Cited by 106Identity, Memory, and TherapyChild and Adolescent Psychosocial and Emotional DevelopmentEating Disorders and Behaviors

The DOI matches its Crossref record; 60 of the 61 references it cites were found in a registry or an index; 14 of the 47 sources its claims cite were checked for support.

Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis

Open access

Abstract

Depression, anxiety and eating disorders (“social-emotional disorders”) are common during adolescence/emerging adulthood, periods of intense identity development. Despite this, there are few reviews of existing research on the relationship between symptoms of these disorders and ongoing identity development. This study systematically reviewed, narratively synthesized and meta-analyzed longitudinal investigations of the relationship between identity synthesis/confusion and depression, anxiety and eating disorders symptoms during adolescence/emerging adulthood. Three databases (PsycInfo, Medline, Embase) were searched. Study quality was systematically appraised, findings were qualitatively synthesized and (where possible) meta-analyzed. 20 studies (55% “fair” quality, 45% “poor” quality) were identified, including 13,787 participants (54.2% female, mean age = 14.48 years, range 10–29 years). The narrative synthesis found evidence of bidirectional relationships between identity synthesis/confusion and depression, anxiety and eating disorder symptoms. Meta-analyses and meta-regressions of a sub-sample of studies (N = 9) indicated no significant associations between identity synthesis or confusion and anxiety or depression symptoms. More high-quality research is needed before firm conclusions can be drawn.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This systematic review and meta-analysis examined longitudinal associations between identity synthesis/confusion and depression, anxiety, and eating disorder symptoms during adolescence and emerging adulthood. Narrative synthesis found some evidence of bidirectional relationships, but meta-analyses of a sub-sample found no significant associations between identity and anxiety or depression symptoms.

Key findings

  • The review identified 20 studies with 13,787 participants (54.2% female, mean age = 14.48 years, range 10–29 years); 55% were rated “fair” quality and 45% “poor” quality, with no studies rated “good.”
  • Narrative synthesis found evidence of bidirectional relationships between identity synthesis/confusion and depression, anxiety, and eating disorder symptoms; for example, high synthesis/low confusion trajectories were associated with fewer depression and anxiety symptoms than low synthesis/high confusion trajectories.
  • Meta-analyses of 9 studies found a significant increase in identity synthesis over time (SMD = 0.11; 95% CI 0.02–0.20; p = 0.02) and a significant decrease in depression and anxiety symptoms over time (SMD = −0.11; 95% CI −0.18 to −0.03; p = 0.005), but no significant change in identity confusion (SMD = −0.01; 95% CI −0.16 to 0.14; p = 0.94).
  • Meta-regressions found no statistically significant predictors of change in identity synthesis or depression and anxiety symptoms, and the meta-analyses indicated no significant associations between identity synthesis or confusion and anxiety or depression symptoms.

Methods

  • Systematic review conducted according to PRISMA; PsycInfo, Medline, and Embase were searched from inception until 22 June 2021, supplemented by internet and reference-list hand-searches.
  • Inclusion criteria required longitudinal quantitative studies using (neo)Eriksonian identity measures and measures of social-emotional disorder symptoms, with at least 95% of samples aged 10–30 years; non-English studies and gray literature were excluded.
  • Findings were narratively synthesized; study quality was appraised with the Newcastle Ottawa Scale; meta-analyses and meta-regressions were conducted in Stata/SE 16.0 using random-effects models and standardized mean differences.

Limitations

  • The paper states that gray literature and non-English studies were excluded, studies were predominantly from the Netherlands and the United States, and most included studies were only of fair quality with shortfalls in selection, comparability, and outcome measurement (e.g., self-report questionnaires, <70% retention).
  • The paper states that meta-analyses could not include all identified studies due to heterogeneity, included multiple publications from the same cohort, and may have been underpowered for meta-regression with only nine studies.
  • Evident from the text: no included studies assessed the efficacy of identity-focused clinical interventions, only three studies focused on eating disorder symptoms, and a meta-analysis of eating disorder symptoms was not possible due to insufficient data.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s10964-021-01536-7

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Fig. 1 PRISMA flow chart of study screening and selection
Fig. 1 PRISMA flow chart of study screening and selectionCC BY · PubMed Central
Fig. 2 Forest plot of effect sizes in meta-analysis 1 (i.e., Change in identity synthesis over adolescence/emerging adulthood)
Fig. 2 Forest plot of effect sizes in meta-analysis 1 (i.e., Change in identity synthesis over adolescence/emerging adulthood)CC BY · PubMed Central
Fig. 3 Forest plot of effect sizes in meta-analysis 2 (i.e., Change in identity confusion over adolescence/emerging adulthood)
Fig. 3 Forest plot of effect sizes in meta-analysis 2 (i.e., Change in identity confusion over adolescence/emerging adulthood)CC BY · PubMed Central
Fig. 4 Forest plot of effect sizes in meta-analysis 3 (i.e., change in depression and anxiety symptoms over adolescence/emerging adulthood)
Fig. 4 Forest plot of effect sizes in meta-analysis 3 (i.e., change in depression and anxiety symptoms over adolescence/emerging adulthood)CC BY · PubMed Central

Verification

Claims the paper makes

27 Own result · 20 Own method · 17 No full text of the sources · 12 Sources not found · 10 Partly supported · 5 Own interpretation · 5 No basis given · 3 Supported · accuracy not yet measured

Show all 47 claims

  • It may state two separate claims as one. 32
  • Probably not a substantial claim. 33
52 of 52
  • The authors state this as an assumption.

    The random effects model assumes both within-group variability and between-study heterogeneity.

    “The random effects model assumes both within-group variability and between-study heterogeneity.”
  • The paper relies on this without support.

    Intervention development remains in its infancy.

    “However, intervention development remains in its infancy”
  • The paper relies on this without support.

    There are few reviews of existing research on the relationship between symptoms of these disorders and ongoing identity development.

    “Despite this, there are few reviews of existing research on the relationship between symptoms of these disorders and ongoing identity development.”
  • The paper relies on this without support.

    Increased understanding of any link between identity development and social-emotional disorders may help to improve prevention and intervention efforts.

    “Increased understanding of any link between identity development and social-emotional disorders may help to improve prevention and intervention efforts for these difficulties.”
  • The paper relies on this without support.

    Rigorous reviews which synthesize existing basic research are needed to advance the field.

    “rigorous reviews which synthesize existing basic research are needed to advance the field.”
  • The paper relies on this without support.

    Social-emotional disorders are common during adolescence/emerging adulthood.

    “Social-emotional disorders are common during adolescence/emerging adulthood, times of intense identity development.”
    “Social-emotional disorders are common during adolescence/emerging adulthood, yet few reviews synthesize existing research on the relationship between these disorders and ongoing identity development.”
  • The paper relies on this without support.

    Few reviews synthesize existing basic research exploring the relationship between identity development and social-emotional disorders.

    “yet few reviews synthesize existing basic research exploring this relationship.”
    “yet few reviews synthesize existing research on the relationship between these disorders and ongoing identity development.”
  • The paper relies on this without support.

    There are likely to be differences between the Netherlands and the United States and other countries regarding identity development and its association with mental health.

    “There are likely to be differences between these countries and other countries regarding identity development and its association with mental health.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

5 of 5

Citations

Cites

Show all 61 references

Research works printed but not linked: 1

  1. Wells, G., Shea, B., O’Connell, D., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2014). Newcastle-Ottawa quality assessment scale cohort studies. Ontario, Canada: University of Ottawa.

Cited by

Sorted by citations

See all 106

Metadata

Authors
Potterton, R., Austin, A., Robinson, L., Webb, H., Allen, K. L., & Schmidt, U.
Affiliations
King's College London (GB)
Corresponding author
Potterton, Rachel
Venue
Journal of Youth and Adolescence
Published
2021-11-16
Volume
51
Issue
1
Pages
16-29
ISSN
  • 0047-2891 (ISSN-L)
  • 1573-6601
OpenAlex
W3212406359
Cited by
106
References
61
Citations by year
2026: 49 · 2025: 31 · 2024: 12 · 2023: 12 · 2022: 2
FWCI
1.47
Type
journal article
Language
en
Open access
Locations
  • Journal of Youth and Adolescence (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
Funders
  • National Institute for Health Research
  • Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
identity construction, identity synthesis, identity confusion, depression, anxiety, eating disorders, adolescence, emerging adulthood, bidirectional relationship
MeSH terms
Adolescent, Adult, Anxiety, Anxiety Disorders, Child, Depression, Female, Humans, Longitudinal Studies, Male, Social Conditions, Young Adult

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