فرا تحليل اثر بخشي كتاب‌ درماني بر اختلال اضطراب و افسردگي در كودكان و نوجوانان

Meta analysis of effectiveness of bibliotherapy on anxiety disorders and depression in children and adolescence

اهداف: هدف پژوهش حاضر، فراتحليل اثربخشي كتاب‌درماني براي اختلال اضطراب و افسردگي در كودكان و نوجوانان در يك فاصله زماني ده ساله است. همچنين اين پژوهش، علاوه بر بررسي اثر كتاب‌درماني بر اختلال و افسردگي، مشخص مي‌كند كه در صورت اثربخشي كتاب‌درماني، كدام تعديل‌كننده‌ها در اثربخشي آن موثر هستند. مواد و روش‌ها: جامعة آماري فراتحليل حاضر، پژوهش‌هاي پيشين در حوزة كتاب‌درماني در دورة 10 ساله 1384-1394 است كه در پايگاه‌هاي اطلاعاتي مختلف قابل دسترس هستند. بر اساس معيارهاي ورود به مطالعه، 14 مقاله با 20 اندازة اثر از مطالعات به دست آمد. براي محاسبة اندازة اثرها از نرم افزارCMA2 استفاده شد. يافته‌ها: نتايج نشان داد كه اندازة اثر كلي براي كتاب‌درماني مقدار 0/423 است كه بدان معناست كه كتاب‌درماني اثربخشي متوسطي دارد. همچنين يافته‌ها نشان داد كه متغيرهاي تعديل‌كننده مانند نوع هدايتگر و تماس با هدايتگر اثربخشي بالايي بر يافته‌ها ندارد. نتيجه‌گيري: مقدار اثربخشي كتاب‌درماني براي اختلال اضطراب و افسردگي در كودكان و نوجوانان متوسط است و مي-تواند به عنوان روش درمان و يا روش مكمل درمان بكار رود.

Background and Objectives The purpose of research is to use meta-analysis for bibliotherapyon anxiety and depression disorders in children and adolescent in recent ten years in Iran and abroad. The aim was to combine the results of different researches and extract new and comprehensive results and calculate the effect sizes of researches. Also, the research studied that how much the type of dependent variables and different moderators could be effective. Materials & Methods . In this study, meta-analysis was considered as a statistical technique for determining, collecting, combining and summarizing the finding that relates to the effect of bibliotherapy in children and adolescent. The population of the present meta-analysis was preceding studies in the field of bibiotherapy and was the all scientific papers published in academic journals, scientific conferences and thesis in the 10-year period (2003-2014) by the subject of bibliotherapy. The papers must be available in different database and as well as have the necessary condition. According to inclusion criteria of study, 14 work by 20 effect size get. To calculate the effect size, CMA software version 2 was used. Results Findings showed that overall effect size was 0.423 that is average according to the table of Cohen. The finding of this meta-analysis is compliance with previous studies that shows bibliotherapy is an effective and efficient approach for treating and helping to treat disorders and preventing and development of children and adolescent. Findings also showed that moderators like type of therapist, contact to therapist are not very effective. Conclusion The effectiveness of bibliotherapy for children and adolescent is average and could be used as a treatment method for depression and anxiety disorders.