Evidence map›Paper›PMID 40597068›Full record

ArticleBMC psychiatry2025

"When I picture myself, I just see black and white and dull": a photo-elicitation study exploring mental images of the self in young people with depression.

Rebecca L Dean, Faith Orchard, Victoria Pile, Kathryn J Lester

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rebecca L DeanSchool of Psychology, University of Sussex, Brighton, UK.ORCID http://orcid.org/0000-0003-3724-3631
Faith OrchardSchool of Psychology, University of Sussex, Brighton, UK.ORCID http://orcid.org/0000-0002-5324-5007
Victoria Pile *Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0002-9177-2844
Kathryn J Lester *School of Psychology, University of Sussex, Brighton, UK. k.lester@sussex.ac.uk.ORCID http://orcid.org/0000-0002-0853-2664

Funding

National Institute for Health and Care Research NIHR301312
6 · The paper itself

Abstract

backgroundNegative self-perception plays a crucial role in the development and maintenance of depression in young people. Mental images of the self may be a powerful target for treating depression. However, little qualitative research has explored young people's mental imagery. The present study aimed to understand experiences of mental images of the self in young people with lived experience of depression or low mood.

methodsNineteen young people aged 14-21 years old with lived experience of depression or persistent low mood took part in a qualitative photo-elicitation study with semi-structured interviews.

resultsReflexive thematic analysis identified six overarching themes relating to the content of images, sources, triggers, distressing properties, relationship between imagery and mood, and preferences for treatment. Participants described mental images that depicted primarily negative autobiographical memories relating to experiences of low mood, anxiety, and social disconnection, and reflecting hopelessness for the future. When participants did experience positive images, these were often accompanied by dampening appraisals that reduced the positive impact on their mood. Treatment goals included reducing aversive properties of negative mental imagery, such as vividness and uncontrollability, and generating more positive images.

conclusionsThis study identified ways in which mental images of the self may contribute towards low mood in young people and highlighted distressing properties of mental imagery and preferences for treatment. Given the novel nature of this research, these findings are a valuable contribution towards informing theoretical frameworks that underpin our understanding of mental images of the self in young people with depression, and could be used to support intervention development in this population.

Indexed as

DepressionImaginationSelf ConceptAdolescentAdultAffectFemaleHumansMaleMemory, EpisodicPhotographyQualitative ResearchYoung AdultAdolescentDepressionLow moodMental imageryPhoto-elicitationQualitativeSelf-perceptionYoung people

Identifiers

PMID40597068
PMCPMC12220442

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.