{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T08:06:30Z","timestamp":1788941190509,"version":"build-2803163510"},"reference-count":71,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["101244202"],"award-info":[{"award-number":["101244202"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Bullying is associated with internalizing symptoms and impaired everyday functioning. Cognitive\u2010behavioural therapy (CBT) and imagery interventions have been studied as treatments to improve mental health after such experiences.<\/jats:p>\n                  <jats:p>This meta\u2010analysis aimed to evaluate the effects of individual CBT and imagery interventions in targeting internalizing symptoms (negative affect, depression, anxiety and post\u2010traumatic stress symptoms) and improving self\u2010perception and coping in bullying victims.<\/jats:p>\n                  <jats:p>\n                    Systematic searches of PubMed, PsycInfo, Embase and Web of Science identified 23 studies applying CBT (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200915) and imagery interventions (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098) in bullying victims. Risk of bias and random\u2010effects meta\u2010analyses were conducted for pre \u2010 post and pre \u2010 follow\u2010up comparisons. Sensitivity analyses and meta\u2010regressions explored potential moderators.\n                  <\/jats:p>\n                  <jats:p>\n                    Unadjusted analyses showed reductions in internalizing symptoms pre\u2010 to post \u2010 intervention (\n                    <jats:italic>k<\/jats:italic>\n                    \u2009=\u200921,\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.72). These symptoms were maintained at follow\u2010up assessments (\n                    <jats:italic>k<\/jats:italic>\n                    \u2009=\u20099,\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.54). Similar initial improvements emerged for self\u2010perception and coping outcomes (\n                    <jats:italic>k<\/jats:italic>\n                    \u2009=\u200915,\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.75). However, substantial heterogeneity existed (\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200968%\u201398%). Crucially, after adjusting for publication bias, the pre\u2013post internalizing effect dropped to\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.26 and was no longer statistically significant. Conversely, the adjusted effect for self\u2010perception and coping increased to\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.98, whereas the follow\u2010up internalizing effect decreased (\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u20090.37) but remained significant.\n                  <\/jats:p>\n                  <jats:p>Both CBT and imagery interventions may offer potential benefits for bullying victims in reducing internalizing symptoms and in improving self\u2010perception and coping abilities. However, large heterogeneity, methodological limitations and publication bias warrant cautious interpretation. Further high\u2010quality controlled trials are needed to establish the robustness and clinical efficacy of these interventions.<\/jats:p>","DOI":"10.1002\/cpp.70330","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:28:18Z","timestamp":1787837298000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Imagery Interventions and Cognitive\u2010Behavioural Therapy for Psychological Complaints Related to Bullying: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-4463","authenticated-orcid":false,"given":"Meng","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Experimental Clinical and Health Psychology Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3713-8639","authenticated-orcid":false,"given":"Gerly","family":"Tamm","sequence":"additional","affiliation":[{"name":"Department of Experimental Clinical and Health Psychology Ghent University  Ghent Belgium"},{"name":"Institute of Psychology and Institute of Computer Science University of Tartu  Tartu Estonia"},{"name":"Psychology and Behavioral Sciences Unit, Institute of Natural Sciences and Health Tallinn University  Tallinn Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6900-8983","authenticated-orcid":false,"given":"Olivia","family":"De Laere","sequence":"additional","affiliation":[{"name":"Department of Experimental Clinical and Health Psychology Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0681-5983","authenticated-orcid":false,"given":"Yannick Vander","family":"Zwalmen","sequence":"additional","affiliation":[{"name":"Department of Experimental Clinical and Health Psychology Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-476X","authenticated-orcid":false,"given":"Ernst H. 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