The relationship between problem-solving appraisal and internalizing disorders: a meta-analysis

Problem-solving appraisal is an important cognitive process that influences how individuals manage and cope with stress. Negative appraisals of problem-solving ability are associated with adverse mental health outcomes.

We conducted a meta-analysis using a random-effects model to synthesize the relationship between problem-solving appraisal and internalizing disorders. In addition, we examined the potential moderating role of age in this relationship and conducted subgroup analyses. To account for effect size dependencies, we used robust variance estimation (RVE). We examined publication bias with a funnel plot, Egger's regression test, and weighting studies in terms of their probability of being published.

We found a medium combined effect size (r = 0.40) for 66 coefficients from 49 studies. Age did not moderate the combined effect size. Subgroup analyses found no difference between the combined effect size of studies that used a translated version of the PSI and those that used the original English version, nor was there a difference between those who reported on the relationship between problem-solving appraisal and anxiety and those that focused on the relationship between problem-solving appraisal and depression. The combined effect size obtained with RVE did not significantly differ from the original combined effect size. A funnel plot, Egger's regression test, and weighting of studies in terms of their probability of being published all evidenced publication bias. The trim-and-fill method imputed 16 studies, which adjusted the obtained combined effect size to a medium effect size of 0.38.

The findings underscore the moderate but robust relationship between problem-solving appraisal and internalizing disorders. Interventions to improve problem-solving skills may be beneficial across various demographics. Addressing publication bias is crucial to ensuring accurate meta-analytic results in mental health research.