What factors are related to engagement with digital mental health interventions (DMHIs)? A meta-analysis of 117 trials.

Identifying correlates of engagement with digital mental health interventions (DMHIs) can guide strategies to encourage therapy skill practice in targeted subgroups, supporting precision mental health. This three-level robust variance estimation meta-analysis examined correlates of DMHI engagement across 117 studies (1698 effect sizes; 279,791 participants), classifying engagement as initial uptake, study-specific usage, and intervention completion. Women engaged more than men in both unadjusted (Cohen's = 0.

Perceived uncontrollability as a potential mechanism of parental child abuse predicting executive dysfunction in adulthood 18 years later: Replication across two studies.

Although it is well-established that child abuse precedes and predicts poorer executive functioning (EF), the potential mechanisms are not well understood. We thus used counterfactual mediation analysis to test how perceived control (lower personal mastery or higher perceived uncontrollability) mediated maternal or paternal child abuse, predicting lower future EF scores. Community adults from two separate samples ( = 3,291 and 2,550 in Samples 1 and 2) completed a retrospective parental child abuse self-report at Time 1 (T1), a trait-level perceived control self-report at T2, and performance EF tests at T3.