Negative self-perceptions are implicated in the development and maintenance of depression in young people, but little is known about their receptiveness to change in response to treatment. This paper reports on a pre-registered meta-analysis examining the extent to which treatments for depression in young people aged 11–24 result in changes to self-perceptions. Controlled treatment trials examining outcomes related to self-perceptions were synthesised (k = 20, N = 2041), finding small reductions in both symptoms of depression (g = −0.30; 95 % CI: −0.52, −0.08) and self-perception outcomes (g = 0.33; 95 % CI: 0.16, 0.49) for interventions compared with control groups. Meta-regression analyses found no significant association between reductions in depressive symptoms and improvements in self-perception following treatment, suggesting that despite interventions generally improving both outcomes these changes may be unrelated to each other. Our results indicate that young people's self-perceptions are sensitive to change following treatment for depression, however effect sizes are small and treatments could be more effective in targeting and changing negative self-perceptions. Given the importance that young people place on integrating work on their sense of self into treatments for depression, future interventions could aim to support young people with depression to develop a positive sense of self.

中文翻译：

---

抑郁症干预对年轻人自我认知的影响：系统评价和元分析


消极的自我认知与年轻人抑郁症的发展和维持有关，但人们对他们对治疗反应改变的接受能力知之甚少。本文报告了一项预先注册的荟萃分析，该分析研究了 11-24 岁年轻人的抑郁症治疗在多大程度上导致自我认知发生变化。综合检查自我认知相关结局的对照治疗试验 （k = 20， N = 2041），发现与对照组相比，干预的抑郁症状 （g = -0.30;95 % CI： -0.52， -0.08） 和自我感知结局 （g = 0.33;95 % CI： 0.16， 0.49） 均略有减少。Meta 回归分析发现，治疗后抑郁症状的减轻与自我认知的改善之间没有显著关联，这表明尽管干预措施普遍改善了这两种结果，但这些变化可能彼此无关。我们的结果表明，年轻人的自我认知对抑郁症治疗后的变化很敏感，但效应量很小，治疗在针对和改变消极的自我认知方面可能更有效。鉴于年轻人重视将自我意识方面的工作纳入抑郁症的治疗，未来的干预措施可能旨在支持患有抑郁症的年轻人培养积极的自我意识。