فراتحليل اثربخشي زوج‌درماني التقاطي در ايران

Meta-analysis of the effectiveness of eclectic couple therapy in Iran

اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﺑﻪ ﮐﺎر ﺑﺮدن ﺷﯿﻮه ﻓﺮاﺗﺤﻠﯿﻞ ﺑﻪ ﻣﻨﻈﻮر ﻣﺤﺎﺳﺒﻪ اﻧﺪازه اﺛﺮ اﯾﻦ روﯾﮑﺮد در زوج درﻣـﺎﻧﯽ اﻧﺠـﺎم ﮔﺮﻓﺘﻪ اﺳﺖ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻧﻮع ﺗﻮﺻﯿﻔﯽ اﺳﺖ ﮐﻪ ﺑﻪ ﺻـﻮرت ﻓﺮا ﺗﺤﻠﯿـ ﻞ ﺻـﻮرت ﮔﺮﻓـﺖ ؛ از اﯾـﻦ رو ﺑـﺎ اﺳﺘﻔﺎده از ﭘﺎﯾﮕﺎهﻫﺎي اﻃﻼﻋﺎﺗﯽ داﺧﻠﯽ ﻧﺴﺒﺖ ﺑﻪ ﯾﺎﻓﺘﻦ و ﺟﻤﻊ آوري ﺗﻤﺎم ﮔﺰارشﻫﺎي ﭘﮋوﻫﺸـ ﯽ داﺧﻠـﯽ ﻣﺮﺑﻮط ﺑﻪ ارزﯾﺎﺑﯽ زوج درﻣﺎﻧﯽ اﻟﺘﻘﺎﻃﯽ ﭘﺮداﺧﺘﻪ ﺑﻮدﻧﺪ، اﻗﺪام ﺷﺪ. از ﺑﯿﻦ 29 ﭘﮋوﻫﺶ ﮔـﺮدآوري ﺷـﺪه ، 17 ﭘﮋوﻫﺶ ﮐﻪ از ﻟﺤﺎظ روش ﺷﻨﺎﺧﺘﯽ ﻣﻮرد ﻗﺒﻮل ﺑﻮده اﻧﺪ و داراي اﻃﻼﻋﺎت آﻣﺎري ﻣﻨﺎﺳﺐ ﺑﺮاي اﺳﺘﻔﺎده در ﻓﺮاﺗﺤﻠﯿﻞ ﺑﻮدﻧﺪ، اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺑﺮاي ﮔﺮدآوري اﻃﻼﻋﺎت از ﭼﮏ ﻟﯿﺴﺖ ﻓﺮاﺗﺤﻠﯿﻞ اﺳﺘﻔﺎده ﺷﺪ. ﺑﺮاي ﺗﺤﻠﯿﻞ ﻧﺘﺎﯾﺞ ﺗﺤﻘﯿﻘﺎت ﻣﺨﺘﻠﻒ، از اﻧﺪازه اﺛﺮ و ﻓﺮاﺗﺤﻠﯿﻞ اﺳﺘﻔﺎده ﺷـﺪ . ﺑـ ﺎ ﺗﻮﺟـﻪ ﺑـﻪ اﯾـﻦ ﮐـﻪ ﺗﻌـﺪاد ﻣﻄﺎﻟﻌـﺎت ﺑﺮرﺳﯽ ﺷﺪه، ﺑﯿﺶ ﺗﺮ از 4 وﻟﯽ ﮐﻢ ﺗﺮ از 25 اﺳﺖ، آزﻣﻮن ﻣﯿﺎﻧﮕﯿﻦ p ﺑﺮاي ﺗﺮﮐﯿﺐ ﻧﺘﺎﯾﺞ آزﻣﻮن ﻫـﺎ اﻧﺘﺨـﺎب ﺷﺪ و از روش اﻧﺪازه اﺛﺮ ﮐﻮﻫﻦ ﻧﯿﺰ ﺑﺮاي دﺳﺖﯾﺎﺑﯽ ﺑﻪ ﻣﻘﺪار اﺛﺮ ﮐﻠﯽ اﺳﺘﻔﺎده ﺷﺪ. ﺗﺤﻠﯿﻞ ﻫﺎي آﻣـﺎر ي ﺑـﺎ اﺳﺘﻔﺎده از وﯾﺮاﯾﺶ دوم ﻧﺮم اﻓﺰار ﺟﺎﻣﻊ ﻓﺮاﺗﺤﻠﯿﻞ )2-CAM( اﻧﺠﺎم ﺷﺪ. ﻧﺘﺎﯾﺞ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﺑﻬﺮهﮔﯿﺮي از روش ﺗﺮﮐﯿﺐ اﻧﺪازه اﺛﺮ ﻣﺸﺨﺺ ﮐﺮد ﮐﻪ زوج درﻣﺎﻧﯽ اﻟﺘﻘﺎﻃﯽ ﻣﯽﺗﻮاﻧﺪ ﺗﺄﺛﯿﺮﮔﺬار ﺑﺎﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ ﻧﺸﺎن دادﻧﺪ ﻣﯿﺎﻧﮕﯿﻦ اﻧﺪازه اﺛﺮ ﮐﻠﯽ ﭘﮋوﻫﺶ ﻫﺎي اﻧﺠﺎم ﺷﺪه در زﻣﯿﻨﻪ اﺛﺮﺑﺨﺸـ ﯽ زوج درﻣﺎﻧﯽ اﻟﺘﻘﺎﻃﯽ ﺑﺮاي ﻣﺪل اﺛﺮات ﺛﺎﺑﺖ ﺑﺮاﺑﺮ ﺑﺎ 0/795 و ﺑﺮاي اﺛﺮات ﺗﺼﺎدﻓﯽ ﺑﺮاﺑﺮ ﺑﺎ 0/758 اﺳﺖ ﮐـﻪ ﻫﺮ دو در ﺳﻄﺢ )0/05< p( ﻣﻌﻨﯽ دار ﻫﺴﺘﻨﺪ. ﻣﯿﺰان اﻧﺪازه اﺛﺮ زوج درﻣﺎﻧﯽ اﻟﺘﻘﺎﻃﯽ ﻣﻄﺎﺑﻖ ﺟﺪول ﺗﻔﺴﯿﺮ اﻧﺪازه اﺛﺮ ﮐﻮﻫﻦ در ﺳﻄﺢ ﺑﺎﻻ ارزﯾﺎﺑﯽ ﻣﯽ ﺷﻮد. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎﯾﺞ اﯾـ ﻦ ﻓﺮاﺗﺤﻠﯿـﻞ، ﻣـﺪاﺧﻼت زوج درﻣـﺎﻧﯽ اﻟﺘﻘﺎﻃﯽ زوﺟﯿﻦ ﺗﺄﺛﯿﺮ ﺑﺎﻻﯾﯽ داﺷﺘﻪ اﺳﺖ. اﯾﻦ اﻣﺮ اﻫﻤﯿﺖ اﺳﺘﻔﺎده از اﯾﻦ روﯾﮑﺮد را در ﺑﺮﻧﺎﻣﻪ رﯾﺰي درﻣﺎﻧﯽ و ﻣﺪاﺧﻼت ﺑﺎﻟﯿﻨﯽ در ﻣﻮرد ﻣﺸﮑﻼت زﻧﺎﺷﻮﯾﯽ ﻧﺸﺎن ﻣﯽ دﻫﺪ.

In the field of family counseling and psychology, various approaches to couple therapy have been developed in order to reduce conflicts and communication disorders between couples. In Iran, many studies have examined the effectiveness of the eclectic approach in the field of couple therapy; But there is no study that examines the effectiveness of this approach in an integrated and coherent way in this area; Therefore, this study was performed by using meta-analysis method to calculate the effect of this approach in couple therapy.The present study is a descriptive study that was done by meta-analysis. Therefore, using internal databases, all internal research reports related to the evaluation of eclectic couple therapy were found and collected. Out of 29 collected studies, 17 studies that were methodologically acceptable and had appropriate statistical information for use in meta-analysis were selected. A meta-analysis checklist was used to collect data. To analyze the results of different researches, effect size and meta-analysis were used. Considering that the number of studied studies is more than 4 but less than 25, the mean p test was selected to combine the test results and Cohen effect size method was used to obtain the total effect value. Statistical analyzes were performed using the second edition of Comprehensive Meta-Analysis Software (CAM-2).The results of the present study, using the effect size combination method, showed that eclectic couple therapy can be effective. The results showed that the average effect size of the researches in the field of the effectiveness of eclectic couple therapy for the fixed effects model is 0.795 and for the random effects is 0.758, both of which are significant at the level (p <0.05). The size of the effect of eclectic couple therapy is evaluated at a high level according to the Cohen effect size interpretation table.According to the results of this meta-analysis, eclectic couple therapy interventions have had a high effect. This highlights the importance of using this approach in treatment planning and clinical interventions for marital problems.