) ◽  
pp. 125-132
Author(s):  
Fahime Khorasani ◽  
Fariba Ghaderi ◽  
Parvin Sarbakhsh ◽  
Parisa Ahadi ◽  
Elahe Khorasani ◽  
...  

Objectives: The present systematic review focused on the prevention or treatment of three main types of pelvic floor dysfunctions (PFDs) specifically pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) using physiotherapy and pelvic floor muscle exercises (PFMEs). With regard to the breadth of the problem, there is not much evidence grounded on the best management. The main purpose of this systematic review was to evaluate the effects of physiotherapy and PFMEs on the prevention and treatment of pregnancy-related PFDs; namely, POP, FI, and UI. Therefore, this review incorporated studies comparing the use of physiotherapy and PFMEs with every other existing interventions. Methods: This systematic review and meta-analysis was conducted on randomized-controlled-trial (RCT) articles and quasi-RCT designs through a search in the studies published with no time limits until December 2017 in the databases of PubMed (Medline), Web of Science, Scopus, Embase, Cochrane Library, and ProQuest. The meta-analysis was also applied for data synthesis. Moreover, heterogeneity was assessed using Cochran’s Q test and I2 index. Results: A total number of 26 RCTs were examined in this review in which the outcome variables were related to POP, UI, and FI prevalence; POP, UI, and FI severity, as well as pelvic floor muscle (PFM) strength and endurance. In most articles, UI prevalence or severity in intervention groups had significantly improved compared with those in controls. The number of studies examining POP and FI was also relatively low. In two studies, FI severity or prevalence in intervention groups had significantly enhanced in comparison with those in control groups; however, FI prevalence in two articles had been reported lower in intervention groups than that in control groups although no significant difference had been observed. There was also no significant improvement in intervention groups in two other studies in this respect. Besides, three articles had not reported traces of improvement in POP, as well as a significant difference between intervention and control groups. Nevertheless, two studies had found a significant improvement in POP in this regard. Based on meta-analysis results for the variable of PFM strength, Cochran’s Q test (P<0.001) and I2 index (90.02) indicated heterogeneity between studies; so, a random-effect meta-analysis was applied to estimate overall effect sizes. The overall mean differences following intervention between the study groups were also equal to 6.94, with a 95% CI (1.36 to 12.52). Conclusions: It was concluded that physiotherapy and PFMEs might have effects on pregnancy-related UI, but they had not consistently reduced FI severity or prevalence and failed to constantly improve POP.


SciVee ◽  
2010 ◽  
Author(s):  
Laura p. Chen ◽  
M. hassan Murad ◽  
Molly l. Paras ◽  
Kristina m. Colbenson ◽  
Amelia l. Sattler ◽  
...  

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