{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:40:34Z","timestamp":1786977634566,"version":"build-2736575974"},"reference-count":76,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Although empirical studies have shown that interpersonal distress is related to mental health indicators in depression, there are no previous meta\u2010analyses evaluating this association. We performed a systematic review and meta\u2010analytic study to estimate the association between interpersonal distress and non\u2010relational mental health indicators (NR\u2010MHI) in depression. Following PRISMA criteria, we performed a systematic search on PubMed and PsycINFO. We conducted multilevel meta\u2010analytic (i.e., random\u2010effects) models to estimate a pooled correlation coefficient representing the strength of the association between interpersonal distress and NR\u2010MHI. Thirty\u2010eight studies (reporting 88 effect sizes) met inclusion criteria. The models showed a significant correlation between interpersonal distress and NR\u2010MHI (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.41,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), with moderate heterogeneity, Q(87)\u2009=\u2009710.38,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001. 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\u2010analytic synthesis of the association between interpersonal distress and NR\u2010MHI in depression, showing that in individuals with depression, NR\u2010MHI was positively associated with interpersonal distress, presenting a medium\u2010to\u2010large pooled effect size.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70143","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T23:49:51Z","timestamp":1755560991000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Interpersonal Distress as a Covariate of Mental Health in Depression: A Multilevel Meta\u2010Analysis"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7304-407X","authenticated-orcid":false,"given":"Juan\u00a0Mart\u00edn\u00a0G\u00f3mez","family":"Penedo","sequence":"first","affiliation":[{"name":"University of Kassel Germany  Kassel Germany"},{"name":"Osnabr\u00fcck University  Osnabr\u00fcck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4286-9703","authenticated-orcid":false,"given":"Malenka","family":"Areas","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires and CONICET  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3058-5815","authenticated-orcid":false,"given":"Cristoph","family":"Fl\u00fcckiger","sequence":"additional","affiliation":[{"name":"University of Kassel Germany  Kassel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"AdamsK. 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